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Sunday, June 10, 2012

Gout Treatment Diet


Gout, one of the most painful types of arthritis, is characterized by elevated levels of uric acid in the blood (hyperuricemia). This condition leads to the accumulation of uric acid crystals on the joints, tendons and surrounding tissues, resulting in painful arthritis attacks. These crystals can also form masses, called 'tophi', on the joints. It has been observed that almost 90% of the gout patients are men and the most commonly affected part is the big toe. But it can also affect joints, like fingers, elbows, wrists, ankles, heel, instep, knees, or the spine. A gout attack is accompanied with stiffness and inflammation of the joint, redness, sudden pain, with or without mild fever. During the initial stages, the condition may disappear without treatment and may not recur for a long time. But repeated attacks, over a long time, can affect the mobility of the patient.

Gout Treatment

Gout is caused by the regular intake of food items with high purine content or due to the body's inability to excrete uric acid. It can also be an inherited abnormality. Some cases of gout develop due to medical conditions, like metabolic syndrome, leukemia, obesity, diabetes, hypertension, renal failure and hemolytic anemia. The treatment for gout is aimed at reducing the level of uric acid in the blood, preventing gout attacks, providing relief for the symptoms and preventing complications like kidney stones, formation of tophi and joint destruction.

Most gout cases are treated successfully, but if the patient has other medical conditions, or he is not complying to the treatment plan, it is difficult to cure the condition. Apart from alleviating pain and other related symptoms, medications are administered to bring down the serum uric acid. As far as prevention of gout is concerned, the contributory factors are studied carefully and relevant medications are prescribed along with lifestyle changes, which include dietary changes too.

Gout Treatment Diet

The main goal of dietary changes is to reduce the level of uric acid, which is formed by the breakdown of purines. Purines are found naturally in the body tissues and are also provided to the body through certain foods. According to some studies, patients who have adopted a gout treatment diet have been successful in reducing the symptoms of the disease. The most important part of this diet is the exclusion or reduction of foods that can cause gout as they are high in purine. They are meat, seafood, protein-rich foods and sweetened drinks. Foods which have very high purine content, like meat, liver, kidney, brain and sweetbreads, should be avoided.

Some types of seafood like anchovies, sardines, mussels, herring and mackerel also have high levels of purine. The intake of protein-rich food items, like meat products, eggs, poultry, fish and beans, should be limited. This loss can be compensated by including tofu and dairy products in your diet. Alcohol and sweetened sodas, which hamper the body's ability to flush out uric acid, should not be consumed, but drink lots of water to help the body in getting rid of uric acid through urine. Avoid brewers yeast (in beer) and baker's yeast (used in baked products), sugar, refined and junk food and caffeine. Lifestyle changes like quitting smoking, controlling obesity and timely food consumption, are also advised.

Gout is a disease which can be easily controlled by adhering to the treatment plan, including the medication, lifestyle changes and a proper gout treatment diet. There are also many natural gout remedies, which can provide relief from the symptoms. Gout home treatment includes the consumption of bananas, sweet or sour cherries, vegetable juice mixture (carrot, beetroot and cucumber), apple cider vinegar with honey, garlic, apple and lime juice with water. Proper exercises can also provide some relief to gout patients. But you have to seek advice from a qualified fitness trainer regarding exercises, which are best suited for your condition.

Disclaimer: This article is for informational purposes only and should not be used as a replacement for expert medical advice. Visiting your physician is the safest way to diagnose and treat any health condition.

Friday, June 1, 2012

Low Purine Foods


Purine is a substance that is found in the majority of foods that we consume and when purines are broken down by the body it produces uric acid. Uric acid is a waste by-product that is filtered out by the kidneys before being eliminated from the body. However some people are not able to flush out the uric acid from the body which can lead to gout.

Gout is a condition where there is a buildup of uric acid in the body which leads to the formation of urate crystals. These crystals which forms generally in the joints cause swelling and inflammation accompanied with severe pain. Although a gout attack can be treated with medicines, making dietary changes can help to prevent an attack. Limiting the amount of purine by consuming low purine foods is the best way to manage gout. Let us make a list of these low purine food items which will aid in drawing up a low purine diet.

Low Purine Foods Lists

Food Name Total Purines in mg
Apple 14
Broccoli 81
Strawberry 21
Potato 16
Orange 19
Dried Fig 64
Cucumber 7.3
Kale 48
Lettuce 13
Grape 27
Watercress 28
Cheddar Cheese 6
Green Pepper 55
Oyster Mushroom 50
Marinated Green Olives 29
Peanuts 79
Leek 74
Cantaloupe 33
Kiwi fruit 19
Cauliflower 51
Brussels Sprouts 69
Carrot 17
Aubergine 21
Banana 57
Soya beans 80
Cabbage 22
Cherry 7.1
Hazelnuts 37
Green Peas 84
Pineapple 19
Peach 21
Rhubarb 12
Chicory 12
Vienna Sausage 78
Spinach 57
Tofu 68
Yogurt 8.1
Tomato 11

High Purine Foods List

If you are suffering from gout then you need to avoid eating foods that are high in purine. Here is a list of foods that are high in purine.
  • Anchovies
  • Sweetbread
  • Consomme
  • Gravy
  • Sardines
  • Goose
  • Mincemeat
  • Mackerel
  • Mushrooms
  • Caviar
  • Tuna fish in Oil
  • Mussels
  • Sardines
  • Scallops
  • Bouillon
  • Red meat
  • Fish Roe
  • Foie Gras
It is best to avoid these food items. In addition to these dietary changes, a person suffering from gout should also take care of the following things.
  • Limit the amount of fat and increase the water intake. Drinking adequate amounts of liquid will keep the body hydrated and will help in flushing out the extra uric acid.
  • You also need to go easy on alcohol and should avoid drinking beer, whiskey, rum and gin as they contain very high amounts of purine.
  • If you are overweight you have a greater tendency of having a gout attack. It is best to lose the extra flab by opting for moderate exercise regularly. Do not indulge in any fad diets or quick weight loss schemes as you will end up harming your body.
  • Maintain an ideal body weight and follow a diet that is high in complex carbohydrates and low in protein.
  • Switch to brown rice and whole wheat bread and eat dairy products that are low-fat like skimmed milk, low-fat cheese and organic yogurt.
  • When you dine out or attend a party do not go overboard with the food and stick to healthy options like a clear soup instead of a cream based soup.
  • If you are having a salad, order a low-fat vinaigrette dressing instead of creamy dressings smothered in mayonnaise.
  • People suffering from gout should have no more than two to three eggs a week.
  • Avoid eating tofu and red meat altogether and have freshwater fish which is low in purine.
  • You also need to avoid organ meat like liver, brain, kidneys and heart of chicken, turkey or lamb.
So, this was all about low purine foods and how it should be incorporated in your diet to avoid a gout attack. Following a diet of low purine food for gout has been proved quite successful to decrease gout attack.