When the body breaks down substances known as purines, uric acid forms. Normally, the kidneys excrete excess uric acid, but when the kidneys cannot get rid of the excess uric acid, it leaks into tissues from blood vessels and develops into gout, or hyperuricemia. The uric acid forms sharp needle-shaped crystals that lodge in joint spaces, causing inflammation, swelling and pain. Gout usually affects the great toe, although the instep, ankle, knee, wrist and elbow can also be affected. Avoiding certain foods and beverages may help to keep flare-ups at bay.
High Purine Foods
Hyperuricemia with gout can be caused by eating foods that are high in purine production. According to Drugs.com, foods that are high in purine production include anchovies; herring; mackerel; sardines; scallops; mussels; and game and organ meats such as liver, hearts and kidneys. Broth, bouillon, consommé, gravy and mincemeat are also high purine producers
Medium Purine Foods
According to Drugs.com, foods that are known as medium purine producers include asparagus, beef, lamb and pork, dried peas and lentils, spinach, oats, and whole-grain breads. Any of the foods listed can increase the body's purine load, which could result in hyperuricemia and gout.
Alcohol
Alcohol may increase the likelihood of purine production and hyperuricemia. Beer is the worst offender and contains a high amount of purine, according to Drugs.com. Hard liquor may also increase the risk of hyperuricemia. Wine has the least amount of purines in it. Drinking 8 to 16 cups of fluid every day, half of which should be water, can help the body rid itself of excess uric, acid according to MayoClinic.com.
Fatty Foods
Fatty foods such as sausage is a high purine food. Fatty foods increase cholesterol and contribute to the development of atherosclerosis and heart disease. Gout has been shown to increase the risk of heart disease, thus fatty foods that produce high purines and contribute to atherosclerotic plaques should be avoided.
