Sunday, August 14, 2022

What Foods Should You Avoid When You Have Gout

Avoid Sweets And Sodas

Foods to Avoid if you have Gout

Unlike fruit with its natural sugar, artificial sugars are widely recognized as gout flare dangers. Consuming too many sugary sodas has been found to provoke attacks, but no association has been found with artificially sweetened sodas. Other foods loaded with high-fructose corn syrup can also bring on gout pain.

Gout Diet: Dos And Donts

Maintaining a balanced diet, low in uric acid, is critical for lowering the risk of a gout attack. Learn which foods and beverages you should eat and which ones to avoid.

1. What You Eat and Drink Matters
2. DO: Drink Water
3. DONT: Drink Beer
4. DO: Drink Milk
5. DONT: Drink Liquor
6. DO: Drink Coffee
7. DONT: Drink Soda
8. Do: Eat Citrus
9. DONT: Eat Organ Meats
10. DO: Eat Vegetable Proteins
11. DONT: Eat Certain Seafood
12. DO: Eat Cherries
Nutrition

How Does Food Affect Gout

If you have gout, certain foods may trigger an attack by raising your uric acid levels.

Trigger foods are commonly high in purines, a substance found naturally in foods. When you digest purines, your body makes uric acid as a waste product .

This is not a concern for healthy people, as they efficiently remove excess uric acid from the body.

However, people with gout cant efficiently remove excess uric acid. Thus, a high-purine diet may let uric acid accumulate and cause a gout attack (

10 ).

Foods that commonly trigger gout attacks include organ meats, red meats, seafood,alcohol and beer. They contain a moderate-to-high amount of purines .

However, there is one exception to this rule. Research shows that high-purine vegetables do not trigger gout attacks .

And interestingly, fructose and sugar-sweetened beverages can increase the risk of gout and gout attacks, even though theyre not purine-rich (

16 ).

For instance, a study including over 125,000 participants found that people who consumed the most fructose had a 62% higher risk of developing gout .

On the other hand, research shows that low-fat dairy products, soy products and vitamin C supplements may help prevent gout attacks by reducing blood uric acid levels (

Summary: Foods can either raise or lower your uric acid levels, depending on their purine content. However, fructose can raise your uric acid levels even though it is not purine-rich.

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Foods High In Purines

The body produces purine compounds, and people also ingest them from food.

Purines can increase the risk of urate crystals forming in the joints and tissues, so avoiding them in food can help manage the condition.

Arthritis Foundation advises which foods and drinks contain high or moderate amounts of purines:

  • all types of alcoholic drinks
  • some fish, including sardines, anchovies, trout, herring, and haddock
  • shellfish and seafood, such as mussels, scallops, crab, lobster, oysters, and shrimp
  • high purine meats, such as bacon, turkey, veal, sausage, and venison
  • moderate purine meats, such as beef, chicken, pork, duck, and ham
  • organ meats, such as liver, kidneys, and sweetbreads

Shellfish Crustacea And Mollusks

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There are two groups of shellfish, crustacea and mollusks. Crustacea includes crabs, shrimp, crayfish and lobsters. Mollusks are oysters, clams, oysters, mussels, squid, scallops and snails.

Which shellfish group is higher gout risk? There is no big difference. A purine table from a 2014 Japanese study included a comprehensive list of different shellfish and seafood. It listed oysters, shrimp and certain squid with similar purine content.

The research also determined different species can have different purine concentrations. For example, a snow crab had more purines than a king crab.

Most of the medical experts recommend to limit the portions to an unfulfilling 4-6 ounces. An amount which most of us can easily eat more of if not aware.

Insight: Even after realizing different shellfish have different purine amounts, shellfish is still the most unpredictable food group to gauge gout for me. On some occasions, I would eat a small amount of crabs, and end up with a terrible flare up in my ankle. Then another time, I would eat about twice as calamari and not feel any symptoms. My uric acid level at the time may have been a factor, but he unpredictability made me reduce my shellfish intake. However, I learned to prepare myself when I want to satisfy a craving.

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Most Soy Should Be Fine

Soy foods like tofu, soy milk, and edamame have moderate amounts of purines. Traditionally doctors have cautioned against eating too much soy for people with gout. One study found that soybeans, soymilk, and soy powder increased uric acid in the blood significantly. However, larger population studies have recently told a different story. Several have reported that not only are soy products harmless for gout patients, but also people who eat more soy tend to have a reduced gout risk.

What Are The Best Foods To Eat When You Have Gout

While eating particular foods wont be enough to make gout go away, studies suggest that certain foods and drinks may help reduce uric acid in your body. For example:

  • Milk. Some early research suggests that drinking skim milk may help reduce uric acid and gout flare-ups. It speeds up the excretion of uric acid in your urine and also reduces your bodys inflammatory response to uric acid crystals in your joints.
  • Cherries. Scientists are currently researching the benefits of cherries and cherry juice for managing gout symptoms, and early results are promising. Cherries have known anti-inflammatory properties, and they may also help reduce uric acid in your body.
  • Coffee. You may have heard that coffee is acidic, but the type of acid in coffee is very different from uric acid. In fact, drinking coffee daily can reduce your uric acid levels by several means. It slows the breakdown of purine into uric acid and speeds the rate of excretion.
  • Water. People who drink five to eight glasses of water a day are less likely to experience gout symptoms. This makes sense since your kidneys use water to excrete uric acid in your urine. Water is also good for kidney health. Impaired kidney function is one factor that can contribute to gout.

However, many healthcare providers prefer to focus on general dietary guidelines rather than particular foods. They suggest that you:

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How Do Purines Cause Gout Flare

If you have gout, your symptoms of pain and discomfort occur due to buildup of uric acid that crystallizes in your joints. These crystals cause pain when you try to move the affected joint.

Uric acid production in your body depends on the breakdown of purines. Purines are found in many foods and even in some beverages.

In order to reduce your risk of gout flare-ups, take control by modifying your diet to lower your purine intake levels. Medication and other strategies can help you prevent flare-ups, as well as reduce the intensity of your discomfort.

What To Limit And Avoid In A Gout Diet

Food You SHOULD Eat If You Have Gout

As mentioned, foods that contain purines can contribute to gout attacks because of the resulting uric acid accumulation. Therefore, for a proper gout diet, you will want to limit and avoid certain foods, especially those high in purines.

Foods to avoid entirely in a gout diet include seafood, red meat, sugary beverages, and alcohol. Additionally, persons with gout should limit or completely avoid the following as these foods are known to be high in purines, too.

  • organ meats
  • fruit juices
  • soda

Some foods, although containing purines, can still be enjoyed in moderation. These are grouse, mutton, bacon, salmon, turkey, partridge, trout, goose, haddock, and pheasant. If you choose to enjoy these items, you should curb your intake to four to six ounces a day.

Although meat is the primary culprit to gout attacks, patients should also limit their consumption of refined carbohydrates, including white bread, cakes, candy, and pasta you can consume whole grain pasta, though.

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Should I Avoid All Rich Foods

No. Patients often ask me about desserts, as well as entrees with rich sauces, says Dr. Burg. Its a common myth that these foods cause gout. When eaten in moderation, desserts and other rich foods do not affect gout flare-ups. But moderation is the key word. Rich foods may not cause flare-ups directly, but they can cause weight gain. And obesity is a major risk factor for gout attacks.

At some point, the misconception spread that people with gout should avoid dairy. But in fact, certain dairy products especially milk can help you remove uric acid from your body, he adds.

What If Changing Your Diet Isnt Enough

Some people manage to get their uric acid levels under control by changing their diet. But many people will need to take medication. Most of the uric acid in your body is made inside your body, so changing your diet only has a limited effect. Treatment with medication is considered if the gout attacks are frequent or if you have complications like kidney stones or tophi.

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Gout And Diet: Foods And Drinks To Avoid

Gout is an arthritic condition that can cause sudden, severe joint pain. If you are experiencing symptoms of gout, the NHS recommends that you see a doctor for treatment during an attack and to help prevent further attacks.

We asked Emer Delaney, a dietitian who has worked in some of London’s top teaching hospitals, to explain how diet and lifestyle can affect the condition.

What Foods To Avoid

Foods for gout

Many of the foods you want to avoid are meats and seafood. Meats such as chicken, pork, beef, or lamb are usually okay in moderation however, if you find they cause symptoms you will want to avoid them altogether. Salmon, as part of a gout diet, is also usually tolerated well in moderation.

  • Yeast:beer, nutritional yeast, large amounts of bread, others
  • Game meats: venison, veal, bison, others
  • Organ meats: liver, tongue, tripe, others
  • Fish: including sardines and anchovies
  • Other seafood: shellfish, roe, others
  • Sugary drinks: sodas, fruit juice, others
  • Sugar substances: honey, nectar, high-fructose corn syrup, others

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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.

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.

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Avoid These Foods If You Suffer From The Symptoms Of Gout

Gout is a common type of Arthritis that causes intense pain, swelling and stiffness in the joints. It usually affects the joint at the base of the big toe, known as the metatarsophalangeal joint and is caused mainly because of the presence of too much uric acid in the body.

While the development of gout has a lot to do with genetics and aging , other factors contributing to gout we have more control over.

Gout can be a very painful condition and obviously anyone suffering such pain and discomfort will want to do everything to prevent flare-ups.

What you eat can make a considerable difference to controlling your symptoms.

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Gout can cause painful joints, and the condition occurs when urate crystals accumulate in or around a joint. Accumulation of urate crystals can cause intense pain and inflammation, and it should be looked at by a doctor. Treatment can help with an attack of gout and can help to stop future attacks too.

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Gout Diet: What To Eat And To Avoid To Prevent Flare

Do you have a bout with gout? You arent alone. Gout is a painful form of arthritis that affects millions of people. It causes flare-ups of joint pain when high levels of uric acid in the blood cause crystals to form around joints.

Its not all doom and gloom though. Most cases of gout can be prevented or managed with healthy lifestyle changes, such as a gout-friendly diet.

A proper diet can affect gout either positively and help control the disease, while it can be detrimental and contribute to flare-ups if a proper diet isnt followed, said Melissa Fowler, a rheumatology physician assistant at Banner Health in Tucson, AZ. Obesity and other common medical conditions, such as hypertension and diabetes, are also important in terms of a proper diet and managing these health conditions is extremely important to also controlling gout.

Or Dilute Your Favorite Cocktails

Another tip is to make a cocktail with your favorite spirit, such as vodka or rum, and dilute the drink with as much water or non-alcoholic mixer as possible. Create your own spritzer by adding extra club soda, seltzer, and/or lime juice to limit the dehydrating effects of the alcohol. Avoiding alcohol altogether, especially beer, is the best way to avoid a flare of your gout.

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How Does Alcohol Affect People With Gout

Alcohol disrupts the removal of uric acid from the body. Its thought that high levels of purine in alcoholic beverages lead to this disruption.

Normally, purines would break down into uric acid and get flushed out of the body through urine. However, this process is interrupted when uric acid levels get too high. Crystals form around the joints, and gout develops.

To prevent further gout attacks, stick to these guidelines:

  • avoid alcohol when having an attack
  • limit wine consumption
  • avoid beer

Keep in mind that you should avoid alcohol altogether unless your doctor says otherwise. Gout-friendly recipes take these alcohol restrictions into account as well.

What Should I Consider If I Take Medication

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There are certain medications that can raise the levels of uric acid, thereby increasing the risk of gout. These include diuretics , acetylsalicylic acid and some medications that are taken after an organ transplant. Levodopa and some cancer medications can also increase the risk of gout.

If you take any of these medications, it’s best to discuss with your doctor whether it would be possible to switch to a different medication.

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Can Losing Weight Help Gout

If you are overweight, gradual weight loss can help lower uric acid levels and reduce the risk of gout attacks. However, it is important to avoid fasting or crash dieting, where you go without adequate food for long periods and lose weight rapidly. This type of dieting can actually increase uric acid levels and trigger a gout attack. A combination of balanced healthy eating and regular physical activity is the best way to lose weight safely. Talk to your doctor or see a dietitian for advice.

Do Certain Foods Cause Gout

There are many misconceptions about diet and gout. For example it is commonly thought that foods such as citrus foods cause gout. There is no evidence that this is true. However several studies have shown that people with gout are more likely to eat certain foods. These foods tend to contain high levels of purines, a substance that can be made into uric acid in the body. Purine-rich foods include:

  • meat particularly red meat and offal, such as liver, kidneys and heart
  • seafood particularly shellfish, scallops, mussels, herring, mackerel, sardines and anchovies
  • foods containing yeast such as Vegemite and beer.

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