Tag: gout foot

Gout is a very common, complex and painful form of arthritis caused by the accumulation of uric acid crystals in the joints. This disease, which mainly affects men between 30 and 50 years of age and those with a family history, is characterized by sudden attacks of joint pain, swelling, redness and tenderness in one or more joints, usually in the toe.

Within gout, three clinical phases can be distinguished: hyperuricemia, which appears when there is an excess of uric acid in the blood, gout attack and chronic gout.

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Gout attacks occur when there is an inflammatory reaction against uric acid crystals deposited in the joints. These attacks usually occur at night and are accompanied by fever, and in most cases are extremely painful.

For a patient to experience an attack of gout, it is necessary that he or she has first gone through a period of hyperuricemia, although not all people who have a high presence of uric acid in the blood end up suffering from the disease. If it does occur, however, the pain will remain for a couple of days and the joint will take about three weeks to recover.

If the chronic attacks are not treated, the attacks will continue and the uric acid crystals will infiltrate the joints, causing them to wear out. It is then understood that the patient has chronic gout, a disease that causes great pain and can cause deformity, stiffness and permanent damage to the joints.

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Why does Gout occur?

According to Dr. Prada, “the supply of uric acid from the diet can be one of the causes of gout, but not the only one”.

Thus, he assures that:
The causes are multiple, both genetic and related to alterations in the elimination of uric acid in the urine, as well as external factors such as eating habits, so we must banish the idea that gout occurs only in people who do not take care of their diet or alcohol consumption.

In this regard, the SER spokesman stresses that “the ingestion of certain foods can cause uric acid to rise in the blood, but it is not the only condition necessary for gout to occur. Once the disease has been diagnosed, the most important thing of all is to comply with the pharmacological treatment and to clarify with the specialist which foods have to be taken with caution, also banishing the idea that there will be absolute or eternal food restrictions,” he adds.

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Hydration, Fundamental

Dr. Prada stresses that “as gout is a metabolic pathology, that is, it is directly related to the levels of a bodily substance, in this case, uric acid, any process that modifies these levels will make the disease worse. Uric acid is excreted mainly in the urine and insufficient hydration, especially in summer, can cause the elimination of uric acid to be inadequate and, therefore, gout can worsen”.

Regarding the necessary amount of daily water intake for people with gout, the expert assures that, “usually, one and a half to two liters of water would be enough, but it must be taken into account that these needs can change depending on the patient”.

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In this regard, Jesús Román, secretary of the Scientific Committee of the Water and Health Research Institute (IIAS), emphasizes that, especially in summer, mineral water, when presented in ergonomic, easily transportable containers and in formats adapted to each lifestyle, provides people with gout with adequate hydration at any time and place where they are, thus avoiding possible problems with this pathology.

In addition, “as it is pure, quality water, which does not need or receive any chemical treatment for its disinfection and consumption, it is essential to maintain healthy hydration habits”.

Gout is a disease that is still surrounded by many myths, so it is important that the patient is properly informed by his rheumatologist about the expectations of the treatment, what the complications of the disease may be if it is not treated properly and what pharmacological and non-pharmacological measures are the most effective for gout to be cured in the end.

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Gout attacks occur when uric acid crystals accumulate around the joints, causing intense pain. But it is not only a painful disorder: poorly controlled gout especially affects cardiovascular health. According to data from the Spanish Society of Rheumatology, 2.4% of the population of our country suffers from gout. Or, in other words, some 880,000 people.

Gout attacks occur when too much uric acid circulates in our body, causing it to accumulate, in the form of small crystals, in the fluid surrounding the joints (synovial fluid). This can occur by eating an excess of foods rich in purines (which, when decomposed, are converted into uric acid), because the body tends to accumulate it or because it is not eliminated properly. That is why, when it comes to regulating the amount of uric acid that circulates in our blood, what we eat and what we do not eat is so important.

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CAN A GOUT ATTACK BE SERIOUS?

The disease can progress and affect important organs such as the kidney or the heart. In fact, suffering from gout is as damaging to the heart as suffering from diabetes. High levels of uric acid in the blood increase the risk of premature arteriosclerosis and, consequently, of suffering cardiovascular diseases, from heart attack to stroke.

In fact, according to data from the Spanish Society of Rheumatology, it is estimated that suffering from gout increases the risk of mortality from cardiovascular disease by 40%. Fortunately, gout can be controlled with good habits and medical treatment. And it is important to do so because the risk to the heart, we insist, is comparable to that of a diabetic.

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Diet Details

The general principles of a diet for gout follow the typical recommendations of a healthy diet:

Weight loss: Being overweight increases the risk of gout and weight loss decreases it. Research suggests that consuming fewer calories and losing weight (even without following a purine-restricted diet) decreases uric acid levels and the number of gout attacks. Losing weight also decreases overall stress on the joints.

Complex carbohydrates: Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods and beverages with high fructose corn syrup and limit consumption of naturally sweet fruit juices.

Water: Drink water to maintain good hydration.

Fats: Decrease consumption of saturated fats found in red meat, poultry and high-fat dairy products.

Protein: Consume mainly lean red meat and poultry, low-fat dairy and lentils as a source of protein.

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Specific food or supplement recommendations include the following:

• Organ and gland meats. Avoid meats such as liver, kidney and sweetbreads, which are high in purines and contribute to increased blood uric acid levels.
• Red meat. Limit portion sizes of beef, lamb and pork.
• Seafood. Some types of seafood, such as anchovies, mollusks, sardines and tuna, are higher in purines than other types. However, the overall health benefits of eating fish may outweigh the risks for people with gout. Moderate portions of fish can be included in a gout diet.
• Vegetables high in purines. High-purine vegetables, such as asparagus and spinach, have been shown in several studies not to increase the risk of gout or recurrent gout attacks.
• Alcohol. Consumption of beer and distilled spirits is associated with an increased risk of gout and recurrent attacks. Moderate wine consumption does not appear to increase the risk of gout attacks. Avoid consumption of alcoholic beverages during gout attacks and limit consumption, especially of beer, between attacks.
• Sugary foods and beverages. Limit or avoid sugary foods, such as sweetened cereals, baked goods and candy. Limit consumption of naturally sweet fruit juices.
• Vitamin C. Vitamin C may help lower uric acid levels.

Results

Following a gout diet can help limit uric acid production and increase its elimination. While dieting may not be enough to lower the concentration of uric acid in the blood to treat gout without medication, diet may help decrease the number of attacks and moderate their severity.

Following the gout diet, along with calorie restriction and regular exercise, can also improve overall health and help you achieve and maintain a healthy weight.

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Gout is a painful form of arthritis that occurs when high levels of uric acid in the blood cause crystals to form and build up around a joint. Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in the body, but it is also found in certain foods. Uric acid is eliminated through urine.

A gout diet can help reduce uric acid levels in the blood. The gout diet does not cure the disease. However, it can reduce the risk of recurrent, painful gout attacks and may reduce the progression of joint damage. People who have gout and follow a gout diet also need to take medications to control pain and reduce uric acid levels.

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WHAT SYMPTOMS DOES A GOUT ATTACK CAUSE?

It manifests itself in the form of intense joint pain that appears at night and is capable of waking us up. It is usually noticed in the big toe for the first time, and then affects other joints in later attacks (knees, wrists, elbows and ankles).
The area is swollen, hot, reddened and stiff, with an inability to move it.

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REDUCES THE DISCOMFORT OF SEVERE PAIN

The pain usually does not last more than 10 days and disappears on its own.

Follow these tips to reduce it:

• Keep the joint elevated. The less you move it, the less it will hurt.
• Apply cold for 20 minutes, 3 or 4 times a day, to reduce swelling.
• Drink draining infusions such as horsetail. It helps eliminate excess uric acid through urine.
• Take citrus fruits to promote drainage. For its anti-inflammatory effect, pineapple is another recommended fruit, along with banana and apple.
• Massages with essential oils, such as lavender, are soothing.
• Sodium bicarbonate, for its alkalizing effect, is of great help. Take a spoonful a day with water while there is pain.

KEYS TO PREVENT A GOUT ATTACK

If you have an excess of uric acid in your blood it can cause pain in your toe joints (Gout). But you can control it with a good diet.

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OBJECTIVES OF THE GOUT DIET

The gout diet is designed to help you do the following:

• Achieve a healthy weight and good eating habits.
• Avoid some, but not all, purine foods.
• Include some foods that control uric acid levels.
• A golden rule is to eat moderate portions of healthy foods.

FOODS

• Follow a diet rich in seasonal fruits and vegetables (with the exception of tomatoes). And eat cherries, they reduce the risk of gout.
• Reduce fatty meats, offal, sausages and cured cheeses.
• Limit red meat (such as pork, lamb, beef and liver), as well as fish and shellfish because they are very rich in purines.
• For the same reason, moderate the consumption of legumes, cauliflower, spinach, asparagus and mushrooms.
• In addition, be careful with the consumption of alcohol (including beer) because it predisposes to gout. Sugary soft drinks and excessive coffee are also not recommended.

HABITS

• Eat 5 meals a day and do not let more than 3 hours pass without taking anything.
  Be cautious with dinners. Attacks usually occur at night.
• And don’t forget to drink two liters of water a day.
• Extra kilos and stress increase the risk. Keep these two factors at bay.
• Vitamin B3 supplements worsen gout, but vitamin C supplements may reduce it. These products should be taken under medical supervision.

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