Diet for people with gout

According to statistics, 95% of middle-aged men suffer from gout, in addition, people who are obese, drink alcohol, coffee, and women after menopause are also at high risk.

Gout is an eating-related metabolic disorder caused by too high a concentration of uric acid in the blood plasma resulting in the deposition of urate crystals (salts of uric acid) or uric acid crystals.
If deposited in joints (in articular cartilage, synovial membrane) will make joints inflamed, painful, leading to deformity and stiffness in the long run. If deposited in the kidney, it will cause urate nephropathy (interstitial nephritis, kidney stones...). The disease is more common in men aged 40 and older, often with exacerbations and recurrences many times.
Manifestations of Gout: Acute arthritis: Swollen, painful joints, especially the metatarsal joints and the big toe. Urate stone deposition: This is a case of movable lumps or granules of urate under the skin under the earlobe, elbow, kneecap or near the heel tendon. Urate stones, uric acid in the nephro-urinary system, interstitial nephritis, renal failure. Blood tests showed an elevation of uric acid above 400 micromol/liter.

Subjects at high risk of hyperuricemia and gout: Having a family history of gout. Overweight and obesity. Eating improperly, eating too many foods containing a lot of purines. Alcoholism, coffee addiction. Using many diuretics such as hypothiazide, lasix... can increase uric acid and cause acute gout attacks.

Gout sufferers should: Add 500-1000mg of vitamin C daily. Drink a lot of water to enhance uric acid excretion, should drink alkaline mineral water. Only white meat should be eaten (river fish, chicken breast, pork ...) because white meat usually has less purines, the amount of protein needed by the body is 50-100g per day. Starchy and carbohydrate-rich foods are important foods for gout sufferers, because they contain a safe amount of purines. They have the function of reducing and dissolving uric acid in the urine. Therefore, patients can comfortably eat noodles, pho, vermicelli, potatoes, bread, cereals, rice, noodles.... Enhance herbal foods that have the function of eliminating uric acid in the blood. such as cherries, strawberries, mustard greens, oranges, sake leaves. Patients can eat vegetables freely because they only contain about 20-25 mg of purines, except for some types such as mushrooms, bean sprouts, asparagus. Vegetables low in purines for gout patients are celery, cucumber, cauliflower, cabbage, broccoli, eggplants.... Should replace oils with olive oil, peanut oil, sesame oil. ...to reduce the amount of fat. When processing, priority should be given to steamed and boiled dishes, while minimizing fried and greasy foods.

Minimize foods with high purine content such as animal organs, beef, shrimp, crabs, crabs, game meat, poultry, shellfish (clams, snails, mussels...). .). These foods easily increase the risk of developing acute gout.
Some vegetables that are not good for gout sufferers are spinach, cabbage, asparagus and mushrooms. Limit fat in your diet by choosing lean meats, skinless poultry, and low-fat dairy products. Avoid sour fruits, fermented foods, mushrooms, bamboo shoots, bean sprouts in the menu because they can speed up the synthesis of uric acid in the body Some spices such as chili and pepper should also be used. limited because they can stimulate autonomic nervous system to cause gout recurrence. Avoid alcohol because alcohol increases uric acid production in the liver and prevents the kidneys from excreting uric acid. When suffering from gout, diet is extremely important to be able to live peacefully and fight this disease.