Gout is a form of arthritis that causes tenderness and pain in the joints, particularly the big toe. Sufferers are subject to episodic attacks amid periods of remission. Gout is associated with elevated uric acid levels, which is caused by the breakdown of a substance called purine. Some purine exists naturally in the body, but it can also be introduced by eating foods that contain it. Gout sufferers can employ specific strategies to reduce the frequency of gout attacks.
Step 1
Take medicine as prescribed. Several medications may help prevent attacks in people who are prone to getting them. MayoClinic.com lists anthine oxidase inhibitors, nonsteroidal anti-inflammatories, probenicid and colchine as drugs prescribed for gout. Corticosteroids are sometimes used if other medications are contraindicated or ineffective.
Step 2
Drink plenty of water. Recommended amounts range from 8 to 16 cups of fluid each day. Water should be the primary beverage as this helps flush uric acid out of the body. Consult your physician before increasing fluid intake if you have any other medical conditions.
Step 3
Adjust your diet. Limit foods that have moderate to high levels of purine, such as liver and other organ meats, fatty fish, poultry and red meat. Low-fat or fat-free milk products may be protective. Most fruits, vegetables and whole grains are appropriate choices.
Step 4
Avoid or limit alcohol as it hinders the removal of uric acid from the body. MayoClinic.com recommends you to avoid it entirely during an attack and to limit yourself to one or two glasses of wine during periods of remission.
Step 5
Avoid fasting. Skipping meals, following a fasting routine or engaging in a low calorie- diet can increase uric acid levels, precipitating a gout attack.
Step 6
Schedule regular physician visits. This allows him to examine your joints and assess your uric acid level to make adjustments to your treatment regimen if necessary.
Tips and Warnings
- Avoid eating too many sweets as this can interfere with getting the foods you need to help prevent attacks of gout.
- Kidney stones are a potential complication of high uric acid levels. If you notice blood in the urine, pain in your back or side, or painful urination, alert your physician. You might have a kidney stone.
