GUT AND NUTRITION

* Gout is a Joint Disease

Gout, which is defined as the “rich disease” due to the excessive consumption of red meat and animal protein, is a joint disease. It is more common in men over the age of 40. It can very rarely develop in older women after menopause. Gout can also bring along other health problems such as diabetes, hypertension, obesity and hyperlipidemia. This place has it.

* Gout is Composed of Excess Uric Acid in Our Body

Uric acid is a breakdown product that occurs as a result of the digestion of purine-containing foods in our body and is found in the blood of every healthy individual. Excess uric acid in the blood accumulates in the intra-articular and surrounding structures and causes inflammation there. It occurs in the form of pain, sensitivity, redness, swelling in the joints.

* Why does uric acid increase in blood?

It can be caused by excess production of uric acid, less excretion from the kidneys, and excessive intake of purines, which turn into uric acid in the body, with some foods.

*Men are 20 times more at risk than women

Those at risk of gout;

  • Those with a family history of gout,
  • Those who consume too much purine-rich foods,
  • Those who use excessive alcohol
  • those who are overweight,
  • Those who have undergone surgery (even a simple attempt like tooth extraction can cause it)
  • Sudden and severe illness
  • Those undergoing chemotherapy
  • Those who use diuretics (Diuretics are drugs that provide fluid excretion from the body)

*It Is The Most Painful Of All Types Of Rheumatism

Gout, if left untreated, causes severe pain. Mostly the big toe is affected. In addition, joints such as elbows, knees and wrists can be affected. If treatment is delayed, joints and kidneys are affected, kidney stones may form.

* How Is It Treated?     

  • Diet
  • Medicine
  • Surgery (very rare)

* During gout attacks, aspirin should never be used.

Aspirin, which is considered a panacea, may not be helpful in gout, but may even be harmful. It enriches the acid environment in our blood, reduces uric acid excretion through the kidneys, triggers gout attacks. Similarly, all drugs that make the blood environment acidic can trigger this disease.

*The Most Commonly Recommended Diet for Gout

It is a purine-poor diet. This diet ensures that foods that cause too much uric acid production are taken in moderation.

SUGGESTIONS

1. Limit Purine-Rich Foods

Purine-containing foods such as meat, fish and poultry should not be consumed during acute attacks. These nutrients can be given in small amounts (60 g/day) after the acute attack periods have passed. Milk, cheese, eggs are the best sources of protein in a purine-limited diet. Below you will find a list of some low- and high-purine foods.

  • Low Purine Foods Suitable for Gout Diet:
  • Fruits – (especially cherries and strawberries)
  • Vegetables (other than those mentioned below)
  • cereals
  • White bread/crackers (not all wheat)
  • Rice
  • Cereals and cereal products
  • All types of cheese
  • High Purine Foods Not Suitable for Gout Diet:
  • Offal (such as liver, kidney, tripe, heart, tongue…)
  • Excessive red and white meat
  • Fish and seafood
  • Peas, lentils, beans, spinach and legumes
  • leavened foods
  • Mushrooms
  • Asparagus

2. Reduce Alcohol Consumption

Since alcohol consumption can also increase the uric acid level, alcohol should not be drunk or consumed in limited quantities.

3. Maintain Your Ideal Weight

Unconscious diets can make the disease worse.

4. Drink Plenty of Water

Drink plenty of water to prevent uric acid from being excreted and accumulating in the tissues.

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