Gout & Diet | houstonkidneyclinic.com
Gout is a type of arthritis. It is caused by having too much of the
chemical, uric acid, in your bloodstream
Your diet plays an important role in both causing gout and reducing
the likelihood of suffering further painful attacks of gout.
Constipation occurs When the waste material or the stool moves very slowly via large intestine.Here are the foods to be included for constipation diet.
Effective Diet plan for diabetic patientMedisys Kart
Diet Plays major role in diabetes. If you are not taking your diet properly and eating foods that should be avoided then it can be dangerous. So we are sharing some of the diet tips for diabetic patient in ppt so that you can eat right food and get rid of diabetes.
Constipation occurs When the waste material or the stool moves very slowly via large intestine.Here are the foods to be included for constipation diet.
Effective Diet plan for diabetic patientMedisys Kart
Diet Plays major role in diabetes. If you are not taking your diet properly and eating foods that should be avoided then it can be dangerous. So we are sharing some of the diet tips for diabetic patient in ppt so that you can eat right food and get rid of diabetes.
Kidneys are the vital organs in the human body. Its main function is to remove the waste products from our body. At the stages of kidney disease it can’t completely remove toxins, excess salt, water, etc. So these waste products build up in the body and create problems. At the stages of kidney disease we have to follow a healthy renal diet without overloading kidneys. Here we are providing a general diet for kidney disease patients also who are prone to kidney disease. By making simple changes in lifestyle & diet we can improve renal health. Here also provided three simple tests to check for kidney diseases.
Gout is a type of arthritis and is a complex disorder.
It causes painful inflammation in one or more joints.
Gout is characterized by an abnormal metabolism of uric acid, resulting in excess uric acid in the tissues and blood.
Gout is more prevalent among men and obese people. Menopausal women also suffer from gout.
Read More : http://nirogam.com/product_detail/6/Arthronil-60-Caps
http://curegoutpainnow.com
The best long term results are obtained by eating a properly planned uric acid diet. Any diet plan that is prescribed for gout patients must be able to reduce the level of uric acid in the blood.
DIET THERAPY FOR TREATMENT OF DIFFERENT DISEASES AND MODIFICATION OF DIET . CHANGES IN TEXTURE CALORIES CONTENT VALUES FORMULA DIET
DIFFERENT TYPES OF THERAPEUTIC DIET
This is an article that will reveal, how to lower your blood pressure using natural remedies. The title of the article is Natural remedies for high blood pressure. I'm sure this information will be extremely useful. I will reveal to you one of the most powerful products for high blood pressure. Lowering blood pressure is not something extremely complicated, you need to watch your diet and follow this tips.
Kidneys are the vital organs in the human body. Its main function is to remove the waste products from our body. At the stages of kidney disease it can’t completely remove toxins, excess salt, water, etc. So these waste products build up in the body and create problems. At the stages of kidney disease we have to follow a healthy renal diet without overloading kidneys. Here we are providing a general diet for kidney disease patients also who are prone to kidney disease. By making simple changes in lifestyle & diet we can improve renal health. Here also provided three simple tests to check for kidney diseases.
Gout is a type of arthritis and is a complex disorder.
It causes painful inflammation in one or more joints.
Gout is characterized by an abnormal metabolism of uric acid, resulting in excess uric acid in the tissues and blood.
Gout is more prevalent among men and obese people. Menopausal women also suffer from gout.
Read More : http://nirogam.com/product_detail/6/Arthronil-60-Caps
http://curegoutpainnow.com
The best long term results are obtained by eating a properly planned uric acid diet. Any diet plan that is prescribed for gout patients must be able to reduce the level of uric acid in the blood.
DIET THERAPY FOR TREATMENT OF DIFFERENT DISEASES AND MODIFICATION OF DIET . CHANGES IN TEXTURE CALORIES CONTENT VALUES FORMULA DIET
DIFFERENT TYPES OF THERAPEUTIC DIET
This is an article that will reveal, how to lower your blood pressure using natural remedies. The title of the article is Natural remedies for high blood pressure. I'm sure this information will be extremely useful. I will reveal to you one of the most powerful products for high blood pressure. Lowering blood pressure is not something extremely complicated, you need to watch your diet and follow this tips.
http://curegoutpainnow.com - Gout is a painful condition, often affecting the toes, but it can affect many other joints as well. If left alone it can get worse, turn into a chronic problem and even cause permanent damage. It's the ingredients in our food that causes gout and diet is one of the first things you have to take a look at.
9 foods to help balance blood sugar levelskittycolbert7
When a person has diabetes, either their body does not produce enough insulin, or it cannot use the insulin correctly, so glucose accumulates in the blood. High levels of blood glucose can cause a range of symptoms, from exhaustion to heart disease.
One way to control blood sugar is to eat a healthful diet. Generally, foods and drinks that the body absorbs slowly are best because they do not cause spikes and dips in blood sugar.
The glycemic index (GI) measures the effects of specific foods on blood sugar levels. People looking to control their levels should pick foods with low or medium GI scores.
A person can also pair foods with low and high GI scores to ensure that a meal is balanced.
Below are some of the best foods for people looking to maintain healthy blood sugar levels.
Diverticulosis is a type of medical disease affecting your digestive tract. Foods to avoid with diverticulitis are foods high in sugar and fat, alcohols.
https://parentinghealthybabies.com/foods-avoid-diverticulosis/
Purine(uric acid) table for reducing gout attackRosaSanchez159
purine table and information | houstonkidneyclinic.com
Some examples may be: very spicy and greasy food, coffee, alcohol, excess tea, deeply fried food and more. In Chinese medicine concepts, these foods fall under the category of Heat and Damp producing foods and beverages.
High Phosphorus Foods | houstonkidneyclinic.com
You may need to limit or avoid these foods. Check with your
Dietitian regarding specific foods and portion sizes that are right for you.
If you need to limit sodium | houstonkidneyclinic.com
Sodium is a mineral found in most foods that helps
balance how much fluid your body keeps. Sodium also
helps regulate nerve and muscle function.
High and low phosphorus foods | houstonkidneyclinic.com
Phosphorus is a mineral found in bones. Along
with calcium, phosphorus helps build strong, healthy
bones, and keeps other parts of your body healthy
Foods High in Potassium Content | houstonkidneyclinic.com
Too much potassium can make your heart stop beating, & too little potassium
can also be dangerous. It is important to follow your diet recommendations for
potassium, and never skip or shorten a dialysis treatment.
The DASH Diet 3 | houstonkidneyclinic.com
This fact sheet, based on the DASH
research findings, tells about high blood
pressure, and how to follow the DASH
diet and reduce the amount of sodium
you consume.
Dash diet 2 | houstonkidneyclinic.com
The DASH Diet is low in total fat, saturated fat and cholesterol, while high in potassium, calcium, magnesium, fiber and protein.2 Following the DASH Diet has been clinically proven to successfully lower blood pressure. And, the DASH Diet adheres to the goals of the 2005 Dietary Guidelines for Americans.4
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
1. Diet
All about gout
and diet
What is gout?
Gout is a type of arthritis. It is caused by having too much of the
chemical, uric acid, in your bloodstream. Uric acid is the waste
product created when the body breaks down purines (a type of
protein found in many foods and all of your cells). Increased levels
of uric acid in your blood may occur if, for example, your kidneys
cannot efficiently remove it, you have a rare genetic abnormality, or
because your diet and lifestyle increase the amount of uric acid that
you produce. If levels of uric acid are high for prolonged periods,
needle-like crystals can start to form in your tissues, resulting in
swollen, painful joints.
Your diet plays an important role in both causing gout and reducing
the likelihood of suffering further painful attacks of gout. If you
already suffer from gout, eating a diet that is rich in purines can
result in a five-fold increase in gout attacks.
Are other illnesses associated with the
development of gout?
Elevated uric acid is seen in many other conditions, and people who
have gout may also have raised cholesterol, raised triglycerides (a
type of fat in your blood), high blood pressure and poor glucose
tolerance. This may make it more likely that you have (or will
develop) type 2 diabetes, metabolic syndrome and kidney disease.
In addition, approximately half of all gout sufferers are overweight.
Central obesity (carrying weight around your middle) also increases
certain inflammatory substances in your blood. This can further
exacerbate gout attacks, as well as putting you at risk of developing
heart disease, diabetes and metabolic syndrome. For further
information on gout and related illnesses, download: All About Gout
and other health problems from www.ukgoutsociety.org
Can losing weight help my gout?
Losing weight alone can reduce blood uric acid levels, and the number
of acute attacks suffered. Weight-loss will also help to reduce the stress
on weight–bearing joints e.g. hips, knees, ankles and feet. However, it is
important to avoid any type of crash dieting, as going without food for
long periods and rapid loss of weight can increase uric acid levels and
trigger painful gout attacks. A combination of balanced healthy eating
and regular physical activity is the best way to lose weight safely and
maintain a healthy weight.
Which foods should be avoided?
As uric acid is made in the body from the breakdown of purines that
come from your diet, it is advisable to reduce the amounts of foods
that you eat that are high purines.
High purine foods include: (avoid)
•Offal - liver and kidneys, heart and sweetbreads
•Game - pheasant, rabbit, venison
•Oily fish - anchovies, herring, mackerel, sardines, sprats, whitebait,
trout
•Seafood - especially mussels, crab, shrimps and other shellfish, fish
roe, caviar
•Meat and Yeast Extracts - Marmite, Bovril, commercial gravy as
well as beer
Moderate purine foods (eat in moderation)
•Meat - beef, lamb chicken, pork
•Poultry - chicken and duck
•Dried peas, beans and legumes - baked beans, kidney beans,
soya beans and peas etc.
•Mushrooms and mycoprotein (Quorn™)
•Some vegetables - asparagus, cauliflower, spinach
•Wholegrains - bran, oatbran,wholemeal bread
Low purine foods
•Dairy - milk, cheese, yoghurt, butter
•Eggs
•Bread and cereals - (except wholegrain)
•Pasta and noodles
•Fruit and vegetables (see moderate purine list)
How much protein do you need?
Generally you need about 1g of protein per kg of body weight (70kg
man only requires 70g of protein daily), unless you on a protein
restricted diet e.g., some people with kidney disease may need to
restrict their intake.
Here are some examples of protein content of food:
•100g (3.5oz) chicken breast contains 22g protein
•100g cod fillet contains 21g protein
•Large egg contains 6g
•30g (1oz) hard cheese contains 8g protein
•30g cottage cheese contains 14g protein
•30g almonds contain 5g protein
Protein is very important part of your diet, it used for growth and
repair, as well as an energy source. Not only that, but eating
sufficient protein improves satiety (how full you feel) as well as
blood sugar control.
However, as its important to use high purine/moderate protein
foods with caution, then you are best to combine both animal and
vegetarian sources of protein. Studies have shown that vegetarian
diets that are high in purines (e.g. from lentils etc.) are much less
likely to lead to gout.
In addition, red meat is a very good source of iron and is easily
absorbed by the body. Other foods such as eggs and pulses contain
iron, but in a form that the body finds hard to absorb. However, the
absorption of iron can be improved if you also eat vitamin C - rich
foods in the same meal e.g., add green and red peppers to
scrambled eggs.
Some people find that certain foods such as strawberries, oranges,
tomatoes and nuts will trigger their gout even though they are not
high in purines. Although there is no clear evidence to suggest
why this happens, it is probably best to avoid them if you have
had this experience.
2. Diet
Are there any foods that are good for gout?
Studies have shown that men whose diet is higher in vitamin C are
less likely to develop gout. Also, taking additional vitamin C as a
dietary supplement (500 to 1500mg/day) can reduce blood uric
acid levels.This is achieved by helping to remove uric acid from the
body via the kidneys. If you’re considering supplementing your diet,
always discuss this with your doctor as vitamin C can (rarely)
interact with prescribed medications. High doses of vitamin C can
also cause loose stools in some people.
Sour cherries or sour cherry juice have been used as a natural
remedy for gout - and scientific research has shown that a certain
type of cherry can reduce blood uric acid levels as well as reduce
the inflammation that occurs with gout.
Eating healthily is key
Eating a balanced diet is important for everyone. A healthy diet
helps to control weight and provides all the necessary nutrients
needed for maintaining good health. A variety of foods from the
four main food groups should be eaten every day, this means:
•Plenty of fruit and vegetables – it’s very important to achieve at
least 5-a-day, as fruit and vegetables provide fibre, vitamins, minerals
and phytonutrients essential for good health
•Plenty of bread, other cereals and potatoes – try to eat some
whole grains, and use the skin on potatoes to ensure you get the
vitamins, mineral and fibre you need
•Moderate amounts of meat, fish and alternatives – avoid
eating large portions – beware restaurants often serve 8oz of meat
for a main
•Moderate amounts of dairy products – the recommended
amount is three portions of dairy products daily e.g. 200 ml glass of milk,
a pot of yoghurt and a 30 mg (matchbox-sized) piece of hard cheese
•Reduce or eliminate highly processed foods and drinks
(see below)
Beware sweetened foods and beverages
Foods and drinks sweetened with fructose (often seen labelled as
glucose-fructose syrup or corn syrup), as well as sweetened soft
drinks, increase the risk of developing gout, as well as the number
gout attacks.
Sweetened soft drinks, and many commercial fruit juices (especially
those from concentrate), are a poor substitute for fruit, as they do
not contain any fibre, and are effectively ‘empty- calories’.
Also be careful buying jams and sweetened condiments. Many
manufacturers are now using glucose-fructose syrup (also known as
high fructose corn syrup), as it is cheaper than cane or beet sugar.
Diets that are high in refined (easily digested) carbohydrates for
example, white bread, white pasta, white rice, biscuits and cakes,
also increase the risk of developing type 2 diabetes, and are linked
to obesity
Therefore, try to avoid sweetened soft drinks, and reduce the
amount of sugar in your diet other than fresh fruit.
Can I drink alcohol?
Drinking alcohol can increase your risk of developing gout and can
bring on a sudden attack if you are already a gout sufferer. Alcohol
can raise the level of uric acid in the blood in a number of ways and
so trigger a gout attack. Many beers contain large quantities of
purines from the fermenting process and alcohol stimulates the
production of uric acid by the liver. More importantly, however,
alcohol is converted in the body to lactic acid which interferes with
the removal of uric acid from the body by the kidneys.
While it is certainly possible for people with gout to remain well
without becoming teetotal, reduction in alcohol consumption is very
important particularly if you are drinking more than the
recommended healthy limit of 21 units per week for men or 14
units per week for women.
1 unit of alcohol is provided by:
•½ pint of standard strength (3-4% alcohol by volume) beer, lager or
cider
•125ml glass of wine (11%, 100ml glass of stronger wine)
•Single measure of spirits (25ml)
•Single measure of sherry or fortified wine (50ml)
Are some types of alcohol better than others?
A study has shown that the risk of developing gout is greater in even
moderate regular beer drinkers than in those who drink equivalent
amounts of alcohol in the form of spirits or wine. Gout was two and
a half times more frequent in men who drink two bottles of beer a
day while two glasses of wine daily was not associated with an
increased risk of developing gout.
What about reduced alcohol beer?
We are not aware of any specific studies with low alcohol beers but
it seems probable that they are less likely to cause gout.
Is there a link between gout and binge drinking?
Some people say that their gout attacks follow quickly after a heavy
drinking session. Indeed, it is well established that binge drinking
may trigger attacks in people who suffer with gout, even when they
are taking medicines to prevent them.
Should I drink lots of water?
Yes, drinking fluids reduces the likelihood of crystals forming in the
kidneys. As a general rule, drinking 8 large glasses of fluids a day (1.5
litres) is recommended. All drinks, except alcohol, count towards
your fluid intake, including caffeine-containing drinks such as tea and
coffee. Caffeine can act as a mild diuretic, which means it causes you
to pass urine more often. However, regular tea and coffee drinkers
develop a natural tolerance to caffeine and will only experience mild
dehydration if they consume more than their usual amount. Caffeine
itself may have no direct influence on the risk of developing gout, as
research has shown that coffee intake, but not tea, may in some
people be associated with slightly lower blood levels of uric acid than
those drinking the same volumes of tea.
For further information and other useful resources:
UK Gout Society: PO Box 527, London WC1V 7YP
Website: www.ukgoutsociety.org
Email: info@ukgoutsociety.org