Some patients describe their gout attacks, mostly in the middle of the night, from the bones of the big toe joint outward swelling pain, swelling like a carrot, and the skin of the big toe propped up into a near-transparent feeling, hate to touch that skin to break, especially painful.
The formation of gout
The development of gout is closely related to uric acid. Purines are produced by human metabolism and are also consumed from food, and uric acid is produced after purine metabolism. Under normal circumstances, uric acid is excreted from the urine via the kidneys. However, if there are too many purines, more uric acid is produced. When there is too much uric acid, or when the body’s pathway to excrete uric acid is not smooth, uric acid will accumulate in the body. When it reaches a certain concentration, uric acid crystallizes. These crystals occur in the joints and lead to gout.
Experts tell us that in 90% of people, the first symptoms of gout start in the big toe or the back of the foot, and then gradually spread to other joints. In addition to depositing in the joints, these crystals can also be deposited around the kidneys, and in the glomeruli they can even develop stones.
People with severe gout
Why does gout hurt?
Uric acid crystals, which are pointed at both ends like small needles, are deposited around the joints to irritate the tissues around the joints. If the urate crystals irritate the joints for a long time, they will destroy the joints and the soft tissues around the joints, and in severe cases, they may even eat away at the bones, causing damage and deformation of the joints, which is why gout is very painful. At the same time, the body’s defense system will eat up the urate crystals, causing a local inflammatory reaction, resulting in redness, swelling and pain.
High risk factors for gout
1. alcoholism.
2. males.
3. obesity.
4. meat eaters.
5, over-nutrition.
6, old age.
What should gout patients eat?
The Chinese New Year is coming soon, and delicious food is inevitable. Only if we know the purine content of some common foods, we can better choose the food during the holidays and celebrate the festive season.
1.Foods with high purine content (purine content greater than 150 mg per 100 grams of food): asparagus, nori, bean sprouts, shiitake mushrooms, pork liver, thick gravy, oysters, white scallops, sardines.
2. foods belonging to the medium purine group (purine amount between 25 mg and 150 mg per 100 g of food): kelp, enoki mushroom, coronary, soy milk, chicken, beef, lamb, crab, shrimp.
3. foods that are low in purines (less than 25 mg of purines per 100 grams of food): potatoes, zucchini, spinach, tomatoes, eggs, duck eggs, sea cucumber, jellyfish skin.
4. Do not eat foods with high purines during the acute gout attack, do not eat more than 300 grams of medium purine foods a day, and eat normal low purine foods.
5.Don’t eat more than 100 grams of high purine food and 500-600 grams of medium purine food per day during the remission period of gout, while low purine food can be eaten normally.
Warm tips: purine characteristics are extremely soluble in water, you can put seafood or meat first over water, blanch it with boiling water, remove all the soup, and then cook the food, its purine content can be reduced by about half.
For patients on a vegan diet, although it is good to control the intake of purines, it is important to be aware of malnutrition. It is important to know what type of nutrition you are missing while eating a vegan diet and then make additional supplements.
How to drink alcohol properly for gout patients
During the New Year period gout patients try not to drink alcohol, because the purine content of beer is high, so try not to touch, white wine although the purine content is low but will inhibit the excretion of uric acid is also not good for gout patients. But if you want to drink, first choose red wine, followed by white wine. Red wine a not more than 100 ml, white wine not more than 25 to 50 ml, do not drink in the gout acute attack period.
The “four low two more two taboo” dietary principles
Experts stressed that gout patients should adhere to the “four low two more two taboo” dietary principles.
Four low
Low energy diet: good control of obesity and weight is very helpful for the control of uric acid and purine.
Low purine diet: Gout patients should eat less or no high purine food.
Low-salt diet: A low-salt diet is helpful for blood pressure control.
Low-protein diet: Most high-protein foods are high in purines, with the exception of eggs and milk, which can be used.
Two more
Drink more water and excrete more: Purines are extremely soluble in water, so drink more water to excrete uric acid out of the body as much as possible.
Attention.
1. For people with poor kidney function, drinking more water does not necessarily mean more urination, so people with poor kidney function should follow medical advice.
2, for people with no kidney function problems can drink more water, the normal amount is 1500 to 1700 ml a day, patients with high uric acid can drink up to 2000 to 3000 ml a day.
3, experts recommend drinking more plain water, light tea water and relatively alkaline soda, not recommended to drink strong tea, coffee, beverages such as this kind of drinks.
4, eat more fruits and vegetables: in terms of purine, it is okay to eat more fruit, but people with blood sugar risk should control the amount of fruit.
Two taboos
Avoid thick meat soup: the amount of purines in the soup of animal food is relatively high.
Avoid alcohol: gout patients try not to drink alcohol, drinking should also be controlled.