Non-pharmacological treatment of gout

  What is gout?  Gout is a recurrent inflammatory disease caused by increased purine biosynthesis, excessive production of uric acid or poor uric acid excretion, and deposition of urate crystals in synovial membranes, bursae, cartilage and other tissues. The disease is characterized by the presence of bifractional monohydrate urate crystals found in joint fluid and gout stones.  The non-pharmacological treatment of gout: control your mouth, open your legs, control your weight and drink more water (a) Control your mouth: 20% of the body’s blood uric acid comes from food, controlling your diet can play a role in lowering uric acid and preventing acute attacks of gout to a certain extent.  Choose low purine food, avoid high purine food, such as animal offal, thick soup, gravy, seafood.  Eat more fresh vegetables and fruits (beans and soy products contain vegetable proteins that are not easily digested and absorbed by the body, so try to eat less of them).  Avoid alcoholic beverages (especially avoid drinking beer).  Milk, eggs and refined meat are high-quality proteins and should be supplemented in moderation. Purines are easily soluble in water, meat can be boiled and eaten in soup, avoid stewed or marinated meat.  Note: Dietary control must take into account a reasonable balance of high quality protein, carbohydrates and calories, excessive control of diet is harmful to health. Strictly controlled diet can only reduce 70-90μmol/L blood uric acid, you can’t just eat sparse vegetables and fruits, otherwise you will be more prone to gout attacks due to hunger and increased lactic acid.  (ii) open legs: adhere to the appropriate amount of exercise, gout patients are more suitable for aerobic exercise, such as brisk walking, jogging.  The amount of exercise should be moderate, control the heart rate: 170 – age (aerobic exercise maximum suitable heart rate).  Exercise should be gradual, the first exercise time 15 minutes; keep 2 weeks to increase to 30 minutes; after 2 weeks to increase to 45 minutes, can always maintain. For some reason to suspend exercise to restart exercise to recalculate the exercise time.  Exercise 5 times a week or more.  (C) weight control: weight control to make weight standards can effectively prevent the occurrence of gout. Overweight or obese should reduce weight, weight loss should be gradual, otherwise it is easy to lead to ketosis or gout acute attacks.  (d) Drink more water: drink 2000-3000ml of water daily to increase uric acid excretion. Water, alkaline mineral water, fruit juice, etc. are preferred, and strong tea, coffee and carbonated drinks are not recommended.