What to eat and what to avoid with gout

Foods to avoid

There is evidence that consuming certain types of food may trigger an episode of gout.

Purines

In 2004, researchers found that some purines, which are present in animal and plant foods, may worsen the symptoms of gout because the body converts them into uric acid.

The study indicates that consuming animal based foods that are high in purines might increase the risk of developing gout.

However, eating plant based foods that contain purines does not appear to have the same effect. The researchers add that consuming dairy products may reduce the chances of developing gout.

The following foods contain purines. People with gout should significantly limit or avoid them.

• red meat and organ meat, such as liver or kidneys, which are high in saturated fat
• seafood, such as lobster, shrimp, sardines, anchovies, tuna, trout, mackerel, and haddock
• sugary drinks and foods that are high in fructose
• processed foods and refined carbohydrates
• alcohol, especially beer and hard liquor

Some people fast to relieve gout. However, the Arthritis Foundation note that fasting may trigger symptoms of gout if a fasting person becomes dehydrated. People with gout should take special precautions when fasting to maintain they drink enough fluids.

A 2014 study compared people who fasted and those who did not fast during Ramadan, which restricts food and fluid during daylight hours. The study did not find that people who fasted experienced more episodes of gout or higher uric acid levels than non-fasting participants.

Foods to eat

Gout is a chronic, or long term, condition. Developing lifelong healthful eating habits can help a person manage their symptoms.

A healthful diet for people with gout should include all the food groups.

Foods that can help reduce uric acid levels include:

• low fat dairy products, such as yogurt and cottage cheese
• plant oils, such as olive oil or avocado
• pulses, including beans, peas, and lentils
• all vegetables, including mushrooms, asparagus, and spinach
• fruits, especially those with high fiber and low sugar content, such as berries and citrus
• whole grains
• nuts
• water
• oatmeal
• lean meat, such as chicken
• eggs

Overall, a plant based diet is more likely to be beneficial than a high fat diet with a focus on meat to help stabilize uric acid levels.

It can also help boost heart health due to the increased consumption of fiber, fruit, vegetable, and monounsaturated fats. This is important, as studies have shown that people with gout may also have a higher risk of developing heart problems.

A systematic review, published in 2016, found evidence that coffee may reduce the risk of a gout flareup.

Vitamin C

A doctor may also recommend vitamin C supplements of 500–1,000 milligrams (mg) a day.

Vitamin C supplements are available for purchase online. However, people should not take supplements unless their doctor advises them to do so.

 Source: Medical News Today