In the eyes of most gout patients, avoiding diet is the top priority of gout treatment.
However, there seems to have been no standard answer to [gout cannot eat what]. Sometimes even what doctors say is contradictory. It is not surprising that gout patients are not clear.
Therefore, Dr. Clove invited Dr. Zhou Qiao from the Department of Rheumatology and Immunology to tell everyone what gout cannot eat.
Recommendations of the Authority [Guidelines for Gout Diagnosis and Treatment]
< < 2016 Guidelines for Gout Diagnosis and Treatment in China > > is the latest gout treatment proposal in China, which doctors refer to. It was written by more than 40 rheumatology and immunology experts, and the hospitals involved include Peking Union Medical College, West China in Sichuan, Xiangya Hospital of Central South University, etc. Its authority and scientificity are guaranteed.
The guidelines make the following suggestions on gout diet:
- Restrict alcohol consumption, reduce the intake of high purine foods, reduce the intake of fructose-rich beverages, and increase the intake of fresh vegetables.
High purine foods include animal viscera, seafood, thick broth, meat, etc. Fructose-rich beverages include all kinds of sweet fruit juice and cola sold on the market.
Not 100% can’t eat, but also can’t casually
As you can see, the suggestions in the guide are [reduction] or [increase], and there is no imaginary [absolutely not to eat] or [absolutely good food, you can eat it casually].
Take [high purine food] for example.
Studies have found that people who eat a large amount of meat, animal viscera, seafood and other foods are more likely to develop gout. Because these foods are rich in purine, which is metabolized into uric acid in the body, thus increasing the level of blood uric acid and even inducing gout.
At the same time, these foods are an important part of our daily diet and cannot be completely avoided.
There is a risk of gout and it is impossible not to eat it, so [eating less high purine food] has become the key to diet control.
Avoidance does not solve all the problems.
Gout is often referred to as “eating disease”, but avoiding diet cannot solve all the problems.
The [root] of gout is hyperuricemia, that is, the concentration of uric acid in blood is too high, and most of this uric acid is produced by body metabolism and only a small part comes from food.
Even strict taboos can only reduce blood uric acid by 60 mol/L, which cannot be reduced to the target value of 360 or 300 mol/L for most gout patients.
Therefore, gout should not only avoid eating, but also pay attention to weight loss, drink more water and take necessary uric acid-lowering drugs (allopurinol, febuxetat or benzbromarone). Comprehensive and systematic treatment can better control gout and reduce attacks.
How do you eat when you fall on yourself?
For most patients, remember [animal viscera, seafood, thick broth and fish seeds should not be eaten as much as possible, and meat should be eaten in an appropriate amount; Alcohol, commercial sweet drinks try not to drink] is about the same.
However, each person’s physical condition is different, and their reactions to food may vary to some extent. If you feel that you cannot eat a certain food, eating it will lead to gout attacks. At this time, you need to ask yourself two questions:
1. Has my blood uric acid reached the standard?
Avoidance is very important for gout control, but gout attacks cannot be attributed to certain foods.
In the long run, the high blood uric acid is the main cause of gout recurrence, that is to say, if the blood uric acid is not well controlled, gout is easy to attack even if you don’t eat the wrong thing.
Therefore, when blaming a certain kind of food, first check whether your blood uric acid has been maintained below 360 (without tophus) or 300 (with tophus) mol/L for a long time. If not, you need to reduce uric acid first.
Does this kind of food have to be eaten?
If the blood uric acid has been controlled within the target range and there are no inducing causes such as obesity, insufficient drinking water, drinking, strenuous exercise, catching cold, etc., then you can consider not eating this kind of food, after all, there is no kind of food that must be eaten.
On gout, different people have the same treatment principles. However, in terms of diet, lifestyle and other details, we need to explore and adjust ourselves.