Gout Risk Higher With Obstructive Sleep Apnea

Do you know if you have sleep apnea? Here’s yet another reason to get checked for obstructive sleep apnea (OSA), the most common type of sleep apnea: A study published online on August 30, 2018, in the journal Arthritis and Rheumatology showed that people with OSA have a higher risk of developing gout, a type of arthritis that causes swollen, painful, and stiff joints. In the follow-up of the study, researchers found that 4.9 percent of OSA patients and 2.6 percent of non-OSA patients developed gout.

Related: What Does Arthritis Pain Feel Like?

There are two other types of sleep apnea (central and complex) but they were not looked at in this study.

Study Proves Increased Risk for Gout, Both Short-Term and Long-Term

Overall, the risk of gout is greatest between one and two years after the diagnosis of OSA, with risk of onset of gout being more than 50 percent greater among those with sleep apnea compared with those without.

Related: Six Things People With Sleep Apnea Wish You Knew

But this new research shows that the risk remains long after that initial sleep apnea diagnosis. “This increased risk persisted over a longer period of time following sleep apnea diagnosis, those with sleep apnea having approximately 45 percent higher risk of gout compared with those without sleep apnea,” explains Milica Blagojevic-Bucknall, PhD, senior lecturer in statistics at the Arthritis Research UK Primary Care Centre in the Research Institute for Primary Care & Health Sciences at Keele University in the United Kingdom.

Related: Celebrities With Rheumatic Diseases

Gout Risk Higher in People With Normal Body Weight — But Why?

The results looked at people with normal body mass index (BMI) and those who were overweight or obese. Interestingly, the risk was higher in those with normal weight. But this is because severity of OSA plays an important part in interpretation of the findings.

“Those with moderate or severe OSA are given CPAP (continuous positive airways pressure) therapy; they are likely to be those who are more obese than those with mild OSA, for whom weight loss, jaw advancement devices, and sleeping position are recommended first line of treatment, with CPAP therapy given only if these fail.

This is perhaps the reason why those with lower BMI have a longer-term risk of gout, as CPAP is very effective and reverses OSA pathology, including improvements in hypertension. Since this risk was highest in people with normal BMI, people experiencing sleep apnea should be aware of the possibility of gout regardless of body mass index,” notes Dr. Blagojevic-Bucknall, adding “further research is needed to establish more firmly the relationship between CPAP and its impact on reduction of risk of gout.”

Related: What Are Rheumatic Diseases?

Neck and Waist Circumference Are Also Relevant in Sleep Apnea

It should further be noted that in some cases neck and waist circumference, rather than BMI, may be better correlates of sleep apnea as they take into account obesity distribution and are therefore associated with visceral obesity, which is associated with risk of OSA among others, Blagojevic-Bucknall points out.

What Is the Connection Between Obstructive Sleep Apnea and Gout?

The most likely mechanism to explain the association between OSA and gout is that intermittent hypoxia (oxygen deficiency) causes an overproduction of uric acid, which in turn can lead to gout. “This raises the question as to whether correction of hypoxia in sleep apnea by treatment with CPAP lowers serum uric acid levels. This could theoretically both reduce the risk of incident gout and treat existing gout,” according to Blagojevic-Bucknall.

If you think you might have OSA or gout, seek help from a healthcare professional. Without proper treatment, both can lead to further damage.

Related: Sleep Apnea Can Pose Serious Threats to You and Others if It’s Not Diagnosed and Treated

Common Symptoms of Obstructive Sleep Apnea

OSA occurs when the tongue falls back and blocks the airway. Sleep apnea symptoms include the following:

• Intense fatigue and difficulty concentrating during the day
• Loud snoring
• Short periods of breathing cessation while sleeping, followed by waking up suddenly while gasping or choking
• Waking up with a dry mouth, sore throat, or headache
• Depression or irritability
• High blood pressure
• Nighttime sweats
• Decreased sex drive

Some of these you might not be aware of, so if you have a sleeping partner, ask her or him to observe.

Related: Gout Treatment and Gout Prevention

The Diagnosing of Obstructive Sleep Apnea

After ruling out a blockage in your ear, nose, or throat, your physician will probably ask you to take an overnight sleep study, either in a clinic or at home. You will be attached to equipment that will monitor your heart, lung, and brain activity, as well as airflow, body movement, and blood oxygen levels while you sleep.

Signs and symptoms of gout:

• Attacks of severe pain in the affected joint
• Pain continues at a lower level after attack ends
• Joint appears swollen and red, and is tender to the touch
• Movement of the joint becomes increasingly limited

Testing for Gout and Diagnosis of Gout

Your doctor may order the following tests:

• Joint fluid test, dual energy CT scan, or ultrasound to look for the presence of urate crystals
• Blood test to measure the levels of uric acid and creatinine in your blood
• X-rays to eliminate other causes of joint inflammation

Gout Diet: Top Carbohydrates, Dairy, Fruits, and Vegetables to Eat

Learn what makes up a gout-friendly diet that includes carbohydrates, dairy, fruits, and vegetables. The Dietetics and Food Services from Changi General Hospital explain how these foods can help control gout.

Continued from previous page.

Gout-friendly food sources

Foods that contain low levels of purine makes for a gout-friendly diet.

White bread, pasta and noodles

Refined carbohydrates are safe to eat for gout sufferers because they have a low purine content. But too much consumption of refined carbohydrates can cause a rapid rise in blood sugar and increase one’s risk of developing metabolic syndrome and diabetes. Whole grain breads and whole grain pasta are healthier than refined carbohydrates, but since they contain moderate amounts of purine, they should be eaten occasionally.

Dairy products (milk, cheese, yogurt)

Low-fat milk and low-fat yogurt are excellent foods for gout sufferers because of their low purine content and ability to lower gout risk.

Vegetables

Eat plenty of vegetables such as kailan, cabbage, squash, red bell pepper, beetroot, but limit the intake of vegetables with moderate purine content such as asparagus, spinach, cauliflower and mushrooms.

Fruits

Eat fruits high in vitamin C such as oranges, tangerines, papaya and cherries. Apples, pears, pineapples, avocados are low-purine fruits and therefore can be eaten in moderation.

Water

Drink at least 8 glasses of water every day unless you are advised to restrict your fluid intake due to medical reasons.

Coffee and tea

Coffee and tea are safe for gout sufferers.

Click on the previous page for more information on
gout-friendly sources of protein.

​​Ref. S13

Foods to Avoid with Gout

If you have gout, a common and painful form of arthritis, there’s a good chance you’ve been told to avoid eating purines in your diet. But what exactly are purines — and does avoiding them actually help manage gout symptoms?

What Causes Gout?

To understand how purines can impact a person with gout, it first helps to understand how gout occurs. Gout develops when uric acid builds up in your body. “Excess levels of uric acid, or hyperuricemia, appear to be the main cause of gout,” says Sophia Kamveris, MS, RD, LDN, a Boston-based nutritionist and author of the 28-Day Gout Diet Plan.

Typically uric acid dissolves in your blood, your kidneys filter it out and then flush it from the body through the urine. When this process doesn’t work, that extra uric acid can accumulate in joints to form sharp crystals, which can create extreme discomfort in the joints and also cause kidney stones.

How Do Purines Play a Role in Gout?

Purines are compounds found in certain foods. When you eat foods that contain purines, your body breaks them down into uric acid. So it makes sense that a low-purine diet has long been recommended as a defense against gout attacks.

Uric acid that comes from high-purine foods, however, only makes up about 15 percent of the uric acid in your body. The rest is found naturally in your body’s tissues, and your genes play a big role in determining how much uric acid your body creates. It’s extremely unlikely, say experts, to manage gout strictly through diet changes — that’s why medication is crucial.

What you eat, however, can often help tip the odds in your favor.

“When a patient has a good diet it can definitely help decrease their risk for gout flares, ”says Randall N. Beyl Jr., MD, a rheumatologist in Albertville, Alabama. And while researchers continue to explore the best diet for those with gout, purines remain of interest.

People with gout who ate a high-purine diet were about five times as likely to have a gout attack as people who ate the lowest-purine diet, according to a study of more than 600 people with gout from Boston University published in the journal Annals of the Rheumatic Disease. Purine intake was linked with more gout attacks regardless of people’s alcohol intake or which medications they took.

If your doctor recommends you follow a low-purine diet to help manage your gout, these are some of the  high-purine foods you should stay away from.

High-Purine Foods to Avoid with Gout

1. Liver

If you have gout, dishes like chopped liver and liver and onions are best avoiding, along with other organ meats like kidney, heart, sweetbread, and tripe, since they’re high in purines.

Instead: Other meats like poultry and beef contain fewer purines, so you can safely eat them in moderation. You can also try a vegetarian pate recipe made from mushrooms and walnuts that simulates the flavor of liver but is made with with ingredients that don’t seem to aggravate gout symptoms in the same way.

2. Soft Drinks

The sugar fructose in soft drinks is not high in purines itself; however your body breaks it down to form purines. Drinking sodas made with high-fructose corn syrup has been linked with an increased risk of gout; men who drank two or more servings of sodas per day had an 85 percent higher risk of gout than those who had less than one per month in a study from the journal BMJ.

Instead: Diet sodas do not seem to be connected with gout in the same way and can help you transition off the sugary stuff. It’s not a good idea for your health generally to drink diet soda in abundance either. Try water flavored with lemon and lime slices, or unsweetened seltzer in yummy flavors like passion fruit and vanilla.

3. Seafood

Certain types of seafood — anchovies, mussels, crab, shrimp, sardines, herring, trout, mackerel, and more — have moderate to high levels of purines. Men who ate the most seafood were more than 50 percent more likely to have high levels of uric acid compared with those who ate the least, in a study from Vanderbilt University Medical Center in Nashville.

Instead: Since fish is a heart-healthy food, it makes sense to keep it in your diet. One option is to try fish like sole and cod that are lower in purines. You can also experiment with smaller servings of higher-purine fish — around the size of your palm — balanced out with a big serving of vegetables like sautéed zucchini or broccoli and a generous squeeze of lemon, since lemon juice may help to neutralize uric acid.

4. Alcohol

Beer in particular gets a bad rap when it comes to gout attacks; unfortunately, it seems any type of alcoholic beverage is high in purines and may be just as risky. Consuming wine, beer, or liquor was each linked with increased risk of a gout attack, according to a 2014 study from Boston University School of Medicine. The more alcohol a person drank, the greater their risk, found the researchers.

Instead: The truth is that no alcohol is your best bet for preventing gout attacks. But since quantity does count, less alcohol is more. If you enjoy drinking alcohol, try capping it at no more than one (women) to two (men) servings per day.

Keep Reading

Blue Cheese And Gout – How To Discuss

Blue Cheese And Gout

There is a lot of purine in cheese

Dairy and gout High-fat dairy products such as whole milk and ice cream are often not recommended for people with gout. However, studies have shown that increasing the amount of dairy products you eat, including cheese, yogurt, and ice cream, can reduce the risk of developing gout.

And which cheese is good for gout?

Low-fat dairy products that you can add to your diet include: low-fat or non-fat milk. low-fat or fat-free yogurt. low-fat or fat-free cottage cheese. There are also a number of low-fat or fat-free versions of popular cheeses, including:

• Cream cheese (Neufchâtel)
• Mozzarella cheese.
• Parmesan cheese.
• Cheddar.
• Feta cheese.
• American.

Do you also know which foods contain purines?

Foods rich in purines include:

• Game, such as veal, game and duck.
• Red meat.
• some seafood such as tuna, sardines, anchovies, herring, clams, cod, scallops, trout and haddock.
• Offal such as liver, kidney and thymus gland known as sweet bread.

Is there a lot of purine in eggs?

Eggs are low in purines, but eat them in moderation (the German Council for Health Promotion recommends eating a maximum of four eggs per week). The essential fatty acids in cold-water fish such as tuna can reduce the inflammation of gout.

What foods lower uric acid?

Uric Acid Diet: These foods will help you keep uric acid levels at normal levels

• Apples. Add apples to your diet.
• Apple cider vinegar. Consuming apple cider vinegar is also beneficial for people with high uric acid levels.
• Green bean juice.
• The water.
• Cherry.
• BAY.
• Fresh vegetable juice.
• Low-fat dairy products.

Can I eat cheese with gout?

Dairy and Gout

Is it Good to Fight Gout?

During a gout ■■■■■■, when you have swollen and sore joints, the last thing you think about may be exercise – and that’s okay. You want to avoid affected joints as much as possible. Applying ice to sore joints for about 20 minutes at a time will help reduce swelling.

Is peanut butter bad for gout?

Best Foods for Gout

Is Bacon Bad for Gout?

Some meats

Are onions bad for gout?

Is pineapple good for gout?

Pineapple contains an enzyme called bromelain, which is known to reduce inflammation and aid digestion. Although there are no studies that directly link bromelain to gout, research suggests that bromelain supplements can reduce the inflammatory symptoms of gout.

Is broccoli good for gout?

This means broccoli is a great choice for people with gout (and most people looking to eat healthy). Rich in Vitamin C. According to the Arthritis Foundation, consuming foods rich in Vitamin C can help reduce gout attacks. Vitamin C helps reduce uric acid levels in the body.

Are bananas good for gout?

Bananas are low in purines and high in vitamin C, making them ideal for eating with gout. Changing your diet to include more low-purine foods like bananas can reduce the amount of uric acid in your blood and reduce the risk of recurring gout attacks.

Is chicken good for gout?

Turkey and goose contain more purines than other foods, so they are best avoided. Those prone to gout should also minimize gambling consumption. Chicken and duck are, according to Dr. Zashin the safer alternatives.

Is rice good for gout?

Is avocado good for gout?

Apples, pears, pineapples and avocados are low-purine fruits and can therefore be eaten in moderation. Drink at least 8 glasses of water a day, unless your doctor’s advice tells you to limit your fluid intake. Coffee and tea are safe for people with gout.

Can tomatoes cause gout?

A group of researchers from the Otago Institute of Biochemistry has found that many people with gout believe that tomatoes are among the foods that cause gout. These data showed that tomato consumption was linked to higher levels of uric acid in the blood, the main cause of gout.

How can you purify uric acid?

Apple cider vinegar: Mix a teaspoon of organic apple cider vinegar with a glass of water and drink it every day. Apple cider vinegar acts as a natural cleanser and detoxifier. Contains malic acid, which helps break down uric acid and remove it from the body.

Are beans bad for gout?

That means peas, beans, lentils, tofu, and green, starchy vegetables. They don’t raise uric acid levels and can even protect you from gout attacks.

Is lemon good for uric acid?

Are pistachios bad for gout?

Peanuts. Walnuts are rich in monounsaturated and polyunsaturated fats, which have anti-inflammatory properties. Almonds, macadamia nuts, pecans, pistachios and walnuts also lower LDL (bad cholesterol) cholesterol.

Is oatmeal rich in uric acid?

Blue Cheese And Gout

Are diet drinks bad for gout? – MVOrganizing

Are diet drinks bad for gout?

Diet sodas, however, don’t affect gout risk. The findings come from a huge study of 46,393 male health professionals in Canada who filled out detailed questionnaires about their health and their diet every four years for 12 years.

Does Diet Coke increase uric acid?

Objective: Sugar-sweetened soft drinks contain large amounts of fructose, which may significantly increase serum uric acid levels and the risk of gout.

Can artificial sweeteners cause gout?

Check your tolerance for fruits, vegetables and other foods high in fructose. Uric acid levels tend to be higher in people who regularly consume sugar-sweetened drinks. Those drinking one to two sugar-sweetened soft drinks a day are almost twice as likely to have gout as those who drink only one a month.

What is the best thing to drink if you have gout?

Drink plenty of water, milk and tart cherry juice. Drinking coffee seems to help as well. Be sure to talk with your doctor before making any dietary changes.

Is peanut butter bad for gout?

Best Foods for a Gout Diet You’ll want to go for low-purine options like: Low-fat and nondairy fat products, such as yogurt and skim milk. Fresh fruits and vegetables. Nuts, peanut butter, and grains.

Is cheese bad for gout?

Dairy Foods and Gout Full-fat dairy products like whole milk and ice cream are often discouraged for people with gout. However, studies have shown that increasing the amount of dairy products you eat, including cheese, yogurt, and ice cream, may reduce your risk of developing gout.

What can be mistaken for gout?

6 Diseases That Can Mimic Gout (and Delay Your Diagnosis)

• Pseudogout. It sounds like gout, it looks like gout, but it’s not gout.
• Infected joint (septic arthritis)
• Bacterial skin infection (cellulitis)
• Stress fracture.
• Rheumatoid arthritis.
• Psoriatic arthritis.
• 2 comments.

How do I know if I have cellulitis or gout?

Whereas gout is often abrupt in onset, cellulitis tends to progress from an initial pustule, abscess, ulcer, or patch and gradually expands. Cellulitis may appear similar to gout if the initial location is a joint. However, erythema and swelling may enlarge beyond the joint area and affect multiple digits.

How can I stop recurring gout?

Take Care of Yourself

1. Get regular exercise and stay at a healthy weight. If you’re overweight or obese, your body has more uric acid.
2. Get other health conditions under control.
3. Ask your doctor if you need to make changes to the medications you take.
4. Drink more fluids.

Is coffee bad for gout?

There’s very little evidence that suggests coffee intake causes gout or increases the risk of a gout flare-up. Although the majority of evidence is in favor of drinking coffee to reduce gout risk, there’s still room to continue to expand the research.

What is the main cause of gout?

Gout is caused by a condition known as hyperuricemia, where there is too much uric acid in the body. The body makes uric acid when it breaks down purines, which are found in your body and the foods you eat.

How long does it take to trigger gout?

Uric acid is a waste product made by the body when it digests certain foods. When uric acid levels are high, crystals of it can accumulate in your joints. This process triggers swelling, inflammation and intense pain ( 5 ). Gout attacks typically occur at night and last 3–10 days (6).

Who gets gout the most?

Gout is more common in men than in women and more prevalent in African-American men than white men. The chances of having gout rises with age, with a peak age of 75. In women, gout attacks usually occur after menopause.

How do you check for gout?

Tests to help diagnose gout may include:

1. Joint fluid test. Your doctor may use a needle to draw fluid from your affected joint.
2. Blood test. Your doctor may recommend a blood test to measure the levels of uric acid in your blood.
3. X-ray imaging.
4. Ultrasound.
5. Dual-energy computerized tomography (DECT).

How can I check my uric acid levels at home?

A uric acid test can be done as a blood test or a urine test. During a blood test, a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial.

What are the symptoms of gout in the big toe?

Symptoms of gout in the big toe Gout attacks involve intense throbbing or burning joint pain, which occurs suddenly, followed by swelling, tenderness, warmth, and redness or discoloration. It can affect a person’s hands, elbows, knees, feet, and toes.

Can gout be caused by stress?

Stress may trigger a gout attack, and it can exacerbate symptoms of a gout attack. While it’s impossible to completely eliminate all of your stress, there are a number of ways to help minimize it. If you’re experiencing a gout attack, reducing your stress can also help you focus on things other than the pain.

Take a Pass on These Gout-Unfriendly Foods

‘Tis the season for cookouts and burgers. Whether gas-powered or charcoal, grills everywhere get fired up regularly to prepare hot dogs, burgers, veggies skewers, and more for family and friends. With such a delicious array of food being made so regularly, it can be easy to forget that certain foods are actually terrible for gout. It’s hard to avoid gout-causing foods sometimes, but preventing a painful flare-up is worth foregoing a hotdog or two in the end.

How Gout Is Caused

Gout is a type of arthritis that causes intense pain in your joints when too much crystalized uric acid collects there. One factor that contributes to the levels of uric acid in your blood is the food you eat. Your body makes the acid crystals when it breaks down the purines in your food. Now, some foods have a much higher purine content than others. These are the foods that you want to limit or avoid altogether, since they can act as gout triggers.

Foods To Avoid Regarding Gout

Here are a few high-purine foods and beverages to put on your “limit or avoid” list:

• Red meat, particularly beef, lamb, and organ meats (like kidneys)
• Pork and sweetbread meats
• Certain types of seafood, including herring, anchovies, mackerel, tuna, scallops, sardines, and mussels
• All types of alcohol
• Processed and high-sugar carbs, including white bread, cakes, candy, and pasta
• High-sugar juices and sodas
• High-fat content foods, including chips and high-fat dairy products

Get Help Controlling Gout

You’ll never be able to cut purines out of your diet completely—and that’s not really the point when you avoid gout-causing foods. You’re simply limiting your intake of foods that typically act as gout triggers. Replace these with healthier options, like lots of fruits and veggies, whole grains, and lean meats. If you’re struggling to manage your gout, let us know at Carolina Podiatry Group. We’ll help you find a way to keep flare-ups under better control. Use our website to contact us, or call one of our two South Carolina offices: (803) 285-1411 for our Lancaster location, or (803) 548-FEET for our Indian Land office.

Dairy for Gout | TheGoutKiller.com

I love cheese . . . always have and always will!

Back in the day of getting gout attacks, cheddar cheese was a regular part of my gout diet, just because I liked it. Without really knowing anything about dairy for gout, cheese felt like a “safe” food to eat . . . a “risk-free” source of protein. And I would eat a bit of yogurt now and then, but I never liked milk. I didn’t go out of my way to either include or avoid dairy because of how it would or wouldn’t affect my gout, I just ate cheese and yogurt because I liked them.

More recently though, I have learned about the research of Dr. Weston A. Price, and the Weston A. Price Foundation, and I now understand why dairy is an important ingredient in a healthy diet for gout relief. But not just any dairy . . . it must be RAW dairy from pasture-raised cows. Raw dairy provides a rich source of essential fatty acids needed for optimal health and wellness, and the live cultures that naturally occur in raw milk help to keep our digestion running smoothly.

So, what can milk and dairy do for your gout? Here’s what you need to know.

How Milk Cuts Gout Risk

In the 1600’s, famous English philosopher — and fellow gout sufferer — John Locke scribbled in his notebooks about all the various treatments he’d tried to relieve his gout, and whether or not they worked. Topping his list of effective remedies? Milk.

Almost 400 years later, this ancient wisdom still rings true. According to a landmark study on diet and gout conducted by researchers at Massachusetts General Hospital and Harvard’s medical and public health schools, it was found after tracking the gout symptoms of over 47,000 men that those who the highest consumption of dairy products were up to 42 percent less likely to develop gout over their lifetimes.

In a 2009 study from researchers in Auckland, New Zealand, researchers further investigated the milk connection by collecting blood and urine samples from 16 volunteers immediately before and after they drank soy or skim milk. After drinking soy milk, levels of uric acid rose 10 percent on average over a three-hour period. After drinking skim milk? Uric acid levels dropped by 10 percent in the same time frame.

More recently, a 2012 study, also conducted in New Zealand, looked at the effects of taking an enriched skim milk supplement to provide gout relief. The study involved 120 people who’d had at least two gout flare-ups over the last four months. Participants received either lactose (milk sugar) powder, skimmed milk powder, or skimmed milk powder with added GMP (whey protein) and G600 (milk fat extract).

After three months, flare-ups had decreased in all three groups. So, good for milk! However, people drinking the enriched skimmed milk saw the greatest reduction in gout attacks and also had greater improvement in their joint pain and in the amount of uric acid leaving their body in their urine.

What is the secret behind milk’s ability to reduce gout? Orotic acid, a compound in milk that promotes uric acid removal by the kidneys. Milk has it, and likewise products made from milk, including cheese, kefir, and yogurt, also contain it.

. . .

Hey Bert,

What you do is invaluable to help Gout sufferers.

I haven’t had an attack for over a year by taking note of all of your tips and help. Knowing, what to do and making lifestyle changes are key. I still like to socialize but counteract with cleaner food, breathing and good quality PH water. Add on the baking soda and organic cider vinegar then have most bases covered.

Thanks so much for all you do,

Mike

. . .

Why Raw Milk for Gout?

The studies I just referenced all used low-fat or skim milk, but truly, raw whole milk really does make all the difference. Plus, I should add, some people in the skim milk powder study reported that the powder produced side effects including diarrhea, nausea, and gas. The painful inflammation of gout is way worse, but still, there has to be a better trade-off than replacing gout with gas!

My eyes became opened to the wonders of raw milk after reading the book, Nourishing Traditions that talks about the work of Weston A. Price, a dentist (yes, dentist) who traveled the world studying the dietary habits of the world’s healthiest people. In short, we need fats – the whole low-fat craze is just propaganda from big corporate financial interests (surprise, surprise) — and does not support optimal health.

On the other hand, raw milk from cows raised on pasture grass — not feedlot grain — is especially rich in conjugated linoleic acid (CLA), a sort of “wonder fat” that can do everything from improve insulin sensitivity to decrease cholesterol levels. Raw milk is also a rich source of vitamins and minerals, and “good bacteria” that helps with gut health.

If you’re just not sure about the raw part, understand that when milk is pasteurized and homogenized it changes structurally, and becomes less potent in all its good stuff. When John Locke wrote in the 17th century that drinking milk was his top gout remedy, you can be he was drinking raw whole milk!

Here’s a clip about what they say about all that in Nourishing Traditions:

Last but not least, pasteurization destroys all enzymes in milk – in fact, the test for successful pasteurization is absence of enzymes. These enzymes help the body assimilate all bodybuilding factors, including calcium. That is why those who drink pasteurized milk may suffer from osteoporosis. Lipase in raw milk helps the body digest and utilize butterfat.

Even people who are normally allergic to drinking milk are often able to drink raw milk! For more information of safe sources of raw milk, see the info-packed realmilk.com site.

As for me, I now drink lots of whole raw milk (not skim or low-fat) and I love it! I also make my own kefir at home using raw milk, and I eat raw cheddar cheese. These dairy products are a big important part of my diet that help keep me gout-free. In sum, I now know beyond a shadow of a doubt that high-quality raw dairy products are fantastic for overall health, and especially for gout!

+ Bottom-line:  And so, after all this, I have just one question for you, my gout friend: Got Milk?

 +++ Sources:

Purine-Rich Foods, Dairy and Protein Intake, and the Risk of Gout in Men

https://www.nejm.org/doi/full/10.1056/NEJMoa035700

Got Gout? Get milk?

https://www.rheumatology.org/Portals/0/Files/ACR%20Guidelines%20for%20Management%20of%20Gout_Part%201.pdf

Effects of skim milk powder enriched with glycomacropeptide and G600 milk fat extract on frequency of gout flares: a proof-of-concept randomised controlled trial
https://www.ncbi.nlm.nih.gov/pubmed/22275296

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Gout

Gout is a joint disease caused by the deposition of uric acid salts in the joints. The patient has bouts of intense pain in the joints, while the joints swell, the skin over them turns red, most often it is the big toe.

English synonyms

Gout, Podagra.

Symptoms

Symptoms of gout appear suddenly, more often at night.

• Severe joint pain. As a rule, first in the big toes, but sometimes in the feet, ankles, knees, hands, wrists.The most intense pain persists during the first 12-24 hours after the onset of the attack.
• Prolonged aching joint pain. After severe pain passes, some discomfort remains in the joints – from several days to several weeks. Over time, pain attacks become more intense and last longer, as more and more joints are affected.
• Inflammation and redness of the joints. The affected joints swell, turn red, and become very sensitive.
• Bumps under the skin (tophus). With a prolonged course of gout, bumps can form under the skin, most often in the area of ​​the fingers and toes, on the elbows, knees, and the skin of the auricles.

General information

Gout occurs when the level of uric acid in the blood rises. Uric acid salts begin to deposit in the joints and surrounding tissues, causing inflammation and severe pain. The concentration of uric acid in the blood can increase as a result of a violation of its excretion from the body, as well as increased formation, which is associated with excessive consumption of purines.

Purines are substances from which uric acid is formed. Some foods contain purines and, accordingly, increase the amount of uric acid in the body:

• alcohol (especially beer, wine),
• honey, coffee, strong tea, chocolate, cocoa,
• cheeses,
• broths (meat, chicken, fish),
• raw smoked products,
• offal from internal organs (heart, kidneys, liver, brain, tongue),
• fish, canned meat,
• legumes (peas, beans, eggplant, beans, nuts, seeds, soybeans),
• sorrel, spinach,
• cauliflower,
• mushrooms, mushroom broths,
• raspberries, figs.

Since uric acid is excreted in the urine through the kidneys, in case of kidney disease, the process of its excretion may be disturbed, which predisposes to gout.

Some people have frequent gout, while others only a few times a year. Medication can help prevent recurrence of gout attacks.

In case of gout under the skin on the fingers, hands, legs, elbows, nodules (tophuses) sometimes appear, consisting of deposits of uric acid salts.They are usually not painful, but during gout attacks they become very tender and swollen.

Crystals of uric acid salts can be deposited in the urinary tract of patients with gout, forming stones. In such cases, medications help reduce the risk of kidney stones.

Who is at risk?

The risk group includes people with a high content of uric acid in the body.

The uric acid level is increased:

• Regular consumption of alcohol (especially beer),
• chronic diseases (diabetes, hyperlipidemia, atherosclerosis),
• high blood pressure,
• taking certain drugs, such as those used to treat hypertension, heart failure, or prescribed after organ transplant,
• hereditary predisposition,

90 017 age and gender – gout is more common in men, since their normal uric acid levels are higher than in women (however, after menopause, uric acid levels in women increase; in both women and men, gout most often develops at the age of 40 -50 years.

Diagnostics

The diagnosis of “gout” is most often made taking into account the characteristic symptoms and history of the development of the disease.

Laboratory diagnostics

• Uric acid in serum. Elevated uric acid levels are an argument in favor of the diagnosis of gout. However, not all people who have elevated uric acid levels suffer from gout. At the same time, in a small number of patients with severe manifestations of this disease, the level of uric acid in the blood may be within normal limits.
• Serum uric acid levels are not so important during the acute period of illness, as uric acid is released into the tissues and its concentration in the blood may decrease.
• Complete blood count (without leukocyte count and ESR) (CBC). During an acute attack of gout, the level of leukocytes may rise moderately, and the erythrocyte sedimentation rate (ESR) may increase significantly.

Other studies

• Study of synovial (articular) fluid.The detection of uric acid crystals in it is specific to gout.
• X-rays of joints and bones in gout are of secondary importance. In the later stages of the disease, large bumps can be seen on radiographs of the bones – signs of deposition of uric acid salts in them.

Treatment

Treatment for gout is usually medication.

Depending on the characteristics of the patient’s organism, the doctor determines the most suitable medications for him.There are drugs to treat acute attacks, to prevent recurrent attacks, to reduce the risk of complications from gout.

In addition to taking medication, you can relieve a gout attack with:

• drinking a lot of water during an attack (2-4 liters per day),
• complete rest (it is recommended to place the affected limb higher, for example, put a pillow under the foot),
• diet, mainly consisting of liquid food (milk, dairy soups, lactic acid products, jelly, compote, vegetable and fruit juices, liquid cereals).

It is mandatory during an attack to avoid alcohol and products that increase the level of uric acid in the blood.

Prevention

• Drinking enough liquid (2-4 liters per day).
• Refusal from alcohol. Alcoholic beverages, especially beer, increase blood uric acid levels.
• Healthy food. Eat more fruits, vegetables, whole grains, and low-fat or low-fat dairy products.You should limit the consumption of meat, poultry, fish.
• Maintaining a normal weight. If you are overweight, it is recommended to gradually, smoothly reduce it with the help of exercise and a healthy diet.

Recommended analyzes

90,000 Can kefir, milk and other dairy products with gout? | Spinet.ru

Gout is a complex disease that requires a special approach to nutrition and an individual diet.Many people ask themselves what can and cannot be eaten with gout?

Today we will consider the effect of dairy products on the body of such a special patient.

Milk, cottage cheese, kefir and sour cream for gout – is it possible or not?

As many studies show, dairy products are not only allowed, but also useful for gout.

It is worth paying attention to:

– skim milk;

– curdled milk;

– low-fat kefir;

– natural cottage cheese;

– mild hard cheese;

– pudding;

– fermented baked milk;

– low-fat yoghurts.

But, it is worth avoiding such dairy products as :

– salty, spicy and smoked cheeses;

– Cottage cheese and yoghurts with fillings;

– fatty dairy products: sour cream and cottage cheese over 15% fat.

Studies on the effect on the body of dairy products for gout

Unlike seafood and meat components, dairy products are extremely poor in purines, but rich in proteins. Low purine levels are extremely important for people with gout.It is the violations of purine processes that contribute to the deposition of uric acid in the joints.

Excessive concentration of uric acid in the joints can cause severe pain, inflammation and severe swelling. In turn, protein structures have a good uricosing effect, namely, they reduce the concentration of uric acid.

Lower uric acid levels in those who consume dairy products

HK Chou and others studied the relationship between milk intake for gout and serum lactic acid levels.

It was shown that those who consume dairy products on a daily basis had lower MC levels than those patients who did not drink milk or kefir at all for gout.

At the same time, a multivariate analysis in Scotland with 2076 completely healthy people showed that low-fat dairy products are inversely associated with serum lactic acid levels.

Also, tests were carried out on the effect of lactose and calcium on the body of patients with gout, which showed that milk and its derivatives have a beneficial effect on the urate metabolism of uric acid – accelerate its breakdown and excretion from the body.

These studies were published in the journal of the Scientific Research Institute of Rheumatology named after V.A. Nasonova in 2016 in the column “Diet for gout and hyperuricemia” and significantly influenced the compilation of a dietary system for patients with gout.

A detailed analysis of the research carried out allows us to draw certain conclusions.

Namely:

– the inclusion of milk in the diet can significantly increase the consumption of protein in the body;

– dairy products significantly reduce the concentration of uric acid in the blood and connective tissues;

– skim milk affects the clinical manifestation of gout in patients;

– daily milk consumption significantly reduces the likelihood of developing acute arthritis with an established diagnosis of gout;

– Dairy foods have a strong anti-inflammatory effect on the affected tissues.

Thus, the positive effect of milk and fermented milk products on patients with gout can be emphasized. But, it is recommended to use fat-free versions of products to facilitate the processes of lipid metabolism in the body and optimal excretion of uric acid.

We recommend that you read – Nutrition for gout

Source: https://spinet.ru/news/?id=2595 Spinet.ru ©

Gout cannot be cured, but you can live with it if you do not let it drift

Do not die from gout.Yes, this is a serious illness with a severe course and unpleasant manifestations, but not fatal. The journalists went to a meeting with a doctor to debunk the myth about the lethality of the “royal disease”.

About the name

Why “royal”? It happened so historically. In ancient times, as a rule, the table of crowned heads was filled with fatty meat food with smoked meats and other delicacies. Ordinary people could not afford such a diet. And, as a result, they suffered from the disease at times less often.

“I also know this variant of the name of gout -“ count’s disease ”, but only the name is beautiful here, – says Vladimir Pravdin, rheumatologist of the city polyclinic No. 2, to . – This is a systemic disease in which sodium monourate (uric acid salt) accumulates in the body. Either too much of this substance is formed, or it is excreted too poorly. In both cases, hyperuricemia develops, that is, an increased level of uric acid in the blood. And with certain external or internal factors, this all translates into a disease called gout. “

Vladimir Georgievich explains that the classification of the disease – “systemic” – makes it clear that it affects the entire body, although the pain can be localized in one joint (for example). The kidneys are particularly affected.

Gout has been known since the Middle Ages, but it was learned to cure it only in the last century. Until recently, there was a strong belief that the disease affects only men.

“In recent years, this point of view has been revised not only by domestic rheumatologists, but also by representatives of the American and European associations of rheumatology.Now we have agreed that women also suffer from gout. The frequency of exposure of women to this disease is one woman in five to seven men (per 1,000 population), ”says the doctor .

About manifestations

Most often in men, gout manifests itself from 30 to 50 years. In women, the peak is the postmenstrual period, that is, after 50 years. If the disease is not treated, then excess sodium monourate forms tofuses – clusters of foci of this substance.

“Most often they can be observed on the earlobes, elbow joints, fingers, – notes Vladimir Georgievich. – They appear in the form of soft convex formations that do not differ in any special color – the same as the skin, only bumpy. You can see small foci of a whitish color. Very often they are opened (both by surgeons and by the patients themselves), after which they try to disinfect by applying septic dressings. Although uric acid itself is an antiseptic. ”

According to the rheumatologist, night pains are characteristic of gout – a person went to bed healthy, got up in the morning, and he has an attack of arthritis.The big fingers and toes are more often affected. There is atypical gout, when arthritis develops in the midfoot, knee, elbow. The pain usually lasts from one to 14 days.

It can pass by itself without treatment and subside for many years. The intervals between periods of exacerbation of the disease are called light gaps.

“The task of the doctor is to increase these intervals as much as possible. Nobody has been able to cure gout yet. And once the diagnosis is made, then it is for life. But we can improve the quality of life of most patients, – says Vladimir Pravdin .- Treatment is carried out throughout life. The whole point of therapy is aimed at keeping the uric acid indicators at the level of 315 – 363. It is also not necessary to lower it. The critical lower limit is 180. I emphasize that all systemic diseases are chronic diseases that never go away. Death from gout as such does not occur. ”

About the stages

The rheumatologist explained that in terms of symptomatic manifestations, the content of uric acid and the presence of formed urates (solid salt crystals), gout goes through four stages:

– The first is asymptomatic.The patient has a slight increase in uric acid levels, which can only be seen on tests.

– The second also does not give special manifestations. The amount of uric acid increases and tofuses are formed in some areas of the body.

– Clinical manifestations begin from the third stage.

– And the last stage – tophus all over the body.

About exacerbations

Exacerbations can occur throughout the year. But most often in damp weather, that is, in the spring-autumn period.

Provoking factors: Hypothermia.

“Those who love, for example, winter fishing, are subject to exacerbations,” explains Vladimir Pravdin . – That is, you will have to give up your hobby. Or use all modern methods for warming: special houses, various chemical heating pads, and so on. But it is best not to overcool and, above all, to protect the legs from hypothermia. ”

Microtrauma.

“For example, a man stumbled on a threshold or dropped a wrench on his leg in the garage – he rubbed a sore spot and ran on.And in a day or two there will be a gout attack. ”

Inflammatory diseases.

“A little dripped from my nose and passed. He had already forgotten, but he developed an attack of gout.

Exacerbation of chronic diseases.

Vaccination.

“It is very rare that gouty arthritis can develop as a reaction to vaccination.”

Heredity.

About the diet

In case of gout, it is imperative to follow a diet.

“Of course you can find diet on the Internet.Looking at her through the eyes of a patient, one gets the impression that nothing is possible except for barley porridge and water! – the doctor laughs. – It is clear that a rare man will go on a diet for a long time. But if at least in spring and autumn to observe a sparing diet, then for the body it will already be of help. ”

Vladimir Georgievich advises:

1. Increase the amount of fermented milk products, as they reduce the level of uric acid.

“This does not mean that three glasses of kefir a day – and uric acid will stabilize, but it will not grow.And at least it will decrease a little. And perhaps it will be possible to do without drug therapy. ”

2. Reduce the amount of foods rich in fat: sausages, meat, fatty cheeses and fish (including red).

“From river fish everything is possible except pike. Why pike can’t, frankly, I can’t explain. I asked our specialists – no one answered me. I could not find information in the literature either, ”the doctor smiles .

He also recommends eating less mushrooms, strong coffee, dark chocolate, strong tea.

3. Give up everything that causes a diuretic effect.

“I want women to understand me correctly: I do not agitate men to drink strong alcohol. But even five or six years ago, it was categorically believed that alcoholic beverages absolutely provoke gout, and now they are already calm about it. It is recommended to refrain only from those drinks, medicines, products that cause a fairly rapid diuretic effect. This is beer, grape juice, watermelon. Anything that causes the flow of urine quickly and in large quantities and, accordingly, can provoke a gout attack. “

Inna Anokhina, Voice of Cherepovets newspaper

Nutrition for gout – basic principles

Why does the disease occur

Hyperuricemia is associated with impaired purine metabolism. If purines enter the body in excess, then with age, a metabolic disorder occurs, associated with the difficult excretion of uric acid from the body. The result is damage to the joints and kidneys. This condition develops with age.Men in their 40s who are most susceptible to gout are those who do not eat well and drink frequently. Propensity for gout is also associated with diabetes and obesity.

What factors can provoke an attack of hyperuricemia:

1. Frequent drinking of beer and wine.
2. Mainstream fast food, bread, chocolate, fatty meat and fish dishes.
3. Male In women, gout usually occurs after menopause.
4. Obesity.
5. The presence of other metabolic disorders – hypercholesterolemia, diabetes, hypothyroidism.
6. Arterial hypertension (high blood pressure).

The mechanism of the onset of the disease is associated with two factors – failure of kidney function, when the urinary system cannot fully remove urea and purines from the body, or excessive intake of purine compounds in food, which leads to metabolic disorders. The second reason is easier to treat with dietary nutrition.In the first case, it is necessary to find the cause of renal failure and start urgently therapy aimed at restoring the normal functioning of the organ.

If the patient is diagnosed with gout, treatment begins with dietary adjustments. Taking medication is not as important as the correct diet.

How the disease is diagnosed, the main symptoms

It is rare for a person to undergo an annual health examination, therefore, the diagnosis of hyperuricemia is already made after an attack has occurred.The disease manifests itself suddenly with an acute attack of pain in the joint, which is accompanied by redness and swelling. The body temperature also rises. The attack has temporary features – it occurs sutra or at night. The acute stage is painful and lasts no more than 10 days, after which the symptoms of the disease disappear. A new attack also begins suddenly and is even more acute if the patient does not go to the doctor, respectively, without starting treatment.

The diagnosis is made in two ways – on the basis of examination and laboratory tests.The second variant of the diagnosis is the most reliable, since it allows one to differentiate the disease from other pathologies that manifest similar symptoms. If a patient has a significant increase in uric acid levels during a biochemical blood test, there is a swollen painful joint (most often a big toe), then this indicates gout. If there is also an increase in urea and creatinine, then this indicates signs of renal failure.In this case, it is necessary to check the patient for the presence of urolithiasis.

Other specifying diagnostics:

1. General analysis of urine and blood.
2. Ultrasound diagnostics, X-ray.
3. CT or MRI.

On the basis of the collected data, a definitive diagnosis is established and a complex therapy is prescribed, which consists in the use of medications and diet correction. The second point is the most important. Medicines to reduce the amount of uric acid in the body have many side effects and other complications may occur with prolonged use.If the patient learns to eat right, then this will help reduce the risk of recurrent attacks without the use of drugs.

Stages and complications

Before an attack of gouty arthritis occurs, the patient has an asymptomatic stage for some time, which is detected only with the help of laboratory tests. The second stage of the development of the disease is the appearance of the first exacerbation. If you do not start treatment, then the third degree develops – a chronic course, which manifests itself in periodic exacerbations.At this time, the pathological accumulation of uric acid crystals continues in the joints and internal organs. The final stage of development is gouty deforming arthritis with the formation of tofuses. Often neglected pathology leads to the appearance of renal failure, urolithiasis and arterial hypertension.

Diet for gout – nutritional principles

The essence of the diet is to reduce the amount of uric acid excreted by the body. A low-purine diet consists of eating foods that are low in purine compounds.First, it is necessary to exclude from the daily diet those foods that are contraindicated in gout.

Prohibited foods for gout:

1. Any alcoholic beverages. The greatest danger is beer and wine.
2. Among non-alcoholic beverages, it is prohibited to use coffee, strong tea, cocoa, packaged juices, sweet carbonated drinks.
3. You can not eat meat, mushroom and fish broths with gout, as they contain extractive substances, which are also contraindicated in the presence of hyperuricemia.
4. Doctors prohibit many types of greens, which contain a lot of oxalic acid – onions, sorrel, parsley, dill, rhubarb, all types of citrus fruits, including lemons.
5. Fatty meats, poultry and fish. Mushrooms are prohibited from vegetable proteins.
6. From semi-finished products – canned food, smoked meats, pickles, sausages, sausages.
7. Salted products – red fish caviar, pickles, marinades.
8. Spicy food – mustard, red chili, wasabi, garlic.
9. From sweets – chocolate, kerob, pastries, a lot of sugar.
10. Salty, spicy and fatty foods.
11. It is forbidden to eat meat offal – liver, kidneys, stomachs.
12. Do not eat legumes – peas, lentils, asparagus beans, soybeans.

It is important to eat fractionally, without overeating and consume enough clean water. A well-established drinking regimen is the best prevention of renal diseases. You need to drink 1.5-2 clean water per day, excluding other liquids. It is not recommended to add salt to food. A low-salt diet for gout on the legs relieves the burden on the kidneys, which is important in the presence of hyperuricemia.Periodically, it is recommended to arrange fasting days with complete fasting, if the state of health allows.

What you can eat with gout:

1. Low fat dairy products. Cottage cheese, unsweetened yogurt, skim milk, kefir are suitable.
2. From grain and starchy sources of carbohydrates – white rice, potatoes, pasta, rye bread. Barley porridge is especially useful.
3. Sweet fruits and berries, vegetables. You can eat cucumbers, lettuce, tomatoes, eggplants, zucchini.From fruits – apples, bananas, peaches, grapes.
4. Sources of fats – preferably vegetable and in moderation. If the patient has an elevated cholesterol level, this point should be considered in more detail with the attending physician.
5. Sources of protein – skinless chicken and turkey, lean rabbit. Eggs no more than 2-3 times a week.
6. It is also allowed to eat various long-cooked cereals – oatmeal, rice, barley, millet.

It is important to understand that diet works well for gout and prevents attacks, but cannot replace medication.If the patient has a long course of the disease, it is required to periodically use agents that reduce the formation of uric acid in the body. It is also impossible to completely get rid of the disease, so it is important to follow a therapeutic diet for the rest of your life.

What foods can you eat for gout – replacement

For gout, diet table number 6 is prescribed. If the patient is overweight, then he may be prescribed 6E – a calorie restricted diet for the purpose of weight loss.Meals should be fractional, consumed 5-6 times a day with small portions. Below is a list of foods that most patients are accustomed to eating in their daily diet, but these foods should not be eaten with gout:

1. Meat, chicken, fish broth, sorrel soup or borscht with mayonnaise, marinade or sour cream. You can replace the usual soups with products of plant origin – potato and beetroot. Vegetable soups should be eaten without dressing.
2. Butter, margarine and lard must be replaced with vegetable oil.Coconut or olive oil is ideal.
3. Soy products, sorrel, spinach and sauerkraut are replaced with corn, potatoes, cabbage or Brussels sprouts, tomatoes, eggplant, pumpkin, olives, green peas. Green leafy vegetables and greens are also banned, as most of these foods are high in purines.
4. Lamb, offal, canned meat, sausages, pork and jellied meat are replaced with rabbit meat, veal, turkey chicken.It is advisable to choose the lean parts of the carcasses without the skin.
5. You need to be careful when choosing seafood. The usual herring and mackerel are replaced with squid, crayfish, shrimp, trout, salmon. Omega 3 supplements are beneficial. Nuts are a good source of unsaturated fats.
6. Fatty hard cheeses are exchanged for skim milk, plain yogurt and sour cream. You can use low-fat fermented milk products – cottage cheese and kefir.
7. Beans and lentils are also removed from the diet.It is better to replace them with whole grain cereals – oatmeal, barley, buckwheat, rice.
8. Figs, pomegranates, mangoes and dried apricots are prohibited. It is allowed to eat apples, dates, persimmons, kiwi, banana, plums, dried fruits.
9. Among the berries, raspberries and sea buckthorn are banned. Can be replaced with rose hips, cranberries, lingonberries, currants, chokeberries, blackberries, viburnum. It is limited to eat cherries, but not more than 200 g per day.
10. Among the sweets, many people are banned from their favorite pastries, cakes with cream and chocolate.The recommended substitute is marshmallow, homemade jam, marmalade, marshmallow, halva, cookies, honey.
11. Alcoholic drinks, cocoa, coffee and black tea are replaced with green tea, milk, uzvar, homemade juices, fruit drink, chicory. Limited – tomato juice, preferably homemade.
12. Bakery products can be eaten, but limited. It is recommended to abandon wheat flour baking and switch to yeast-free bread, whole grain crisps. If you eat pasta, then from durum wheat.

It is important to understand that dietary restrictions change, depending on the period of illness. If the disease has subsided, and attacks do not occur, then the patient has a more free diet, consisting of protein and high-grade carbohydrate foods. During an exacerbation, the diet is strict and consists of vegetarian dishes. Temporarily restrict animal protein. You can not starve and overeat. It is necessary to increase the amount of water you drink to 3 liters.

What you can eat for gout – ready meals

The following dishes are prepared on the basis of vegetable broths in limited quantities:

1. Beetroot soup.The composition includes potatoes, beets, tomatoes, fresh cabbage, carrots. You can season with low-fat sour cream.
2. Potato broth. You need to boil several potatoes, adding one chicken egg, a tablespoon of flour. Season with a bunch of greens (eat greens in moderation) and a tablespoon of fat-free sour cream.
3. Vegetable soup may contain vegetables, herbs and butter.
4. All types of cereals are allowed, so you can cook porridge in water or skim milk without any problems.The most useful option for gout is boiled buckwheat in water.
5. Pilaf. The classic recipe is not suitable, so greens and tomatoes are added to the rice.

What can you drink with hyperuricemia

Drinking is one of the most important elements in nutrition. In addition to 1.5 – 2 liters of clean drinking water per day, it is necessary to organize the correct drinking regime with the help of other drinks. The more a patient with hyperuricemia drinks fluids, the better, since water improves kidney function and flushes out uric acid salts.It is strictly forbidden to consume any alcohol, as well as coffee, tea, cocoa. These foods are rich in purines and interfere with recovery.

Nutritionists recommend switching to the following drinks:

1. Homemade tomato juice.
2. Rosehip decoction.
3. Compotes from dried fruits.
4. Lingonberry or cranberry juice.
5. Kvass, kefir or chicory – in small quantities.
6. Alkaline mineral waters.

Nutrition menu for gout

The diet for gout for men is no different from the female version, since the severity of the symptoms of the disease is not associated with gender.In order to lose a few extra pounds and reduce the production of uric acid in the body, you must always follow a diet. For this reason, it is important to make a list of preferred foods in the gout diet chart. An exception is the presence of food allergies, but this point should be discussed with your doctor. You can also use a ready-made menu for the week.

The following is an indicative list:

It is important not to forget about the need to drink more plain water between snacks and main meals, in an amount of at least 1.5 liters per day.

This is an indicative list of foods and meals that can be consumed in the presence of hyperuricemia. Depending on individual preferences, you can revise the menu. The main principle of a long and successful diet is a large list of foods that create food diversity.

Prevention of hyperuricemia

If there are close relatives in the family suffering from this type of metabolic disorder, it is necessary to minimize the risks of developing the disease in the future.There is no 100% guarantee that the disease will not manifest if you follow the precautions, but the chance of getting sick becomes lower.

Ways to prevent hyperuricemia in older age include:

1. The main point is proper nutrition. It is important to exclude foods that promote the synthesis of uric acid in the body in large quantities. Nutrition is aimed at reducing the amount of table salt, animal fats and proteins. You also can’t starve. It is required to limit the use of foods from the prohibited list and draw up a diet based on the permitted food.
2. Quitting bad habits. Low-alcohol drinks are especially harmful – wine, beer, cider. The less alcohol is consumed, the better, because alcoholic beverages greatly overload the urinary system.
3. Maintaining normal body weight, combating obesity. Excess weight creates an additional burden on the entire body, contributes to an increase in blood pressure.
4. Increase in daily physical activity. If you start running 2-3 times a week, you can improve metabolic processes in the body and increase calorie expenditure, which will help in weight loss.

Proper nutrition and increased physical activity prevents not only hyperuricemia, but also many other diseases.

Editorial Opinion

Diet for gout is the key point in the treatment of a dangerous disease. The diet is made up for a long time, so you need to choose the optimal list of products. It is recommended to discuss the menu with the attending physician so that no errors arise. Proper nutrition minimizes the frequency of gouty attacks and reduces the risk of complications.You can leave a comment at the end of the article.

Vladimir Ilyich Nechaev Clinic “Doctor, I have gout!

Such statements by patients are not uncommon. But, as a rule, this is a mistake. Moreover, judging by the requests in electronic search engines, it is very common. Inquiries to Yandex about gout are almost 2 times higher than such an everyday category as “back pain”. So, gout … What is it? According to modern concepts, gout is a chronic disease associated with metabolic disorders: an increased content of uric acid in the blood and the deposition of crystals of this acid (urate) in the joints and periarticular tissues.The source of uric acid is food rich in purine compounds (meat products, cheeses, tea, coffee, alcohol, chocolate, various spices and delicacies, as well as some medicines). Functional failure of certain enzyme systems of the body and / or regular gluttony with overeating can lead to an increase in the production of uric acid, its accumulation in the blood and joint fluid. The subsequent precipitation of needle crystals of urate on the ligaments, joint capsules, cartilage and bone tissue leads to the destruction of the latter and the launch of an acute inflammatory reaction in the places of deposits.At the onset of the disease, the metatarsophalangeal joints of the big toes are most often affected (for more details see www.ploscostopie.ru).

Why are we so categorical, asserting that, as a rule, patients are mistaken, mistaking for gout the “bumps” or “growths” on their thumbs that bother them?

First, gout is a relatively rare disease (on average, 0.01-0.37% of the adult population suffers). Secondly, women suffer from gout 20 times less often than men. This is the “disease of kings,” but not of queens.In 30 years of medical practice, I have met only one woman with true gout. Thirdly, typical complaints of patients with “growths” on the big toes do not fit into the symptoms of gout.

The clinical picture of true gout is very characteristic. Usually a person, after a plentiful feast, in a good mood, goes to bed absolutely healthy, but suddenly in the middle of the night he suddenly wakes up from a violent attack of “gnawing” pain in one of the joints of the body (see drawing by an unknown artist from 1794).). In a matter of hours, the affected joint swells up, becomes crimson-red and sharply painful. The joint burns like a fire, it can’t even bear the weight of the sheet. “Foot in a trap” – this is the translation of gout.

“Colonel Gebrikh, who had been sitting calmly and busily at the table until now, suddenly made a terrible grimace, for his finger, which had behaved calmly and calmly until now, turned from a quiet lamb into a roaring tiger, into an electric current of six hundred volts, into finger, each bone of which the hammer slowly crushes into rubble.Colonel Gebrich just waved his hand and shouted in a wild voice, like a man who is slowly roasting on a spit. (J. Hasek, “The Adventures of the Gallant Soldier Švejk”).

After several days of torment, pain and other signs of inflammation gradually subside and disappear completely, sometimes for many months. Another joint of the body may undergo the next attack, but, as a rule, these attacks are asymmetric, and the defeat of the first metatarsophalangeal joint with gout is necessary. With repeated attacks, gouty “tufus” are formed around individual joints – huge sac-like formations with mushy contents (see.Photo). These tufuses are not at all like those “bumps” that bother most women. About these “growths” on the big toes of our ladies and other deformities of the feet – in the next article.

V.I. Nechaev.

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90,000 Diet for gout and high uric acid, table 6 for a week

The diet for gout is based on minimizing the amount of purines in the diet, which helps to reduce the level of uric acid in the body and normalize metabolism.The basis of the diet is made up of vegetables, fruits, berries, cereals, dairy products. The amount of meat and other protein foods should be limited. Diet is considered a mandatory part of treatment, because without it, medications are ineffective.

Contents of article

Advantages of a diet for gout

Benefits of nutritional therapy:

• a full-fledged diet with a sufficiently high calorie content allows you not to feel hunger;
• Getting rid of harmful products containing oxalic acid and purines, reduces the severity of gout symptoms, relieves pain, swelling;
• adherence to a diet reduces the risk of relapses and exacerbations;
• a healthy diet with restriction of spicy, fatty, fried foods improves overall well-being and the state of the body;
• the correct selection of food reduces the risk of complications, including renal failure, atherosclerosis, the formation of gouty nodes in the internal organs;
• dietary meals are easy to prepare and do not require expensive ingredients.

Eating a diet can help lower uric acid levels and slow or stop the development of gout.

Proper nutrition without concomitant therapy cannot completely cure a person, but it serves as a necessary help in the fight against pathology and relieves the patient of painful symptoms.

Basic principles of nutrition for gout and high uric acid

The purpose of the diet is to limit the intake of purines and intermediate products that increase their concentration.When compiling a diet, the following rules are followed:

1. The food eaten per day is divided into 5 meals at regular intervals. Thus, they reduce the burden on the digestive system and kidneys, while maintaining metabolism in good shape.
2. The chemical content of food is closely monitored. This helps to stop the deposition of salts in the tissues, helps to get rid of stones and gouty tophi.
3. The total calorie content of the diet is reduced to 2700 kcal per day, while the total weight of the food should not exceed 3 kg.This helps to maintain normal body weight, as obesity contributes to the exacerbation of gout.
4. The amount of protein is limited to 80 g per day. Proteins of animal origin are trying to be replaced with vegetable proteins, but they cannot be completely ruled out.
5. The daily rate of fat is 80-90 g. Approximately 25% of it enters the body with vegetable oils, the rest – in the composition of meals.
6. The patient consumes a standard amount of carbohydrates – 400-450 g per day. They enter the body with cereals, dried fruits, nuts.
7. To neutralize excess acid, the menu includes many alkaline products: vegetables, milk and fermented milk products, fresh fruits and berries. They will help the body maintain a balance of substances.
8. All meat in dietary dishes is pre-boiled for 15 minutes, after which the first broth is drained. This helps to get rid of excess purines in muscle tissue.
9. Increase the fluid intake to 2-2.5 liters per day. The diet includes healthy drinks that have a diuretic effect, as well as alkalizing drinks: fruit and berry juices, herbal teas and decoctions, milk, mineral water.
10. The amount of salt is limited to 8-10 g per day. An excess of it promotes the formation of deposits and reduces the rate of urine excretion, which aggravates the symptoms of gout.
11. Alcoholic beverages are excluded from the diet. Even infrequent use of them disrupts kidney function, which increases the risk of exacerbations.
12. If necessary, the diet is supplemented with vitamin and mineral complexes. It is imperative to maintain at the required level the content of vitamins B2, C, PP and potassium, which has a diuretic effect.
13. Fasting days are held once a week, during which the patient eats exclusively fruits, vegetables, cereals, poor in purines.

The diet must be combined with a dose of supportive medications, if prescribed by a doctor. Since gout is incurable, a person must follow the rules of nutrition throughout his life.

What you can eat

The following foods are allowed in the diet:

1. Uncomfortable bakery products, incl.h. black and white bread.
2. Vegetables: dill, corn, beets, onions, garlic, potatoes, carrots, cabbage, broccoli, cucumbers, zucchini, eggplants, pumpkin. Limited quantities: tomatoes, turnips, cauliflower, radish, asparagus, rhubarb, celery, peppers, onion feathers, parsley.
3. All fruits and berries, except grapes, cranberries, figs and raspberries. Plums are consumed in limited quantities.
4. Lean meat: rabbit, chicken, turkey. Consumed no more than 3-5 times a week, serving size up to 170 g.
5. Low-fat fish (salmon, salmon, trout), seafood: mussels, shrimps, crab and crayfish meat, squid, octopus.
6. Eggs – no more than 1 pc. per day.
7. Dairy products: kefir, cottage cheese, sour cream, yoghurts, cream, unsalted cheese, low-fat whole milk (best diluted). Butter can be added to cereals, stews, but not used for frying and not consumed in pure form.
8. All cereals and cereals, except for legumes: rice, buckwheat, millet, oatmeal, etc.e. Cook them best in water or diluted milk.
9. Soups based on weak vegetable broths, potatoes.
10. Seeds of pumpkin, sunflower, flax, sesame.
11. Walnuts, pine nuts and hazelnuts, almonds, cashews, hazelnuts, pistachios.
12. Dried fruits, except raisins.
13. Vegetable oils: sunflower, olive, corn, linseed. They are used not only for frying, but also for dressing salads, stews and other things.
14. Desserts: marshmallow, marmalade, jam, marshmallow, ice cream.Candies without chocolate are allowed.
15. Drinks: fruit and vegetable juices (tomato is used with caution), herbal teas with lemon and honey, decoctions, fruit drinks, compotes, chicory, kvass. Alkaline mineral water is useful.
16. Mild spices and herbs: cinnamon, vanillin, bay leaf, citric acid. Light sauces based on sour cream, vegetable broths, vegetable oils.

Diet includes a large amount of liquid and semi-liquid food, light salads, vegetarian products.They not only help to reduce the concentration of purine substances, but also reduce the load on the gastrointestinal tract and kidneys.

What you can’t eat

The following foods are unacceptable in the diet:

1. Baked goods.
2. Fatty meats, dishes from young animals (veal, chicken), canned meat and smoked meats, sausages, sausages, small sausages and other semi-finished products.
3. Offal.
4. Salted, canned, smoked or fried fatty fish, caviar.
5. Peas, beans, lentils, soybeans and other legumes.
6. Mushrooms.
7. Sorrel, spinach, olives.
8. Spicy and salted cheeses.
9. Broths and broths based on meat and offal, fish, mushrooms.
10. Cakes, pastries, cream rolls.
11. Peanuts.
12. Animal fats: lard, lard. Margarine.
13. Alcoholic drinks, strong tea, coffee, cocoa.
14. Hot spices and sauces, including mustard, horseradish, mayonnaise, ketchup.

Eating spicy, fatty and fried foods can increase the symptoms of gout.

Table 6 for gout

In medical institutions, diet 6 according to Pevzner is used to treat the disease. The medical menu takes into account such factors as the chemical composition of foods, their calorie content, the ratio of proteins, fats and carbohydrates. This allows you to choose the optimal diet for the patient, without making unnecessary calculations every time. Because of this, table 6 is often used for home treatment of gout: it is universal and has no contraindications.

Diet during exacerbation

If the symptoms of gout intensify, it is recommended to change the menu. Rules for drawing up a diet during an exacerbation:

• complete exclusion of meat and fish from the diet;
• frequent fasting days – up to 4 per week;
• The basis of the diet is fresh fruits and vegetables;
• It is obligatory to drink plenty of alkaline mineral water and other alkalizing drinks;
• All food is served in liquid or semi-liquid form;
• meals are frequent (7-8 times a day), with equal breaks between meals.

The diet is stopped after the pain and swelling in the legs are eliminated. It is not recommended to maintain it for a long time, since the body will quickly begin to lack vitamins and nutrients.

Menu for 7 days

Approximate weekly diet for gout treatment:

Items in the menu are interchangeable, they can be changed or supplemented to your liking.The main thing is not to violate the basic principles of diet.

Peculiarities of fasting days

The diet for gout excludes complete starvation, since it provokes an exacerbation of the disease. On fasting days, it is recommended to adhere to a mono-diet (watermelon, potato, cucumber, carrot) or prepare salads, slices, stews from different types of vegetables and fruits.

Allowed the use of dairy products, cereals in small quantities. Fasting days on rice are popular: it is boiled in milk and eaten with the addition of a small amount of grated apple in small portions.

A fermented milk diet will help you quickly get rid of excess uric acid: it involves the use of only cottage cheese (400 g) and kefir (0.5 l) during the day.

Recipes for gout

The therapeutic diet allows you to eat a variety of familiar dishes: cereals, vegetable soups, stews, salads. They do not require expensive products or special cooking skills. So that the patient does not experience discomfort from boring, monotonous food, you can diversify the menu using original recipes from permitted ingredients.

Light soup

Low-calorie, but tasty and satisfying enough dish for lunch. To prepare it, you will need the following products:

• 1 onion;
• 1 carrot;
• 1 bunch of spinach leaves;
• 1 slice of white bread;
• 2 tsp lemon juice;
• 2 tsp vegetable oil;
• 1 tsp cream;
• 0.5 tsp Sahara.

Cut the bread into small cubes and dry in a dry frying pan.Peel onions and carrots, chop finely. Pour oil into a deep saucepan, heat, put vegetables and simmer for 6-7 minutes. Add spinach leaves and puree with a blender. Bring the mixture to a boil, add lemon juice and sugar. Remove from heat, arrange on plates. Add a little cream and white bread toast to each portion.

Curd casserole

The dish is used as a dessert or snack. To prepare it you will need:

• 140 g of cottage cheese;
• 70 g sour cream;
• 1 egg;
• 3 st.l. semolina;
• 1 st. l. Sahara;
• 0.5 h. L. soda slaked with lemon juice;
• dried fruits, nuts to taste;
• salt.

Stir cottage cheese with sour cream. Pour salt, sugar, semolina into the resulting mass. Add finely chopped dried fruits and nuts. Bring to homogeneity, mix with slaked soda. The mass laid out in a baking dish must be placed in an oven preheated to 180 ° C and cook until golden brown.

Steamed chicken meatballs with gravy

Low-calorie main course that can be eaten alone or with a side dish. For cooking you will need:

• 350 g chicken fillet;
• 2 onions;
• 1 carrot;
• 1 clove of garlic;
• 1 egg;
• 1 st. rice;
• 70 g of white bread;
• 200 ml of vegetable broth;
• 50 g sour cream;
• 2 st. l. milk;
• 0.5 Art. l.flour;
• green onions, parsley, dill to taste;
• vegetable oil for frying;
• salt.

Soak the bread in milk. Boil rice without salt, cool. Cut the chicken fillet into medium-sized pieces and place in a blender. Add 1 chopped onion, garlic, bread and herbs, beat in a raw egg and chop until smooth. After mixing with rice, you need to salt and leave in the refrigerator for 20 minutes. Then the meatballs are formed, steamed for 6-8 minutes.

Finely chop the remaining onion and carrot. Fry vegetables in oil for 2-3 minutes, pour in broth, add flour and sour cream. Heat the sauce over low heat until thickened, add meatballs and cook for 5-6 minutes. Sprinkle with herbs before serving.

Eggplant and minced meat casserole

A hearty main course, perfect for lunch or dinner. To prepare it, you need to take the following ingredients:

• 300 g minced meat;
• 2 large eggplants;
• 1 onion;
• 1 clove of garlic;
• 3 st.l. tomato paste;
• 2 st. l. flour;
• 120 g of hard cheese;
• 50 ml cream;
• vegetable oil;
• salt.

Cut eggplants into long slices, salt to give juice. Dip in flour, fry in oil on both sides until half cooked. Chop the garlic and onion, sauté until golden brown. Add minced meat, simmer over medium heat for 3 minutes, then tomato paste. Pour in 0.5 tbsp. water, salt to taste. Cover and cook for another 5 minutes.

Put eggplant slices in a greased baking dish in a thick layer, on top of them – minced meat, followed by grated or sliced ​​cheese. Pour in cream and bake in an oven preheated to 180 ° C for half an hour.

Pumpkin soup

Traditional first course for a diet. For cooking, you need to take the following products:

• 0.5 kg of pumpkin, peeled, films and seeds;
• 2 st. l. butter;
• 2 st.l. rice;
• 1 st. l sugar;
• 250 ml of milk;

90,017 cream to taste;

• salt.

Cut the pumpkin into cubes, put in a saucepan, add rice, salt and sugar. Pour 1 liter of water and cook until soft. Pour in melted butter and rub through a sieve. Return to the stove, add milk and bring to a boil, then remove from heat. Arrange the finished pumpkin soup on plates and season with cream.

Nutritionist Reviews

Alina, 37 years old, Moscow

Compliance with a diet for gout is necessary for patients for a full life.The correct diet helps relieve pain and swelling, and reduces the risk of complications. When drawing up a menu, it is worth paying attention to proteins, since their patients are often lacking in their usual products.

Vladislav, 43 years old, St. Petersburg

The gout diet effectively reduces the level of uric acid in the body. It is recommended that patients observe it throughout their lives to prevent exacerbations and continue the asymptomatic course of the disease.

Gleb, 35 years old, Astrakhan

Diet reduces the level of uric acid in the body by about 15%.It is effective in treating gout when combined with supportive medications.

Cons of diet for gout

The main disadvantage of the diet is that food restrictions are quite strict. Even minor violations can provoke an exacerbation of the disease. The diet is especially unpleasant for lovers of meat and alcoholic beverages.

Another disadvantage of the diet is the lack of animal protein, which has to be compensated for by expensive and unusual dairy and plant products.In addition, the diet is not suitable for weight loss and is intended solely for treatment.

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Table 6 »Diet for gout and high uric acid ✔️ Menu for the week

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Table 6 ► Diet for gout and high uric acid ✅ List of products ✅ Menu for 7 days and tables ✅ Recipes for dishes ✅ What can be done with an exacerbation ✅ Fasting days ✅ Nutritional advice

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Polina Spitz

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