Many people like seafood with beer in summer, but many people consume it and experience acute pain and limited movement, a symptom that could be a gout attack, a type of rheumatic immune disease. For gout patients, seafood and beer are the two things that are the enemy of the sky.
1. How does gout form?
Gout is a common disease with high incidence in summer. Wu Xin, deputy director of the gout, the main reason for the occurrence of gout is the increase in blood uric acid levels in the body, resulting in the deposition of uric acid crystals in the joints, sudden onset of severe pain in the joints. The reason for the increase in uric acid level in the body may be due to excessive intake, excessive production in the body and reduced excretion.
2. Can gout be inherited?
Wu Xin, deputy director, said that existing studies have found that genetic factors are involved in the pathogenesis of gout, but the specific mode of inheritance is not yet clear. High risk factors for gout include hyperuricemia, obesity, metabolic syndrome, long-term use of drugs that can cause elevated uric acid, and people with a family history of gout.
3. How should gout be treated?
Patients in the acute stage need to strictly control purine diet, and in the stable stage, patients can choose low to medium purine food in small amounts. Deputy Director Wu Xin suggests that the most fundamental way to reduce gout attacks is to control uric acid levels in a stable state. At present, there is no cure for gout, but you can control the stability of uric acid and reduce the acute attack of gout through the improvement of diet and living habits and the application of drugs.
4.What symptoms should be alerted to gout?
Sudden onset of severe and unbearable pain in a joint after overeating, alcohol consumption, cold or fatigue should be highly alert to the onset of gout, especially for people with risk factors such as hyperuricemia, obesity, diabetes, hypertension, long-term oral intake of drugs that cause elevated uric acid and people with a family history of gout.
5.What should gout patients do with their summer diet?
It is important to eat less seafood, soy products, animal offal, various soups, alcohol and drinks with high fructose content. Gout patients’ diet should be mainly based on low purine food, the definition of low purine mainly refers to 100g of food containing less than 50mg of purine, such as most vegetables, fruits, staple foods, etc.
6.How should gout patients take care of themselves?
Deputy Director Wu Xin suggests: Gout is a chronic disease, which requires professional assessment and individualized treatment by doctors for each patient’s hyperuricemia or gout condition, while patients themselves should have a very good awareness of health management, avoid triggers that cause gout attacks, pay attention to low purine diet, avoid smoking and alcohol, drink more water, regular work and rest time, and moderate exercise, so as to more effectively control uric acid level, reduce This will help to control uric acid level more effectively, reduce gout attacks and achieve long-term remission.
7.Wu Xin, deputy director, answered some questions from netizens.
Q: Is it true that all seafood cannot be eaten by patients with a history of gout?
A: Gout patients must be completely abstinent from eating during the acute attack period, but they can eat a small amount of seafood with low purine content, such as sea cucumber, seaweed and jellyfish skin during the stable period.
Q: Can I drink red wine and dry white for gout?
A: You can drink red wine in small amounts.
Q：I have pain in my right thumb joint, is it gout and do I need to use medicine?
A: A professional doctor’s judgment is needed. It is recommended to go to rheumatology clinic for uric acid test, joint ultrasound or dual energy CT examination to clarify the condition.
Q：Hello, Director Wu, my husband also has acute gout caused by seafood and beer, will this recur in the future? Or will he be fine if he only eats seafood and doesn’t drink beer?
A: There is still a possibility of recurrence, and you need to control the uric acid level very well to reduce the gout attack, and try to avoid seafood and beer as a high purine diet.
Q: I had a physical examination of my unit in May this year: serum uric acid 513, and recently I have pain in my right foot trigger when walking, how can I cure it?
A：According to the brief medical history you provided, you are considered to have only hyperuricemia at present, but you need to start uric acid-lowering treatment.
Q: I have had gout for many years, and now it has extended from my ankle to my knee, with joint pain and restricted contraction. Is there any surgical treatment?
A: If it affects current mobility and the desire to improve quality of life is urgent, surgery can still be considered, but basic uric acid-lowering control and diet management must be adhered to.
Q: My husband also has a family history of gout, but he just doesn’t abstain from eating, what serious consequences can happen? Is it important to rely on painkillers to control every attack now?
A: If gout attacks repeatedly and uric acid levels continue to increase, it can lead to joint damage, impaired kidney function and cardiovascular events, etc. Attacks should be controlled with analgesics, and more attention should be paid to the use of uric acid-lowering drugs to control uric acid stability during normal times.
Q: How is gout treated?
A: Gout is mainly analgesic during acute attacks, and it is still important to control uric acid levels during the stabilization period.
Q: What is the usual diet for gout patients?
A: Quit smoking and drinking, low purine diet, drink more water, and exercise moderately.
Q: What is the best medicine for an acute attack of gout?
A：At present, the main choice of drugs for acute attacks of gout are colchicine, anti-inflammatory and analgesic drugs and hormones.
Q: I just had gout this year, one is not fat, but not old, three is not this problem at home, strange how to suffer from gout?
A: The pathogenesis of gout is not yet clear.