gout purines - Anti Gout Diet Tips
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Anti Gout Diet Tips

Gout is a common, painful form of arthritis. Gout is a condition in which the body has a problem in the handling of uric acid. Uric acid is a waste product that naturally occurs in the body. It is normally flushed from the body by the kidneys through urine. It causes swollen, red, hot and stiff joints. Gout occurs when uric acid builds up in your blood. Men are more likely to get gout than women are, but women become increasingly susceptible to gout after menopause. Gout usually attacks the big toe however, it also can affect other joints such as the ankle, heel, instep, knee, wrist, elbow, fingers, and spine.


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Juice one small or half a medium-sized beet root, greens and all. Add a quarter bitter gourd, cut length-wise. This juice is very potent and should not be taken too frequently, especially if you are not accustomed to beet. Take it only once, or twice a week at the most.

The uric acid tests are used to evaluate the blood levels of uric acid for gout and to assess uric acid levels in the urine for kidney stone formation. The urine test is used most often to monitor patients already diagnosed with kidney stones, but it can also be used to detect disorders that affect the body's production of uric acid and to help measure the level of kidney functioning.

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Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.

Urine test

Patients should be checked for the following medications before the urine test: diuretics, aspirin, pyrazinamide (Tebrazid), phenylbutazone, probenecid (Benemid), and allopurinol (Lopurin). If the patient needs to continue taking these medications, the laboratory should be notified.

Cherries and strawberries have shown to have a particular helpful effect on gout so these foods should be eaten every day on the anti-gout diet for the prevention of gout.

Purines are mostly found in foods which are high in protein and fat content. Vegetable oils, greasy burgers and fatty fish are all high in purines, so you should avoid fried foods and naturally fatty produce. Basically, high purine content is found in almost all kinds of food: pork, beef, chicken, turkey, salmon, tuna, oysters, scallops, creams, eggs, peas and beans. But there are ways to have a low-purine diet.

Reduce calorie intake to maintain a healthy weight. However, avoid fad diets or very low calorie diets as rapid weight loss can precipitate gout.

In some cases, the condition may appear in the joints of small toes that have become immobile due to impact injury earlier in life, causing poor blood circulation that leads to gout. It occurs more frequently in countries that have a high standard of living. Approximately one million people in the United States suffer from attacks of gout. Gout affects up to 500,000 Canadians. Men who develop gout usually do so between the ages of 30 and 50. Women are more likely to develop gout after the age of 60. The most common type of medicine used to treat an acute attack of gout is nonsteroidal anti-inflammatory drugs.

1. Purine Levels- You should learn what purines are! Purines cause a rise in uric acid levels which cause gout flare-ups. You should avoid eating large quantities of meat. We recommend only eating 6 ounces of meat, fish or poultry per day. Find other sources for protein until you normalize your uric acid levels.

Decreased excretion of uric acid is seen in chronic kidney disease, low thyroid, toxemia of pregnancy, and alcoholism. Patients with gout excrete less than half the uric acid in their blood as other persons. Only 10-15% of the total cases of hyperuricemia, however, are caused by gout.

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Normal results

Blood test

Reference values for blood uric acid vary from laboratory to laboratory but are generally found within the following range: Male: 2.1-8.5 mg/dL; female: 2.0-6.6 mg/dL. Values may be slightly higher in the elderly.

A low-purine diet and medications are commonly used to treat gout. Purines are mostly found in foods which are high in protein and fat content. For breakfast, take low-fat protein foods. High-protein foods that are low in fat have been found to be safe. Include lemon juice at lunch for cleansing. Lemon juice is filled with vitamin C and antioxidants to help flush your body from unwanted uric acids. Grilled or baked lean meat, wrapped foil to retain moisture, is ideal for dinner. Pair with potatoes and steamed spinach. After dinners make sure to have a bowl of cherries, berries or grapes on the side.

Definition

Uric acid tests are tests that are done to measure the levels of uric acid in blood serum or in urine.

Purpose



Uric acid is a waste product that results from the breakdown of purine, a nucleic acid. (Nucleic acids are the building blocks of DNA.) Uric acid is made in the liver and excreted by the kidneys. If the liver produces too much uric acid or the kidneys excrete too little, the patient will have too much uric acid in the blood. This condition is called hyperuricemia. Supersaturated uric acid in the urine (uricosuria) can crystallize to form kidney stones that may block the tubes that lead from the kidneys to the bladder (the ureters).

Risks

Risks for the blood test are minimal, but may include slight bleeding from the puncture site, a small bruise or swelling in the area, or fainting or feeling lightheaded.

Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

Urine test

Reference values for 24-hour urinary uric acid vary from laboratory to laboratory but are generally found within the following range: 250-750 mg/24 hours.

A low-purine diet and medications are commonly used to treat gout. Purines are mostly found in foods which are high in protein and fat content. For breakfast, take low-fat protein foods. High-protein foods that are low in fat have been found to be safe.

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Consume a moderate amount of protein. Limit meat, fish and poultry to 4 - 6 oz per day. Try other low-purine good protein foods such as low fat dairy products, tofu and eggs.

Preparation

The uric acid test requires either a blood or urine sample. For the blood sample, the patient should be fasting (nothing to eat or drink) for at least eight hours before the test. The urine test for uric acid requires a 24-hour urine collection. The urine test does not require the patient to fast or cut down on fluids. Some laboratories encourage patients to drink plenty of fluids during the collection period.

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Drink several glasses of water everyday. 8-10 glasses daily is ideal. Water dilutes uric acid (a cause of gout) and rids them from the body. Cloudy urine means you have high acid content in your body and this is not a healthy sign. Clear urine suggests that you are properly hydrated and well on your way to good health.

Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

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4. Vitamin Therapy- Are you taking your vitamins? Studies have shown that a deficiency in vitamins such as A, B5 and E are serious factors that can lead to the formation and advancement of gout symptoms. You should find a quality vitamins distributor today.

The laboratory should also be notified if the patient has had recent x-ray tests requiring contrast dyes. These chemicals increase uric acid levels in urine and decrease them in blood.

Excessive alcohol consumption increases uric acid levels in the blood since alcohol disrupts the disposal of uric acid from the body. Diuretics, which are medications prescribed to help dispose of excess body fluids resulting from certain diseases like hypertension, edema, and other cardiovascular diseases.

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Abnormally low uric acid levels may indicate that the patient is taking allopurinol or probenecid for treatment of gout; may be pregnant; or suffers from Wilson's disease or Fanconi's syndrome.

Abnormal results

The critical value for the blood test is a level of uric acid higher than 12 milligrams per deciliter (about 3.4 ounces).

3. Being Active- Do you know that being active and exercising has been shown to have hundreds of benefits, including curing gout. When you are over your ideal body weight, your body will retain more uric acid and also put more pressure on joints. This is the perfect combination to cause repeated gout flare-ups. Our gout remedy report suggests some simple tips to lose 20 pounds or more.

These drugs help reduce the pain and swelling of joints and decrease stiffness. If you think that diet acts as a trigger for your gout attacks, changing your diet may help, but it is important to talk to your healthcare provider about choosing the right diet for you. Gout diet prevention consists of a prevention diet low purine or modified purine diet may help gout improve. Gout diet prevention puts and emphasis on dairy products, vegetable protein and water intake and a decrease in high purine foods. A low-purine gout diet is often prescribed for individuals with gout. Purine is a compound that is mainly found in animal protein which is metabolized to uric acid in the body.

Most fruits and vegetables are high in potassium. Potassium regulates electrolytes in the body and has the ability to get rid of uric acid crystals from the blood. Potassium-rich fruits are bananas, avocados, apricots and cantaloupe. High-potassium vegetables include spinach, potatoes, asparagus, beets and pumpkin.

Description

The uric acid blood test is performed on a sample of the patient's blood, withdrawn from a vein into a vacuum tube. The procedure, which is called a venipuncture, takes about five minutes. The urine test requires the patient to collect all urine voided over a 24-hour period, with the exception of the very first specimen. The patient keeps the specimen container on ice or in the refrigerator during the collection period.

Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

Include lemon juice at lunch for cleansing. Lemon juice is filled with vitamin C and antioxidants to help flush your body from unwanted uric acids. Couple the drink with a hearty salad and meal using tofu to replace red meat or chicken, finely chopped fresh garlic and extra virgin olive oil.

2. What You Drink- This can have a great effect on your uric acid levels. Uric acid can be flushed by drinking at least 10 glasses of water a day. Or uric acid levels can jump through the roof by drinking more than 2 alcoholic beverages a day. Women are recommended to only drink one per day.

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