Managing Gout: Dietary Tips and Frequency of Attacks Explained - Internal Medicine

More Info

---

Managing gout effectively requires a multifaceted approach, particularly focusing on dietary modifications and lifestyle changes. Gout is a form of inflammatory arthritis characterized by elevated levels of uric acid in the blood, which can lead to painful attacks. Your current uric acid level of 7.2 mg/dL indicates that you are at risk for gout attacks, especially if dietary control is not implemented.

Dietary Tips for Managing Gout
1. Limit Purine-Rich Foods: Foods high in purines can lead to increased uric acid levels. Red meats, organ meats (like liver), and certain seafood (such as sardines and anchovies) should be limited. While you mentioned enjoying beef noodle soup, it would be wise to restrict your intake of red meat and opt for leaner protein sources, such as chicken or fish, in moderation.

2. Fruits and Juices: While fruits are generally healthy, fruit juices can be high in sugars, which may contribute to increased uric acid levels. The 10% fruit juice you consume daily could be problematic, especially if it contains added sugars. Whole fruits are preferable as they contain fiber and lower concentrations of sugar. Consider switching to whole fruits like cherries, which have been shown to help lower uric acid levels and reduce the frequency of gout attacks.

3. Seafood and Shellfish: You mentioned consuming shrimp approximately every three days. Shellfish can be moderate in purines, so it’s advisable to limit their intake. Instead, focus on low-purine options like eggs, nuts, and low-fat dairy products.

4. Dairy Products: Low-fat dairy products can actually help lower uric acid levels. Incorporating yogurt or skim milk into your diet can be beneficial.

5. Vegetables: Most vegetables are low in purines and can be consumed freely. However, some vegetables like asparagus and spinach are moderate in purines, but they are generally safe to eat in moderation.

6. Hydration: Staying well-hydrated is crucial for managing gout. Aim to drink plenty of water throughout the day to help flush uric acid from your system. Alcohol, particularly beer, should be avoided as it can raise uric acid levels.

7. Limit Sugary Foods and Drinks: High-fructose corn syrup and sugary beverages can increase uric acid levels. It’s wise to limit or eliminate these from your diet.


Frequency of Attacks
Without dietary control, it is likely that your gout attacks may become more frequent and severe. Each attack can cause joint damage, leading to chronic gout if not managed properly. The goal is to keep uric acid levels below 6.0 mg/dL to prevent attacks. Regular monitoring of your uric acid levels and adjusting your diet accordingly is essential.


Medication
You mentioned taking 5 mg of colchicine (康速龍) daily. This medication can help manage gout attacks, but it is not a substitute for dietary changes. Discuss with your healthcare provider whether you need additional medications, such as allopurinol, which can help lower uric acid levels over time.


Conclusion
In summary, managing gout effectively involves a combination of dietary modifications, hydration, and possibly medication. By limiting purine-rich foods, being cautious with fruit juices, and focusing on a balanced diet rich in low-purine foods, you can significantly reduce the frequency and severity of gout attacks. It is advisable to consult with a healthcare provider or a registered dietitian for personalized dietary recommendations tailored to your specific health needs.