Can gout be cured? What should you pay attention to in your diet?

Can gout be cured? What should you pay attention to in your diet?

Can gout be cured? What should I pay attention to in my diet? Food is one of the main sources of human nutrition. In fact, the food we can contact in our daily life is very extensive. Let's find out if gout can be cured. What should I pay attention to in my diet?

Can gout be cured? What should I pay attention to in my diet? 1 What is gout?

Gout is a metabolic rheumatism caused by purine metabolism disorder and insufficient uric acid excretion. Its main clinical features include hyperuricemia, acute gouty arthritis, tophus deposition and characteristic chronic arthritis.

What factors are related to gout?

Genetic and environmental factors are the two major causes of gout. Genetic factors are the main factors, and environmental factors include internal environment and external environment. Among them, the internal environment is related to the patient's own blood pressure, blood sugar and weight, and the external environment is related to factors such as temperature and altitude.

In addition, epidemiological investigation shows that the incidence of gout is positively correlated with age, that is, the older you are, the more likely you are to suffer from gout. However, gout patients are getting younger and younger.

In terms of gender differences, due to the protection of estrogen, the probability of gout in women is much less than that in men, and the prevalence rate of men and women is 3: 1.

How to diagnose gout?

Uric acid salt crystallization is the gold standard for the diagnosis of gout. If urate crystals exist in articular fluid under microscope, gout can be diagnosed. But in the absence of corresponding equipment, the patient's symptoms, blood uric acid level, CT examination, etc. Can be combined to make a comprehensive score diagnosis.

How to treat gout? Can it be cured?

The treatment of gout is divided into traditional Chinese medicine treatment and modern medical treatment.

Traditional Chinese medicine treatment of gout is mainly divided into internal treatment and external treatment. Internal treatment is mainly to classify patients by listening, listening and asking questions, and choose suitable Chinese medicines for them. External therapy includes fumigation and washing with traditional Chinese medicine, small needle knife, cupping and other therapies. In the acute stage of gout, when patients have obvious swelling and pain, they can be treated by pricking collaterals and bloodletting, and the pain can be obviously relieved.

Modern medical treatment of gout can be divided into two stages, namely, acute attack and remission. In the acute attack period, anti-inflammatory and analgesic drugs are mainly used for treatment, such as colchicine and hormone drugs. The treatment in remission stage is mainly to reduce uric acid, such as using drugs to promote uric acid excretion and inhibit uric acid production.

At this stage, gout cannot be cured. Gout is a metabolic rheumatic immune disease. Once gout is diagnosed, it must be used for a long time in the process of reducing uric acid. It should be noted that the follow-up rate of gout in China is low at present. However, the early follow-up rate is low, and the number of gout attacks will become more and more frequent in the later period, so patients should be paid enough attention.

In addition, patients should pay attention to three aspects when choosing drugs.

First, other people's gout drugs are not necessarily suitable for themselves and need to be used symptomatically.

Some gout patients will choose uric acid lowering drugs recommended by others, which is not desirable. In fact, drugs that are suitable for others may not be suitable for themselves. Patients should go to a regular hospital for examination and take medicine according to symptoms.

Second, most patients can tolerate the side effects of gout drugs.

The treatment of gout takes a long time, and many patients will worry about the side effects of drugs. But from the clinical experience, these drugs are relatively safe, and most patients can tolerate side effects.

Third, the curative effect of gout drugs at home and abroad is basically the same.

Now some patients like to choose foreign gout drugs, but in fact, the efficacy of drugs at home and abroad has been basically the same, and it has entered the medical insurance catalogue.

What should gout patients pay attention to in diet?

(1) Gout patients are not allowed to mix seafood with beer.

Seafood and beer are foods with high purine content, and gout patients should avoid them. In addition, both beer and liquor contain ethanol, which will inhibit the excretion of uric acid and lead to the increase of blood uric acid, so gout patients should avoid drinking alcohol.

(2) High-sugar drinks and fruits can also induce gout.

Fructose in high-sugar drinks and fruits can inhibit uric acid metabolism, which is not suitable for gout patients. Previously, a boy of 16 years old suffered from gout due to hyperuricemia and gout caused by long-term drinking of high-sugar drinks.

(3) Bean products can relieve gout.

The latest gout diagnosis and treatment guidelines show that although the purine value of bean products is high, other substances contained in them can promote uric acid excretion, which is beneficial to gout patients.

(4) Gout patients should never eat seafood red meat? Boil water and eat less!

In the acute phase, gout patients should avoid eating seafood and red meat. But in the remission period, patients can eat properly by cooking with water. Because purine is easily soluble in water, the content of purine will decrease after food is cooked. Of course, we should pay attention to eating less.

Can gout patients exercise?

You can exercise moderately, but choosing moderate and low-intensity aerobic exercise can alleviate gout attacks. Moderate intensity exercise means that your heart rate is lower than the corresponding heart rate index during exercise. The calculation method of this index is: (220 years old) *80%.

It is worth noting that when gout attacks, exercise is forbidden.

Can gout be cured? What should I pay attention to in my diet? Can gout eat mushrooms?

1, gout does not eat mushrooms.

Gout is caused by purine metabolism disorder or high uric acid concentration in blood. Sodium urate deposits on small joints of the body, such as finger joints and toe joints, forming stones, compressing related tissues, and causing joint pain and immobility. Gout patients have purine metabolism disorder, so they can't eat seafood, animal viscera, meat, etc. because these foods are rich in purine. Mushrooms are also rich in purine, and gout patients should try not to eat mushrooms.

2. Don't eat mushrooms.

Mushrooms are rich in purine, and mushrooms and mushroom foods all have the same characteristics. Some of them may be slightly lower in content, but they are also much higher than ordinary foods. Therefore, gout patients should try not to eat mushroom foods, such as mushrooms, Flammulina velutipes, mushrooms, Hericium erinaceus, Pleurotus eryngii and so on. Therefore, it is recommended that gout patients eat as little mushroom food as possible.

Some people can't eat mushrooms.

Any food will have some taboos, so will mushrooms. The first is that people who are allergic to mushrooms can't eat them; Mushrooms contain a mineral called chitin, which is difficult to digest. People with gastrointestinal diseases should eat as little as possible. Mushrooms are rich in vitamins and amino acids. Excessive nitrogen-containing waste produced by metabolism of these substances will cause kidney damage, so people with liver and kidney failure can't eat mushrooms.

Can gout be cured? What should you pay attention to in your diet? 3 How to treat gout best?

First, the traditional medical treatment of gout

1, drug therapy. In the critical period of acute attack and prevention of further attack, doctors may recommend small doses of anti-inflammatory drugs or colchicine. Antihyperuricemia drugs are used to reduce uric acid content.

Antihyperuricemia drugs can dissolve urate crystals and tophi. However, if your kidney function is abnormal, it is not recommended to take these drugs.

Anti-inflammatory drugs For young people who have no serious health problems, drug treatment usually begins with non-steroidal anti-inflammatory drugs, such as indomethacin and methoxynaproxen propionic acid. But after taking them for a period of time, these drugs will bring gastrointestinal side effects. Other possible side effects include increased blood pressure, dizziness, tinnitus, headache, rash and depression. If you find any of these symptoms, you should consult your doctor immediately.

If the above drugs don't work for you, you can also consider colchicine. The possible side effects of taking colchicine are nausea, vomiting, diarrhea and blood and kidney problems.

2. Surgical treatment. Sometimes it is necessary to surgically remove large tophi, but gout patients rarely need to replace their joints.

In addition, some drugs interfere with the body's ability to excrete urea, which also increases the risk of gout. These drugs include diuretics and anti-inflammatory drugs made of salicylic acid, such as aspirin. Other drugs include nicotinic acid, levodopa (used to treat Parkinson's disease) and cyclosporine (used to suppress the immune system in patients undergoing organ transplantation). This is why people who have received organ transplants are at greater risk of gout than the general population.

Second, the traditional Chinese medicine treatment of gout

The goal of natural therapy is to excrete excessive uric acid from the body. Chinese herbal medicine is the main method to alleviate and eliminate gout symptoms.

1, blueberry grape seed essence. Vaccinium berry and grape seed essence are very useful antioxidants, which can relieve gout. Vaccinium berry eliminates uric acid, and grape seed essence reduces inflammation.

2, hook fruit grass. Gouguocao is an anti-inflammatory drug, which can relieve joint pain and reduce uric acid content. It exists in the form of tincture, tea or capsule.

3. Flaxseed kernel and charcoal mud powder. Mix the same amount of flaxseed powder and activated carbon powder, and gradually heat the water until a paste appears. Apply this charcoal mud mixture to the painful joint and wrap it in plastic. Doing so can suck out toxins and change the paste every 2-4 hours.

4. Juniper and nettle. Juniper and nettle are two kinds of Chinese herbal medicines for diuresis, which can effectively reduce uric acid content. It should be noted that juniper has a stimulating effect on the kidneys, and patients with kidney disease should avoid taking it.

Third, the diet therapy of gout

Gout patients should eat more and less.

1, drink more water and drink less soup. People with high blood uric acid and gout patients should drink more boiled water and less broth, fish soup, chicken soup and hot pot soup. The osmotic pressure of boiling water is most beneficial to dissolve various harmful substances in the body. Drinking boiled water can dilute uric acid, accelerate excretion and reduce uric acid level. Soup contains a lot of purine components, which can not dilute uric acid but lead to an increase in uric acid.

2. Eat more alkaline food and less acidic food. Gout patients themselves have abnormal purine metabolism and uric acid. If they eat too much acidic food, their illness will get worse, which is not conducive to rehabilitation. Eating more alkaline food is helpful to supplement potassium and sodium chloride ions and maintain acid-base balance.

3. Eat more vegetables and eat less. Eating more vegetables is conducive to reducing purine intake, increasing vitamin C and increasing cellulose; Eating less is beneficial to control calorie intake, limit weight and lose weight and fat.