Purine is metabolized in the digestive system as uric acid, and present in the following foods at high levels. For gout sufferers, it is recommended that these be avoided or reduced in the daily diet :
• Meats - especially organ meats such as kidney, liver, sweetbreads.
• Seafood - all types - especially shrimp, lobster and scallops.
• Dairy - whole milk, cream & ice cream (opt for skim milk.)
• Alcohol - especially beer.
culprit in gout attacks is abnormally high levels of uric
acid within the bloodstream, the same condition typically
leading to kidney
chemical within the body, excess uric acid normally passes
from the blood to the kidneys and exits the body while urinating.
normal process breaks down, uric acid in the form of sodium
urate crystals begins to build up in the joints (usually in
the big toe) causing severe foot
pain, redness and swelling.
as a form of arthritis,
gout overwhelmingly effects more men than women, and is generally
believed to have a hereditary component.
gout was known as a "wealthy man's disease" since
a rich diet of red meats and shellfish - high in purines which
convert to uric acid within the body - was often associated
with the condition.
being overweight and excessive drinking are also
recognized risk factors.
treatment includes a course of non-steroidal anti-inflammatory
drugs or NSAIDs which often can reduce pain within hours.
cases, steroid drugs may be injected into the joint to quickly
reduce pain and swelling. For chronic cases of gout, medications
such as allopurinol and probenecid may be prescribed to help
lower the levels of uric acid in the blood.
More about gout around the Web:
- Here's a complete intro to the topic from the University of Maryland
Medical Center with information on related conditions, symptoms,
diagnosis & testing, treatment options plus home care
and dietary guidelines, and related resources.
Education - Gout - Check out an illustrated fact sheet from the
American College of Rheumatology with information on causes,
symptoms and treatment, tips on diet & alcohol consumption
to avoid risk, searchable database of U.S. rheumatologists,
Gout Society - Downloadable "All About Gout"
brochure in PDF, MS Word or text format, with related
fact sheets on diet and treatment.
- Arthritis and Gout - Australian medical site focusing
on symptoms and aggravating factors, prevention and treatment
of acute attacks, with hyperlinks to arthritis information
is intended as reference and not as medical advice.
All treatment decisions should be made by medical professionals.