Dietary considerations for gout patients

  Gout patients have three taboos: avoid drinking alcohol (especially beer), drinking alcohol is one of the most important triggers of gout attack, because the main component of alcohol ethanol can increase the body lactic acid, and lactic acid can inhibit the renal tubular excretion of uric acid, at the same time, ethanol can also promote purine decomposition, directly make the blood uric acid rise, plus alcohol itself can provide purine raw materials, such as beer fermented from malt, purine content is very high, therefore The best way to prevent gout attacks is to quit drinking, and to avoid drinking a lot of alcohol if you can’t quit for a while, and avoid alcohol abuse; avoid taking drugs that reduce uric acid excretion, the most common being diuretics: such as tachyphylaxis and HCT (dihydrocotrimoxazole) (mainly drugs for hypertension and heart disease); avoid obesity, which is both a risk factor for the development of gout and a Obesity is both a risk factor for the development of gout and a contributing factor to the development of gout. Obese people’s blood uric acid levels are usually higher than normal, if gout with obesity can also affect the effect of drugs and reduce drug sensitivity. Obese people should lose weight, control total calories, limit fat intake and participate in physical activity.  In addition, gout patients should also remember three more: drink more water: it is best to maintain more than 1.5-2 liters of fluid intake per day, with kidney stones is best to reach 3000ml, to ensure that the daily urine volume of 2000-2500ml, to increase uric acid excretion; eat more fresh fruits and vegetables: eat more alkaline food with vegetarian-based food, such as fresh vegetables and fruits, to increase the intake of alkaline food, so that the urine PH increases, because When the urine PH value is 6.6, almost all urate is dissolved and not easy to crystallize into gout stones; watermelon and winter melon are alkaline foods and have diuretic effect, which is effective for gout; more activities: the purpose is to control weight. Generally speaking, it is advisable to choose walking, jogging, tai chi and other forms of exercise for the elderly. When gout attacks, it is not advisable to exercise to avoid aggravating the symptoms.  To prevent hyperuricemia, the key is to control purine intake. Milk, yogurt, rice, noodles, cabbage, celery, winter melon, potatoes and a variety of fruits are low purine foods, which can be eaten more; for medium purine foods, ordinary people and patients in remission from gout should moderate the intake, not to eat more, these types of foods include: green beans, red beans, tofu, dried beans, soy milk, chicken, pork, beef, grass carp, carp, shrimp and crab, spinach, kelp The food purine content is high in animal offal, shrimp, dried fish, dried scallops, nori, asparagus, shiitake mushrooms and broth, chicken essence, etc. Gout patients should be absolutely forbidden to eat, and ordinary people should eat less.