Wednesday 11 December 2013

Dietary Change is a MUST in Gout Patients

Gout is a terrible, painful condition that is now affecting almost 1% of the world's population.
It is a medical condition that can be prevented, if not well-controlled if proper education and awareness is present among this group.

Gout & Uric Acid
Gout is closely linked with the levels of uric acid in our body. Uric acid is a by-product of the metabolism of foods rich  in purines, and is also made by the body. Excess uric acid is transferred by the kidneys to urine and removed by the body. People with gout either produce too much uric acid or their kidneys are unable to dispose of it sufficiently. As a result, uric acid accumulates and forms tiny needle-shaped crystals in the joints, causing excruciating pain and inflammation.

A gout attack can occur overnight, followed by severe pain and joint inflammation that can last between 5-10 days. The big toe where it joins the ball of the foot, the instep, ankle, knee, kneecap, wrist, tip of the elbow, and fingers can all be affected. 

        

Medications
Medical advice should be sought early; non-steroidal anti-inflammatory drugs (NSAIDs) can be a group of very effective pain killers to relieve gout pain. DO NOT TAKE ASPIRIN to relieve pain from an episode of gout attack. Colchicine is usually used together with NSAIDs for a short period.

The mainstay treatment of gout is to ensure that drugs used to control uric acid levels (such as Allopurinol/Probencid) must be taken EVERY DAY, even when there is NO ACUTE PAIN!


Dietary Changes
Gout patients MUST avoid all foods containing high levels of purines. 
IF DIET IS NOT CHANGED, THERE IS NO CURE TO GOUT.

1. Avoid/Restrict foods high in purines such as sardines, anchovies, shell fish, fish roe, peas, lentils, beans, Marmite and Vegemite.

2. Avoid large amounts of red meat.

3. Drink alcohol in moderation.

4. Drink plenty of non-alcoholic fluids, as dehydration can trigger an attack!





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