The weather is hot, and we have admitted several patients with gout attacks in the past two days. The reason is very simple. Usually, uric acid is high. In the past few days, seafood and beer have caused uric acid to soar, causing gout attacks.

The pain of gout often causes patients to want to "chop off" their toes because they are often "too painful to live".

If gout attacks, we will definitely go to the hospital. A blood test will show that uric acid is very high. However, elevated uric acid does not mean that gout will definitely occur. Whether uric acid is high cannot be determined by feeling. It must be Take a blood test to check the uric acid level. Here again, it is common knowledge that uric acid is measured in blood, not urine. Serum or plasma: 208 428 mol/L for men; 155 357 mol/L for women. If it is higher than this range, it means high uric acid.

High uric acid will not only induce gout, but long-term elevated uric acid may lead to an increased risk of cardiovascular disease.

If we know that our uric acid has been elevated, or we have had gout, we must pay attention to our diet, otherwise it will induce another gout attack.

1. The purine content per 100g of food is 25mg, which is a low-purine food and can be eaten;

2. The purine content per 100g of food is 25~150mg, which is a medium-purine food. It should be limited;

3. The purine content in every 100g of food is 150mg, which is a high-purine food and should be strictly limited or not eaten.

1. Common vegetables. Because laver comes from the ocean, it is simply understood to be a seafood product. The purine value is 274mg, so the purine is high and must be strictly limited; dried bamboo shoots, enoki mushrooms and kelp are medium purines and must be limited; others Almost all vegetables are low-purine foods. Therefore, patients with high uric acid or gout can safely eat a variety of green vegetables.

2. Common fruits and dried fruits. Except for some nuts: peanuts, sunflower seeds, sesame seeds and cashew nuts, which are medium purine foods and need to be limited, other fruits and Chinese people are almost all low purine foods and can be eaten Eat with confidence.

3. Staple foods, whole grains, miscellaneous grains and rice noodles are basically low-purine foods. Only malt is a food for seniors. The purine value is close to 500mg and must be strictly limited. Rice bran belongs to a medium-purine diet and must be appropriately restricted. .

4. Egg and dairy products are almost all low-purine foods and can be eaten with confidence. Except for rye crisps, we rarely eat this kind of food.

6. Soy products, bean sprouts have a purine value of 166 mg. Most beans are medium purine and must be restricted. Only soy milk, kidney beans, emperor beans, etc. are low purine beans and can be eaten.

7. Meat. Except for pig blood and pig skin, which are two types of meat that we rarely eat, other meats and offal are medium-high purine foods; especially beef neck and spleen. , duck liver, intestines, horse meat, liver, and goose meat are all high-purine foods and must be strictly limited or not eaten. Most other meats are moderate purine foods and should be limited.

8. Aquatic products, except for sea cucumbers, mandarin fish, and jellyfish skins, which are low-purine aquatic products, most seafood are high-purine or medium-purine foods and must be restricted or strictly restricted, so we often say People with high uric acid or gout cannot eat seafood.

These 8 categories of food almost include most of our daily diet. Patients with high uric acid or gout must collect them!

The "Gout Treatment Guidelines" recommend that gout patients should not only limit the intake of high-purine foods, but also limit alcohol consumption and eat less foods containing high fructose or corn syrup. The guidelines also recommend that regardless of the severity of the disease, gout patients should manage their weight, and those who are overweight should lose weight.

For initial mild hyperuricemia and no gout, it is not recommended to start uric acid-lowering treatment immediately. It is still recommended to eat a low-purine diet, do not drink alcohol, continue to exercise, control your weight, and drink about 2000ml of water per day. .

If through the above healthy living, uric acid is still higher than 540μmol/L, then it is recommended to take uric acid-lowering drugs.

Fatigue, general discomfort and joint tingling, etc.; typical gout, joints and surrounding tissues are red, swollen, hot, painful and have limited function, appearing like tearing, cutting or biting, Unbearable. It mostly affects a single joint, followed by joints such as the dorsum of the foot, heel, ankle, knee, wrist, and elbow. It can affect multiple joints at the same time, manifesting as polyarthritis. Some patients may have systemic symptoms such as fever, chills, headache, palpitations, and nausea.

People with high uric acid and gout should keep their mouth shut, drink more water, and open their legs!

# unusual case #