Tag: uric acid

  • Eating Right With Gout

    SELF-CARE CORNER

    Variety of leaft greens.

    Gout is a type of arthritis. It can develop if a person has high levels of a substance called uric acid in their blood. Uric acid can form sharp crystals in the joints. This can cause severe pain, redness, warmth and swelling. Gout often affects the big toe, but it can affect other joints.

    Sometimes gout doesn’t cause any pain for a while. Then, a person may get severe pain in the affected joint. This is called a gout attack. When a gout attack happens, uric acid levels go up or the crystals in the joint cause irritation. A gout attack is very painful.

    In addition to pain, gout can cause heart problems. People who have gout may be more likely to have heart failure, a heart attack or stroke. Eating certain foods can help keep uric acid levels low. This can help a person prevent gout attacks.

    What to eat with gout

    If you have gout, you may want to eat more of the following foods:

    *  Leafy green vegetables

    *  Other green vegetables like green beans and peas

    *  Legumes like beans and lentils

    *  Tofu

    *  Low-fat or fat-free milk and dairy products

    *  Whole grain breads and cereals

    *  Vegetable oils like olive oil

    *  Coffee (if you already drink it)

    *  Citrus fruits like grapefruit and oranges

    *  Pineapple

    *  Strawberries

    *  Cherries

    In addition, drink at least eight glasses of water a day.

    Skip these foods & drinks

    Certain foods and beverages can trigger gout attacks. Avoid the following:

    *  Beer (alcoholic and  non-alcoholic)

    *  Alcoholic drinks

    *  Soda, fruit juice, and foods with high-fructose corn syrup

    *  Organ meats like liver and sweetbreads

    *  Cold water fish like tuna, salmon and trout

    *  Shellfish like mussels, scallops, squid, shrimp, oysters, crab and lobster

    Eating a healthy diet is a great way to manage gout and help avoid attacks. It also helps to get regular exercise. Be sure to see your doctor as recommended. Your doctor may prescribe gout medication if needed and will discuss your heart disease risk.

    Sources: American Heart Association, Arthritis Foundation

    © American Institute for Preventive Medicine

  • Gout: Relief At Last

    Abdominal & Urinary Conditions

    If you wake up in the middle of the night with excruciating pain in your big toe, you could have gout. Or perhaps your instep, heel, ankle, or knee hurts. How about your wrists and elbows? Your joints can become so inflamed that even rubbing against the bed sheet can be torture. You may even experience fever and chills.

    Gout is a form of arthritis most common in men in their fifties. It is caused by increased blood levels of uric acid, produced by the breakdown of protein in the body. When blood levels of uric acid rise above a critical level, thousands of hard, tiny uric acid crystals collect in the joints. These crystals act like tiny, hot, jagged shards of glass, resulting in pain and inflammation. Crystals can collect in the tendons and cartilage, in the kidneys (as kidney stones), and in the fatty tissues beneath the skin.

    A gout attack can last several hours to a few days and can be triggered by:

    *  Mild trauma or blow to the joint.

    *  Drinking alcohol (beer and wine more so than distilled alcohol).

    *  Eating a diet rich in red meat (especially organ meats such as liver, kidney, or tongue).

    *  Eating sardines or anchovies.

    *  Taking certain drugs, such as diuretics.

    Illustration of gout.

    Don’t assume you have gout without consulting a physician. Many conditions can mimic an acute attack of gout (including infection, injury, or rheumatoid arthritis). A doctor can accurately diagnose your problem.

    If you do have gout, treatment will depend on why your uric acid levels are high. Your doctor can conduct a simple test to determine whether your kidneys aren’t clearing uric acid from the blood the way they should, or whether your body simply produces too much uric acid.

    The first goal, then, is to relieve the acute gout attack. The second goal is to normalize the uric acid levels to prevent a recurrence.

    *  For immediate relief, your doctor may prescribe colchicine or a nonsteroidal anti-inflammatory drug and tell you to rest the affected joint.

    *  For long-term relief, your doctor will probably recommend that you lose excess weight, limit your intake of alcohol and red meat, drink lots of liquids, and take medication (if necessary).

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine