Gout is currently considered to be a crystal-associated arthropathy caused by deposition of monosodium urate, directly related to hyperuricemia due to disturbances in purine metabolism and/or decreased uric acid excretion, specifically acute characteristic arthritis and chronic gouty stone disease, mainly including acute exacerbations of arthritis, gouty stone formation, gouty stone chronic arthritis, uric acid nephropathy, and uric acid urinary tract stones, and in severe cases, joint disability and Renal insufficiency. Uric acid in the body is mainly excreted through the kidneys, accounting for 2/3 of the total excretion. Drinking large amounts of water can shorten the duration of gout attacks, reduce symptoms, and ensure that the kidneys and ureters are flushed and not prone to stone formation, thus protecting the kidneys. 1, how much water to drink every day? Water is the source of life, about 70% of the human body is composed of water. Because of the existence of water, nutrients can be transported, food can be digested, waste can be excreted, body fluids can be circulated, the body’s functions in the water to help the smooth operation. Water is vital for gout patients, and it is usually recommended that gout patients drink 2-3 liters of water per day, usually a hot water bottle is 2L, i.e., drink 1 hot water bottle of water. However, we have to pay attention to the following special circumstances: 1) Different temperatures, different amounts of water. For example, the hot summer, sunny, sweaty, 2L of water is definitely not enough. The human body in and out of the basic balance, so you can observe the amount of urine, to ensure that the daily urine volume of about 2L. 2) To replenish water in small doses, refuse to binge drinking, especially the combination of heart failure, renal insufficiency gout patients, binge drinking may increase the burden on the heart, kidneys, and at the same time to pay attention to the amount of urine, urinary intake of drinking water needs to be controlled, and need to pay attention to limiting the intake of sodium salt. 2, the best time to drink water daily choice Water is the source of life, once a person is dehydrated, it will cause constipation, dry skin, fatigue, hunger, headache, dizziness, lungs, urinary tract infections, stiff joints and other various diseases. To ensure normal physiological metabolism, a person must drink the right amount of water every day. When is the healthiest time of day to drink water? The following is the “healthy water drinking schedule” recommended by nutrition experts, to provide you with reference. 1) 6:30, after a full night’s sleep, the body begins to lack of water, when you get up, drink 250ml of water first, which can help the kidneys and liver detoxification, prevention of constipation, and intestinal cleansing. 2)9:00, the process of waking up to the office in the early morning is particularly compact and emotionally tense, the body will invariably be dehydrated, so when you arrive at the office, please give yourself a cup of at least 250ml of water first. 3)11:00, after working in an air-conditioned room for a period of time, be sure to take advantage of getting up and moving around, and then give yourself the third glass of water in a day to replenish the lost water, which will help to relax the tension of work. 4) 12:50, half an hour after you finish your lunch, drink some water to strengthen your body’s digestive function. Not only is it good for your health, but it also helps you maintain your figure. 5)15:00, drink a large glass of plain water, in addition to replenishing the water lost in the air-conditioned room, it can also help clear your mind. 6) 18:00, before leaving the office after work, and then drink a glass of water, you can increase the sense of satiety, wait until dinner, naturally not overeating. 7) 19:30, half an hour after dinner, drink a glass of water to help digestion and absorption. 8) 21:30, 1 hour before bedtime and then drink a glass of water, replenish the water needed overnight. Don’t drink too much water in one gulp, so as not to affect the quality of sleep in the night frequent restroom 9) In the middle of the night after getting up, you can drink a sip of water, to replenish the water consumed by a long time of sleep. At this point, the day has taken about 2L of water, can fully meet the body’s needs. Precautions: 1) Drink water in four time periods, that is, after waking up in the morning to 30 minutes before breakfast, between breakfast and midday meal, between midday and dinner, and 45 minutes after dinner to before going to bed. 2)Don’t drink water within 30 minutes before and 45 minutes after meals to prevent diluting gastric juices and affecting digestion. 3)Drinking water before going to bed is good for preventing urinary tract stones, and it is better for those who have urinary tract stones to drink additional water once at night. 3, how to choose drinking water? 1) In the alkaline environment of the human body, the solubility of uric acid increases, easy to excrete, and it is not easy to form urinary stones, so alkaline water is the most suitable for gout patients as a common drinking water. 2) usually, we usually drinking water is tap water, is strictly treated, in line with national drinking water standards, pH is often maintained between 6.5-8.5, alkaline, and more importantly, boiled water can also promote the uric acid out of the body, so gout patients drinking water is very suitable, of course, the water should be boiled to drink, oh, do not drink directly from the tap water! But should also pay attention to regional differences, may be part of the region for the tap water is acidic, you can determine their own pH or to the local water resources department inquiries. 4, should drink water, mineral water? Mineral water is often slightly alkaline (pH 6.5-8.5), while mineral water can also promote uric acid out of the body, in line with the requirements of gout patients, and it contains trace elements and silicic acid, are beneficial to the human body. There is a water on the market is pure water, its water quality is acidic, pH 6.0 or so, and its removal of beneficial minerals and trace elements, the loss of nutrients, of course, is not suitable for drinking. 5, is it appropriate to drink soda? Soda can neutralize uric acid, is a very good drink for gout patients. Natural soda is rich in minerals, and does not contain additives, is very beneficial to the body, but some synthetic soda drinks added sweeteners and flavors. Although the consumption of such drinks can also alkalize the urine, promote uric acid excretion, but long-term consumption of such drinks, the same will produce insulin resistance, resulting in gout, obesity and diabetes and other metabolic syndromes such as increased risk of incidence. In addition, long-term consumption of these drinks will lead to acid-base balance disorders, calcium loss, resulting in increased risk of osteoporosis agent fragility fracture, if children drink long-term negative impact on the growth of their bones, therefore, when drinking carbonated beverages should pay attention to the use of sugar-free types, and recommend that gout patients do not drink a lot of carbonated beverages for a long time. 6. Can I drink cold drinks? Summer is hot, the sun is shining, the heat is unbearable, many young gout patients like to drink cold drinks, is it feasible? Most of the cold drinks on the market by the sugar, milk, juice, etc., generally speaking, the purine content is still relatively small, so in the hot summer dry mouth intolerable case, occasionally drink some cold drinks can be, but must pay attention to moderation, moderation, after all, cold drinks on the stomach stimulation is very serious, especially the stomach cold people are contraindicated to consume cold drinks, which sometimes lead to abdominal pain, loss of appetite, diarrhea; at the same time most of the cold drink are Rich in sugar, often eat cold drinks will have a lot of heat accumulation in the body, causing obesity and often eat cold drinks, especially in summer, is not conducive to the human body to replenish water and sweating and many other bad things.