The main cause of gout is too much uric acid in the body, a condition known as hyperuricemia. Uric acid is produced by the body to help break down purines, naturally occurring chemical compounds found in many foods.
Foods and drinks that often trigger gout attacks include organ meats, game meats, some types of fish, fruit juice, sugary sodas and alcohol. On the other hand, fruits, vegetables, whole grains, soy products and low-fat dairy products may help prevent gout attacks by lowering uric acid levels.
Drink plenty of water, milk and tart cherry juice. Drinking coffee seems to help as well. Be sure to talk with your doctor before making any dietary changes.
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) and naproxen (Aleve) can help relieve gout pain and swelling. It may take some time for the relief to kick in—anywhere up to 24 hours. Topical rubs containing capsaicin or other soothing ingredients (like aspercreme, Icy Hot, etc.)
Most gout attacks will go away by themselves in several weeks, even without treatment.
An episode of gout usually lasts for about 3 days with treatment and up to 14 days without treatment. If left untreated, you're more likely to have new episodes more frequently, and it can lead to worsening pain and even joint damage. During an episode of gout, you'll experience intense joint pain.
The four phases of gout include asymptomatic hyperuricemia, acute gouty arthritis, intercritical gout and chronic tophaceous gout. The peak incidence occurs in patients 30 to 50 years old, and the condition is much more common in men than in women.
While sleeping, the body loses moisture through breathing and sweating. As this happens, the blood loses some of its water content. As water content decreases, the concentration of uric acid in the blood increases. This increase leads to or exacerbates hyperuricemia, the precursor to gout.
Having a couple of extra pillows handy can also be helpful — if you experience a gout flare during the night, try putting a pillow or two under your feet and raise them above chest level.
The most common signs of a gout attack are: Sudden and severe pain, usually in the middle of the night or early morning. Tenderness; the joint can also be warm to the touch and look red or purple.
An increased amount of uric acid in the urine often indicates gout, which is a common form of arthritis. This condition is characterized by severe pain and tenderness in the joints, especially those in the toes and ankles. Other symptoms of gout include: swelling in a joint.
We would like to stress that uric acid crystalluria should be considered in the differential diagnosis of any patient with reddish-orange discoloration of urine, especially in the presence of macroscopic reddish-orange crystals.
Recommendations for specific foods or supplements include:
Coffee is thought to reduce gout risk by lowering uric acid levels through several mechanisms . Coffee may lower uric acid levels by increasing the rate that your body excretes uric acid. Coffee is also thought to compete with the enzyme that breaks down purines in the body.
Chocolate that's not filled with added sugar and sweeteners can offer some benefits to people with gout. Chocolate can lower uric acid crystallization, according to a 2018 study . Lowering uric acid crystallization can be key to controlling your gout.
Green tea: Studies report that green tea moderately lowers uric acid levels in the blood. Its antioxidant properties may help fight inflammation associated with gout. However, more evidence is required to prove these claims. Drinking a glass of green tea may be beneficial overall.
Fructose increases purine metabolism, raising blood uric acid levels. Avoid sweeteners high in fructose such as honey, brown sugar, high-fructose corn syrup, golden syrup and palm sugar.
Gout is caused by a chemical called uric acid forming small crystals in and around the joints. These crystals also often build up under the skin and form small white or yellow lumps known as tophi. Tophi are usually painless, but they can form in awkward places, such as at the ends of your fingers and around your toes.
Although tomatoes are low in purine, some research suggests they may cause gout flares. In a study of more than 2,000 people diagnosed with gout, 20% said that tomatoes were a trigger, making it the fourth most common trigger food reported. It's unclear why tomato consumption causes gout flares in certain individuals.
Eat plenty of vegetables such as kailan, cabbage, squash, red bell pepper, beetroot, but limit the intake of vegetables with moderate purine content such as asparagus, spinach, cauliflower and mushrooms. Eat fruits high in vitamin C such as oranges, tangerines, papaya and cherries.
If you have gout, dishes like chopped liver and liver and onions are best avoiding, along with other organ meats like kidney, heart, sweetbread, and tripe, since they're high in purines.
Foods are considered low-purine when they have less than 100 mg of purines per 3.5 ounces (100 grams). prevent attacks by lowering uric acid levels and reducing inflammation ( 23 , 24 ). Vegetables: All vegetables are fine, including potatoes, peas, mushrooms, eggplants and dark green leafy vegetables.