Gout--This is the 3328th article of Dayi Xiaohu

This is the 3328th article of Da Yi Xiao Hu

After getting the medical examination report, more and more people born in the 1990s "soak wolfberries in a thermos cup" are also worried about her medical examination report a few days ago. The report showed that the uric acid in the blood test was high and the pH value of the urine test was low. She didn't feel anything abnormal, so she searched on Baidu...

(Picture from Baidu)

The word "gout" immediately caught her attention. How could the disease that she had thought was so far away suddenly become so close to her?

Today we will learn about what gout is.

What is gout?

When it comes to gout, everyone will think of one word, that is "pain". There is an old man around me who often wakes up in the middle of the night because of sudden pain in his toes. The pain is so severe that even a piece of paper placed on the painful area can be unbearable. Gout is a metabolic disease caused by purine metabolism disorder and/or reduced uric acid excretion, increased blood uric acid, and tissue damage. The typical clinical symptoms of gout are "redness, swelling, heat, and pain". If not treated in time, tophi will form.

(Pictures from the Internet)

What causes gout?

The factors that cause gout are mainly genetic and environmental. Environmental factors include dietary factors (high-purine diet, alcohol, hunger, etc.), disease factors (obesity, hypertension, chronic renal insufficiency, diabetes, etc.) and drug factors. For example, my friend loves beer, barbecue, barbecue, and hot pot. Frequent high-purine diets increase her blood uric acid. Fortunately, there are no clinical symptoms of gout yet, and the diet should be adjusted immediately.

(Pictures from the Internet)

Nutritional treatment and prevention of gout

① Weight loss

If you are obese, you should consider losing weight first. "Control your diet and move your legs" is a well-known way to lose weight. However, you should pay attention to losing weight gradually, not too much at once, which may easily lead to other diseases (such as ketosis). Aerobic exercise (walking, swimming, Tai Chi, etc.) is recommended as the main form of exercise.

② Food selection

1. Protein selection. Protein decomposition produces purine, so it is very important to control protein intake. It is best to choose high-quality protein with less nucleoprotein, such as eggs, cheese and milk. Meat food should be boiled and soup removed before cooking to reduce purine intake. Therefore, for gout patients, hot pot and spicy hot pot should be avoided.

2. Sufficient water. Sufficient water helps to excrete uric acid in the body. Patients with normal kidneys need to take in more than 2000ml of water. Water intake should be mainly boiled water and mineral water, and try not to replace it with beverages.

3. Quit drinking. People with gout cannot drink beer, but can they drink white wine or red wine? Beer is most closely related to gout, and some patients will immediately experience symptoms after drinking beer. The second most common is strong alcohol. During the acute attack of gout, try to avoid drinking any alcohol. During the stable period, you can drink a small amount of red wine.

③ Adjustment of eating habits

Developing good eating habits can effectively control abnormal purine metabolism and elevated uric acid. It is recommended to have regular meals three times a day, use more cooking methods such as steaming, boiling, stewing, blanching, and boiling, and use less irritating condiments such as chili, pepper, and mustard.

【Recommended food】

During the acute attack of gout, it is recommended to eat foods with purine content