Saturday, December 10, 2011

Foods That Lower Gout Uric Acid


    Water helps flush your system of toxins, including uric acid. Herbal and green teas are good choices, too. And good news for coffee lovers: Your favorite beverage--if decaffeinated--does not raise uric acid levels.


    Cherries, whether fresh, frozen or dried, seem to reduce uric acid levels in the blood. Subjects in a University of California at Davis study showed reduced levels of common inflammatory blood markers after consuming cherries.

Low-Fat Dairy

    Studies at the Mount Sinai School of Medicine showed that a diet high in nonfat or low-fat dairy products reduces serum uric levels. Reductions were seen in both sexes and across a wide age span.

Potassium-Rich Foods

    Foods high in potassium should be a part of any healthy diet and are helpful for lowering uric acid levels in the blood. Bananas, apricots, melons and all meats and fish contain potassium.

Folic Acid

    A diet rich in folic acid may reduce uric acid levels. Folic acid is added to many breakfast cereals and occurs naturally in sunflower seeds, pinto beans, chick peas and lentils.

Foods To Avoid

    Certain foods raise uric acid levels quickly and drastically. Avoid alcohol and fatty red meats, yeast products and all fried foods. To lower uric acid levels, follow a sensible diet based on whole grains, vegetables and lean meats

Read more: Foods That Lower Uric Acid

Gout and Hyperuricemia tratament

Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints, it causes recurring attacks of joint inflammation (arthritis). Gout Uric Acid is considered a chronic and progressive disease. Chronic gout can also lead to deposits of hard lumps of uric acid in the tissues, particularly in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones (nephrolithiasis).
A common form of arthritis called gout is caused by high levels of uric acid in the blood stream. To prevent gout, those susceptible to these attacks need to know how to lower their uric acid levels. The easiest and healthiest way to lower uric acid is though proper eating habits and medication. This includes limiting alcohol and avoiding purine rich foods, which will convert to uric acid. Read on to learn how to lower uric acid to prevent gout.

Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history. It is often related to an inherited abnormality in the body's ability to process uric acid. Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid can cause attacks of painful arthritis (gout attack), kidney stones, and blockage of the kidney-filtering tubules with uric acid crystals, leading to kidney failure. On the other hand, some people may only develop elevated blood uric acid levels (hyperuricemia) without having manifestations of gout, such as arthritis or kidney problems. In USA, the state of elevated levels of uric acid in the blood without symptoms is referred to as asymptomatic hyperuricemia. Asymptomatic hyperuricemia is considered a precursor state to the development of gout. The term gout refers the disease that is caused by an overload of uric acid in the body, resulting in painful arthritic attacks and deposits of lumps of uric acid crystals in body tissues.
Gouty arthritis is typically an extremely painful attack with a rapid onset of joint inflammation. The joint inflammation is precipitated by deposits of uric acid crystals in the joint fluid (synovial fluid) and joint lining (synovial lining). Intense joint inflammation occurs as the immune system reacts, causing white blood cells to engulf the uric acid crystals and chemical messengers of inflammation to be released, leading to pain, heat, and redness of the joint tissues. As gout progresses, the attacks of gouty arthritis typically occur more frequently and often in additional joints.

Thursday, April 21, 2011

Can Alcohol Give You Gout? this is a question !

Question: Can drinking alcohol give you gout?
Answer: Gout, which is one of the most painful forms of arthritis, is caused by a build-up of crystals of uric acid in a joint. Alcohol can lead to increased production of uric acid so it puts you at a higher risk of getting gout.
Alcohol leads to gout in multiple ways:
  • It contains purines, proteins that are broken down into uric acid. Purines are found naturally in your body and in some foods.
  • It promotes dehydration which raises the uric-acid level in the blood.
  • It leads to the production of lactic acid, which can increase the level of uric acid.
  • It stimulates enzymes in the liver that break down proteins to produce more uric acid.
Often, gout affects joints in the lower part of the body such as the ankles, heels, knees, and especially the big toes. However, it can also attack the elbows, wrists and fingers.
Pseudogout has similar symptoms and is sometimes confused with gout. However, it is caused by calcium phosphate, not uric acid.
Gout is more common in men. Men are more likely to develop gout in their forties. Women generally get gout after menopause.
Early attacks usually subside within 3 to 10 days, even without treatment, and the next attack may not occur for months or even years. Uric acid buildup can lead to kidney stones. Untreated gout can cause permanent joint and kidney damage.
Most people with gout are able to control their symptoms with treatment. The most common treatments are high doses of oral non-steroidal anti-inflammatory drugs, or corticosteroids, which are taken by mouth or injected into the affected joint. Patients often begin to improve within a few hours of treatment.
More than two drinks a day for men and more than one for women increases the risk of getting gout. Other factors include family history of gout, high blood pressure, diabetes, high cholesterol, narrowing of the arteries, thiazide diuretics and low-dose aspirin.
No specific dietary changes have been proven to reduce your risk of gout. However, even though there is no absolute proof that a gout diet works, it seems like a sound idea to avoid purines. Foods high in purines include organ meats, anchovies, herring, mackerel, asparagus and mushrooms.
Some iffy stuff:
There are studies that show an association between coffee drinking and lower uric acid levels. The current evidence isn't strong enough to begin a coffee habit.
Vitamin C may reduce uric acid in your blood. However, vitamin C hasn't been studied as a treatment for gout.
Cherries have been linked to reduced uric acid in your blood, but it is unclear if they affect gout symptoms.

Tuesday, August 24, 2010

uric acid in the blood and these are deposited in small joints

Hyperuricemia is a metabolic disorder of purine, which appears excessive uric acid in the blood and these are deposited in small joints, whose disease is called gout. This deposition can cause destruction of joint tissues leading to chronic arthritis.

With progression of disease symptoms occur more frequently and more prolonged. An injury or a trivial exercise than usual can trigger episodes of swelling and joint pain, and questions arise with crises related to the excesses of food, drink or exercise.

Obesity is usually associated with this disorder. Fasting or a diet low in carbohydrates, can also precipitate a crisis.

Since the purine metabolism is altered, it is recommended to avoid foods very rich in this substance in order to avoid metabolic stress and help the treatment even with the need for medication.

Foods allowed include:

Cereals and derivatives
Milk and milk products
Vegetables except asparagus, mushrooms, peas, spinach, beans and lentils should be used sparingly (1 serving - 1 / 2 cup) per day or 5 days a week (depending on condition)
Butter or margarine
White bread, biscuits
Coffee, tea, chocolate
Gelatin desserts, ice cream
Foods that should be eaten sparingly include:

Fish (one weekly portion)
Birds (a small portion of about 80 grams per day)
Beef (a small portion of about 80 grams per day)
Egg (3 units per week)
Pulses (beans beans, 1 / cup daily)
The foods are strictly forbidden:

Broth in tablets
Anchovy, Mussels, Sardines
Heart, Kidneys, Liver
Fermented foods
Alcoholic beverages, especially beer
Tomato sauce

Sorting Out The Myths

More importantly, how does a person begin to sort the myths from the facts and decide what to buy at the grocery store? According to the University of Washington, Department of Orthopedics:

Obesity can be linked to high uric acid levels in the blood. People who are overweight should consult with their doctor to decide on a reasonable weight-loss program. Fasting or severe dieting can actually raise uric acid levels and cause gout to worsen.

Usually people can eat what they like within limits. People who have kidney stones due to uric acid may need to actually eliminate purine-rich foods from their diet because those foods can raise their uric acid level.
Consuming coffee and tea is not a problem but alcohol can raise uric acid levels and provoke an episode of gout. Drinking at least 10-12 eight-ounce glasses of non-alcoholic fluids every day is recommended, especially for people with kidney stones, to help flush the uric acid crystals from the body.
Foods Higher In Purines

Johns Hopkins lists foods which are higher in purines

Foods very high in purines include:

Foods moderately high in purines include:

Gout Medications

Experts at Mayo Clinic suggest that medications for gout have reduced the need for dietary restrictions, but some modification can decrease the severity or frequency of gout attacks. Dietary modification may also be preferred by people who cannot tolerate gout medications.

How To Treat Gout With Diet And Medication
More Reading:

Gout Diet: Foods To Eat
It is well known that a person with gout should avoid purine-rich foods. What should they eat though? What foods will lower the risk of another gout attack?
Gout: Avoiding Purine-Rich Foods
Along with specific prescribed medications, people with gout are usually advised to reduce their intake of purine-rich foods. That dietary recommendation begs the question, what foods are purine-rich?
Gout Prevention And Treatment
Options for preventing and treating gout.

Gout Diet: Foods To Avoid

Diets which are high in purines and high in protein have long been suspected of causing an increased risk of gout (a type of arthritis caused by high levels of uric acid in the body which form crystals in the joints, resulting in pain and inflammation). Results from a study led by Dr. Hyon K. Choi, reported in the March 11, 2004 issue of The New England Journal of Medicine, offer an interesting twist.

Choi's research team followed 47,150 men with no prior history of gout over a 12-year period. The conclusion: during the 12 year period of assessment, 730 men were diagnosed with gout.

Study participants who consumed the highest amount of meat were 40 percent more likely to have gout than those who ate the least amount of meat.
Study participants who ate the most seafood were 50 percent more likely to have gout.
In this specific study, though, not all purine-rich foods were associated with an increased risk of gout. There was no increased risk associated with a diet which included:

Even though these foods are considered high in purines. Choi's team also found that low-fat dairy products decrease the risk of gout and overall protein intake had no effect. Ultimately, diets shown to be connected to gout are the same kinds of diet linked to cardiovascular disease.

Recommendations For Seafood Should Be Individualized

At this point, it may seem like it gets confusing. Isn't seafood typically recommended as part of a diet which is healthy for the heart? Yet research has revealed that there is a strong, undeniable link between seafood and gout. How does Choi reconcile what seems like conflicting information? He believes "recommendations for seafood should be individualized."

How can I prevent gout?

Individuals often learn what causes their own gout attacks. As previously discussed, certain foods with high concentrations of purines can be avoided. Drinking alcohol should be moderated. Prescription and non-prescription medications should be reviewed with your doctor (it is important that you not discontinue a medication without consulting your doctor, as an untreated condition such as high blood pressure may be worse than a gouty attack). Other common causes of a gouty attacks include dehydration, injury to a joint, surgery, and a febrile illness. Prevention should focus on avoidance of these situations. If surgery is needed, discuss with your doctor whether prophylactic medication to prevent a gouty attack is appropriate.