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What you should be eating with Gout #health #uricacid #gout

What you should be eating with Gout #health #uricacid #gout

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Gout is an inherited disease that causes pain, inflammation, and swelling in one or more joints. It frequently affects the big toe; however, other joints such as the knees, wrists, elbows or small joints of the hands, may also be affected. is predominantly seen in males as compared to females. An attack of gout usually last for 3-10 days, which is unpredictable and, if not treated, can lead to future attacks that could be more frequent and last for longer. The normal level of serum uric acid is 6 mg/dl in males and 5 mg/dl in females but this value increases in gout. Gout is caused by the increased level of uric acid (urate salt) in the bloodstream and deposition of uric acid crystals in the joint. Factors responsible for this disordered uric acid metabolism are heredity, obesity, poor kidney function, large doses of alcohol, fasting, certain foods, and the usage of drugs like aspirin and diuretics. Uric acid is a waste product of protein metabolism, which is excreted through the kidneys. When the uric acid level in the blood rises, the urate salts form crystals that deposit in the joints. Urates are basically breakdown products of certain substances known as purines. There are two sources of uric acid. Exogenous sources include foods that are high in their purine content such as meat or glandular meat like liver and kidney. The endogenous source is the breakdown of the nucleoprotein in our body cells. A diet that is low in purines as well as proteins along with a liberal intake of fluids is advisable. Obese people are more prone to gout; hence, a high-calorie diet should be avoided, as it may precipitate an attack of Gout. Because of their 'protein-sparing effect,' carbohydrates should be the main source of energy. Flesh in the form of meat, fish, and chicken should be avoided. The permissible amount of proteins per day is about 60 grams, preferably from vegetable sources and milk products. Fat is restricted in the diet as it causes retention of urates by the kidney. This also helps to prevent obesity. Fluids should be liberally taken to ensure excretion of at least 2000 ml of urine per day, so as to flush out the urates. Cereals and their products, milk and its products, most vegetables, fruits, nuts, and beverages like fruit juices can be taken. Tea and coffee should only be consumed in small quantities. Vegetables like beans, cauliflower, mushrooms, peas, spinach, asparagus, and lentils are best avoided as they are high in purines. Oatmeal, fish and other sea food, poultry, meat extract, marinates, and organ meats like liver, kidney, and brain must be excluded. Yeast and alcoholic products should also be avoided. 
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