Beware of gout after eating seafood.
Fat people who are drunk and full or after eating seafood, if the occurrence of joint pain and other symptoms, should think of the possibility of gout. Gout is a disease caused by impaired purine metabolism and persistent elevation of uric acid in the blood.
What causes gout.
Gout is associated with a disruption in the metabolism of purines, a product of protein in the body. The metabolic breakdown of purine in the body eventually produces uric acid. Uric acid is deposited in the joints, soft tissues and kidneys, causing an inflammatory response in the tissues, which leads to gout. Gout is one of the risk factors for atherosclerosis and coronary heart disease and should be given high priority.
How gout should be treated.
The general principles of gout treatment are: reasonable dietary control, adequate water intake, regular living regime, effective medication, and regular follow-up review.
How to control diet.
There is no doubt in the medical community that dietary control is the basic therapeutic measure in the treatment of gout. So how to pay attention to the diet.
1. Restrict high purine foods. Depending on the condition, the purine content of the diet is determined. In acute gout, the amount of purine should be controlled to less than 150 mg per day.
2. Limit the amount of fat intake. Eat meat and fish should be boiled and de-broiled. Avoid drinking hot pot soup base because it contains a lot of purines, and also spicy and stimulating food should not be eaten more.
3, the diet should be mainly vegetarian, drink more water, eat more vegetables and fruits and other foods rich in vitamins, minerals and fiber. Keep the daily urine volume above 2000ml. Should try to eat less non-vegetarian oil and more vegetarian oil. The ratio of meat and vegetable oils to 1:2 is appropriate.
4, the past has been recommended to prohibit coffee, tea and cocoa. But animal experiments have shown that theobromine, tea and caffeine in human metabolism to generate methyl urate, and does not cause gout, it is believed that coffee, tea and cocoa can be used, but in moderation.
Treatment of gout also pay attention to the following issues.
Usually pay attention to the combination of work and rest, avoid overwork, mental tension, and appropriate participation in physical exercise. So that the uric acid in the blood does not exceed 6-7.5% is appropriate. In addition to attention in the diet, you should also take hot baths regularly, which can help uric acid excretion, once a day if possible. Do not wear tight shoes in daily life to prevent obstruction of blood circulation.
Which drugs can treat gout.
Colchicine and non-steroidal anti-inflammatory drugs such as anti-inflammatory pain can be taken for acute attacks of gout, while chronic gout is treated with allopurinol, probenecid or benzbromarone (Ligurixen).
Points to note when taking anti-gout medications.
Anti-gout medications are usually best taken after meals, with colchicine taken with meals.
When probenecid and allopurinol are used together, probenecid accelerates the excretion of allopurinol and allopurinol prolongs the half-life of probenecid, thus increasing the efficacy of probenecid, but allopurinol needs to be dosed appropriately.
Allopurinol is usually given orally at 200-300 mg daily, and most gout patients require uninterrupted lifelong use of this medication.
There are some drugs that can reduce the adverse effects of gout medications, such as vitamin B6 and mannitol, which can reduce the toxic effects of colchicine; glucocorticoids, which can reduce the myelosuppressive effects of colchicine; and dimercaptopropanol, which can treat colchicine poisoning.
What are the side effects of anti-gout drugs.
The toxic side effects of colchicine include gastrointestinal reactions such as nausea, vomiting, diarrhea, loss of appetite and abdominal discomfort. It can also have an inhibitory effect on the hematopoietic system of the bone marrow, and there may be liver and kidney damage and hair loss, skin allergy, and mental depression.
Common side effects of allopurinol include gastrointestinal reactions, skin allergy, bone marrow suppression, liver damage and allergy.
Common side effects of anti-inflammatory pain, bupropion, and fotarine are gastrointestinal reactions, renal decompensation, and allergic reactions.
What drugs should not be taken by gout patients.
In addition to diet, gout patients should also be careful with some medications, such as: vitamin B1, vitamin B12, vitamin C, tachyphylaxis, penicillin, salicylates, and vitamin E.
Can gout be cured.
Gout is a lifelong disease and there is no cure for it. However, as long as it is handled correctly, i.e. with a good lifestyle, scientific diet regulation and reasonable medication, good treatment results can be obtained.
Gout reference recipes.
According to the purine content, foods are classified into three categories: low purine foods (purine <25 mg per 100 g of food), medium purine foods (purine 25-150 mg per 100 g of food) and high purine foods (purine 150-1000 mg per 100 g of food). However, this is only a principle estimate, and necessary adjustments should be made according to the actual situation in clinical practice.
Low purine foods that can be eaten (can be eaten without fear)
① Staple foods: rice, wheat, pasta products, soda crackers, starch, sorghum, macaroni, potatoes, sweet potatoes, yams, etc.
② Milk: fresh milk, condensed milk, cheese, yogurt, cream of wheat, milk powder, ice cream, etc.
③ Meat and eggs: eggs, duck eggs, skin eggs, pig blood, duck blood, chicken blood, goose blood, etc.
④ Vegetables: cabbage, cabbage, snow red, celery, leek, tomato, eggplant, melon, radish, gourd, green pepper, onion, onion, garlic ginger, fungus, squash, chili, kimchi, etc.
⑤ Fruits: apples, bananas, dates, pears, oranges, oranges, lemons, grapes, pomegranates, peaches, pineapples, peaches, plums, kumquats, watermelons, papayas, raisins.
⑥ Drinks: cola, soft drink, mineral water, fruit juice, cream of wheat, chocolate, cocoa, jelly, etc.
(7) Others: jam, soy sauce, honey, fats and oils, dried fruits, sugar, honey, jellyfish, seaweed.
Moderate purine foods (not to be consumed in acute pain, and to be consumed at a reduced discretion during normal times)
① Beans and their products: bean products, dried beans, bean seedlings, soybean teeth.
② Meat: chicken, pork, pork skin, beef, lamb and other meat.
③ Aquatic products: grass carp, carp flounder, sea bass, crab, eel, eel, abalone, fish ball, shark fin.
④ Vegetables: spinach, bamboo shoots, kelp, golden needle, silver fungus, mushrooms, cauliflower.
⑤ Oil and fat and others: peanuts, cashew nuts, sesame seeds, chestnuts, lotus seeds, almonds.
High purine foods (not edible).
① Legumes and vegetables: soybeans, lentils, purple cabbage, shiitake mushrooms.
② Meat: liver, intestines, heart, belly and other animal offal, thick gravy, meat pies, etc.
③ Aquatic products: fish, shellfish, shrimp, sea cucumber.
④ Others: yeast powder, various kinds of alcohol (especially beer).