What Foods To Eat To Get Rid Of Gout

Content

• High Uric Acid Foods
• You Can't Avoid All Purines
• What Are Symptoms Of Gout?
• New Gout Treatment Guidelines Emphasize Genetic Risk, Need For Medications
• Arthritis Home
• Day 1

But those two lifestyle modifications aside, there are some evidence-backed home remedies for gout you can try if your gout symptoms are flaring. 10-25% of primary gout sufferers and 42% of secondary gout sufferers will develop kidney stones. Keeping serving sizes of meat to 3 ounces and having meat only once a day, if at all, can help reduce the amount of purines that you get. You can also substitute plant-based proteins for meat and poultry.

Population studies from both the Mayo Clinic and from Taiwan have shown significant increases in the prevalence of gout recently as compared to during the early 1990s. The pain from gout can also be treated with non-steroidal anti-inflammatory drugs , like Aspirin or Ibuprofen and by losing weight, if you're overweight. Lean meat, leafy greens, and soy products are good sources of nutrition on the gout diet. As a service to our readers, Harvard Health Publishing provides access to our library of archived content.

High Uric Acid Foods

All alcohol is high in purine, but drinking beer is especially risky if you have gout because it contains both purine and yeast, which can cause uric acid levels in the blood to rise. If you want to enjoy an alcoholic beverage, try sipping on a glass of wine or a wine cooler. Drink plenty of water when drinking alcohol to avoid dehydration. Local injection of crystalline preparations of corticosteroid can be an excellent option if a person has a single joint gout attack. Formulations injected include methylprednisolone acetate (Depo-Medrol®), triamcinolone (Aristospan®), and betamethasone (Celestone®).

However, in September 2020, The Lancet published the FAST trial, which is a European trial very similar to the CARES trial, found a different result. Here, there was no difference in death rates in patients on febuxostat compared to those on allopurinol. Some have called for the FDA to reconsider its recommendations, but no changes made to date. The FAST trial gives considerable comfort to those patients presently on febuxostat. It is generally agreed that we have no evidence that febuxostat is a negative for the heart, just the question of the CARES trial as to whether it is not as protective as allopurinol. The FAST trial challenges this, and it may well be that they are equally protective.

You Can't Avoid All Purines

Black beans have been used as a treatment for gout in Taiwan for decades, but there is no research to back up this treatment. Black beans have the same antioxidant chemical that many berries have, but further research is needed. Salmon seems to be an exception, in that most gout sufferers don’t have a problem with it.

Doctors know that gout occurs when uric acid crystallizes in a joint. Uric acid is a waste product that is formed when purines - crucial substances found in protein and other foods - are broken down. Under normal conditions, uric acid dissolves in the blood, passes through the kidneys, and is excreted in the urine. Prescription drugs such as allopurinol , febuxostat and probenecid all alleviate gout by controlling blood levels of uric acid.

Like allopurinol, the most common side-effect of febuxostat is causing gout to flare after this drug is started. Later on, as the total body uric acid decreases, this will generally no longer be needed. These criteria take advantage of the features of gout that separate it from other types of inflammatory arthritis, such as rheumatoid arthritis. For example, the inflammation of gout tends to reach a maximum within 24 hours, while other types of arthritis tend to evolve more slowly. Likewise, the presence of redness over a joint, the involvement of the “bunion” joint, and a high blood level of uric acid are all features making gout more likely. The diagnosis of gout is made in the presence of 6 of the 10 criteria listed in Table 1.

New Gout Treatment Guidelines Emphasize Genetic Risk, Need For Medications

Also, limit foods high in sugar—especially high fructose corn syrup. Foods that have high fructose corn syrup include highly processed foods and baked goods. Following a gout-friendly diet may seem difficult or unrealistic to some people, especially if the foods to avoid are ones you frequently consume. Work with your healthcare providers and start by making small changes to help you to feel more empowered. In addition, people with diabetes, high cholesterol, or both were at higher risk of incident gout and of gout flares in those with prevalent gout. Be sure to consume only one serving of fruit at a time, such as a small apple or orange, 4 ounces (1/2 cup) of juice, 1 ounce (a palm-full) of dried fruit, or a half-cup of fresh fruit.

Orange or sweet lime juices are rich in vitamin C content and thus, can be extremely helpful in providing you with the required amount of vitamin C. Green tea is rich with high catechin content which is a potent antioxidant. Catechin, as believed by many, is used to slow down the production of particular type of enzymes in the body. They are related to the uric acid formation and thus, is extremely helpful in reducing the uric acid levels. A diet that avoids foods high in purine, high-fructose drinks, and alcohol can lessen your long-term risks.

When high levels of uric acid build up, the needle-shaped urate crystals form in and around the joints. This causes inflammation and arthritis of the affected joint. Many people with high serum uric acid, however, may not develop gout. Several studies suggest that regular coffee-drinking can lower your long-term gout risk. This is true for both decaf and caffeinated coffee, although the improvement seems to be stronger with caffeine. On the other hand, some studies have found that women who drink coffee have more uric acid in their blood, which is thought to be a cause of gout attacks.

Is chocolate good for gout?

Chocolate can lower uric acid crystallization, according to a 2018 study . Lowering uric acid crystallization can be key to controlling your gout. Chocolate has polyphenols associated with antioxidant and anti-inflammatory activities. Inflammation reduction is helpful in providing relief from a gout attack.

Many wild game meats are known to be high in purines as well, such as venison, pheasant, quail, and rabbit. Second, grain alcohols—like beer, whiskey, and vodka—contain yeast, which is high in purines. Avoiding the wrong foods—and replacing them with the right ones—is easy, once you know what to look out for. And it’s definitely worth the effort if it spares you the sudden, painful swelling and tenderness that comes with gout. People with certain medical conditions , and with some medications or treatments .