Gout patients can drink more water in their daily lives, which has the effect of diluting and discharging uric acid, and has a certain auxiliary effect on the treatment of gout. It is recommended that you drink white water, soda water, light tea and coffee, but you should avoid drinking fructose-rich drinks such as fruit juice and cola, and avoid drinking broth, especially thick broth that has been boiled for too long. At the same time, you should try not to drink alcohol, especially beer and yellow wine, gout.
In our daily life, we should also pay attention to strictly limiting the intake of high-purity food, not eating animal offal, shelled seafood and broth, and eating less meat and dried beans; Exercise properly, control your weight and keep warm to avoid strenuous exercise and sudden cold; We should work and rest regularly and keep a good attitude.
While improving our lifestyle, we should also pay attention to rational drug use, in which we should actively diminish inflammation and relieve pain, and pay attention to reducing uric acid in remission. It is suggested that the blood uric acid level should be controlled within 360umol/L, and if tophus is formed or chronic gouty arthritis occurs frequently, it should be controlled within 300umol/L, which can promote the dissolution and excretion of urate crystals to the maximum extent.
In real life, not all hyperuricemia will develop into gout, and only some patients with hyperuricemia will develop into gout in clinic. Hyperuricemia can only be called gout when there are manifestations of gouty arthritis, gout stone and gouty nephropathy.
When the concentration of uric acid in blood is too high and in acidic environment (only one of the two conditions exists), uric acid can be precipitated and deposited on bone joints, subcutaneous tissues and kidneys, causing gouty arthritis, tophus and gouty nephropathy.
The measures to prevent and promote uric acid excretion are: 1, reducing uric acid production: limiting drinking and limiting the intake of high purine diets such as heart, liver and kidney.
2. Drinking more than 2000ml of water every day can promote the excretion of uric acid.
3. Use diuretics such as hydrochlorothiazide and furosemide that inhibit uric acid excretion with caution.
4. From the above, it can be seen that uric acid can precipitate and deposit in acidic environment, so properly reducing urine, such as drinking alkaline drinks such as soda water and alkaline fruits such as lemon, can alkalize urine to a certain extent, which can lead to uric acid not easily accumulating in urine and crystallizing and precipitating.
5. Chinese traditional medicine also has the function of reducing uric acid, and medicine and food are homologous.
(This content is for reference only. )
Drinking three kinds of drinks can make uric acid excrete more and improve gout? Don't worry too much, it's unrealistic. If it's really that bad, our gout patients will be less miserable. If so, what else can we do with uric acid-lowering drugs? Wouldn't it be better to drink some daily drinks directly? If gout really breaks out, don't listen to hearsay. It's best to take medicine scientifically under the correct guidance of a doctor, improve diet and work habits, and recuperate together.
So if this question is concerned, can drinking water improve gout?
In fact, gout patients should really supplement enough water, because some uric acid can be excreted with urine, which can play an auxiliary role in regulating uric acid concentration, but this does not mean that it can play an obvious role in lowering uric acid, or it can relieve pain during acute gout attacks. They can only be used as a way to help stabilize uric acid. It is recommended that the daily water supplement of patients with hyperuricemia/gout should not be less than 1500~2000ML (which can be adjusted according to their own situation and exercise amount), and they should not drink water when they are thirsty. Even if the water is supplemented for about 1~2 hours, it will not only maintain the normal physiological activities of the body, but also help.
Are there any drinks that are particularly obvious for improving uric acid concentration? How to choose?
This is not true, but there are many drinks that may increase the concentration of uric acid. For example, "drinking honey can reduce uric acid", which has been heated up before, is really not helpful to uric acid, and 70% of honey is sugar, of which fructose accounts for a relatively high proportion, and a small amount of sugar such as sucrose, glucose and maltose. In short, it is not too much to say that it is sugar water. If we consume too much fructose, the metabolism of fructose will produce more nucleotides in our body, and these nucleotides are the precursors of purine synthesis, which means that the synthesis of purine will increase, and purine will eventually be metabolized into uric acid, so it will eventually increase the concentration of uric acid. If we drink more honey, it is estimated that uric acid will increase and gout will break out.
Therefore, patients with high uric acid should pay attention to avoid drinking some drinks rich in fructose or other added sugar (sucrose can also be decomposed into 1 molecular fructose and 1 molecular glucose), which may lead to the increase of uric acid, such as juice drinks, sweet drinks, online celebrity milk tea and so on. In addition, although fruit is a low-purine food, you can't eat it with the door open. It is enough to eat 200~350g a day, otherwise it may lead to excessive fructose intake, which is not good for controlling uric acid. In addition, the broth may contain a lot of nucleotides. As mentioned before, this is the substrate for the synthesis of purine, so it may also promote the increase of uric acid.
The water suitable for patients with high uric acid is actually simple boiled water, or light tea or light lemonade. Soda water is popular with everyone. In fact, soda water has no obvious effect to neutralize uric acid, and the price is relatively expensive. In fact, there is not much need to choose. In a word, patients with hyperuricemia can only control uric acid by drinking water, but not as the main way to regulate uric acid.
First of all, gout is the crystal deposition of joints caused by blood uric acid is too high, which leads to tophi in joints and symptoms of joint destruction. Gout is mainly due to abnormal purine metabolism in human body, and it is easy to destroy joints, kidneys and hearts. However, the control of uric acid still needs to be maintained from some living habits, and it cannot be ruled out by drinking three kinds of drinks.
Let's popularize how to eliminate excessive uric acid in the body.
1, it is forbidden to drink alcohol, eat some seafood, spicy and greasy food and animal offal, and you should eat lightly, because there are many purines in these foods, so eating too much will aggravate metabolic disorders.
2, exercise more, strictly control weight, try to adhere to moderate exercise every day, more suitable for aerobic exercise, such as brisk walking, jogging. Exercise should be moderate (the maximum suitable heart rate for aerobic exercise), which is also beneficial to the metabolism of blood uric acid.
3. Taking some sodium bicarbonate daily is beneficial to alkalizing urine, which can dissolve uric acid stones. Sodium bicarbonate is very irritating to the stomach, so it can be taken intermittently to avoid long-term use.
4, drink plenty of water, and keep the daily drinking water at about 2500ml, which is conducive to promoting the operation of the kidney, promoting the metabolism of purines in the kidney, and diluting uric acid.
Daily drinks only play an auxiliary role in excreting uric acid, and medical treatment is needed to return to normal if uric acid is high. In life, boiled water, soda water and tea contribute to the excretion of uric acid, but how to drink these daily drinks is also very particular.
1, boiled water
In addition to taking medicine according to the doctor's advice, gout patients should drink more water to promote uric acid excretion. Therefore, gout patients should develop good drinking habits.
And the so-called "good" drinking habits, first of all, it is best to drink boiled water (you can add a little salt, generally, 500 ml of water plus 1 g of salt to facilitate the absorption of water by the human body), and you should ensure that the amount of drinking water is not less than 1500 ml every day.
Secondly, the best time to drink water is 45 minutes after a meal, some time before going to bed, and 30 minutes after getting up in the morning before breakfast.
Finally, you can't not drink or drink less water at ordinary times, and wait until you are thirsty.
2, soda water
This more suitable drink is soda water, which is recommended for gout patients except boiled water.
Soda water is an aqueous solution of sodium bicarbonate, which is weakly alkaline. It is often used for external disinfection and sterilization in medicine, and can also be used for drinking, which can help neutralize the acid-base balance in the human body and promote the excretion of uric acid in the body.
Soda water is naturally formed, and it can also be produced manually by weak alkali effervescent tablets, soda effervescent tablets and machines. Natural soda water contains a variety of trace elements besides bicarbonate, so it is a good drink. It is not only suitable for preventing gout, but also has other benefits to human body, such as nourishing stomach, relieving dyspepsia and constipation symptoms, and preventing skin aging.
However, it is best to drink soda water reasonably after regularly detecting the PH value of urine, so as to make soda water play its anti-gout role more reasonably and effectively. Patients with gastritis or hypertension should not drink soda water.
It should also be reminded here that most of the soda water sold in the market is a synthetic carbonated drink by pressing carbon dioxide into purified drinking water and adding sweeteners and spices, but the really healthy soda water tastes just like aerated mineral water, so we should pay attention to the distinction when selecting it.
3. Drink tea
Drinking tea is very beneficial to health, such as refreshing, helping to stabilize blood sugar and blood pressure, and improving cardiovascular and cerebrovascular health. In recent years, studies have shown that the substance of methylxanthine after metabolism in the body is methylurate, which is two different substances from urate, and it will not be deposited in kidneys and joints, nor will it form tophus. Moreover, tea is weakly alkaline, and moderate drinking can also help the body excrete uric acid and alkalize urine. Therefore, drinking tea regularly and in moderation is beneficial to prevent hyperuricemia and gout.
However, when drinking tea, you need to pay attention to some details, that is, eight taboos for drinking tea: 1. Avoid drinking strong tea; 2. Avoid drinking tea on an empty stomach; 3. Avoid drinking too much tea; 4. Avoid boiling tea; 5. Avoid drinking tea when you have a fever; 6. Avoid drinking strong tea after meals; 7. Avoid drinking tea and taking medicine; 8. Avoid drinking tea that has been soaked for a long time;
Usually, you can choose to drink some light tea after meals 1 hour. Because tea contains a lot of tannic acid, black tea 5%~6%, and green tea is higher 10%~24%, if you drink tea immediately after meals, it will lead to the combination of tannic acid and iron in food, forming insoluble precipitate, which is not conducive to iron absorption, and it is easy to cause iron deficiency anemia for a long time; Tannic acid also hinders the body's absorption of spoiled eggs.
I hope it helps you.
For gout patients, drinking more water is helpful to dilute and excrete uric acid. We suggest that everyone should drink more than 2000ml of water every day, with white water as the best, and soda water, light tea and coffee can also be drunk appropriately, but fructose-rich drinks such as fruit juice and cola should be avoided.
Although drinking water can help dilute and excrete uric acid, its effect is limited after all. In order to effectively control the level of serum uric acid and reduce the number of acute gout attacks and complications, we need comprehensive intervention of improving lifestyle and rational drug use.
Gout, as a metabolic disease, has no radical cure under the current medical conditions, but we don't have to worry too much. Through active and standardized treatment, we can control the disease well and reduce complications. Everyone should pay attention to strictly limiting the intake of high-purity food in daily life, not eating animal viscera, shelled seafood and broth, and eating less animal meat; Eat more fresh vegetables and drink more water; Exercise properly, control your weight and keep warm to avoid strenuous exercise and sudden cold; We should also work and rest regularly and maintain a good attitude.
While improving our lifestyle, we should also take standardized medication under the guidance of professional doctors, in which we should actively reduce inflammation and relieve pain in the acute stage; Attention should be paid to reducing uric acid in remission period, and it is suggested that the blood uric acid level should be controlled within 360 umol/L. If tophus is formed, it must be controlled within 300umol/L, which can promote the dissolution and discharge of urate crystals to the maximum extent.
Gout is a kind of metabolic disease, which is caused by the swelling and heat pain caused by urate deposition in joints. Gout patients generally have hyperuricemia. The higher the uric acid level, the more likely gout is. If you want to control gout, you must lower the uric acid level in your body.
I heard that there are three kinds of daily drinks that can excrete uric acid? What are the three kinds? Drinking more water and exercising can really help to excrete uric acid, because most of uric acid is excreted in urine, so drinking more water and urinating can reduce the concentration of uric acid. So what kind of water should I drink? I recommend drinking boiled water, mineral water or light tea, and drinking more than 2000ml every day. It is said on the Internet that drinking lemonade and soda helps to excrete uric acid. In fact, it is not necessarily because lemonade contains fructose, which is easily converted into uric acid. Soda is also sweet, and fructose may be added, which is not conducive to controlling uric acid.
In addition to drinking plenty of water, gout patients need to control their diet. Foods with high purine content, such as animal viscera, seafood, all kinds of red meat and broth, should be avoided. Uric acid sources only account for 20% in vitro, while 80% of uric acid is synthesized in vivo. Therefore, some people can't control gout simply by controlling their diet and need medical treatment. Allopurinol and febuxostat are commonly used.
The occurrence of gout is closely related to hyperuricemia. Controlling uric acid in the target range can effectively reduce gout attacks. Although not all gout patients need drugs to reduce uric acid, all patients should change their lifestyle. Then, in changing lifestyle, what drinks can gout patients drink to promote uric acid excretion? Next, medical science will analyze it for you.
Uric acid needs to be dissolved in water and excreted, so patients with hyperuricemia can reduce uric acid by increasing drinking water. You can drink boiled water, add fresh tea, and drink some alkaline drinks. The alkaline environment can promote the dissolution and excretion of uric acid. However, different patients need to control the amount of drinking water: for patients without heart and kidney-related diseases, after increasing the amount of drinking water, the heart can bear the increased burden, and the kidneys can also excrete excess water. The daily drinking water can be controlled at about 2000-3000ml, which can promote uric acid excretion, reduce gout attacks and shorten the course of gout; Patients with heart and kidney-related diseases should drink water under the guidance of a specialist. Excessive drinking water will increase the total amount of liquid in the circulatory system and increase the burden on the heart. Patients with heart failure may have symptoms such as heart fatigue and tight breath. Water and metabolites are mainly excreted by the kidneys, but uric acid can also cause kidney damage. Therefore, if patients with hyperuricemia or gout have renal function damage, the excretion capacity of the kidneys will decrease, and excess water will stay in the body, which may cause edema. Drinking water should also be restricted.
While drinking more water, gout patients can increase their intake of milk and coffee. Milk can reduce gout attacks, which may be related to the fact that milk can promote uric acid excretion. It is suggested that patients with hyperuricemia or gout drink skim milk or low-calorie yogurt, which can be consumed about 300 ml per day. The relationship between coffee and gout is not clear, but some studies show that coffee does not increase the risk of hyperuricemia, and may reduce the risk of gout. In addition to the above drinks, patients with hyperuricemia or gout should drink less drinks rich in fructose and alcohol: honey, cola, orange juice and other drinks have high fructose content, which will inhibit uric acid excretion and is not conducive to the control and treatment of gout; Alcohol-rich drinks can not only increase the source of purine, but also inhibit the excretion of uric acid. The greater the alcohol consumption, the higher the risk of gout. Therefore, drinking should be prohibited during acute gout attack and restricted during remission. In addition, patients with gout should drink less concentrated broth and gravy, which are high in purine and may also induce gout.
To sum up, gout patients can drink 2000-3000ml of water a day if they have no intention of kidney disease, mainly plain water, light tea and slightly alkaline drinks; At the same time, the intake of milk and coffee can be appropriately increased to reduce gout attacks; Try to drink less beverages rich in fructose and alcohol, and drink less highly concentrated broth and gravy, which can also reduce gout attacks.
Thank you for reading!
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Note: The content of this article is only used as health science, not as medical advice or opinions, and it does not have medical guidance conditions.
The number of people suffering from hyperuricemia in China is as high as1.800 million, of which 10% patients have developed gout. In most people's impression, once gout has an acute attack, it will make people feel "miserable".
The first attack of gout, mostly in the first attack of big toe gout, often manifests as sudden and sharp pain in a single joint, and the most easily affected part is the metatarsophalangeal joint, such as the big toe. Subsequent seizures may involve multiple joints, such as ankle, knee, wrist and elbow.
The pain is more than when the patient sleeps at night, and there is no sign before. Therefore, if you feel severe pain in your joints in the middle of the night, you should go to the hospital as soon as possible to check whether you have gout.
If gout is not controlled, there will be four situations, which will make you feel miserable 1 and increase the frequency of attacks.
It used to happen once every few years, but if it gradually becomes a few times a year, or even a few times a month, it will really attract attention.
2. tophi appears
If uric acid is not properly controlled for a long time, urate crystals will accumulate more and more, which will turn into tophus. When the number of tophi in the body is increasing, it is necessary to consider whether it should be surgically removed.
3. Gout metastasized.
Originally, gout only started at the big toe, but after a few years, it slowly moved to ankle joints, knee joints, fingers and other parts. At this time, it shows that gout has deteriorated.
4, kidney lesions.
Once the uric acid content is too high, it will cause a certain burden to the kidney. In the long run, it will damage the kidney and even cause uremia and even death.
If you have the above four symptoms, you must seek medical advice in time to avoid the deterioration of your condition due to delay, and it will be too late to regret it.
Do you know three cups of "life-saving" water for gout patients?
First, a cup of boiled water and plenty of water in the morning can promote urination, and then promote uric acid to be excreted with urine.
In addition, drinking plenty of water can also dilute uric acid in the body, reduce the formation of urate and help health.
Therefore, if the urine acid is high, you must drink more water, and the amount of water you drink every day should reach at least 2000ml.
Second, a cup of alkaline acid drainage water
Alkalized urine can dissolve urate, excrete it with urine, avoid deposition in the body, and also prevent the formation of tophus, kidney calculi and kidney damage.
There is a therapeutic prescription-turnip miscellaneous grains powder, which is still used today to help reduce uric acid and relieve gout.
Gout patients can insist on drinking a cup of turnip miscellaneous grains powder every morning, which has a good effect on lowering uric acid and protecting kidneys.
Third, the dried tangerine peel is soaked in water
Pericarpium Citri Tangerinae is a kind of Chinese herbal medicine with high nutritional value and homology of medicine and food, which has a good health care and health preservation effect. Moreover, Pericarpium Citri Tangerinae itself has the function of clearing away heat, detoxifying and diuresis. If you insist on soaking in water with Pericarpium Citri Tangerinae every day, you can regulate the secretion in the body and excrete the toxic waste in the body.
Hello, everyone, I am a nephrologist. I think I should be able to say a few words about the problem of uric acid. I saw this problem today, in order to answer it as a "refutation post". As the saying goes, the causal cycle, gout was called "imperial disease" in the past. With the improvement of people's living conditions and the improvement of material level, gout has also entered thousands of households. In the end, it is related to diet.
Let's take a look at the ins and outs of uric acid, which is actually produced by the metabolism of DNA and/or RNA in our body. To put it bluntly, it is the metabolite of purine. Two-thirds of uric acid produced by our body every day is excreted by the kidneys, and the remaining 1/3 is decomposed and excreted by the intestines.
It is true that the description of gout mentioned by the subject is very painful. The acute attack of gout is often local redness, swelling and heat pain, and it is difficult to get to the ground. It is very easy to distinguish, but when it comes to the root cause of gout attack, in fact, many people mistakenly think that high uric acid will lead to gout attack. In fact, there are more than 700 patients with hemodialysis in our department of nephrology who have no gout, so I tell you here that the acute attack of gout is caused by the fluctuation of uric acid in the body (that is,
Therefore, if you want to have fewer gout attacks, the only thing you can do is to maintain the stability of uric acid level in your body. This is the only way to treat it. How can you maintain the stability of uric acid level in your body? That is, diet control combined with drug therapy. If the uric acid value of those with a history of gout is greater than the normal range, the uric acid should be controlled below 300 by drugs for three months, and if there is gout stone, it should be taken until the uric acid reaches the target value for six months.
At ordinary times, we must always remind ourselves of low purine diet, such as seafood, animal offal, beef, mutton, thick soup and other high purine foods refused to eat. Meat of poultry and animals such as chicken and duck can be used instead of meat (with lower purine content), and fruits with lower fructose content should be eaten more (such as green plum, cucumber, plum, tomato, olive, cherry, etc.).
On this basis, it is suggested to drink more than 2000ml of water every day, and go to the toilet frequently, and don't wait until you want to go. As for the so-called drinks, there is really not so much stress in clinic. I think it is enough to drink boiled water or pure water, and don't drink sugar-rich drinks and fruit juices (including carbonated drinks), so there is no so-called three kinds of water that can make uric acid excrete faster.