At present, the prevalence of gout in China is between 1% and 3%, and the trend is increasing year by year. The former “imperial disease and rich disease” has long been “flying into ordinary people’s homes” with the improvement of people’s living standard. The incidence of gout in China is showing a trend of youthfulness, and the data from CRDC shows that the average age of gout incidence in China is 49.76 years old. Gout is a classical and ancient rheumatic disease, which is a crystalline arthritis caused by the deposition of monosodium urate in the joints and is directly related to hyperuricemia caused by disorders of purine metabolism and/or reduced uric acid excretion, and belongs to the category of metabolic rheumatism. In severe cases, joint destruction and deformity, renal impairment and even uremia can occur. Patients with gout are often associated with hyperlipidemia, hypertension, diabetes, atherosclerosis and coronary heart disease, which seriously endanger their quality of life. In recent decades, gout has become younger, and many teenagers in their late teens and early twenties have become a high prevalence of hyperuricemia and gout, and every gout clinic encounters many young gout patients, including middle school, high school and college students. They do not drink heavily, they do not eat too much protein, they eat their mother’s food at home every day or they live an “ascetic” life in the school cafeteria. Parents would ask the doctor where the high uric acid came from when they were so tightly controlled. After a detailed chat, the mystery was finally revealed that most of these young children love to drink, and it turns out that it is the beverages that cause the trouble, more precisely the fructose in the beverages. The healthiest drinks are plain water, but sweetened beverages, including sodas, colas and fruit juices, contain too much fructose and should not be drunk. About how to drink water and how to choose beverages for gout and high uric acid patients, I will talk about this issue again today. How to choose drinking water? In the alkaline environment of the body, the solubility of uric acid increases, and it is easy to excrete and not easy to form urinary stones, so alkaline water is most suitable as the common drinking water for gout patients. Usually, we usually drink water from the tap, which is strictly treated to meet the national drinking water standards, the pH is often kept between 6.5-8.5, alkaline, and more importantly, plain water can also promote the excretion of uric acid, so drinking water for gout patients is very suitable, of course, water should be boiled and drink, do not drink directly from the tap water! But should also pay attention to regional differences, may be some areas of the tap water is acidic, you can determine their own pH or to the local water resources department inquiries. Is it appropriate to drink plain water, mineral water? Mineral water is often slightly alkaline (pH 6.5-8.5), while mineral water can also promote the excretion of uric acid, in line with the requirements of gout and hyperuricemia patients, and it contains trace elements and metasilicicic acid, are beneficial to the human body. There is another kind of water on the market is pure water, its water quality is acidic, pH 6.0 or so, and its beneficial minerals and trace elements are removed, losing the nutrition, of course, is not suitable for drinking. Is it advisable to drink soda water? Soda can neutralize uric acid and is a very good drink for people with gout and hyperuricemia. Natural soda is rich in minerals and contains no additives, which is very good for the body, but some synthetic soda drinks have added sweeteners and flavors. Although drinking these drinks can also alkalize urine and promote uric acid excretion, long-term consumption of these drinks can also produce insulin resistance, leading to increased risk of metabolic syndrome such as gout, obesity and diabetes. In addition, long-term consumption of these drinks can lead to disruption of acid-base balance and loss of calcium, resulting in an increased risk of osteoporosis and fragility fractures, and long-term consumption by children can negatively affect their bone growth. Can I drink cold drinks? Many young gout and hyperuricemia patients like to drink cold drinks in the summer heat, when the sun is shining and sweat is pouring down, so is it feasible? Most of the cold drinks on the market are made of sugar, milk, juice, etc. Generally speaking, the purine content is still relatively small, so in the hot summer when thirst is unbearable, it is possible to occasionally drink cold drinks, but we must also pay attention to moderation, moderation, after all, cold drinks are very serious stimulation of the stomach, especially the stomach cold people are contraindicated to eat cold drinks, sometimes leading to abdominal pain, loss of appetite, diarrhea; at the same time, most cold drinks are At the same time, most cold drinks 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 body to replenish water and sweating and many other disadvantages. What drinks are suitable for gout patients? Drinks such as plain water, mineral water or fruit and vegetable juices can also promote the discharge of uric acid. It is best for gout patients if all daily drinking water is weakly alkaline. What beverages can I drink if I have gout? As mentioned in previous articles, coffee and tea are not contraindicated for gout patients (Gout Dietary Myths about Tea and Coffee), and yogurt and low-fat milk are not a big problem, and even have a certain role in lowering uric acid. It is worth pointing out that fructose-based beverages, such as orange juice, can raise blood uric acid and should be consumed sparingly.