Research and Evidence based article is taken from the study by Dr. Marshall Emig MD
So, what is a good diet for gout? Here we will discuss on Food to Get Rid of Gout .
a healthy weight and good eating habits are the main principal to fit your body. At first limit your consumption of organ meats. Instead, include all fruits and vegetables, whole grains, low-fat dairy products. Low-fat dairy products: Low-fat and fat-free options are best for foods such as milk, cheese, yogurt, and frozen yogurt.
Gout affects an estimated 8.3 million people in the US alone. The prevalence among men was 5.9% (6.1 million), and the prevalence among women was 2.0% (2.2 million). Source 
Gout attacks typically occur at night and last 3-10 days .
Untreated gout can cause great problems.
Gout Medicines help to reduce pain during an attack, and can reduce the uric acid buildup that causes the condition. Uric acid builds up in your body, and form crystals that irritate your joints. When gout flares it is best to take medicine and apply cream on infected are.
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Gout is a type of arthritis caused by high levels of uric acid in the blood. Excess uric acid production in the blood develops an inflammatory condition of the joints.
The acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness, warmth and swelling. Source- https://www.arthritis.org/about-arthritis/types/gout/what-is-gout.php
Fortunately, gout can be controlled and be treated by medicine and a gout-friendly diet whereas fibromyalgia .is not. From medication to lifestyle changes and natural remedies can help fight with gout.
Gout is caused by high-level production of uric acid in the blood or hyperuricemia. Uric acid i s the main culprit that is transported by the blood to the kidneys and eliminated in the urine.
But, What causes a buildup of uric acid in the body?
High purine foods are the main reason to produce Uric acid.
So, what causes gout? And what triggers gout?
High-Purine Foods - bacon, turkey, veal, venison and organ meats (liver) and beef, lamb, pork, poultry, and seafood.
Genes : If your parents have gout, then there is a chance to develop in your genes.
High conditions : High cholesterol, high blood pressure, diabetes may raise your risk.
Medications : The medicine which has taken for high blood pressure can raise uric acid levels;
Gender and age : The ratio of gout is more occurred in men than women until around age 60.
Diet with meat : Eating red meat like bacon, turkey, beef, lamb and pork and shellfish increases your risk.
Consumption of Alcohol and Sodas : Alcohol and the fructose in sweet sodas can increase the risk of gout. Excess weight: Obesity can lead to increase at a higher risk for gout, and they tend to develop it at their early stage of life.
Vegetable, meat, fish can either raise or lower your uric acid levels, depending on their purine content.
On the planet, there are plenty of anti- gout foods that help prevent attacks of inflammatory gout pain attacks.
Foods are considered low-purine when they have less than 100 mg of purines per 3.5 ounces (100 grams).
Foods to avoid with gout and kidney disease-
Aside from organ meats, game meats and certain fish, most
Any kinda meats and fish should be consumed in moderation. 4-6 ounces of meat and fish (115-170 grams) for a few times per week . [ Source]
They contain a moderate amount of purines, which is considered to be 100-200 mg per 100 grams. Thus, eating too much meat and fish may trigger a gout attack.
Hyperuricemia or an excessive level of uric acid in blood hurts the body. Purine is a natural substance produced in the human body which helps uric acid to stay at average level [Source: http://chemocare.com/chemotherapy/side-effects/hyperuricemia-high-uric-acid.aspx]
Risk takes place when purine enters into body excessively from external sources like many common foods we eat daily. Excess purine supply makes uric acid level rise above normal level and unable to get disposed of through urine.
Hence the undisposed uric acid grows sharp crystals and causes gout or kidney stones, etc. This is how foods containing purine can initiate gout condition in the body.
You better avoid those delicious purine-rich foods if you are a patient of gout or likely to develop such a condition.
The seafood like shellfish, anchovies, trout, herring, codfish, etc. are rich in purine. Some organ meats like kidney, brain, and liver also contain purine.
If you love bacon, turkey, or veal, you better put them away. These foods highly contain purine which increases uric acid in the blood.
Obesity is one of the other reasons behind uric acid secretion in blood and resulting in gout [Source: https://www.ncbi.nlm.nih.gov/pubmed/22778033]. So, avoiding fatty foods should be a smart move to avoid gout.
A diet to lower uric acid levels, choices to improve your overall health, lower uric acid levels, and reduce your risk of painful gout attacks.
Potatoes, spinach and asparagus on the high-purine list, but studies show they don't raise your risk of gout or gout attacks..
Research shows that vitamin C supplements help prevent gout attacks by lowering uric acid levels. Source- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2767211/
vitamin C does this by helping the kidneys remove the more uric acid in the urine. Research on vitamin C supplements for gout is new. But Vitamin C-1000 and Nature Made Vitamin C 500 mg both have the best amazon review.
Aside from your diet, there are several lifestyle changes that can help you lower your risk of gout and gout attacks.
Excess weight- obesity can increase your risk of gout attacks by creating insulin resistance.
B ecause excess weight can make you more resistant to insulin, and leading to insulin resistance. So what happens if the body can't use insulin properly? The easy answer is it can't remove sugar from the blood. Insulin resistance also promotes high uric acid levels. Source- http://www.jrheum.org/content/jrheum/29/7/1350.full.pdf
The study on Beneficial effects of weight loss research shows that losing weight can help reduce insulin resistance and lower uric acid levels Source- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1753185/
Crash dieting - is also very bad for health because of rapid weight loss by eating less can increase the risk of gout attacks. Source- https://www.ncbi.nlm.nih.gov/pubmed/8363205/
Being overweight or obese is a risk factor for gout. So, regular exercise can keep a healthy weight and it is another way to prevent gout attacks.
Can exercise reduce uric acid levels?
Yes, exercise can reduce uric acid levels low. Source- https://www.ncbi.nlm.nih.gov/pubmed/21793335
Research has done for 228 men and found that those who ran more than 5 miles (8 km) daily had a 50% lower risk of gout. This was also partly due to carrying less weight.Source- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090353/
Here's is the list that ease the pain of the attack and reduce the risk of gout.
Can I drink alcohol during a gout attack?
Bad news for gout sufferers.
Alcohol consumption can increase the potential attack for gout.
Alcohol like beer, wine and other liquor are common trigger for gout attacks Source- https://www.ncbi.nlm.nih.gov/pubmed/15094272
"based on this study, I would counsel patients that any type of alcohol may trigger an attack." the Boston University rheumatologist said source- https://www.reuters.com/article/us-alcohol-wine/all-alcohol-even-wine-raises-risk-of-gout-flare-ups-study-idUSBREA0U1VD20140131 A research has done for 724 people found that drinking wine, beer or liquor increased the risk of gout attacks. One to two beverages per day increased the risk by 36%, and two to four beverages per day increased it by 51%. Source- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3991555/
If your body stores the excessive level of uric acid, it will collect sharp crystals of uric acid that may trigger excruciating pain in your joints and tender points.
The possible triggers for a gout attack may lie within your perimeter if you are careful enough. Triggers for a gout attack are:
Avoid high-purine foods.
These are foods lists that contain more than 200 mg of purines per 3.5 ounces (100 grams)
T he total purine content calculation : It is the combination of adenine, guanine, hypoxanthine, and xanthine.
Uric acid calculation: the amount of uric acid produced in the body when ingested food is absorbed and metabolized in the purine metabolic pathway.
Calculated amount as uric acid (mg/100 g) was given after multiplying the molecular weight of uric acid (168.1) by total purine amount (µmol/100 g) and dividing by 1000. Source- https://www.jstage.jst.go.jp/article/bpb/37/5/37_b13-00967/_pdf
So from Table 1 you will get an clear idea to avoid high-fructose foods, as well as moderately-high-purine foods, which contain 150-200 mg of purines per 3.5 ounces.
Best Diet for Gout
Knowing what diet is right for preventing gout attack may prove as a savior. Gout is a result of accumulated uric acid and its needle-sharp crystals in the joints and tender points of the body.
Answer: Purine is both naturally produced in the human body and found in many foods. It is a colorless crystalline compound that forms uric acid in the body.
Answer: Uric acid is a natural substance in the human body that is useful when at a normal level. But excessive storage of purine in the body by external food supply disables kidneys to filter out extra uric acid. Thus uric acid exceeds its average level and builds up in the body.
Answer: There may not be a permanent solution to cure uric acid agitation. But a healthy diet and exercise may keep uric acid build-up at bay. One must avoid foods that contain purine highly.
Answer: Low purine diet is including foods in your menu that are low-fat, alcohol-free and mostly contains less or zero purine. A change in the diet to get rid of uric acid is the other key point of a low-purine diet.
Answer: No. Oatmeal is also rich in purine but fortunately, it was not found to be risky for gout in research.
Answer: No. According to research on many protein-rich foods, eating eggs was not associated with the increase of gout condition.
Answer: No. Rather cheese may help reduce the risk of developing gout. Low-fat foods are encouraged to eat during gout condition and cheese is one of the low-fat foods available in the dairy products.
Answer: Yes. Eating tomatoes are linked with increasing level of uric acid in the body. So, it's recommended to avoid tomatoes if you have gout.
Natural remedies for gout
Gout is a complex type of arthritis connecting sudden chronic pain, swelling and inflammation of the joints. In this article, we discussed the foods that cause gouts and the best diet habit for preventing gout.
Luckily, a gout-friendly diet can help to reduce pains and other complex symptoms.
Organ meats, some types of fish, fruit juice, sugary sodas and alcohol are the worst food list for having gout. Some drinks often trigger gout attacks.
On the other hand, a fruit that contains vitamin c, soy products, vegetables, whole grains, and low-fat dairy products may help prevent gout attacks by lowering uric acid levels.
Read More- Low-purine diet: Tips and foods to avoid
Gout Treatment & Medications: Treat and Reduce Uric Acid
The research was taken from Dr. Marshall Emig, MD
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