How to systematically treat gout?

Friends who believe in gout have had similar doubts:

The medicine prescribed by the doctor has been taken, but it still hurts. I don’t want to take this medicine!

The taboo is taboo, why gout also attack?

Insist on drinking more water, exercising more and losing weight every day, but gout still occurs!

In fact, uric acid-lowering drugs, taboos, drinking more water, exercising more and weight control are all very important to the treatment of gout, which can be said to be indispensable. This is like a barrel. No matter which board is missing, this barrel cannot hold much water.

The following Dr. Clove will tell you why these points are important and how to systematically treat gout.

To treat gout, one must first understand gout.

Gout is a common rheumatic disease, the most direct manifestation is acute or chronic arthritis, also known as joint pain. The onset of gout is mainly related to overload of uric acid in the body.

About 20% of uric acid in our body comes from diet and 80% is synthesized by ourselves. There are two main ways for uric acid excretion, about 20 ~ 30% through stool and the rest through kidney and urine.

Theoretically, the increase of high purine intake, the increase of uric acid synthesized by oneself and the decrease of renal excretion will all increase the level of uric acid in blood.

When it comes to real life, we will find that eating too many high purine foods, losing weight quickly and taking certain drugs (such as thiazide diuretics) will increase uric acid.

In addition, hypertension, obesity, metabolic syndrome, insufficient exercise and excessive drinking are also related to gout.

These five points should be achieved in systematic treatment of gout.

Now that we know the cause of gout, we can treat gout systematically and pertinently.

1. Healthy diet, limit high purine, high fructose food

Diet control can reduce the blood uric acid by 10% ~ 20% or 70 ~ 90 mol/L.

Attention should be paid to avoid high purine foods such as viscera, some seafood and thick broth. At the same time, high fructose beverages or foods such as soda water and fruit juice should also be avoided. A large amount of fructose intake will also increase blood uric acid and even induce gout. Alcohol should be strictly prohibited during the onset or progression period.

However, cattle, sheep, pork and seafood with medium and high purines should be restricted, but they are not completely inedible. The human body needs these meats to provide necessary protein.

2. Moderate exercise benefits a lot.

Moderate exercise is not only beneficial to the control of high uric acid and gout, but also beneficial to hypertension and hyperglycemia.

You can do moderate intensity aerobic exercise for more than 30 minutes every day, and you can choose swimming, tai chi, etc.

If gout has caused joint injury, it is better to do less mountain climbing, squats and other exercises that will increase joint weight bearing.

3. To lose weight for health

Obesity will not only increase purine formation, but also reduce its metabolism, so gout attacks are more likely to occur.

If you control your weight within the normal range, you can not only keep your body healthy, but also reduce your uric acid level.

The study also found that the ratio of waist circumference to height is related to gout attacks, and the larger the ratio, the more frequent the attacks. Therefore, patients with [general belly] should also pay attention to their body shape.

However, weight loss should also be carried out step by step, not quickly, otherwise gout will also occur.

4. Drinking water is an economical and effective way.

For gout, drinking more water can not only prevent gout attacks, but also is part of the treatment. Water shortage can induce gout attacks, and blood uric acid will also decrease after moderate water replenishment.

In order to promote uric acid excretion, the daily urination volume should be above 1.5 L, preferably reaching about 2L.

Therefore, it is recommended to drink more than 2L of water per day. Plain boiled water, light tea and soda water containing sodium bicarbonate are all good choices.

5. Standardize the use of gout drugs

Drugs are the most direct and effective treatment. Drugs for gout are mainly divided into uric acid lowering drugs and painkillers.

(1) Treatment of gout attack

Within 24 hours of the onset of pain, non-steroidal drugs, colchicine or glucocorticoid are selectively taken according to the doctor’s advice to relieve pain.

Under the condition of sufficient analgesia, it is also possible to continue to take uric acid lowering drugs.

(2) Uric acid reduction therapy in remission period

Drugs for lowering uric acid include allopurinol, febulistat and benzbromarone. Allopurinol and febulistat inhibit the synthesis of uric acid, while benzbromarone promotes uric acid excretion.

Not all of these drugs have to be taken. Which one is suitable and how much to take depends on each person’s specific situation and needs to be decided after comprehensive evaluation by doctors.

In addition, patients often complain that [gout attacks more frequently after taking uric acid lowering drugs], which does not mean that the uric acid lowering drugs are useless, but that uric acid decreases, and the process of urate crystallization dissolution is indeed easy to induce gout.

Therefore, in the early stage of uric acid reduction, doctors usually prescribe some painkillers to prevent gout attacks, such as colchicine, non-steroidal drugs or glucocorticoids.