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Monday, March 31, 2008

Keep Gout At Bay With A Low Uric Acid Diet

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Does a low uric acid diet bring relief from gout symptoms? This question is, like most health questions, answered with both a yes and a no.

However, it is worth noting that it is not a low uric acid diet that will make a difference, but a diet low in purine that can reduce Gout symptoms.

Gout can usually be identified by the sudden onset of swollen, red, painful joints, usually in the foot. This excruciating pain and swelling is due to hyperuricemia; a state developed when there is a high level of uric acid in the blood.

Uric acid is the by-product the body produces when metabolizing purine - a compound that is found in a lot of protein based foods. It is dissolved in the blood stream and excreted via the kidneys in our urine.

Our bodies are designed to produce and process uric acid, the problems arise when there is either over-production in the body, or the body is unable to eliminate uric acid at an appropriate rate.

Eliminating insufficient amounts of uric acid can often be linked to a person?s genetic makeup and over production is normally linked to eating too many purine-rich foods in the diet.

Uric acid floats around in the blood and when levels rise too far, crystals are deposited in the joints and soft tissues that connect joints. These sharp, jagged crystals are the cause of the pain and swelling.

It can take years for uric acid levels to build up and a lot of people never experience a gout attack. However, when the tipping point is reached and the uric acid levels are too high to be carried by the blood, deposits are made and the uric acid crystallizes in your joints. This is why the initial attack usually comes on extremely suddenly.

Once the initial gout attack is over, further episodes are normally experienced, as the uric acid level remain high.

Having high levels of uric acid can lead to other complications such as the development of kidney stones. Left untreated, kidney stones can cause a lot of damage to the kidneys, impairing their functions. Kidney stones can lead to severe cramping and pain, and sometimes vomiting.

If you think you have kidney stones, it is important to make an appointment with a doctor and get yourself checked out.

To stop further gout attacks and avoid the possibility of developing kidney stones, you need to reduce the amount of uric acid in your blood. To do this you either need to slow down production or increase expulsion.

Following a low purine diet is a great way to slow down production and helps to normalize uric acid levels in the body.

The key to a low uric acid / low purine diet is to avoid foods high in purine, such as red meat, organ meats, processed meats, yeast extracts, shellfish and gravies. Instead, swap these foods for low-purine foods such as: cereals, fruits, rice, tomatoes, corn and some types of green vegetables.

It can take a little time for your uric acid levels to drop, however, once they have been stabilized at a position where your kidneys can keep up with processing, you can start to reintroduce some higher purine foods, but only in moderation.

More information about low purine diets and naturally treating gout can be found in our free newsletter.

While following a low purine diet it is important to keep your body as hydrated as possible. Drinking lots of water helps to dilute uric acid and flush it through the kidneys.

So, a low uric acid diet can make the difference to someone with gout symptoms, and reduce the chance of future flare-ups.

By Lisa McDowell. Sign up for a free newsletter & discover how a low uric acid diet can be an effective natural cure for gout.

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Wednesday, February 20, 2008

Diet for Gout Patients

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Following a gout diet is the best non-medical defense against gout. By precisely following a diet specific for gout sufferers, you can minimize the attack you experience and the symptoms you suffer from simply with the foods you eat. If you suffer from gout, your physician might prescribe a specific diet that you should follow, or recommend you to a nutritionist. Of course, you might have sought the diet on your own and found it on the internet. Regardless of how you came upon the diet, in order to minimize pain and attacks, or even prevent the condition, a special diet may be necessary.

This could mean eliminating some of your favorite foods, but in the end, it will be a very healthy choice for your body. Another great line of defense in gout is eating healthy, regularly. This means not only when you are having an attack, but even when you are feeling good. By implementing a gout diet in your everyday life, as well as that of your family, you will find that avoiding the unhealthy foods easier and a lot less distressing.

You can still enjoy some of your favorite foods while following a gout diet; it is just recommended that you avoid foods that have high proteins such as fish and meat. Some recommended foods include white bread, cakes, tapioca, flour, pasta, and cornflakes. Eggs, cheese, milk, and other dairy products are also recommended. Healthy vegetables such as green veggies, tomatoes, and lettuce are included. You will want to avoid mushrooms, cauliflower, asparagus, oatmeal, spinach, and any beans.

You can enjoy any soups such as creamed vegetable and vegetable, as well as Jell-O, sweets, and sugar. Peanut butter, nuts, and fruits are highly recommended and most fats are suitable, unless you are currently experiencing an attack. Fatty foods are more difficult for the body to digest, so you want to keep with easily digested foods. Most beverages, except for those with alcohol are also acceptable, such as cocoa, coffee, tea, and sodas.

As you can see, following a gout diet is not so bad; in fact, you may find that you prefer the diet over many of the unhealthy, regular foods you have been eating.

Want to learn more about Gout Diet?, feel free to visit us at: http://www.about-goat.info/Articles/Gout_Symptoms.php

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Monday, January 28, 2008

Treating Gout

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Gout occurs in four stages; asymptomatic, acute, intercritical and chronic. The asymptomatic stages are marked by a rise in urate levels. The Acute stage is marked by a sudden attack of joint pain, swelling, and joins feeling hot and tender, or looking bruised and dusty. This stage only tends to last between five and ten days. The intercritical stage is marked by symptom-free intervals between episodes of gout. Finally, the chronic stage is marked by joints that are persistently painful because of large urate deposits settling on the cartilage, tendons and soft tissues. The skin over the deposits during this stage tends to develop sores releasing a white pus, and those suffering from gout usually experience stiffness of the joints and limited motion of the affected joint or joints.

There is currently no cure for gout, but through the right diet, lifestyle and medications, it is possible to relieve the symptoms and eradicate the risk of further episodes completely.

Proper diet entails avoiding or restricting foods that are high in purine, which is a substance that tends to produce uric acid as it breaks down. Foods that are high in purine include anchovies, sardines, liver, kidneys, sweetbreads, tripe, tongue, mussels, oysters, scallops, peas, beans, lentils and large amounts of red meat. Proper diet also entails drinking between ten and twelve eight-ounce glasses of fluid daily.

A healthy lifestyle entails reducing your consumption of alcohol, and losing weight.

Medicating is a little more difficult, and entails tailoring the treatment to each individual patient. Additionally, it may need to be altered over time. Non-steroidal anti-inflammatory drugs, called NSAIDs may be prescribed to relieve the pain and swelling associated with in acute attack. These medications include colchicines, corticosteroid drugs, and/or adrenocorticotropic hormones, also known as ACTH. In an attempt to prevent the occurrence of future attacks, a doctor may recommend colchicines, probenecids like Benemid, Parbenem or Probalan, or allopurinol.

Lowering risk factors entails a supervised weight-loss program involving exercise, avoiding a purine-rich diet, avoiding alcohol consumption especially in the case of binge drinking, and changing to another drug if currently taking diuretics for hypertension.

Self Care at Home for Gout entails taking all medications as they are prescribed, and staying off or elevating a joint that is hot and swollen. You may want to use a cane or another similar support in an attempt to keep your weight off the joint. If you keep the join elevated as much as possible above your chest, it will aid in letting the joint heal and make the pain lessen significantly.

Surgery is rarely needed for gout, unless the joint damage is significant and has occurred as a result of lack of effective treatment.

Want to learn more about Gout Treatments?, feel free to visit us at: http://www.about-goat.info

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Thursday, January 10, 2008

What Makes A Balanced Food Diet For Gout

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To help improve the conditions of gout, one can consider trying out a low purine diet. Low purine gout diet place special emphasis on vegetable protein, dairy products, and water intake and completely abstaining from including high purine foods in the diet. Food items such as anchovies, bouillon, brains, broth, consume, dried legumes, goose, gravy, heart, herring, kidneys, liver, mackerel, meat extracts, mincemeat, mussels, partridge, roe, sardines, scallops, shrimp, sweetbreads, yeast (bakers and brewers), and yeast extracts (maramite, vegemite) need to be eliminated completely no matter how tempting and tasty these food might be from one's diet in order to prevent and treat gout.

Studies have shown that with the adoption of a low purine diet, the symptoms associated with gout decreases preventing the sudden and painful attacks of gout from occurring. Foods high in purines such as anchovies, brains, organ meats, sweetbreads, kidney, meat gravies, meat extracts, wild game, mackerel, scallops, herring, and sardines such be avoided when one is thinking of planning to have a low purine diet.

For a low purine or modified-purine diet, foods that contain only moderate amounts of purine and are allowed. Asparagus, cauliflower, legumes, lentils, mushrooms, oatmeal, peas (dried), soy, spinach, tripe, best bets, beverages (carbonated), butter, cereals and cereal products, cheese (all types), cocoa, corn, cornbread, eggs, fruit juices, fruits, gelatin, ice cream, milk, noodles, nuts, refined white flour, tapioca, vegetables (except those high in purine), white bread and crackers, and white rice are examples of food with a moderate amount of purine.

For most people who have experienced gout will usually use a purine-modified diet and avoid high purine foods in their daily diet to reduce the possibility of having more attacks of the gout. This low purine diet consists of eliminating extremely high purine foods such as liver, brains, kidney and other organ meats as well as sweetbreads.

In addition, only one serving of the following foods are allowed per day in order to avoid consuming too much purines: dried beans and peas, asparagus, cauliflower, spinach, mushrooms, poultry, meat or fish. In most of the prescribed treatment used today, a purine-modified diet is introduced for the treatment of gout. In a purine-modified diet, the doctor will only encourage the patients to consume some protein foods. However the patients will have to bear in mind not to exceed 100 grams of protein per day. As a rough guide, there are about 7 grams of protein in one ounce of meat and 3 grams of protein per serving of bread and grains. Studies have shown that dairy products such as milk, egg and cheese are good food choices for gout patients since they are low in purine but rice in protein. Consuming large amounts of these dairy products was found to reduce the risk of developing gout by 50%.

On top of having a correct and healthy diet, medications such as non-steroidal anti-inflammatory drugs, corticosteroids and allopurinol are often prescribed by doctors together with the recommended diet to treat gout. There is no better form of treatment or prevention for gout other than drinking lots of water, eating lots of dairy products and vegetable proteins and abstaining from high purine food items.

For more information on the different kinds of Gout Causes, Natural Remedy For Gout or Gout Diet, you may wish to check out this website: http://www.gout.mygeneralknowledge.com.

Skyjoe is a well-known author, website publisher and owner of gout.mygeneralknowledge.com. ?Skyjoe. All rights reserved. This article may be freely distributed as long as it remains unaltered and the copyright notice is intact. No alteration is allowed without express written permission from the author.

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Gout Treatments

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A common cause of gout is the accumulation of a chemical called uric acid. Uric acid is a normal breakdown product of another chemical called purines. The treatment involves controlling the inflammation, which causes the pain and swelling and ultimately damage to joints. Also, lowering the uric acid level is a logical means to controlling gout.

There is some benefit to avoiding foods that cause gout but most people who get gout will need medication to prevent joint damage and also prevent future attacks which often happen sooner and are more severe. They can also cause permanent damage to the kidney and joints. The crystals can also deposit on the skin and are then called tophi.

Most of the time the symptom can be controlled by anti-inflammatory medications like naproxen or indomethacin. In severe cases steroids like prednisone may be needed. Some people even need injections into the joints. Fluid from the swollen joints can be removed and analyzed for the uric acid crystals.

The treatment includes medicines like allopurinol, which decrease the level of uric acid, or there are other medicines like colchicine, which decrease inflammation. Also there are medicines called uricosuric agents that increase the removal of uric acid in urine. Colchicine works best if taken really early in the attack and sometimes repeat does may need to be taken periodically such as every two hours or so till there is pain relief or a maximum dose is reached or there are side effects like gastrointestinal upset.

The specific dose and the manner of taking these medicines are best discussed with your healthcare provider.

Common side effects of these drugs include stomach upset and ulcers from prednisone and ibuprofen type of medications, diarrhea from colchicine and sometimes gout can get worse from allopurinol especially if the person is not on colchicine first during an acute attack.



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Saturday, January 5, 2008

Gout Pain Relief

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Gout is caused by the increase in the amount of uric acid in the blood. Uric acid is normally removed from the body through the urine, however if it is not excreted it can form crystals, which irritate body tissues like the lining of joints. This will in turn cause inflammation and pain, which is often quite severe.

The relief of pain is remarkable with some of the anti-inflammatory medicines also called NSAIDS or non-steroidal anti-inflammatory medications. The typical example is indomethacin or ibuprofen. Applying local ice or heat may sometimes help as well as keeping the joint without moving or bumping into objects.

Colchicine is typically used if the first line medications like NSAID?s do not help but most people have relief of pain ultimately. Even if no medicines are taken the attack will subside in a few days. However if repeated attacks occur there can be lasting damage.

In some situations steroid medications like prednisone may be needed. The steroids will decrease the inflammation and decrease the chemical responses that cause pain. It is important to know that there are many side effects from all of the medications and you must discuss these with your healthcare provider.

In some gout attacks patients may need joint fluid removed for analysis and during the process can have local numbing medicines injected into the joint. These numbing medicines are also called local anesthetics. Sometimes steroids are injected into a joint to decrease the inflammation.

As with all medications make sure you do not have an allergy to them and sometimes taking the medicine with food may decrease stomach upset or gastric distress, especially medicines like steroids.

If a person is on many medications, which can cause gout, changing these may help. One common cause is diuretic medications, which decrease leg swelling or edema. Many older individuals are on these medicines and if they get a gout attack they must remember this fact.
 

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