Gout is a form of arthritis that occurs when uric acid accumulates in a joint, leading to a sudden onset of intense pain and inflammation. While this problem is not life threatening, it can be debilitating.
Uric acid, is a substance created by the breakdown of foods containing high amounts of purines, a component of protein found in organ meat, seafood, and fish. Uric acid is normally eliminated in the urine. However, some people produce high amounts or are not able to eliminate it properly, leading to a buildup in the blood and the formation of uric acid crystals in the joints.
Gout is characterized by excruciating, sudden, unexpected, burning pain, as well as swelling, redness, warmth, and stiffness in the affected joint.
Generally high levels of uric acid in the blood are caused by protein rich foods, However, alcohol intake often causes acute attacks of gout and hereditary factors may contribute to the elevation of uric acid. Typically, persons with gout are obese, predisposed to diabetes and hypertension, and at higher risk of heart disease. It used to be thought that Gout was a rich man’s disease because it was more common in affluent societies due to a diet rich in proteins, fat, and alcohol.
Gout Diet/Low Purine Diet
- Alcohol, especially beer, should be avoided. Limit alcohol consumption to 1 drink 3 times a week.
- Drink 2 to 3 L of fluid daily. Adequate fluid intake helps dilute urinary uric acid. Avoid High-Purine foods such as Sweetbreads, Anchovies, Sardines,Liver,Beef kidneys,Brains, Meat extracts (e.g Oxo, Bovril), Herring, Mackerel, Scallops, Game Meats, Gravy
- Consume a moderate amount of protein. Limit meat, fish and poultry to 4-6 oz per day. Try other low-purine good protein foods such as low fat dairy products, tofu and eggs.
- Limit fat intake be choosing leaner meats, foods prepared with less oils and lower fat dairy products.
Aside from avoiding high purine foods, maintaining a healthy body weight is important for gout patients as well. Obesity can result in increased uric acid production by the body. Follow a well-balanced diet to lose excess body weight. Do not follow a high-protein low-carb diet as this can worsen gout conditions. The best diet is the Low-glycemic Diet as outlines in the Low GLycemic Meals in Minutes Cookbook
A recent study revealed that high intake of low-fat dairy products indeed reduces the risk of gout by 50%. It is unknown why low-fat fairy products offer a protective effect.
Other food that are beneficial for gout are Cherries, strawberries and blueberries, red pepper, Citrus fruit - as they help to reduce uric acid levels. Flaxseed provides essential fatty acids, which help to reduce the inflammation.