All about Gout-Main causes, Purine-rich foods, Low purine diet and Medication

All about Gout-Main causes, Purine-rich foods, Low purine diet and Medication

What gout is it?

What gout is it: Gout is a metabolic disease that results from excessive amounts of uric acid in the body. The drop results in an excess of uric acid in the blood. Uric acid is a substance present in the blood.

High uric acid production, decreased excretion by the kidneys, or a combination of the two can cause abnormally high levels and lead to gout.

It causes acute inflammatory painful attacks of the joints, especially the big toes. These uric acid crystals lodge in the joints. This causes inflammation of the joint known as a gout attack.

The disease affects about 1% of men in developed countries. The peak of events is between 50 and 60 years. It is a medieval disease. This condition can be associated with certain diseases, especially hematological or medication. In most cases, the disease targets the joint located at the base of the large foot.

However, in more than 90% of cases, gout is said to be primary: an increase in Uric acid due to a diet (overeating and purine-rich foods, substances that will degrade uric acid by the body) or hereditary causes.

  

Indeed, uric acid gradually accumulates in crystalline form in various parts of the body especially in the joints without mat treatment the storage of uric acid in the joints, skin, and kidneys changes which can lead to kidney failure and severe joint damage. 1% to 2% of the adult population is affected by gout hummus and gout

A gout attack usually occurs suddenly and unexpectedly - often during sleep - and is characterized by severe pain and inflammation of the affected joints (often the ankle joint). 

About 1% to 2% of the adult population develops gout. Men are more affected than women. As we age, the percentage also increases (7% among men and 3% among women) there is hummus and gout.

It is a valuable question about what gout is it? And what is the main causes of gout? There is more information about gout. It will help you to know more about this killer disease.

Read also: Best Diet for Uric acid: what’s allowed and what uric acid foods to avoid?

What are the main causes of gout?

Gout causes:

Mainly the gout causes are inflammatory reactions due to crystal formation are called gout attacks. Crystals formed in the joints resulting from a high level of uric acid in the blood. Uric acid levels vary according to the balance between the production and elimination of this acid. 

Production comes from the functionality and supply of nutrients to metabolic cells when eliminated by the kidneys.

Thus, often the overflow of uric acid results in poor elimination by the kidneys, there is gout causes due to heredity, which is characterized by abnormalities in the transport of uric acid in the kidneys. 

Certain actions such as diuretics or aspirin also prevent this elimination. Finally, note that one of the reasons for gout is low food from excessive consumption of beer, strong alcohol, or very Sweet soda in favor of a rapid increase in uric acid levels. We must also be careful not to eat too much animal protein because it can be gout causes.

Other conditions can also cause gout, especially in women after menopause: kidney failure, high blood pressure, thyroid disorder, psoriasis, alcohol, etc. Medicines (for example, some diuretics) can cause high uric acid levels and require regular monitoring.

Read also: How to reduce uric acid level naturally? Causes, Symptoms and Treatment

What are purine rich foods?

High purine foods:

As part of a special gout diet, you are advised to avoid or greatly reduce the amount of purine-rich foods or foods that cause gout. Generally red meat, alcohol, fish and seafood is associated with an increased risk of gout. It is strongly recommended to limit the consumption of meat to 150 grams per day. 

 

Purine rich foods list (Foods that cause gout):

•          Herring
•          Shrimp
•          Liver
•          Game
•          Red meat
•          Mackerel
•          Herring
•          Sardine
•          Wine sauce

Foods with moderate purine content is:

•          Asparagus
•          Mushrooms
•          Cauliflower
•          Spinach
•          Oatmeal
•          Seafood
•          legumes
•          Bread and whole grains
•          Freshwater and sea fish
•          Peas
•          Meat broth
•          Bran and wheat germs
•          Meat and poultry
•          Saturated fatty acids

Saturated fatty acids reduce the body's ability to remove uric acid. Also, taking lipid-rich foods encourages weight gain which in turn increases the risk of gout. This is a vicious circle that we need to pay attention to.

Read also: Gout: Causes, Symptoms, foods to avoid, Treatment and medication

What to eat for gout?

“How to reduce the risk of gout attack through food” that’s a question of many people.

This information sheet provides a better understanding of how uric acid levels can be reduced by adopting new gout diets. 

For this, it will be necessary to first learn to know and avoid purine-rich foods and go for low purine recipes. Other complementary measures may further increase gout attacks by lowering insulin resistance or protecting the liver.

Eat a low-purine diet to reduce uric acid levels:

 

Following our recommendations will make it easier for you to choose foods rich in purines and integrate them into your diet plan.

By providing a supply of vitamin C, omega-3, and protective foods you will be more likely to relieve gout attacks and thus improve your quality of life.

Low purine food chart:

As part of a special gout diet and to reduce uric acid levels, foods with low purine content foods to eat with gout. This help prevent seizures and reduce gout-related symptoms.

Low purine foods chart:

•          Drinks: tea, coffee, water
•          Cheese
•          Fruit
•          Almonds
•          Light dairy products
•          Greens - Vegetables
•          Eggs
•          Bread and cereals (excluding whole grains)
•          Vegetable soup
•          Take protective foods

Certain foods should be chosen as low purine recipes. Some studies have shown that low-fat ingredients in dairy products help reduce the risk of gout. It is recommended to distribute protein and carbohydrates foods to eat with gout throughout the day by taking 3 balanced meals and snacks as needed.

Protective foods for gout diet:

•          Low-fat dairy products
•          Fruit
•          Vegetables
•          Nuts
•          Legumes
•          Vitamin C

Some studies suggest that uric acid levels may be associated with vitamin C intake. Vitamin C could potentially play a protective role but additional studies will be needed to confirm this. 

So it is advisable to increase your intake of vitamin C rich fruits and vegetables for a gout diet.

The best sources of vitamin C are:

•          Red pepper bell
•          Papaya
•          Kiwi
•          Orange
•          Mango
•          Broccoli
•          Brussels sprouts
•          Strawberries
•          Grapefruit
•          Vegetable juice
•          Good water circulation

Proper hydration will help reduce gout attacks. It is recommended to drink at least 2 liters of water per day. Dehydration is a risk factor that can lead to gout attacks.

In fact, adequate amounts of water can help eliminate uric acid. Coffee should not be avoided, even if it seems that regular and moderate use of coffee has a protective effect.

READ ALSO: 14 Effective ways to increase testosterone levels naturally.

 

Omega 3 for Gout diet:

Compared to saturated and trans fatty acids that harm the liver health, omega 3s help fight inflammation and are therefore beneficial as part of a special gout diet. 

But be careful, you should be on the side of vegetable sources of omega-3. In fact, marine sources of omega-3 are foods that are usually rich in purines.

Omega-3 rich foods are good for gout:

•          Moisturizing oil
•          Almond oil
•          Colza oil
•          Nuts
•          Chia and fox seeds

What foods should be avoided as part of gout?

While certain foods are not enough to fight gout, it is most important to avoid those foods that cause gout. 

Likewise, certain foods damage liver health and can worsen insulin resistance and gout attacks.

Uric acid is a metabolic waste product from the digestion of a certain food. When there is too much of it in the blood, it triggers a painful gout attack. 

To eliminate this inflammatory rheumatic disease, it is necessary to avoid foods rich in uric acids, such as poultry (especially skin), beef, legumes, fish, and seafood, Coffee that purine rich foods should be banned.

Low-fat foods

The connections between sugar intake and gout are well-established enough thanks to a large international organization, which is the basis of this disease.

It is better to eat low-fat foods as low purine foods; high fat intake increases the presence of so-called ketones which prevent the elimination of uric acid by the kidneys. No more sauces and fried foods.

Dairy products

Dairy products can be eaten without restraint. They stimulate uric acid elimination by an effect associated with lactic proteins (casein, lactalbumin). Protein foods of plant origin are also important because they compensate for the reduction in meat and fish consumption.

What medication for gout?

Gout Diagnosis:

The most visible element for the healthcare professional is the presence of liquid crystals in the joints. The microscopic examination of this fluid after sampling makes it possible to detect it.

For the Gout treatment, some medications are effective in reducing joint pain. However, it is better to treat hyperuricemia to prevent risk. To do this, you must drink plenty of water to encourage kidney elimination and gradually reduce excessive consumption of alcoholic beverages and high-calorie foods.

The disease is abnormally high in the blood due to levels of uric acid: this waste forms crystals when it accumulates, so inflammation of the joints, starting with the big toe. Painkillers and anti-inflammatory drugs are then added to a range of other molecules capable of lowering uric acid levels.

However, in order to be effective, these drugs must be taken wisely as Gout treatment: it is important to understand the difference between treating a crisis and preventing it, including the elimination of certain amounts of drink and food.

If gout has hereditary factors, the share of genetic factors in poor elimination of uric acid by the kidneys is only 20%. The decay product of nitrogenous substances called purine, uric acid is usually eliminated thanks to the activity of intestinal bacteria through kidney pruning. 

In most cases, gout is associated with obesity, diabetes, hypertension (metabolic syndrome). It is recommended to control it to ensure the success of many disorders and liability physician assumptions associated with a lot of life hygiene (this is true, but it is complex).

Some pain relievers such as colchicine, the standard Gout treatment: It is very effective for this, but is often rarely tolerated in high doses (diarrhea, etc.), so its use is nonsteroidal anti-inflammatory drugs (NSAIDs) or cortisone infiltration. Others are used in the long run, either to reduce uric acid production (allopurinol) or to facilitate its elimination (probenecid).

Good nutrition for Gout treatment:

One of the primary dietary rules for gout sufferers is to avoid high-quality foods such as chicken, turkey, beef, veal, sausage, salted bacon, anchovies, salmon, trout, crab, lobster, tuna, and lentils. Suffer from dementia but avoid taking these High purine foods especially during gout attacks. 

Use cold-pressed vegetable oil instead of butter, fat, and margarine. Choose fresh fruits and vegetables other than cauliflower, spinach, and peas. The best choices are celery and carrot juice, as well as cabbage, which can be a Gout treatment diet.

As for the grains, make them a whole choice, including barley, rice, and wheat. On the other hand, dried fruits and fruit juices are also recommended. People at risk for the disease should choose selenium-rich foods (broccoli, Brazil nuts, wheat germ, etc.); omega-3 fatty acids (nuts, chia seeds, sardines) and omega-6 fatty acids (nuts, sunflower seeds, etc.) are treated as low purine food.

To encourage uric acid elimination, it is very important to drink enough water between 2 and 3L per day.

Gout treatment at home:

The following methods are extremely useful for treating gout naturally:

1. A poultice with activated charcoal and flax seeds:

Grind about half a cup of activated charcoal to make a thick paste by mixing it with a teaspoon of discipline seeds and a little water.

Apply the paste on the affected joint and wrap it with cling film. Leave it overnight and the symptoms will improve considerably.

2. Butter and Alcohol at home:

Melt some homemade butter (unsalted) in the saucepan until it is crispy, then carefully add the alcohol and let the mixture “burn”. Then store your gout remedy in a container and refrigerate it.

If you have gout use this Gout treatment at home, apply the mixture and massage the affected joint in a circular motion.

3. Celery juice at home:

Mix 500 grams of celery with a little lemon juice and drink quickly. This natural remedy for gout quickly relieves its symptoms, as celery (in the form of tablets with fresh or celery seed extract) helps in the removal of uric acid, it can be taken as Gout treatment at home.

Celery seeds can lower uric acid levels, according to 2008 A Chinese study in the Journal of Food Science and Laboratory Animals.

4. Lemon and Garlic:

Carefully wash 4 lemons, remove seeds and chop with 3 cloves garlic. Then add 7 cups of boiling water and mix. Let macerate throughout the day, filter this natural gout remedy 40 ml later and eat once, before meals as gout treatment diet.

Lemons are rich in vitamin C, which can lead to the secretion of uric acid involved in the development of this health problem.

Reference:

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