How to regulate and repair gout

2019-02-20 08:24:42 1383

Gout is a painful arthritis. The classic picture of acute gout attack is like this.：

What about gout？

When the level of uric acid in blood exceeds the standard for a long time, uric acid will precipitate around the joint, form crystals and accumulate, cause inflammation, damage joint tissue, and cause pain, known as gout

Excessive uric acid production and/or inadequate elimination can cause excessive blood uric acid levels.

Recent studies on gout have found that only 10% of gout cases are caused by increased uric acid production, while the remaining 90% are caused by insufficient renal excretion.

However, high uric acid levels are not equal to gout.

Risk factors for gout

Age and sex gout usually occurs in men over 40 years of age. The level of uric acid in postmenopausal women is similar to that in men, and the likelihood of gout is greatly increased.
Eating meat and seafood, alcohol, and sugary drinks increases uric acid levels, thereby increasing the risk of gout.
Obesity If you are overweight, your body will produce more uric acid, and your kidneys will have more difficulty eliminating uric acid.
Health status Certain diseases increase the risk of gout, including untreated hypertension and chronic diseases such as diabetes, metabolic syndrome and heart and kidney diseases.
Some drugs, such as thiazide diuretics, low-dose aspirin, which are commonly used to treat hypertension, can increase uric acid levels.
Family history of gout
Recent surgery or trauma

Complications of gout

If not treated and controlled in time, occasional gout can develop into recurrent gout, eroding and damaging joints, affecting daily life. Urate crystals may also be deposited subcutaneously, known as gout nodules, common in the hands, feet, elbows or Achilles tendons. In addition, it may lead to kidney stones.

Can gout be treated by diet？

Recent studies have found that most gout is caused by inadequate uric acid excretion, and more clearly revealed the role of diet in gout disease management.

For most people, diet control may help to reduce uric acid levels in the blood, but it does not play a major role in controlling uric acid levels. Drugs are often needed to control pain and reduce uric acid levels.

Although diet control does not cure gout, it may reduce the risk of gout attacks and slow the progression of joint injuries.

The dietary principles for gout are basically the same as those for a balanced and healthy diet：

• Reduce weight Being overweight increases the risk of gout, and weight loss reduces the risk of gout. Studies have shown that reducing calorie intake and weight loss - even if there are no restrictions on purine-rich foods, can also reduce uric acid levels and reduce the number of gout attacks, which means that you can enjoy more food if you lose weight. In addition, weight loss also reduces the overall pressure on the joint.

• Complex Carbohydrates Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid white bread, cakes, sweets, sugary drinks and foods with high fructose corn syrup.

• Drink plenty of water Drinking water helps to excrete uric acid and reduce the number of gout attacks. It is recommended to drink 8 to 16 glasses of liquid a day, at least half of which is water. One cup is 8 ounces, about 237 ml. Sugary drinks should be avoided, of course.

• Fat Eat less or no red meat, fat meat and high-fat dairy products.

• Protein Proteins from lean meat, fish and poultry are controlled at 4 to 6 ounces a day, about 113 to 170 grams. Using low-fat or fat-free dairy products to provide the required protein, such as low-fat yogurt or skim milk, can help reduce uric acid levels.

• Animal viscera, try not to eat.Some animal viscera are rich in purine, especially liver and kidney, which can increase the risk of gout. Stay away from food such as liver-slipping tips and fried kidney flowers.

• Seafood can be eaten, but there are choices.Avoid the following types of purine rich seafood: sardines, shrimps, lobsters, shellfish, trout, haddock, mackerel and tuna.

• Alcohol, in small quantities and with a choice. Alcohol is associated with gout onset and recurrence, and different types of alcohol have different risks of gout. Beer is the worst, followed by liquor, and wine is relatively better. If you have to drink, drink some wine.

• Vitamin C： Studies have found that vitamin C helps the kidneys to remove uric acid and reduce uric acid levels.b

• Coffee：Some studies have shown that moderate coffee can reduce the risk of gout, which is still controversial.

• Cherry：Some studies have shown that eating cherries is associated with a reduced risk of gout attacks.

Diet control can help reduce the production of uric acid and increase its excretion. Although the reduction of uric acid by controlling k-diet is not enough to cure gout, it helps to reduce the frequency and severity of gout.

Drug therapy for gout：

Gout often requires medication to relieve and control it. Some drugs are used for acute gout attacks, some for chronic periods, some for relieving symptoms, and some for lowering uric acid levels. Specific medication should not only consider the gout condition, but also combine with other physical conditions of patients. In addition, some drugs have more serious side effects, so we must use them under the guidance of doctors.

Adhere to a healthy and balanced diet, away from gout.

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