Dietary advice for Gout
Gout
is an inherited condition of abnormal purine metabolism. Purines are nitrogren
containing compounds that are broken down in the body to uric acid. Normally
uric acid is eliminated in the urine. In gout the blood uric acid is elevated
and some of the uric acid is deposited as an insoluble salt in the big toe and
sometimes knee causing severe pain.
Medications
are effective in relieving pain and in increasing the excretion of uric acid. A
high-fluid intake is desirable. A purine-restricted diet, by itself is of
little value but is recommended by some physicians together with medication.
Patients are usually advised to avoid alcohol and foods that are high in
purines.Our Naturopaths can help you with a specific diet plan.
Avoid:
Alcohol;
Organ meats; Anchovies; Shellfish; Cauliflower; Mushrooms; Wholegrain cereal;
Red meat; Herring; Meat extracts; Asparagus; Peas; Sardines; Mackerel; Yeast
extracts; Spinach; Legumes, tomatoes.
During
an acute attack you should also avoid: Meat , Fish and Poultry…which are
moderate sources of purines. When the acute attack has subsided, small servings
of meat, fish and poultry are again introduced. Milk, cheese, eggs and legumes
are good protein sources in the low purine diet.
Many
patients with gout are obese. Weight loss increases the blood level of uric
acid and may bring about an acute attack. If recommended, weight loss should be
gradual. A low calorie diet should not be intiated during an acute attack
because this could further aggravate the symptoms. Starvation regimens are
prohibited.
Untreated
gout could cause kidney damage and / or permanent disfiguring of joints.
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