How should gout patients eat?
High uric acid doesn't just cause gout; in recent years, many scholars have argued that elevated uric acid can cause
Any cause of increased production and/or decreased excretion of uric acid can lead to diseases such as hyperuricemia and gout.
One of the main reasons is the exogenous intake of too much high-purine food, we can only limit the intake of high-purine food, in order to effectively control uric acid, effective prevention of gout.
First of all, do not eat high purine food, the principle is animal offal, seafood, beer, etc., the specific food list is as follows:
Low purine foods:
You do not need to deliberately memorize this table, the general principle is seafood, animal offal, beer as little as possible not to eat, eat more fresh fruits and vegetables.
vegetableAfter the food is digested, absorbed and metabolized, there are more alkaline elements such as potassium, sodium, calcium and magnesium, which help alkalize the urine and can help uric acid excretion. However, you should avoid some vegetables with high purine such as beans, spinach, mushrooms and cauliflower.
Milk, yogurt Milk, yogurtThe intake of dairy products such as milk is negatively correlated with blood uric acid levels. It is currently believed that casein and whey proteins contained in dairy products have a pro-uric acid excretory effect, while milk itself is low in purines and does not become a burden for conversion to uric acid.
Vitamin C.Increased vitamin C intake reduces blood uric acid levels, supporting the beneficial role of vitamin C in hyperuricemia and potential prevention of gouty attacks.
If it is still not possible to reach the target by restricting intake, then it is necessary to:1. Drinking large amounts of waterThe amount of water consumed plays a huge role in alkalizing the urine or excreting uric acid. People with high uric acid should drink more water, more than 2,000 ml per day, and urinate more than 6 times in 24 hours.
2. Alkalize the urine:Baking soda can alkalize the urine and promote the excretion of uric acid. Porridge, pasta and snacks with baking soda can be consumed. Soda can also effectively promote the excretion of uric acid.
When dietary as well as lifestyle changes still fail to reach the uric acid level, then perhaps medication is needed, please take uric acid lowering medication under doctor's supervision. (Allopurinol, colchicine, benzbromarone, probenecid, febuxostat, etc.)
I'm Dr. Wang, the cardiovascular surgeon.
With heart science, away from three high, away from cardiovascular disease!
Dr. Cardiovascular Wang, worth the company!
According to the Chinese Medical Association's China Gout Treatment Guidelines 2016, the following lifestyle measures can help lower blood uric acid and prevent gout attacks.
1. Drink plenty of water, 2,500 to 3,000 milliliters per day. Drinking plenty of water helps uric acid excretion, thus reducing blood uric acid.
2. Soda water (here specifically refers to those containing sodium bicarbonate) and mineral water with a pH value of >7 are recommended to help alkalize the urine and promote uric acid excretion. In order to increase the amount of water, you can also drink lemonade, light tea, coffee (sugar-free), but do not drink sugary drinks.
3. To stop drinking, especially beer and liquor, the effect of elevating uric acid is very obvious.
4. Abstain from sugar, whether it is white granulated sugar (sucrose), or dried fruit syrup; whether it is fruit juice drinks, or honey; whether it is a drink, or dessert ...... All contain fructose (or digested in the form of fructose absorbed into the blood), fructose increase uric acid production.
5. Eat less and no high-purine foods, such as seafood/fish and shrimp, meat, animal offal, etc. The purines in these foods are almost always converted to uric acid eventually. The intake of milk and eggs is increased appropriately to supplement enough protein. Milk and eggs contain almost no purines and do not increase uric acid.
6. Eating more vegetables and fruits in moderation also helps to alkalize the urine and promote uric acid excretion.
7. Avoid extremes such as starvation (excessive dieting), exhaustion (strenuous exercise), and cold (exposure to the cold).
Daily Dietary Considerations for Gout Sufferers.
1, gout patients should first limit the intake of meat, in the gout stable period can eat a small amount of meat, chicken and duck should be peeled, fish, shrimp, concealed meat should be steamed, stewed, boiled, do not drink thick meat soup. Do not eat meat during an acute attack of gout. Milk and eggs have low purine content and are a good source of high-quality protein. Gout patients can drink a bag of milk (300 ml) and eat an egg every day.
2, eat more fresh vegetables and fruits, every day to eat enough to a pound of vegetables, vegetables every day more than 5 kinds. But eat less spinach, cauliflower, mushrooms and other purine-rich vegetables.
3, dry legumes food purine content is relatively high, such as soybeans, lentils, peas, etc., to limit intake. Usually a small amount of tofu, soy milk and other soy products.
4, gout patients should drink more water every day, more than 2000 milliliters of water a day, in order to promote uric acid discharge.
5, gout patients should not eat sardines, anchovies, animal offal, thick broth and other foods containing high purine. Eat a light diet with less oil, oil cakes, fries, fried chicken, fried fish, barbecue, cakes, butter, sweet drinks and other high-calorie foods should also be eaten sparingly.
6, staple food should pay attention to coarse and fine mix, brown rice, oats, corn, millet and other coarse grains can replace part of the fine grain.
7, a large amount of alcohol will prompt gout attacks, especially beer and seafood, very easy to trigger gout attacks, so it is best to quit drinking, but also quit smoking.
8. Reduce the opportunity to go out to restaurants to eat, less takeout, especially to eat less hot pot, because the food outside the restaurant tends to be more greasy, and more meat dishes.
9, obese gout patients note that to lose weight, you can control diet plus moderate exercise to lose weight, exercise 30 minutes a day, at least 5 days a week, such as brisk walking, swimming, cycling, dancing and so on.
Points of Attention 1. low purine diet, 2. drink plenty of water, 3. no alcohol, 4. more alkaline food, 5. low salt diet 6. weight control, maintain negative calorie balance.
1. Low purine diet
Foods containing high purine are: animal liver, kidney, pancreas, brain, broth, chicken soup, sardines, fish roe, salted pork, leg of lamb, pheasant, pigeon meat and other meat. Therefore, gout patients should be less touch or do not touch the above food Oh.
2. Drink more water
Those who suffer from gout, need to ensure that the daily water intake of 2000ml to 3000ml, because after drinking water, the amount of urine is increased, the increase in the amount of urine is conducive to the discharge of uric acid, thereby reducing the symptoms of gout. Drinking a lot of water is also conducive to dilute urine, reduce crystalline deposition, delay the growth of stones, especially before going to bed and in the middle of the night to drink water is more effective. At the same time to stay away from coffee, strong tea and other stimulating drinks.
3. Prohibition of the consumption of alcohol
Drinking alcohol is an important cause of acute gout attack, mainly because the alcohol in the ethanol can make the body lactic acid increase, and lactic acid can inhibit renal tubular excretion of uric acid; ethanol can also promote the breakdown of purines and directly make the blood uric acid rise; at the same time, alcohol is supposed to provide purine raw materials, such as beer contains a large number of purine components. Therefore, gout patients due to prohibition of alcohol
4. Consume more alkaline foods
Gout sufferers also need to increase the intake of alkaline food in the diet: alkaline substances can promote uric acid excretion, protect the kidneys. For example: vegetables, potatoes, dairy, citrus, etc..
5. Low-salt diet
Limit salt intake: Sodium has the effect of precipitating uric acid. Reducing sodium intake can help lower blood pressure and reduce sodium and water retention in the body. Eat less or no pickled products, bacon and other foods.
6. Weight control and maintenance of negative caloric balance
Gout people need to limit the intake of fat, because fat can reduce uric acid discharge, uric acid discharge is reduced, the body's uric acid content increases, it will trigger gout attacks, so gout patients should limit the intake of fat, try not to use frying, pan-frying, oil explosion when cooking, more steaming, boiling, stewing, boiling, and other cooking methods that use less oil.
Best wishes for a speedy recovery!
Hyperuricemia and gout, a disease that is becoming more and more common, are all related to the fact that our economic level has risen and we are eating better. Therefore, along with treatment, we should also avoid eating, and must avoid excessive intake of high purine food, because high purine will lead to high uric acid, and high uric acid will aggravate gout.
Life high purine food such as animal offal, control meat, seafood and beans intake, drink more water, and more than 2,000ml of water a day, avoid alcohol, especially do not drink beer. To low salt diet, regular exercise. Do all of these, maybe without treatment drugs can be.
What are some high purine foods?
1. Some beans and vegetables: e.g. soybeans, lentils, nori, mushrooms (all high in purines, avoid them)
2, animal offal: chicken, duck and pig liver and intestines, heart, stomach, kidneys, lungs and so on are high purine, avoid eating.
3, part of the aquatic products: silver carp, white pomfret, fish skin, fish eggs, dried fish, sardines, etc., shellfish, shrimp, etc. are high purine, do not eat.
4, a variety of meat soup, hot pot soup, fish soup are high purine, do not eat.
The above is not to be eaten.
So what are the low purine foods?
1, staple food category: rice, wheat, noodles can be, such as steamed bread, noodles, bread, potatoes, sweet potatoes and so on.
2, dairy and products, fresh milk, cheese, goat's milk and so on belong to the low purine, can be appropriate to eat.
3, a variety of eggs: eggs, duck eggs, quail eggs, sea cucumbers and so on, can also eat. But the purines of eggs are mainly in the yolk, do not eat the yolk on the line, eat protein no problem.
4, vegetables: bok choy, cabbage, celery, carrots, cucumbers, eggplant, etc., are available, most of the vegetables are low purine food, you can eat.
5, fruits: most fruits are low purine, can eat safely.
By getting this diet right, many people with hyperuricemia and gout can find relief.
For gout patients, this physician-guided standardized treatment can be accompanied by dietary therapy is the most ideal and safest method. Only with a reasonable diet and effective medication can you prevent subsequent gout complications and stop the condition from worsening.
What are the contraindications in the diet of gout patients?
Follow the three low principles, i.e. low purine, low salt and low fat.
Foods high in purines can cause a transient increase in blood uric acid levels and trigger an acute attack of gout. Therefore, avoid the intake of high-purine foods, such as animal offal, bone marrow, seafood and all kinds of seasoning products. Moderate consumption of medium purine food, such as spinach, cauliflower, dried fruits and other coarse grains and plant seeds; in the usual diet, should be low purine food, such as asparagus, cauliflower, chicken, lamb and so on.
Excessive intake of sodium will increase blood pressure and promote the precipitation of blood uric acid. Patients should control their sodium intake of 2 to 3 grams per day and avoid foods with too much salt, such as pickled and halogenated products.
Excessive consumption of fat will reduce uric acid discharge, control the daily intake of fat content of no more than 50g, in cooking, try to steam-based, do not eat deep-fried, oil-fried food, eat vegetable oil, do not eat animal fat food.
How should gout patients have a rational diet?
Make a habit of drinking water, ensure that the daily water intake of more than 3,000 ml, the best time to drink water should be early in the morning and between meals. Drinking a lot of water half an hour before a meal and one hour after a full stomach is conducive to diluting stomach acid and digestive juices, and maintaining an adequate amount of urine, which is conducive to the discharge of uric acid. Do not replace water with tea, or replace water with alcohol, especially beer, alcohol will cause lactic acid to accumulate in the body, which has an inhibitory effect on the discharge of uric acid, and is prone to trigger gout.
Excessive obesity should result in appropriate weight loss, but it should be gradual. Ensure adequate daily vitamin intake of about one kilogram of vegetables and four to five fruits, and exercise properly.
What should gout patients eat more of?
Foods with low or no purines should be the main diet, such as refined white rice, soda crackers, macaroni, pumpkin, especially, carrots have a certain therapeutic effect on gout. Eat a lot of protein foods such as milk and eggs. Protein foods are rich in protein, the purine content is extremely low, almost no adverse effects on gout patients, so you can rest assured to eat.
Even in the healthy population, a reasonable diet, exercise will only reduce blood uric acid by 10 to 18% at most. Therefore, once found to have gout, in addition to strict dietary control, more is to carry out formal examination and diagnosis, early detection and early treatment, not to rely excessively on dietary therapy, thus missing the best time for treatment.
It's not easy to code, so I beg to differ;
Stay tuned for daily updates!
Gout is due to the body's excessive secretion of uric acid or poor excretion, resulting in uric acid deposition in soft tissues, bone cavity and other parts of the formation of crystals, stimulate the local inflammatory response, causing pain, so the main control of gout or to control the level of uric acid, and the diet for the control of uric acid plays an important role in the significance of the diet, because many foods belong to the high-purine food, intake of too much will cause too much production of uric acid.
Foods that should be avoided include the following: 1. red meat, such as pork, lamb and especially the offal of these animals, such as intestines, liver, etc. 2. seafood, such as shrimp, shellfish, marine fish, and seaweed, etc. 3. avoiding or minimizing the intake of alcohol-containing beverages or drinks. If you really need to drink, men should not drink more than 2 units of alcohol per day, (1 unit of alcohol is equivalent to 12% of red wine 145 ml, 40% of wine 43 ml, 3.5% of beer 490 ml), women should not be more than 1 unit of alcohol.4. Sweets, as well as beverages are also to be less intake, because fructose in desserts can easily be converted to uric acid, and easy to gain weight, which is not good for your health.
What are the foods that people with high uric acid can eat?
Eggs, one per day. 2. Dairy products, skimmed or low-fat are preferred. 3. Fresh vegetables can be eaten more often. 4. Some roughage products, such as cereals and brown rice can also be consumed. 5.
For patients with high uric acid drinking water is also vital, daily intake of water greater than 2000ml is appropriate, only enough water, can make the dilution of uric acid discharged from the body, not easy to deposit crystallization.
I am the Unknown Pharmacist, welcome to follow. If you find this article useful, please share it with more people
Thank you for your question.
(1) According to modern medical theory, gout is mainly due to purine metabolism disorders in the body or uric acid is too high to reduce the excretion of the body, and 20% of the body's uric acid comes from food, which can be seen unhealthy eating habits in the onset of gout plays an important role. Some people image that eating out of gout.
(2) Dietary considerations for gout patients:
(1) Quit drinking: whether it is beer, white wine, rice wine, etc. can not drink, but a small amount of red wine is possible, mainly because red wine contains resveratrol components;
2) Low purine diet: excessive purine content in food will be converted into uric acid, exacerbating gout attacks. Diet with low purine content of vegetables, fruits, cereals, potatoes as the main, seafood, animal offal and other high purine content should be avoided. Vegetables with high purine content: shiitake mushrooms, bean sprouts, asparagus, spinach, etc.; meat foods with high purine content: chicken liver, dried small fish, scallops, salmon, oysters, oysters, pork liver, clams, etc;
3) Low-calorie diet: restrict calorie intake and actively lose weight to control body weight;
(4) Low protein and fat diet: daily protein control within 80g, can choose milk, eggs, cereals as the main source of protein; diet should be light, less oil, cooking can choose vegetable oil; less fried food, pastry, fat meat, etc., daily fat control within 50g;
5) Drink more tea and coffee in moderation, and reduce the consumption of sugary soft drinks and sweets;
6) Vitamin B and vitamin C can be supplemented in moderation;
7) You can eat some alkaline foods in moderation every day, such as soda crackers, alkaline-added crackers, alkaline mineral water, and so on;
8) Adequate water intake (including tea and coffee, etc.) of at least 2000 mL per day.
I hope you find it helpful!
The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.
The incidence of gout has been increasing year by year in China, and hyperuricemia is its important biochemical basis. The reason for this may have much to do with the change of people's dietary habits. Therefore, patients with gout need to pay attention to their diet. The basic principles are as follows:
- Drink more water and urinate moreA daily intake of 2,000-3,000ml of water can effectively dissolve urates and keep uric acid from crystallizing and depositing. Ensure that the amount of urine is above 2000ml per day in order to effectively expel uric acid out of the body. And it can effectively shorten the duration during the acute attack of gout.
- You can have more.Green vegetables, whole grains、Eggs, skim milk and dairy products, and fruits with lower sugar content such as plums and peaches!
- Minimized beef., red meat such as lamb and pork, fish, and fruits with high sugar content such as watermelon and bananas!
- The best thing not to eat is animal offal., shelled seafood such as shellfish, oysters, lobster, bouillon, are all best avoided. Wine is no longer allowed!
Overall, dietary modification is of great importance in the treatment of gout. You should not crave for food to the detriment of a healthy body. Whether it is edible or not, you should not eat too much, and it is even more crucial to mix and match food properly.
For gout sufferers, the first step is to identify the cause of the gout.
Gout may be caused by impaired purine metabolism or high blood uric acid caused by impaired renal uric acid excretion. Normal people produce 750mg of uric acid per day, of which 80% is produced by the body metabolism, not related to diet, the remaining 20% is exogenous uric acid related to diet. Therefore, gout uric acid high first to identify the cause, drugs to control uric acid, while taking a low purine diet. As for which foods are low in purines you can search on the internet.
I hope my answer is useful to you, thank you!
This question and answer are from the site users, does not represent the position of the site, such as infringement, please contact the administrator to delete.