What Are Foods To Eat When You Have Gout?

Content

• What Is Gout? Symptoms, Causes, Diagnosis, Treatment, And Prevention
• Low Carb, Uric Acid And Gout
• Tip #1: Cut Back On Seafood
• Related Stories From Health Reference:
• Foods To Eat More Of
• Dietary Supplements: What You Need To Know

Contrary to popular belief, a large prospective cohort study with 63,257 Chinese adults that comprehensively assessed soy intake suggested that soy and nonsoy legumes are associated with a reduced risk of gout . Soy protein may increase serum UA; however, the expected increase in response to amounts typically ingested by Asian people would almost certainly be clinically irrelevant . In general, diets rich in plant foods were not found to be associated with an increased risk of hyperuricemia and gout, even when plant foods with high purine content such as soy legume products were consumed . To prevent uric acid stones, cut down on high-purine foods such as red meat, organ meats, beer/alcoholic beverages, meat-based gravies, sardines, anchovies and shellfish.

Is tea bad for uric acid?

For the risk of gout, two prospective cohort studies showed that there was no relationship between tea consumption and the risk of gout in males and females, respectively.

Jakše B., Jakše B., Pajek J., Pajek M. Effects of ad libitum consumed, low-fat, high-fiber plant-based diet supplemented with plant-based meal replacements on cardiovascular risk factors. Typical purine content of representative plant-based foods (adopted from Kaneko et al, 2014; Davis, 2015 ). Pineapple has bromelain, an enzyme that reduces inflammation and pain, Dr. Wei says.

What Is Gout? Symptoms, Causes, Diagnosis, Treatment, And Prevention

Excess weight is a risk factor for gout, and many gout sufferers are, in fact, overweight. But the idea is to shed excess pounds gradually (around 2 ½ lbs monthly) through exercise and calorie cutting. Crash dieting with rapid weight loss could lead to ketoacidosis (a build-up of ketones) and provoke gout attacks. Although high sodium levels appear to slightly decrease uric acid concentrations, Juraschek cautions against jumping to the conclusion that to reduce blood uric acid it's a good idea to purposely consume lots of sodium. "More than 70 percent of people with gout have high blood pressure," Juraschek says. "If one was to consume more sodium to improve uric acid, it could worsen blood pressure."

See below for discussion of the uric acid-lowering agents, allopurinol and probenecid. There is a rare effect on the nerves and muscles with long-term use of colchicine, and a blood test from the muscle is monitored at approximately six-month intervals in patients taking colchicine on a regular basis. Colchicine also has a major role when patients are beginning therapy with allopurinol to prevent the increase in gout attacks that can happen when allopurinol is begun. The colchicine, in that case, is often withdrawn at about six months, assuming no gout attacks have occurred.

Low Carb, Uric Acid And Gout

Treatments used for prevention, such as allopurinol can actually make things worse if given during an attack, and so need to be held back until the attack has resolved for several weeks. Late in gout, if untreated, multiple joints can be involved, including the fingers and wrists. The shoulder joint is very rarely involved by gout and the same is true of the hip. These are periods of time between acute attacks, during which a person feels normal but is at risk for recurrence of acute attacks.

Avoid High

People who drink sweet drinks are more likely to have gout. And studies show that fructose increases serum acid levels. Maintaining a balanced diet, low in uric acid, is critical for lowering the risk of a gout attack. Learn which foods and beverages you should eat and which ones to avoid.

Prevalence of hyperuricemia and its related risk factors in healthy adults from Northern and Northeastern Chinese provinces. Modification of a whole food plant-based diet meal plan to lower purine content. Although no one’s recommending you gulp coffee by the gallon, your morning habit could help prevent gout pain. Lentils, peas and beans are high in purines, but — surprisingly — they don’t cause gout risk to rise, according to the large Harvard study. Gout risk was 74% higher among women who drank one serving of sweetened soft drinks daily compared to those who drank less than a serving per month, a 2010 analysis of the 79,000-participant Nurses’ Health Study found.

Dehydration leads to increases in uric acid levels and hinders your kidneys’ ability to flush it out. Studies have demonstrated the connection between lower hydration and higher uric acid levels, so make sure you’re drinking water consistently, throughout the day. An effective gout diet is largely vegetarian, but that means you’ll need other sources of protein. While nuts, and some vegetables, can supply some proteins, eggs are another good option for healthy protein without the high purine counts.

Although they are not high in purines or fructose, they are low in nutrients and may raise your uric acid levels . For instance, a study including over 125,000 participants found that people who consumed the most fructose had a 62% higher risk of developing gout . However, people with gout can’t efficiently remove excess uric acid.

Tip #1: Cut Back On Seafood

Other medications that increase the risk include niacin, aspirin , ACE inhibitors, angiotensin receptor blockers, beta blockers, ritonavir, and pyrazinamide. The immunosuppressive drugs ciclosporin and tacrolimus are also associated with gout, the former more so when used in combination with hydrochlorothiazide. Dairy�Dairy has been used to combat gout for 400 years, according to a review of studies. Dairy products, especially low-fat or skim milk, can reduce the amount or uric acid in the bloodstream, and they have anti-inflammatory effects that can help as well. Organ meats�Purines are mainly produced in the liver and excreted by the kidneys, so eating these products can increase your uric acid levels.

This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex , Cerner Multum™ , ASHP and others. Learn more about the CDC-recommended self-management education programs.