No matter what factors or multiple factors lead to gout, it is necessary to give regular drug treatment, actively prevent the complications of the disease, and help alleviate and promote the therapeutic effect and clinical outcome in diet. However, it is difficult for gout patients to completely replace drug treatment through diet therapy.
The abnormal uric acid in our body is mainly caused by endogenous metabolic disorder, followed by exogenous intake in diet, that is to say, healthy people will metabolize normally even if they occasionally ingest purine, but there are too many purines in gout patients, which will easily lead to fluctuations in blood uric acid because of certain problems in metabolism.
Therefore, for gout patients, diet control still needs to be adhered to, but formal treatment is also essential, and the level of serum uric acid is controlled in a two-pronged manner, thus reducing the frequency of gout attacks and reducing the risk of gout causing other diseases.
Thank you for reading. I hope it helps you.
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Dietotherapy can't cure gout, but improving diet is necessary for gout patients. In other words, choosing suitable food for gout patients or hyperuricemia patients is an important condition to control gout attacks. Dietotherapy has more functions than curing diseases, but preventing or alleviating diseases, such as the most common three high diseases. If we pay more attention to the light diet, the intake of fruits and vegetables, and choose whole grains as the staple food, the probability of three highs will be much lower. However, if you try to eat the so-called onion soaked in vinegar on the basis of the three highs, what kind of medlar and Moringa seeds you use may not have obvious effects on the improvement of your condition, and diet depends on your personal situation.
For gout patients, the most important thing is to control their blood uric acid concentration. Persistent high uric acid concentration is the most critical factor in the outbreak of acute gout. In uric acid is too high's disease, with the blood flowing, it is easy to precipitate at the joints during metabolism. If this happens for a long time, it is likely to form uric acid crystals, which are hard and easy to stimulate joints, make joints deform and swell, and induce gout. The key factor to control uric acid is to control purine content, and the final metabolite of purine is uric acid, so it is very important to choose low-purine food in daily life. Eating foods high in purine is the most important thing to pay attention to, such as eating less animal viscera, controlling meat intake (including drinking less broth), avoiding poultry meat, fish, shrimp and shellfish during gout attack and uric acid instability, and choosing fish with moderate purine content in poultry meat and stable uric acid. Eat soy products carefully, but soy products can be eaten properly.
For gout patients, you can increase the intake of vegetables and whole grains in your daily diet. Vegetables and grains are low purine foods and can be eaten normally. They are also rich in dietary fiber, which can inhibit the absorption of some fat, cholesterol, purine and other ingredients, and also help to control sugar and fat. They are good conditioning foods for gout patients. The study also found that the probability of hyperuricemia and gout outbreak in obese and three high patients will greatly increase, so foods rich in dietary fiber will also help to control weight, regulate three high and prevent gout. A light diet is also important. Avoid cooking methods such as frying, braising, barbecue, hot pot and mala Tang. As long as it helps to control weight and blood routine, it helps to control gout.
The last point is to drink more water. It is recommended to drink about 2000ml every day. Drinking water can improve urination and help uric acid metabolism. It is recommended to recommend green tea, black tea or black tea, especially green tea, which is rich in tea polyphenols. Tea polyphenols help to control the three highs and improve metabolism. It is a powerful assistant to prevent cardiovascular and cerebrovascular diseases. But we should pay attention to avoid sweet drinks, fruit juice, instant drinks, honey and other drinks with high sugar content, especially fructose. A large amount of fructose intake will increase the substrate of purine synthesis, and may also inhibit the excretion of uric acid, which is one of the important reasons for the increase of uric acid. Sucrose can also decompose fructose and glucose, and excessive intake may also increase blood uric acid.
If the doctor confirms that you have hyperuricemia or even gout, you must start to change your lifestyle whether you need medical treatment or not. In other words, diet therapy is also conducive to the alleviation and treatment of diseases.
Why do gout patients need diet therapy?
One of the main causes of gout is diet, so once gout patients get sick, they must avoid eating. The so-called taboo is to change bad eating habits, avoid dangerous molecules in food, avoid the increase of serum uric acid level, and induce acute attack of gouty arthritis.
In addition, the hope of treating gout is pinned on drugs, and the importance of diet in the process of gout rehabilitation is ignored. As mentioned above, gout stone's illness bid farewell to overeating and drinking a lot, so it is an auxiliary role in treatment, otherwise there is no way to recover in treatment. And if you eat some foods that are conducive to reducing uric acid, it will promote treatment, which is more conducive to the treatment of gout and will avoid gout attacks.
Therefore, the diet of gout patients is very important and must be taken seriously. Be sure to avoid eating according to the doctor's requirements, and you can also do diet conditioning to help with treatment.
Question: Does the uric acid lowering treatment for gout include diet therapy?
A: strict diet control can reduce uric acid by 60 ~ 90μ mol/L.
Gout is a disease closely related to diet structure. Eating too many foods high in fat, purine, salt and sugar and drinking alcohol are one of the main causes of gout. Changing bad living habits, adjusting diet structure and maintaining standard weight are extremely important to control gout recurrence.
My name is Liu, and I'm a gout doctor at the western hospital of gout and rheumatism in Chengdu. Whether diet therapy is effective for gout patients has more than one answer. Today, a reasonable diet is conducive to the improvement of symptoms of gout patients, promoting early rehabilitation and reducing recurrence.
Diet is one of the causes of gout. Gout is when the concentration of uric acid in human serum is higher than 420μmol/L, the sodium urate in body fluid is continuously saturated. Under certain conditions, sodium urate dissolved in body fluids will be saturated to form sodium urate crystals, which will be deposited in human tissues such as joints and kidneys. After a series of complex biochemical processes, inflammatory reaction will be triggered, thus inducing gouty arthritis, gouty nodules and gouty nephropathy.
The typical manifestation of gout attack is acute gouty arthritis. Common causes of acute gouty arthritis include: excessive consumption of high-purine food, long-term consumption of fructose-rich drinks, drinking, drugs, medical diseases, injuries and surgery, and some other local factors. The factors related to diet mainly include the following:
Overeating high purine food: High purine food has always been considered as an important cause of acute gout. A long time ago, people realized that people with superior dietary conditions are prone to gout; Until recent years, the results of some large-scale studies have proved that the first content of superior dietary conditions is high purine diet. Studies have shown that the blood uric acid level of people who eat the highest level of seafood 1/5 is 0. 16 mg/dl higher than that of people who eat the lowest level of seafood 1/5. Another study shows that a high purine diet can increase the number of acute attacks in gout patients by five times.
Long-term consumption of high fructose food: As another important cause of acute gout, high fructose food, such as high fructose drinks, has been paid more and more attention. A study shows that drinking fructose-containing beverages such as sugary orange juice will increase the concentration of uric acid in the blood. Another study showed that after stratification according to fructose intake, the risk of gout of people with the highest intake 1/5 was 1.62 times that of people with the lowest intake 1/5. The mechanism of fructose-induced blood uric acid increase includes: fructose increases blood uric acid level by promoting ATP degradation to adenosine phosphate in human body; ATP participates in the phosphorylation of fructose in liver, but excessive consumption of phosphate limits the conversion of ADP to ATP, and excessive ADP is converted into uric acid during enzymatic hydrolysis.
Heavy drinking: the influence of heavy drinking on gout is much more serious than diet, especially beer and liquor. Alcohol metabolism can increase blood lactic acid concentration. Lactic acid, like other organic acids, can inhibit renal tubular secretion of uric acid and reduce uric acid excretion. If the serum lactic acid level is higher than 20~25mg/dl for a long time, the excretion of uric acid by the kidney will be significantly reduced; Alcohol can also convert adenine nucleoside and increase uric acid synthesis. Beer, on the other hand, is rich in guanine nucleotide which is easy to be absorbed, which increases the production of uric acid.
Long-term hunger: not only overeating will induce gout attacks, but hunger may also lead to acute gout attacks. Hunger can lead to the increase of β -hydroxybutyric acid, free fatty acids, lactic acid and other organic acids. It has a competitive inhibitory effect on uric acid secretion from renal tubules, reducing uric acid excretion, leading to a significant increase in blood uric acid and an acute attack of gout.
Diet is the cornerstone of gout treatment. Gout is a lifestyle disease, and "diet control" may be the first prescription given by doctors when gout patients are hospitalized. Many patients think that gout treatment "injection, taking medicine, immunoadsorption and needle knife mirror treatment may be good", while the "diet control" repeatedly explained by doctors is often perfunctory, and some patients even think that doctors are "fooling". However, we must realize that diet control is the cornerstone of gout treatment.
Although gout can't be eaten back, and a long-term strict low-purine diet itself is not a healthy lifestyle. But diet control is a part that patients can take the initiative to master. In other words, we may not have to worry about how high the purine in food is. However, the real dietotherapy is to adjust the unreasonable diet structure and make the diet life healthy.
You know, gout is a metabolic disease, and the purpose of treatment is:
Quickly and effectively terminate the acute attack of gout; Prevent the recurrence of acute gouty arthritis; Correct hyperuricemia and prevent or reverse the damage caused by uric acid/urate crystal deposition in joints, kidneys or other parts; Prevent or reverse related diseases, such as obesity, hyperlipidemia, hypertension, hyperglycemia, etc.
For gout patients, "dietotherapy" itself is the first inducement to reduce the acute attack of gout; Secondly, grasping the defense line of "mouth" can reduce uric acid value more or less and control the development of disease; Finally, gout is caused by metabolic abnormality and is closely related to other metabolic diseases. Reasonable diet is also to improve the high-risk prognosis of cardiovascular events.
Therefore, diet control is the basis of other gout treatment strategies and should run through the whole process of gout treatment. Summarize the diet therapy of gout patients in one sentence, that is:
Correct bad eating habits and start a healthy diet.
For gout diet therapy, nutritionists recommend "four less, one more and two limits", that is, low purine, low calorie, low fat, low salt, drinking more water and limiting alcohol to quit smoking. I have a different view here. Regardless of any disease, the basis of diet therapy is balanced nutrition. Long-term strict restriction on low-purine diet will not only restrict purine, but also restrict many high-quality protein and other nutrients, resulting in unbalanced nutrition and affecting the quality of life. Therefore, the writing of diet control prescriptions may need to be changed. In other words, don't die with purine, but eat properly.
Control the total intake of purine: eating a certain food alone is not as likely as expected to cause uric acid to soar. For example, drinking a mouthful of broth or eating a crab can not actually induce gout attacks; And too strict taboos, it is difficult for ordinary people to abide by. Therefore, it is more important to control the total intake of purine than to limit certain foods. My suggestion is that patients with gout, such as acute gout attack or chronic gouty arthritis, should not consume more than 150mg of purine every day. Of course, ultra-high purine foods such as seafood, animal offal and thick soup can be avoided if they have strong self-control, while most other foods are good as long as they are not overeating; If you eat too much meat, you should eat less other foods rich in purine, and the total amount should be controlled below the standard.
Control the total calorie intake: Similarly, it is scientific to accurately calculate the daily calorie intake of food, but it is also very troublesome and difficult to persist for a long time. Usually, the daily weight of mental workers is 25-30 kilocalories per kilogram, and that of manual workers is 30-40 kilocalories per kilogram. Generally, you can estimate the food you eat according to your feelings. You don't need to be full every day, you just need to eat until you are not hungry, that is, "eat until eight points." If you are overweight or obese, it is better to keep the thickness of the staple food and choose millet, rice, corn and pasta.
Reasonable collocation of diet structure: A healthy life needs a good collocation of various nutrients, mainly sugar, protein and fat. That is to say, within a limited range of total calories, the nutritional ratio of food every day is 55%~60% of sugar, 20%~25% of fat and about 20% of protein. In addition, vitamins and minerals need to be added to food, so vegetables and fruits are needed to supplement it.
Avoid drinking alcohol: the amount of drinking alcohol is positively correlated with the increase of serum uric acid. Eating foods with high purine, high protein and high fat when drinking alcohol can promote the transformation of adenine nucleotide, which is more likely to cause acute gout attack. Beer and liquor can significantly increase serum uric acid, and the risk of gout of people who drink 340ml beer every day is 1.49 times that of non-drinkers. At the same time, the probability of trauma and hypothermia at the end of limbs after eating may be greater. Therefore, all gout patients are generally required to abstain from drinking as much as possible, especially when acute gouty arthritis, chronic gouty arthritis and uric acid lowering drugs are used.
Avoid fructose intake: Fruit juice and sugary drinks are high in calories and high in syrup and other additives. A large amount of fructose can accelerate the synthesis of uric acid, and indirectly improve the blood uric acid level by increasing insulin resistance and circulating insulin. Therefore, we suggest avoiding fructose and fruits with high sugar content as much as possible. It is suggested that you can eat 200~400g of fruits every day, mainly apples, pears, watermelons, lemons, apricots and plums, and you can eat more fruits with more vitamins, such as jujube, blackcurrant, guava and kiwifruit. At the same time, it is not recommended to eat dried fruit because of its high sugar content.
Controlling salt intake: the influence of salt on gout patients mainly comes from sodium salt, and too high sodium salt will affect uric acid excretion; Moreover, many gout patients suffer from hypertension at the same time, and salt control is also an important link to prevent hypertension. At present, it is suggested that the daily salt intake should not exceed 6g, and if gout patients are complicated with hypertension, the daily salt intake should not exceed 3g. Moreover, the salt containing sodium salt, monosodium glutamate, chicken essence, soy sauce, sauces, fermented bean curd, canned food and preserved food should also be controlled, and cooking methods such as steaming and boiling should be used as much as possible in daily life.
Keep plenty of water: Generally speaking, most guidelines recommend drinking plenty of water and alkalizing urine. The important reason of high uric acid is that less excretion promotes more uric acid excretion. Besides taking medicine and treatment, drinking more water is an important, simple, effective and economical method, which can also reduce the formation of stones. Drinking water is recommended to drink more than 2500ml per day to ensure that the urine output reaches 2000ml per day. Don't wait for thirst to drink water, drink it anytime and anywhere; If you sweat, drink water in time.
Dietotherapy is a life attitude and habit. However, it should also be noted that the treatment and dietotherapy of gout are far from enough. For gout patients, the fuse may be those existing bad eating habits. When you change your attitude towards diet and cooperate with the correct treatment plan, you can control your illness and treat complications.
I don't know if you realize that gout will happen less when uric acid drops. How to reduce uric acid has become a problem. Many people can drop it when they take medicine, but once they stop taking it, they will rebound, which is puzzling over and over again.
I used to have such troubles. In order to treat gout, I took drugs for a long time to control uric acid, which eventually led to excessive renal creatinine. Later, I stopped taking the medicine and dared not take it. I changed to diet therapy, and the effect was good. Uric acid control is very stable, and gout rarely occurs.
I usually eat three bowls of soup, which has a good effect on reducing uric acid:
First of all, zucchini soup
Ingredients: 200 grams of zucchini, appropriate amount of oil and salt.
Practice: Peel the zucchini, wash it and cut it into small pieces. Add appropriate amount of water to the pot, add oil and salt and cook it into soup.
Zucchini is very common in the vegetable market. People like to make soup or stir-fry with it. It can clear away heat and toxic materials, reduce blood fat, protect liver and kidney, and help kidney metabolize uric acid.
Second, winter melon skin corn beard soup
Material: Chinese waxgourd peel100g, corn stigma100g.
Exercise:
1. Wash the wax gourd and cut it into small pieces.
2. The corn must be washed.
3. Put the ingredients together in the pot, add water and cook into soup to drink.
Wax gourd peel corn beard has a very good effect of eliminating dampness and diuresis, which can accelerate uric acid excretion and reduce fat, especially suitable for obese gout patients.
Thirdly, Lily and Coix seed soup.
Materials: lily100g, coix seed 50g.
Exercise:
1. Wash lily and soak it in warm water.
2. Soak Coicis Semen in warm water for 5 minutes. Take out and drain.
3. Put the ingredients together in the pot. After the water is boiled, pour it into the cooked soup.
Lilioside contained in lily can promote blood circulation, clear the heart and soothe the nerves, and Coix seed can eliminate dampness and diuresis, and can excrete uric acid when boiled into soup.
The main purpose of dietotherapy soup is to increase the excretion of uric acid. Diuretion can promote the metabolic capacity of the kidney, which is much safer than taking medicine and has no side effects. It is important to persist.
But the effect of diet therapy will be slower. I usually cook some chicory and yellow tea to drink, and the effect is faster and better.
Prepare ingredients: chicory, tartary buckwheat, kudzuvine root, gardenia, lily and mulberry leaf, 5g each, put them in a teapot and boil them.
Tea is very light and has a good diuretic effect. It can excrete uric acid from the body, relieve gout inflammation and eliminate uric acid crystals.
However, it takes time to cook chicory yellow tea. When you don't have time to cook, it's more convenient to drink with ready-made teabags. After drinking for half a year, gout did not recur and uric acid did not exceed the standard.
These three kinds of soups can be eaten as home cooking, and it is best to cook them in turn, so as not to be monotonous. Others can also eat more fruits and vegetables to help the body metabolize uric acid. Special attention should be paid to resolutely avoiding high purine foods. I hope my experience can help everyone.
Personally, I think gout is mainly caused by physical conditions, and of course it has a lot to do with living habits. For example, some people don't have gout when eating and drinking, some people have a weak attack and occasionally have severe pain. . . Five years ago, I suffered from a painful lumbar disc herniation and hyperosteogeny. After I was cured, there was no serious pain. I didn't pay attention to rest occasionally. Sitting in front of the computer for a long time, drinking too much alcohol and tobacco, is also a little backache and bone pain. It's not a big problem, and it naturally returns to normal. . . . Similarly, I have a slight gout in my toes, and it won't hurt after taking gout medicine. Until now, it has not recurred for several years. . . . As far as I know, gout is incurable. In fact, it's easy to understand, just like humans will catch a cold and have a fever, which can be cured by treatment, but it doesn't mean that they won't catch a cold and have a fever again. I'm not a medical student either, so I'll understand it for the time being. Please forgive me if there is anything wrong. . . My friends who work with me have taken the Indian version of gout medicine, and the effect is ok and the price is expensive. But he doesn't use the Indian version now, and uses another one that is more economical, but the curative effect is not discounted. I often shout pain in the morning and dare to eat and drink at night. I admire his physique. I asked him, and he said nothing, just take medicine, and it won't be so easy to relapse if you keep it down. . . I do have a say in gout. It should not be cured, but it can be controlled. The most direct thing is to take medicine to relieve pain and get immediate results. . .
Dietotherapy is indeed effective in gout prevention and treatment, which is affirmed by domestic and foreign guidelines and consensus.
Of course, if you have been diagnosed with gout, you should try to avoid the following categories in your diet:
1. Animal internal organs, such as liver, kidney, brain, intestine, etc.
2. Crustaceans such as oysters and crabs;
3. Alcohol and tobacco, which are not detailed here;
4. Red meat, such as beef, mutton and pork, preferably white meat (such as chickens and ducks);
5. Foods containing fructose and sucrose, especially fructose syrup, sugar and honey, are clearly added to the ingredient list.
I wish you a speedy recovery.
Gout is very painful and can make people insomnia. We should learn how to cure gout through diet therapy, which will help you. We should consider the cause of gout from all aspects, so as to cure gout better. We can't ignore some small details, but we must do a comprehensive prevention.
Please see here for the diet therapy of gout.
First, grape porridge
Ingredients: 40 grams of grapes, 80 grams of japonica rice, water and sugar.
Practice: put the grape granules in clear water and cook slowly until they are sticky.
Frequency of administration: once in the morning and once in the evening.
Main efficacy: nourishing liver and kidney, benefiting blood gas.
Second, barley porridge
Ingredients: 50g of adzuki bean and 50g of coix seed.
Practice: add boiling water and cook porridge.
Frequency of administration: once a day.
Main efficacy: it has diuretic effect, can promote the elimination of uric acid and reduce the content of uric acid in the body.
Third, papaya porridge
Material: one papaya, japonica rice100g.
Practice: Chop papaya and cook it slowly for half an hour, then add rice, sugar and papaya juice to make porridge and cook it thin. You can also put the amount of sugar in your pocket to taste, just the right amount. If insulin is not good, it may cause diabetes, so be sure to pay attention to the right amount of sugar.
Frequency of administration: Take it while it is hot three times a day.
Main efficacy: invigorating stomach and warming bones and muscles.
Fourth, cherry wine.
Methods: Take 200 grams of peach pulp and add a certain amount of wine. The ratio of these two substances is 1.5. Soak in wine, one cup in the morning and one cup in the evening. It can be taken when gout is painful or during the onset.
Results: It can relieve joint pain and control the disease, but it has no effect on gout. To treat gout, you should go to a professional hospital for treatment.
Verb (abbreviation of verb) Danshen Cangpi Decoction
Main ingredients: Radix Salviae Miltiorrhizae, Cortex Dictamni Radicis, Cedar 25g, Bombyx Batryticatus, Radix Paeoniae Rubra 30g, Achyranthis Radix10g, Fructus Chaenomelis 30g, Rhizoma Corydalis, Fructus Lipuidambaris 20g each, Cimicifuga Rhizoma and Radix Glycyrrhizae each10g.
Efficacy: This therapy has the effects of removing dampness and expelling wind, reducing uric acid, dredging collaterals and promoting blood circulation, especially in the acute attack of gout, and also has the effects of detumescence and pain relief.
Six, Osmunda longan soup
Ingredients: longan 30g, Osmunda japonica root10g, Tougufeng, Achyranthes bidentata and Bamboo Leaves 25g each.
Usage: decoct in water, take yellow wine, and drink on an empty stomach 1-3 times a day, about 150ml each time.
Efficacy: This therapy can relieve the symptoms of gout swelling and gout joint pain caused by wind-heat in patients.
In the diet of gout, patients can't eat apples.
Cool, sweet, can produce fluid and moisten the lungs, and relieve summer heat. Where the products of food metabolism in the body are alkaline, it is called alkaline food. Apple is an alkaline fruit, which contains a lot of potassium salt and water, and basically contains no purine, which is beneficial to uric acid excretion in human body. Therefore, all gout patients, whether acute or chronic, should eat it.
In the diet therapy of gout, patients can't eat pears.
It is cool and sweet, and has the effects of promoting fluid production, quenching thirst, clearing away heat and resolving phlegm. Pear is not only a juicy and watery fruit, but also basically contains no purine, and it is also an alkaline food. Therefore, patients with acute and chronic gout are suitable.
In the diet of gout, patients can't eat grapes.
Has the effects of invigorating qi and blood, strengthening bones and muscles, and promoting urination. The herbs in southern Yunnan are also called "invigorating qi and blood, relaxing muscles and activating collaterals". Gout is the pain of rheumatism in traditional Chinese medicine, so it is especially suitable for people with chronic gout. Grape is an alkaline fruit, which contains little or no purine, and its juice contains more water, which is beneficial to the elimination of blood uric acid in gout patients.
The therapeutic method of gout is a good staple food-corn.
It contains no purine food. Grind corn into fine powder, put it into japonica rice porridge and cook it into thin corn porridge, which is suitable for gout patients to take as a staple food for a long time.
The dietotherapy method of gout, how can you solve gout quickly?
Gout is familiar to us. Suffering from gout will not only affect daily work, but also bring severe pain to patients, so it should be solved quickly when gout attacks. How can we solve gout quickly?
1. The swelling and pain in the affected area make you insomnia, so I suggest you apply an ice pack to your skin to relieve the pain caused by gout.
2. If the ice can't achieve the effect of relieving pain, you should take medicine to relieve it at this time. Patients often use non-steroidal analgesics, but remember not to choose hormones and salicylic acid to relieve pain, otherwise it will not have the effect of relieving pain.
For many diseases, moderate exercise is very good. The same is true for gout. Do more things to relieve the pain when you have nothing to do.
4. soak your feet with laxatives. Putting your feet in laxative water for 20 to 30 minutes before going to bed at night can relieve pain and help uric acid excrete.
The remedies and diet for gout are here. I hope it will help everyone's health. As long as you have the heart, it will definitely have a curative effect. You should know a lot about gout diet. We can make good use of what I have arranged above and pay attention to our diet. It is still necessary.
It should work!
effective