An article that guides you of how to manage a diet for gout

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HOW TO MANAGE YOUR GOUT? Altering your diet can go a long way! Prophylaxis and/or diet and life style management
At the outset it should be clearly established that pain is positively due to gout and not pseudo gout. Pseudo gout is not due to accumulation of Uric acid but calcium phosphate and therefore the line of treatment is very different.

Since gout is caused by Hyperuricemia, (high levels of uric acid) in the body, the first thing is to limit or avoid foods which catabolise and yield uric acid. Purine containing foods (Purines and pyramidines are important parts of the nucleotides - DNA & RNA) lead to increased uric acid accumulation and are found in high amounts in all meat and meat products.

Diet Modifications

HOW TO MANAGE YOUR GOUT? Altering your diet can go a long way! FOODS TO AVOID -

Avoid high fat foods such as salad dressings, ice creams, and fried foods.
Avoid or at least reduce consumption of animal protein (meat, poultry and fish). Purines are the major culprits in increasing uric acid content of blood so it is very important to avoid meats* especially organ meats (liver, kidney and sweet breads), herring, anchovies and mackerel etc. A moderate amount of purines is also found in beef, pork, poultry, other fish and seafood. It is therefore advisable to restrict intake of all meat, poultry and fish to a maximum of 4-6 ounces per day.

(Normally, sea food is recommended as a healthy non veg protein due to its omega 3 content, however studies have shown that there is a strong, indisputable link between seafood and gout so sea food is avoided)

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User Comments

09 April, 2013 | Kavya | Reply

Even tofu is considered to lower your uric acid levels, it helps to flush out uric acid from the body.

24 October, 2012 | Tedi | Reply

I need gout remedies, foods to avoid with gout, meantetrt for gout without drugs or doctor, and gout causes?I have had gout for almost 3 years and gave up drinking because of it. And I have not had a gout attack in almost 3 years, until yesterday. Now I'm scratching my head wondering what has caused my gout to comeback. I didn't drink any alcohol. I'm looking for gout home remedies because I used to take the drug indomethacin for my gout relief, but that medication is so hard on the liver that I would rather look for a natural remedy. Any info is much appreciated.

13 December, 2011 | Sharad Jaipuria | Reply

Any diuretic like barley water, tender coconut water etc or even pills prescribed for this, help reduce the amount of salt and water in the body, and they in turn, decreases uric acid levels. A long term solution as against joint medications which are short term, till the disease disappears over time.
Again according to experts aspirin should not be taken, as it directly correlates with higher uric acid levels and may actually cause more harm than good.

If this is the first time you’ve had gout, it’s important to immediately elevate and rest the inflamed joint for at least twenty four hours. Whenever possible, keep your weight off of the hot spot and use ice packs to reduce swelling when necessary. Drink lots of water and take pain medications when it is safe to do so

08 November, 2011 | Aparna Das | Reply

People with gout are given a high carbohydrate, moderate protein and low fat diet.
Liberal carbohydrate intake prevents tissue catabolism and formation of ketone bodies. In case carbs are insufficient, the body breaks down more muscle and fat leading to excess of ketone bodies production. Ketone bodies compete with uric acid for excretion and therefore may further increase uric acid levels. People with gout who resort to a very low calorie diet (less than 900 calories per day) in order to reduce weight, actually cause their uric acid levels to go even higher. The Carbs should be high fiber and low in refined carbs.

04 October, 2011 | Dr Kalyani | Reply

What was a totally under estimated risk factor in dietary patterns was `fructose',whose metabolism generates uric acid. Consumption of high fructose corn syrup used to sweeten foods and beverages such as soft drinks and sports drinks has greatly increased in the United States over the same period as the incidence and prevalence of gout have risen. Subsequent studies also indicate that consumption of sugar-sweetened soft drinks and fructose, but not diet drinks, is strongly associated with increased risk of gout in men. So use of fructose containing foods has to be systematically removed from our diet along with public education.

07 October, 2011 | Vijayalakshmi Iyengar | Reply

Dear Dr Kalyani, thank you for your valuable input again, we should ask people especially those who are prone to Gout to have limited amounts of fructose based drinks or desserts.

01 October, 2011 | Sarvesh | Reply

Active research is ongoing in a variety of fields related to gout and hyperuricemia. New medications to increase the elimination of uric acid in the urine is also coming in.
Apart from Vitamin C that lower blood uric acid levels, many others found that dietary calcium intake may protect patients from getting gout attacks.

04 October, 2011 | Vijayalakshmi Iyengar | Reply

I agree with you Mr Sarvesh and thanks for your input. Since the incidence of Gout has increased, proportionately studies have also increased both in the field of medicine as well as Diet and life style management.
A study by Dr Choi and colleagues published in the LANCET showed that A 12-year study of 47,150 men with no history of gout at baseline found that higher consumption of meat and seafood were associated with increased risk of gout. In the same group of men, alcohol intake, particularly beer consumption (high purine content), was also strongly associated with increased risk of gout.
On the other hand purine-rich vegetables and total protein intake were not associated with increased risk of gout as originally thought. However there was confirmation that higher consumption of low-fat dairy products was associated with decreased risk.
So we are getting more and more clarity how to reduce the severity of Gout attacks.

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