How Gout Is Caused
Gout is a type of arthritis that causes intense pain in your joints when too much crystalized uric acid collects there. One factor that contributes to the levels of uric acid in your blood is the food you eat. Your body makes the acid crystals when it breaks down the purines in your food. Now, some foods have a much higher purine content than others. These are the foods that you want to limit or avoid altogether, since they can act as gout triggers.
What Is Gout And What Causes It
Before we can look at foods to avoid with gout, it is necessary to briefly understand what it is.
Gout is a form of joint inflammation, caused by excessive uric acid in circulation .
When the bodys natural uric acid threshold is exceeded, painful crystals can form in and around the joints. These crystals trigger the characteristic symptoms and pain.
Not everybody with high uric acid levels will get gout, but those who do always have high uric acid levels. This indicates there are other factors at play, but from a dietary perspective uric acid is the focus.
Excessive uric acid in the blood stream is typically driven by two factors: genetic predisposition and the ingestion of high-purine foods. Obviously, the dietary factor we can control.
When purines we eat are broken down and metabolised by the body, uric acid is formed as a by-product of this process. Its normal and healthy for uric acid to be formed, but excessive amounts are problematic.
Therefore, consuming less purine-rich foods should lower uric acid levels in your blood, lowering gout risk.
At least, in theory.
Its actually not that clear-cut because other nutrients appear to aggravate gout symptoms too
Heres a list of foods to avoid if you have gout, based on real scientific evidence.
A Caution About Vegetables
As good as vegetables are in general, some are high in purines, including asparagus, spinach, cauliflower, peas, and mushrooms. However, high-purine vegetables dont seem to aggravate gout the same way that high-purine animal-based foods do, Sandon says, adding that, as long as its a vegetable source, you can eat it. One further precaution when balancing foods and gout: Some dried beans, particularly fava and garbanzo, are high in purines, and you may find you need to avoid them.
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Can You Eat Pork Sausage With Gout
In order to avoid gout, consumption of high-purine cuts and products of pork is not advisable. There is a limited amount of lean pork cuts to eat each month due to their lower purine content. Your diet should account for its calorie intake differently based on your cooking method and any other food you eat.
Foods With Added Nitrates
Many processed meats are high in nitrates. While these nitrates are useful for preserving and improving the color of food, they are not good for your health. Many studies recommend that vitamin C be added to cured meats high in nitrates to prevent the formation of harmful nitrite compounds.These 4 foods are some of the worst offenders for added nitrates:
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Aspirin And Diuretics Significantly Increase Gout Risk
Not exactly foods to avoid with gout, but the ingestion of some common medications sharply raise the risk of a gout attack.
Specifically, low doses of aspirin, which one in three middle-aged Americans takes regularly to help prevent heart disease .
The emphasis is on low doses because aspirin has a dual effect on uric acid levels. Very high doses above 3,000 mg promotes excretion of uric acid , whereas low doses prevent excretion .
In a study of 49 elderly patients, just 75 mg of aspirin per day increased blood uric acid levels by 6% within one week. A daily dose of 150 mg kept levels high during the second week, before coming down with 300 mg doses in the third week .
Considering the typical dose for heart disease prevention is 81-325 mg per day, it is no real surprise this dosage is associated with a doubling in gout risk. In fact, even the use of a low-dose aspirin for two consecutive days increases risk of recurrent gout attacks .
Another type of medication known to trigger gout is diuretics. They are typically used to treat high blood pressure and oedema, and if feasible should be discontinued in gout sufferers.
Im by no means recommending you cease your medications if you have gout, but its important to understand the pharmaceutical triggers. First speak with your doctor and closely monitor uric acid levels before making any changes.
And if you need a temporary painkiller, choose paracetamol or ibuprofen. No aspirin.
All Beef: Unhealthiest: Ball Park Beef Franks
Sodium: 510 milligramsCholesterol: 30 milligrams
Ball Park Beef Franks are made of much more than beef. In fact, corn syrup is listed as the third ingredient. There are also scary-sounding ingredients like potassium lactate, sodium phosphate and sodium diacetate but don’t worry, theyre just flavor enhancers and preservatives and safe to eat. One thing to be aware of, however, is the sodium content of this hot dog 510 milligrams. Processed foods with lots of salt are one of the foods that are putting your blood pressure through the roof.
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Is Pork Sausage Bad For The Gout
Gout is completely preventable from pork. This can lead to a higher risk for gout, however, if a person consumes a lot of quinoa. In gout, uric acid is produced by the body more rapidly than it can be removed, resulting in crystals formed in the joints and tissues as a result. Is bacon bad for you?? ?
Organ Meats Are Extremely High In Purines And Should Also Be Avoided
Organ meats, known as Offal, contain by far the most purines of any food in the human diet.
The most common forms of offal in the Western diet include liver , brain, heart, kidneys, and a mixture called Pâté.
Below is the purine content of a handful of foods. Note this is just an example Ive selected, and you can find much more extensive lists on Goutpal or here.
Purine Content of Food :
Consider that values listed are per 100 grams, so portion sizes must be taken into account Meat portions we eat tend to be heaviest.
Previous studies have not differentiated between intake of conventional meat and offal, so recommendations have to be the same. Given the strong link between meat intake and gout which is based on purine content alone offal should definitely be avoided too.
Somewhat contradictory to the purine-gout theory, consumption of purine-rich vegetables is not associated with an increased risk of gout .
Researchers speculate this could be due to a lower bioavailability of purines in vegetabes, as well as other nutrients which may offset the harmful effects of their purines.
Summary: Organ meats are some of the highest purine foods and should be completely avoided if you suffer gout attacks.
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Can You Cook Out Purines
We also confirmed that boiling significantly transferred purine bases from fish to cooking liquid. Thus, boiling could reduce the purine content of fish, thereby reducing the risk of hyperuricemia and gout.
Is Roast beef high in purines?
Meat: Though no longer part of a common diet in the United States, organ meats, such as liver, sweetbreads, and brains, are most dangerous for those with gout. High purine content: Bacon, turkey, veal, venison. Medium purine content: Beef, chicken, duck, ham, pork.
Helps Repair And Build Your Body’s Tissue
One 6-inch hot dog provides about 5.1 grams of protein. This macronutrient is known to help repair and build your body’s tissues. However, you certainly want to keep hot dogs on the menu for an occasional treat as it does have its setbacks, too. For that reason, it’s wise to stock up on these The 30 Best High-Protein Foods for Metabolism instead.
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Are Hot Dogs Ok For Gout
Tis the season for cookouts and burgers. Its hard to avoid gout-causing foods sometimes, but preventing a painful flare-up is worth foregoing a hotdog or two in the end.
Is Hamburger bad for gout?
How do animal proteins affect people with gout? Since the buildup of purines can lead to elevated levels of uric acid, which in turn may result in gout, its best to avoid or strictly limit these foods. These foods are somewhat high in purines and should be eaten in moderation: beef.
Frequent Consumption Of Certain Fruits May Trigger Recurrent Gout Attacks
High sugar drinks may not be the only stimulant of gout flare ups.
Certain fruits which are a natural source of fructose have also been linked with gout.
This is a highly contentious area, because several studies have linked higher fruit intake with less incidence of gout. This is probably due to their high fibre content .
And unlike fruit juice and other sugar-sweetened drinks, whole fruits are nutritious and generally good for health. There is no disputing this.
However, if you continually have gout attacks despite cutting out alcohol and sugar-sweetened drinks then Im not convinced a large amount of fruits are safe for you. Especially if you are overweight and eat a Western diet.
So cutting back on certain very high-fructose fruits is like a Plan D, if you will.
The link comes back to fructose, which stimulates uric acid production in a similar manner to alcohol. Fructose is naturally found in fruit and honey.
One study found that the consumption of apples or oranges the most popular fruits in this study was linked with an increased risk of gout compared to those who consume less than one serving of fruit per month. No link was found with other fruits however .
While most fruits are very low in fructose, a few are very high. Frequent consumption of these could theoretically causes problems for gout sufferers.
Foods Highest in Fructose per 200 Calories :
Note this list is ranked on a per calorie basis, not per serving.
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Processed Meat And Gout
As a gout sufferer, you are probably already aware that certain red meats and organ meats are high in purines therefore, consumption of this food group should be limited. There are already several studies proving that individuals with diets consisting of processed sweet, salty food as well as red and processed meats are at higher risk for gout.
Take note that these processed meats are the worst offenders when it comes to gout. They are very high in saturated fat and sodium and should avoided as much as possible.
Too much salt is bad for your gout condition. It damages your kidneys making it not function as efficiently as it should to excrete uric acid. One study published in Circulation says that those with high salt intake had higher levels of urine albumin excretion and serum uric acid. This puts them at higher risk for hypertension.
Albumin in your urine is also a sign that you have kidney damage. To make it even worse, salty foods are designed to be addictive. It may not sound so crazy after all to think that people with unhealthy habits tend to eat processed meat too. Its not just a habit just but an addiction that keeps them coming back for more.
When shopping for meat, we often use pinkness as a measure of its freshness. However, this does not apply to processed meats. If bacon, ham, or salami is pink, you can best be assured that its been treated with nitrates and nitrites to hide its greyish brown color.
It May Increase Your Risk For Cancer
Hot dogs contain preservatives called nitrites and nitrates, which are added to help lengthen shelf life and minimize bacterial growth. Nitrites are also responsible for giving hot dogs their bright red color. The issue is, there is a possible link between the consumption of nitrites and cancer. If you really want to chow down on hot dogs, then look for labels that are nitrate-free, no-added nitrates, or uncured .
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Hot Dogs And Other Processed Meats And The Risk Of Childhood Leukemia
Food consumption has been implicated as a risk factor in many cancers, including colorectal, prostate, lung, breast and pediatric leukemia . Pediatric Leukemia is the leading cause of cancer-related death for children under the age of 15. Due to the severity of the disease, it is important to recognize signs of leukemia in children. Despite the high incidence of pediatric leukemia, only a handful of studies has been published exploring the relationship between childhood nutrition and occurrence of leukemia. Furthermore, physicians place little importance on the type of diet a child should lead in order to avoid the risk of leukemia .
Is A Hamburger High In Purines
In spite of the fact that organ meats like liver, sweetbreads, and brains arent common in the US these days, theyre thought to be the most harmful foods for gout sufferers. Lamb, pork, veal, deer are some high-protein meats. Besides beef, chicken, duck, ham, and pork, medium phosphate content is present in poultry products as well.
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Tips For A Healthy Gout Diet
- Choose plant-based proteins, such as beans, tofu, or lentils, instead of red meat and organ meat.
- Low-fat dairy products, such as yogurt and cheese, are also good protein sources.
- Eating fruit instead of dessert or sugar-sweetened snacks can help reduce sugar consumption and increase vitamin C consumption.
- Most refined grains have whole-grain counterparts, such as whole-grain breads, oatmeal and whole-grain breakfast cereal, whole-grain pasta, and brown rice.
- It is easy to get an extra serving of vegetables by piling them on sandwiches or adding them to soups or stews.
- Caffeine can interfere with sleep, so it is best to avoid consuming caffeinated coffee and other caffeinated beverages within six hours of bedtime.
How Do I Treat My Dog’s Gout
Excessive amounts of uric acid can be the result of:
Breed – being a Dalmatian is a predisposition and, in some cases, the English Bulldog is prone
Portosystemic shunt: A congenital condition where blood is shunted past the liver
Kidney disease: Causing an impaired ability to get rid of waste products
For the latter two conditions, treatment of the underlying condition is essential. In an ideal world, surgical correction of the shunt is the gold standard. However, this is expensive, and so management with drugs and a low protein diet may be the next best compromise.
For Dalmatians, it is often necessary to take a drug, allopurinol, to eliminate the uric acid.
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Purines The Ingredient In Food That Causes Gout
All food that causes gout has one thing in common a high level of purines.
Purines are natural substances found in virtually all foods. They provide part of the chemical structure of the genes of animals and plants. However there are some foods that contain particularly high levels of purines.
For the most part, these high-purine foods are also high-protein foods, and they include
- organ meats such as kidny, liver, sweetbreads
- some fish such as mackerel, herring, sardines
- other seafood like mussels
- yeast products such as bread, marmite and beer
During metabolism, these purines are converted into uric acid. While this is a normal process, an excess of uric acid in the system can eventuate. This may happen if there is too much uric acid is being created, or not enough is being excreted. Once the concentration of uric acid reaches a certain level it can begin to crystallise. Crystallisation of a substance occurs when the concentration is so high that the substance cannot stay dissolved.
Urate crystals are needle-shaped crystals, which will start to accumulate in the joints. When the body reacts to the irritation caused by these crystals a sufferer will experience what is commonly known as a gout attack. This is where the affected joint will swell up and become very hot, and incredibly painful. Many people describe this pain as the most severe pain they have ever felt in their life!
Potato Chips And Gout Link
Potato chips must be avoided if you have gout. There are 3 main reasons for this. The first one is this is processed food and as such, it comes with various ingredients, chemicals, and additions that are not good for health. Each healthy diet will claim the same and you know that as a gout sufferer, you need to eat only healthy foods.
Secondly, potato chips are carbs that will be transferred into sugar very quickly after digestion. That sugar can spike uric acid and start creating crystals inside the joints. Once this happens, you are looking at a gout flare. Add the fact sugar can help you gain weight and you can understand why this food is simply bad.
Last but not least, potato chips come with torula yeast or another type of yeast, depending on the manufacturer. Yeast is extremely high in purines that will be converted into uric acid. Once again, this is something you should avoid. Some users have reported that after consuming products with yeast ended with a gout glare that last for days. This happens just a few hours after eating that product.
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