Details of diet for gout patients

  Gout is a group of metabolic diseases caused by disorders of purine metabolism and/or impaired uric acid excretion resulting in elevated blood uric acid and excessive urate crystals deposited in the joints and kidneys, leading to arthritis, nephropathy and kidney stones. The disease is mostly seen in middle-aged and elderly people, with obese people and brain workers, mostly over 40 years of age, men account for more than 95%, women are more often seen after menopause, often with a family history of heredity.  The clinical symptoms of gout can be manifested as 1, acute arthritis: there can be redness, swelling, heat, pain and activity disorders at the joints, most commonly in the big toe and the first metatarsal phalangeal joint of the foot, the rest of the joints in the order of ankle, knee, wrist, finger, elbow, etc., which can cause joint deformity and stiffness; 2, gout stone and chronic arthritis: gout stone is a characteristic damage of gout, most commonly in the joints and the ear wheel, later can make cartilage, bone Gout stone and chronic arthritis: Gout stone is a characteristic damage of gout, most commonly in the joints and the ears, and in the late stage, it can cause significant damage to cartilage and bone, degenerative changes, leading to stiffness, breakage and deformity of joints; 3. Gout nephropathy and urinary stones: In the late stage, renal insufficiency can be found, and eventually death due to renal failure.  At present, there is no effective cure for gout. In addition to drug treatment, appropriate dietary treatment is important to control the occurrence and development of the disease. Patients with gout must strictly restrict their diet to minimize purine intake. For patients in the acute stage, the intake of purines should even be close to zero in order to rapidly relieve the symptoms with medication. For patients in remission and chronic gout, the following details should be noted: 1. Low purine diet, moderate diet: High purine foods such as animal offal, sea fish, shellfish, meat and nuts are never to be selected for gout patients, while milk, eggs, fruits and vegetables can be selected in moderation; no overeating to avoid acute gout attacks due to large purine intake.  2, low-fat diet: a light diet can reduce the intake of calories to help lose weight, while high-fat food will inhibit the kidneys to excrete uric acid.  3, intake of appropriate amounts of vitamin B and C: help dissolve uric acid salts in the tissue.  4, abstain from alcohol: especially beer, which contains a large amount of purines, is most likely to lead to gout attacks.  5, drink more water: ensure that you can drink 2500-3000 ml of water every day to promote the excretion of uric acid by the kidneys and prevent urinary stones by increasing the amount of urine.  6, reduce weight: maintain a normal weight is an effective way to reduce gout attacks, can reduce insulin resistance, prevent overweight and obesity, but weight should not be rapid weight loss or fasting, so as not to produce a large number of uric acid in the cells and lead to gout attacks, to reduce 1 kg per month or less is appropriate.  7. Avoid overexertion and emotional stress. Gout is a chronic lifelong disease that requires long-term treatment. In addition to effective medication, dietary details are also essential to effectively prevent and stop the occurrence and development of gout, so that patients can maintain a normal life and work and improve their quality of life.