is a medical condition usually characterized by recurrent attacks of acute
inflammatory arthritis—a red, tender, hot, swollen joint. It is caused by
elevated levels of uric acid in the blood which crystallize and are deposited in
joints, tendons, and surrounding tissues. Diagnosis is confirmed clinically by
the visualization of the characteristic crystals in joint fluid.
Long-standing elevated uric acid levels (hyperuricemia) may result in other
symptomatology, including hard, painless deposits of uric acid crystals known as
tophi. Extensive tophi may lead to chronic arthritis due to bone erosion.
Elevated levels of uric acid may also lead to crystals precipitating in the
kidneys, resulting in stone formation and subsequent urate nephropathy.
A good diet for gout patients must consider all health issues. This is
particularly important as many gout sufferers also endure other diseases such as
high blood pressure and heart disease.
Omitting entire food groups may harm general health. A good diet for gout
patients must be balanced across all food groups. A low purine diet can help to
reduce gout attacks as purine is metabolized in the body to produce uric acid.
GUIDELINES FOR MANAGEMENT OF GOUT THROUGH DIET
• Avoid high purine foods like organ meat, seafood, asparagus, spinach,
avocado, mushroom and alcohol.
• As often the patients suffering from gout are overweight, Weight-reducing,
calorie restricted diet, with moderate carbohydrate restriction and increased
proportional intake of protein and unsaturated fats should be used.
• To reduce acidity, eat plenty of raw fruit, vegetables, (especially celery
and tomatoes) grains, seeds, and nuts. Dark red and blue berries, which are
anti-inflammatory and neutralize excess acidity, are an excellent source for
• Dehydration reduces kidney function, allowing uric acid to build up. Drinking
lots of fluids- especially water- will help keep the organs hydrated and dilute
the amount of uric acid in the body. • Exercising regularly and making time for
relaxation is also important. Studies show the risk of gout rises with
• Bromelain, derived from pineapple, is an effective and suitable alternative to
stronger prescription anti-inflammatory agents used in gout treatments. For best
results, bromelain should be taken between meals.
• Fish oil supplements, and other foods containing omega-3's (walnuts, whole soy
products, cold-water fish, and fortified eggs) can also be beneficial for
reducing pain and swelling.
• Vitamin E, selenium, vitamin A, and aspartic acid have been recommended for
both prevention and gout treatment.
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