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Do you have to avoid food for gout?

Do you have to avoid food for gout?

Gout should be avoided, of course, should be avoided. Not only gout, many diseases should be avoided, such as hypertension, diabetes, hyperlipidemia and so on.

Currently, gout, diabetes, high blood cholesterol, high uric acid, obesity, these metabolic diseases are more and more people, and most of these diseases are inextricably linked to diet. Therefore, in my opinion, not only these metabolic diseases patients, and even the current healthy people, should pay attention to, properly adjust their eating habits.

Relationship between gout and hyperuricemia

Hyperuricemia is the pathological basis for the formation of gout. Although only about 10% of patients with hyperuricemia eventually lead to gout, the following relationship exists between hyperuricemia and gout:

1, the higher the blood uric acid, the higher the incidence of gout, the younger the age of gout attacks

  • Studies have shown that the incidence of gout is at 30.5% when blood uric acid is greater than 600umol/L. (Normal values for blood uric acid are below 420 umol/L)
  • In contrast, the incidence of gout is only 0.6% when blood uric acid is less than 420 umol/L. The average age of gout onset is 55 years.
  • Blood uric acid is greater than 540 umol/L and the average age of onset of gout is 39 years.

2, the higher the blood uric acid, the higher the gout recurrence rate

Gout is not something that happens once and never happens again. Rather, it can flare up from time to time, and the longer the duration of the disease, the worse the control of blood uric acid that

  • Studies have shown that with blood uric acid less than 300 umol/L, the recurrence rate of gout is less than 10%.
  • Blood uric acid is greater than 540 umol/L and the recurrence rate of gout is nearly 80%.

Where does blood uric acid in the body come from?

Uric acid is the end product of purine metabolism, and uric acid in the body comes from two main sources. 80% from self-synthesis and 20% from purines in food.

Since uric acid is a metabolic waste product, more of it is definitely not good. After uric acid is produced, 2/3 of it is excreted through the kidneys and 1/3 is excreted through the intestines. If the kidneys excrete less uric acid, or if too much uric acid is produced, the uric acid in the body will rise.

Why should gout be avoided?

The reason why gout needs to be avoided, I think the above two points are enough to be able to explain. If you want gout to recur less or even not recur, then you need to control blood uric acid. And control blood uric acid in addition to taking medication, diet control is a key part.

How much of an impact does diet have?

  • Some studies have shown that strict dietary control can reduce blood uric acid by 10-18%, probably around 70umol/L-90umol/L.
  • In other words, uric acid will rise if you don't control your diet. Even if you take uric acid-lowering medication, you will get half the results.

What foods do I need to avoid for gout?

I. Foods to avoid, i.e. try not to eat them

1, animal offal and other high purine food, such as liver, kidney, heart, etc.

2. High-fructose grain syrup drinks, such as sodas, artificial juices or foods.

3, wine, especially beer, not only high purine content itself, and reduce uric acid excretion.

II. Foods that need to be restricted and not eaten in excess

1, cattle, sheep, pork, purine-rich seafood, etc.

2. Natural fruit juices, sugar, desserts, etc.

III. Foods to encourage eating

Low-fat as well as fat-free foods, vegetables, etc.

Medications to be as careful as possible with gout?

  • In addition to avoiding some foods for gout, some medications can cause uric acid to rise. They also need to be avoided as much as possible. For example, thiazide diuretics (hydrochlorothiazide) as well as labeled diuretics (furosemide), niacin, low-dose aspirin, cyclosporine, levodopa, and ethambutol.

It is also advisable for patients to be proactive in mentioning their gout to their doctors when they visit them for other illnesses. This way the doctor will avoid prescribing medications that cause elevated uric acid. For example, if a patient with high blood pressure goes to the clinic and tells the doctor about high uric acid. The doctor will then avoid prescribing diuretics.

Some drugs have a concurrent uric acid-lowering effect on top of treating the original disease

  • For example, for people with high blood pressure, chlorosartan and a calcium channel blocker (nifedipine), both put blood pressure and lower uric acid.
  • Patients with hyperlipidemia. Atorvastatin and fenofibrate can inhibit the reabsorption of uric acid by the kidneys. Therefore, high cholesterol combined with high uric acid can use atorvastatin. For high triglycerides combined with high uric acid, fenofibrate is preferred.
  • For diabetics, glucose-lowering drugs such as, alpha glucosidase inhibitors (acarbose, voglibose), insulin sensitizers (pioglitazone), DPP-4 (selegiline phosphate), SGLT2 inhibitors (dagliflozin), metformin. All have a uric acid-lowering effect while lowering sugar.

Summary:

  • Gout is something to be taken seriously, not just the pain in the joints during an attack. There are many other hazards, such as cardiovascular hazards, leading to hypertension and diabetes. For the harm to the kidneys, leading to chronic kidney disease, leading to uric acid stones and so on.

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Hello! Gout is a need to avoid food, gout without avoiding food is prone to gouty arthritis, kidney damage, gout and other complications.

Gout attack, mainly because the body uric acid elevation related, and the elevation of uric acid, mainly with diet has an important relationship. Our normal human body has the function of metabolizing purines, when the human body consumes too much and produces too much purine accumulation, these purine metabolism is impaired, it is easy to cause uric acid elevation, the formation of gout.

First, there are three main damages of gout

One is gouty arthritis, the other is gouty nodules, and the third is kidney damage.

Gouty arthritis most often starts at midnight and is a unilateral joint attack with severe and unbearable pain. The attacks are mostly in the elbow, wrist, metacarpophalangeal joints, knee, ankle, metatarsophalangeal joints, and heel. Gouty arthritis is prone to bone destruction due to urate crystallization.

Gouty nodules mainly show a chronic course and are found in the joints of the limbs and ears.

Kidney damage caused by gout is mainly characterized by interstitial nephritis and glomerular injury. Interstitial nephritis is mostly manifested in increased nocturia and decreased urine specific gravity. Glomerular injury is manifested in proteinuria and hematuria. It is usually not easy to find out, even only through urine test.

Second, how to avoid food and drink?

The main thing is to limit high purine diets. What is a high purine diet?

Foods that are extremely high in purines are these: seafood, beer, animal offal, anchovies, etc.

Foods that are high in purines are these: shellfish, beef and pork.

And the following foods are extremely low in purines and can be recommended for consumption: milk, bread, soda bread, pumpkin, potatoes, and a variety of fruits and vegetables.


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Why do you get gout?

The spleen and stomach are the foundation of the later day, the source of qi and blood, the spleen is the source of phlegm and dampness, the function of the spleen and stomach must have sufficient yang qi, if the spleen and stomach yang qi is weak, the function of the spleen and stomach will decline. The spleen is the basis for the generation of qi and blood, yang qi is sufficient, resistance, or immunity in order to be strong as the Chinese medicine said that the positive qi within the survival of the evil can not be dry.


The spleen is responsible for transportation, which is divided into transportation of water and dampness and transportation of water and grains.

The spleen transports water and dampness, which means that the spleen is involved in the metabolism of water in the body, if the spleen is injured by cold, spleen yang is insufficient, the spleen can not better transport water and dampness, so that the water and dampness in the body is stored in the body, the dampness is gathered as phlegm, impeding the circulation of blood and qi in the body, dampness depletion of the body of the yang, so that the yang is more weak, more weak, the spleen yang will be even more weak, the spleen yang is more weak, the more water and dampness stored in the body, the formation of a vicious circle. Therefore, the spleen is the source of phlegm and dampness.


Dampness is a yin evil, dampness traps the spleen, dampness follows the foot-taiyin spleen meridian, and flows down and gathers in the foot-taiyin spleen meridian, so most of the patients with gouty attacks are in the foot-taiyin spleen meridian near the Duodu point and the Taibai point, Gongsun point.

Gout is caused by cold diet, cold injures the spleen, spleen yang is depleted, spleen deficiency generates dampness, when the spleen yang is depleted to a certain extent, it cannot inhibit the cold and then develops into gout.

Gout disease is caused by over-eating cold, so if you want to treat gout disease must be avoided, mainly avoid cold things, not to the temperature of the food to measure the food cold and hot, to the nature of the food to set the food cold and hot, such as watermelon, is boiled into a soup, the nature of its is also cold. Ginger is frozen, its nature is also warm.

For example, steamed buns contain very low purine, and, if the spleen and stomach function well, they will not produce purine because this bun is transformed into qi and blood.


If Spleen-Yang is impaired, the same buns will produce purines because the buns are transformed into Phlegm-Dampness.

Only the amount of phlegm-dampness transformed into phlegm is again directly related to the coldness or heat of the food.

For example, white wine is hot, so it contains fewer purines and is reduced to fewer purines, and beer is cold, so there is a direct correlation between gout and drinking cold beer.

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Do you have to avoid food for gout?

I don't know if the person asking this question is a gout sufferer, or someone who has only heard of gout but doesn't suffer from it himself. If it's a gout sufferer question, one has to think carefully about what causes one to get gout, and isn't that feeling of pain tearing at one's heart and lungs profound?

A southern 26-year-old young man, suffering from gout, he said himself almost do not drink beer, do not eat seafood, and do not eat animal offal, food seems to have nothing to do with purine. But he himself said he likes to eat roast duck, a meal can eat 2 pounds, often eat this way, greasy food needs to be digested and metabolized, a long time the liver will be overworked, can not stand, will not be able to metabolize purines. Many gout patients, at the beginning, drinking, staying up late, grumpy, these are all behaviors that harm the liver, even if not gout, that diabetes, high blood pressure, obesity is also easy to find.

Suffer from gout, and eating habits have a lot to do with, if no longer abstain from eating, in not adjusting lifestyle, adjusting emotions, can only aggravate, aggravate after not only the pain is more powerful, there will be complications, common complications are kidney failure and cardiovascular disease, so whether you have gout, or no gout friends, have a healthy concept and living habits.

Gout is a metabolic chronic disease caused by high uric acid levels in the body. Gout patients need to avoid food in daily life, need to limit the intake of high purine food, to prevent excessive purine intake and generate a large amount of uric acid, so that the body's uric acid level rises triggering gout attacks.


Common high-purine foods in life are: seafood, animal offal, mushrooms, beans, shellfish, etc. These foods gout patients need to be careful to eat, to prevent the rise of uric acid and trigger gout.

Gout should certainly be avoided.

The most important factors that cause gout: high purine diet, alcohol consumption, and obesity.High blood pressure, high blood sugar, high uric acid, and certain medications can also cause gout.

What should gout sufferers avoid?

1. Reduce the consumption of high-purine foods and high-fat foods, such as meat, game, seafood, yeast-containing foods and beverages;

2, as far as possible to consume low purine content of food, such as rice, wheat, starch, sorghum, eggs, pig's blood, duck blood and so on.

3, gout patients should also eat more fruits and vegetables food, because most of the fruits and vegetables are low purine food.

4. Limit alcohol consumption. Alcohol in the fermentation process will consume a lot of water and produce a lot of purine, the more purine content in the body, the metabolism produces more uric acid, at the same time, alcohol stimulates the liver also produces uric acid, and this will increase the incidence of gout and gout on the human body.

5, drink more water. After the body drinks a lot of water, the uric acid can be excreted through the urine.

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Gout taboos mainly include: 1, in the acute attack period, due to the joints have obvious redness, swelling and heat pain, it is not recommended to eat spicy and irritating food, such as raw onions, chili peppers, etc.; 2, daily taboo on eating food with high purine content, such as animal offal, thick broth, sardines, oysters, dried small fish, hot pot, etc.; 3, gouty patients should avoid smoking and alcohol, especially can not drink beer and white wine, so as not to lead to the organism in the blood uric acid level Gout patients should avoid smoking and drinking, especially not drinking beer and liquor, so as not to cause the blood uric acid level in the body to rise and induce gout. At the same time, patients with gout should avoid overwork, pay attention to joint warmth and avoid trauma.

Overeating is one of the possibilities that can lead to gout, so should you avoid food for gout? This is definitely to avoid, and is a lot of food can not eat, the following give you three tables, I hope to give you a reference reference, try to avoid easy to trigger gout attack food.





Gout should avoid foods that are high in purines, such as this type of seafood, especially shellfish, animal offal, thick broths, and soy products. Gout patients, should eat a light diet, avoid large fish and meat, avoid eating high calorie high protein food, can eat more vegetables and fruits. Green vegetables and fruits contain low purine, will not lead to the rise of uric acid. Gout patients should also drink more water, drink at least 2000 milliliters of water every day, you can also drink soda to alkalize the urine, to promote the discharge of uric acid. Gout patients should also stop drinking alcohol, do not drink beer and liquor, gout patients if after diet and lifestyle adjustments, can not make the uric acid down to normal, but also oral uric acid-lowering drugs. I hope my advice can help you.

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