How to Prevent Gout?

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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How to Treat Gout Naturally?

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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Is Gout treatable in a Natural way?

Gout Definition

Gout is a common and painful form of arthritis. It causes swelling, redness, heat and stiffness in the joints.

Gout occurs when uric acid builds up in the blood. Uric acid results from the breakdown of substances called purines. Purines are found in all tissues of the body. They are also found in many foods such as liver, dried beans and peas, and anchovies. Normally, uric acid dissolves in the blood, passes through the kidneys and leaves the body in the urine. But sometimes uric acid can build up in needle-shaped crystals. When it forms in the joints, it is very painful. Crystals can also cause kidney stones.

Often, the first attack of gout occurs in the big toe. It can also affect the ankles, heels, knees, wrists, fingers and elbows. At first, gout attacks get better within a few days. Over time, the attacks last longer and happen more often.

A person is more likely to have gout if he is:

  • Is a men;
  • Have a family history of gout;
  • Is overweight;
  • Use alcohol;
  • Eat a lot of foods high in purines;

Gout Treatment

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Gout Diagnosis

Gout can be difficult to diagnose. Your doctor may take a sample of fluid from inflamed joints to check for crystals. Gout can be treated with medication.

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In addition to the symptoms outlined above, the specialist performs various diagnostic tests such as a blood test to check uric acid levels in the blood. However, it is worth noting that in many cases, when there is an attack of gout, the blood levels are fine. Therefore, the expert may take a sample of fluid from one of the affected areas to check in the laboratory for uric acid crystals.

Gout Causes

Some of the pathologies that the patient may suffer from, together with certain habits, increase the risk of suffering from this ailment. Therefore, there are factors that increase the risk of suffering from gout as they raise the level of uric acid. These are some of them:

  • High blood pressure;
  • Drinking alcohol;
  • Renal insufficiency, the kidneys do not eliminate waste products properly;
  • Eating foods rich in purines, as this substance is converted into uric acid when it is broken down.
  • Having relatives with the disease, i.e. the genetic factor plays a role.
  • Having hypothyroidism or an underactive thyroid gland.
  • Suffering from a medical problem that causes the cells to reproduce or be eliminated faster than usual, such as psoriasis, haemolytic anaemia or cancer.
  • Taking diuretic drugs due to high blood pressure or coronary problems.
  • Obesity and overweight.

Gout Symptoms

The most frequent symptoms that can indicate that the patient suffers from gout are:

The appearance of pain in a joint of the foot. This pain appears suddenly. Patients often say phrases such as “I went to bed well and I woke up unable to walk”, “the friction of the sheet bothers me”, etc.
The pain increases at night. The pain is always worse at night because the joints, being at rest, are at a lower temperature.
The affected area has an unusual appearance. The area is usually warm, reddened, sometimes swollen and stiff, with a lack of mobility.

Gout Management

Treatment can be based on different types of medication and consists of reducing the pain of gout attacks, helping to prevent and avoid irreversible damage to the joints. The aim is to lower the levels of uric acid in the blood, and here are some recommendations: Gout Diet.

– Make an early diagnosis. To do this, it is necessary to see a specialist to prescribe the appropriate treatment, as there may be, as we have said, collateral damage to the kidneys and/or coronary arteries, with a greater chance of suffering vascular problems that may affect the heart and brain.

A SPECIALISED PODIATRIST WILL ASSESS EARLY TREATMENT FOR RELIEF OR ANALGESIA.

– Take care of your diet and lifestyle, avoiding a sedentary lifestyle. It is important to eat a diet low in purines and reduced in salt to prevent the kidneys from working too hard. For this reason, here are some dietary recommendations:

Avoid eating:

Foods rich in purines such as red meat, sausages, offal, oily fish, seafood or cured cheese.
Vegetables such as tomatoes, asparagus, spinach and peppers.
Alcohol (including beer) and sugary drinks.
Salt.

It is good to eat:

Fruits such as cherries, bananas, apples, lemons and oranges.
Vegetables containing apigenin such as celery, onions and garlic, among others. Some medicinal plants also contain this substance, such as camomile, horsetail and thyme, which is why it is advisable to drink these infusions.
Drink plenty of water.

Conclusion

Following this advice will help the patient to avoid gout as far as possible. However, certain facts should be kept in mind when discussing this problem:

In general, an attack of gout usually gets better within 5 to 10 days.
People who have had gout in the past are likely to get gout again after a few months or years. In addition, these repeated attacks may last longer and occur more often.

If left untreated, gout is very likely to progress and produce permanent pain in the joints and may damage the kidneys.

Gout Home Remedy

Why does Gout occur?

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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