Winter has entered Wuhan overnight, and when the weather gets cold, I can’t help but want to eat more. When the weather gets cold and people eat well, there will be more people like this in the hospital clinic: some of them are supported by family members, some are pushed in wheelchairs, some come with pestle and crutches, and some come hopping on one leg. . Don’t be surprised, this is gout…
Many people know that gout is caused by eating and drinking, and there is a long list of things that cannot be eaten.
Broth hot pot no!
Beer and liquor no!
Pork liver and duck intestine no!
Lobster and oyster no!
Caviar tofu no!
Don’t miss it in the blacklist of gout taboos…
In fact, there is another big dark horse in the list of gout taboos, which is easy to ignore, and it is “sweets”. Studies in recent years have found that fructose intake is closely related to an increased risk of gout.
Although fructose does not contain purines, certain components in it can promote the body to synthesize more purines, causing an increase in uric acid. On the other hand, it can also hinder uric acid excretion.
Soy products, unsealed tofu, soy milk…you can try it
In addition, there is another category of players that also needs to be renamed, that is, soy products.
Soy products (tofu, qianzhang, dried fragrant beans, fried tofu skin…) are loved by many people, but they have always been notorious for raising uric acid.
In recent years, with the deepening of research on the diet of patients with gout and high uric acid, many studies have found that the purine content of soy foods in different processing states varies greatly. For example, soybeans are a typical high-purine food in the dry bean state. However, once they go through processes such as soaking, grinding, brine, and de-yellowing, most of the purines have long been dissolved in the yellow slurry water and eliminated. So tofu has become a low-purine “safe” food.
Simply put it is:
◎Processed products with higher water content, such as tofu, bean curd, and soy milk, can be eaten;
◎Eat less processed foods with low water content, such as dried tofu, yuba, and tofu skin;
◎Unprocessed dry beans and bean sprouts are high in purine, so try not to eat them.
High uric acid on the test sheet: “Is it gout? Does it matter?”
Clinically, we often see situations like this:
The patient took the test sheet and said that uric acid was high, but after careful questioning, he found no joint pain. (Note that checking uric acid is not a urine test, but a blood test!)
Generally, the commonly used clinical nodes are when male uric acid exceeds 420 μmol/L and female uric acid exceeds 360 μmol/L.
In fact, high uric acid does not necessarily cause “gout”. The main symptom of gout is “pain”. Blood uric acid precipitates and deposits in the joints, forming crystals, causing white blood cells to release some inflammatory factors, which causes pain.
High uric acid will definitely crystallize. However, it buries the hidden dangers of gout, which can also lead to increased blood pressure, insulin resistance, damage to vascular endothelium, and increased cardiovascular and cerebrovascular risks; it can also damage the kidneys, causing interstitial nephritis, kidney stones, and even kidney failure…
The uric acid is not high, but the pain level is not high, but it is still dangerous!
There is another situation: the patient has severe joint pain and comes to the hospital to check the uric acid level, but it is not high? ! This is mainly because, although the value does not reach 420 μmol/L, it is not low either! Under certain conditions, crystallization still occurs, and as long as it crystallizes in the joints, it will hurt!
If it doesn’t hurt anymore, you don’t need to take medicine? Self-feeling is not a “ruler”
In fact, the key to gout treatment is to lower uric acid. Only when uric acid is lowered and the urate crystals already in the joints are dissolved again and excreted through the kidneys can gout say goodbye to us completely.
Some patients don’t take medicine as long as it’s not painful and wait until the pain subsides; or they don’t take medicine at all and just think about eating a light diet and drinking more water. This is also a misunderstanding!
I don’t feel like I’m a ruler. Gout is a complicated disease, and dietary factors only account for 20%. Even if we completely eliminate purine in our diet, our blood uric acid can only drop by about 60 μmol/L at most. For most patients, Such a decrease in blood uric acid levels is far from enough.
Therefore, a “low-purine diet” is advocated, but drug treatment is also necessary. Uric acid-lowering treatment requires persistence. Only by keeping blood uric acid up to standard for a long time can the goal of “curing” gout be achieved.
How to stay away from gout? You can try these 7 points!
⒈Seafood, beef and mutton should be eaten in moderation!
If you want to reduce the risk of gout, you must first control the amount of seafood you eat. People who regularly eat seafood have a 1.5 times higher risk of gout than people who rarely eat seafood. .
Consuming too much beef and mutton will also increase uric acid levels. Provinces such as Inner Mongolia and Xinjiang that consume large amounts of beef and mutton also have a high incidence of hyperuricemia. Offal is also a major source of purine. Sichuan and Chongqing, which both likes to eat beef and mutton and is good at eating offal in a fancy way, is also a place with a high incidence of gout.
⒉ Eat vegetables and mushrooms in moderation
There are also some high-purine players in fruits, vegetables and mushrooms, such as beans, spinach, cauliflower, seaweed, fungus, asparagus, celery, coriander, and shiitake mushrooms, tea tree mushrooms, slide mushrooms, Hericium mushrooms, hazel mushrooms, etc.
⒊Don’t drink or eat sugary drinks and desserts!
High-sugar foods, especially high-fructose foods, will accelerate the formation of uric acid. A survey conducted in the United States found that excessive intake of added sugar through sugar-sweetened sodas will significantly increase the prevalence of hyperuricemia.
⒋You can eat fruits in moderation, so you can rest assured if you choose the right ones.
In addition, it should be noted that the connection between high-sugar diet and gout is mainly due to added sugar, that is, eating less or no sugary drinks, desserts, syrups, etc. There is no need to worry too much about the “natural sugars” in fruits and vegetables.
⒌Drinking more water really helps
Since we need to use water as a carrier to excrete excess urea in the form of urine and sweat, long-term insufficient drinking of water will affect the excretion of uric acid. Drinking too little water is a risk factor for hyperuricemia and gout. If you have a gout attack, drink it every day. Drinking more than 2000ml of water can increase uric acid excretion and relieve gout.
⒍Coffee, you can drink it in moderation!
If you feel that the effect of pure water is not good enough, you can try coffee. Two studies in the United States found that people who drank more than four cups of coffee a day had a 40% lower risk of gout than those who did not drink coffee.
⒎Alcohol, don’t drink it!No wine of any kind
Many people should know the connection between alcohol and gout, but a very common misunderstanding is that only beer is harmful, white wine and red wine can be drunk. In fact, any alcohol will increase the risk of disease, and beer is just the most harmful one. If you are already a gout patient or at high risk, don’t think about drinking to relieve your worries. The more you drink, the more your worries will increase.