Uric Acid Control: The Key to Managing Gout Symptom-By Dr. Joseph E. Mechanik
posted: Mar. 03, 2023.
As a podiatrist, I understand the importance of keeping uric acid levels under control in those who suffer from gout. Gout is a form of inflammatory arthritis that results from an increase in uric acid levels in the body. It is characterized by intense joint pain, swelling, and redness. Left untreated, gout can have serious consequences and can lead to long-term joint damage. Uric acid is a waste product that is produced when the body breaks down purines, which are found naturally in the body and in certain foods; a detailed list of these foods is listed below. Levels of uric acid are typically regulated by the kidneys, but for those with gout, the uric acid level is often higher than normal. In order to effectively treat gout, it is vital to keep uric acid levels in check. In most cases, doctors will first try to control gout with medications such as allopurinol or probenecid. These medications work to reduce uric acid levels in the body, but they may not be enough to completely control the condition. In such cases, an individual may need to receive Pegloticase, also known as Krystexxa. This medication works by targeting the uric acid in the bloodstream and breaking it down. It is important to follow up with a podiatrist who treats and manages gout; and not just the painful gout attacks. As a podiatrist I also provide advice on lifestyle changes, such as adopting a diet low in purines, that can help to reduce uric acid levels and manage the condition. In conclusion, it is essential to keep uric acid levels under control in those who suffer from gout. Medications, such as allopurinol and probenecid, can be used to help control the condition, but for more serious cases, Krystexxa may be necessary. Following up with a podiatrist is an important part of the treatment plan, as they can provide valuable advice on how to best manage the condition.
Below is a dietary guide to foods to avoid and foods that are good for you, if you have a diagnosis of gout or hyperuricemia.
Foods to Avoid
1. Red Meat: Beef, Pork, Lamb, Venison
2. Organ Meats: Liver, Kidney, Brain
3. Shellfish: Crab, Lobster, Oysters, Mussels
4. Alcohol: Beer, Wine, Spirits
5. Sugary Drinks: Soda, Fruit Juices, Sports Drinks
6. Refined Grains: White Flour, White Rice, White Bread
7. High-Fructose Corn Syrup and Artificial Sweeteners
8. Processed Foods: Cakes, Cookies, Biscuits, Potato Chips
Good Foods
1. Whole Grains: Brown Rice, Oats, Quinoa, Barley
2. Legumes: Beans, Lentils, Peas
3. Nuts and Seeds: Almonds, Walnuts, Chia Seeds, Flax Seeds
4. Vegetables: Broccoli, Brussels Sprouts, Asparagus, Leafy Greens
5. Fruits: Apples, Bananas, Berries, Pears
6. Healthy Fats: Olive Oil, Avocado Oil, Coconut Oil
7. Lean Protein: Chicken, Fish, Eggs
Drinking Appropriate Amounts of Water Daily
- Drink 8-10 glasses of water daily
- Avoid sugary drinks, alcohol and caffeinated beverages
- Replace sugary drinks with water, sparkling water or herbal teas
- Consume electrolytes such as coconut water or sports drinks in moderation
- Monitor your fluid intake throughout the day to ensure you are drinking enough water