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Gout - Diet and Self Help

Gout Diet and Self Help

The following are a number of things you can do to help relieve and eventually prevent gout attacks.

Relieving Gout Attacks
  • Start the pain reliever medicine at the first sign of an attack. Most NSAIDs should be taken with food and are swallowed whole with a large glass of water. However some are dissolved in water first. Avoid alcohol while on these medicines.

  • If you are taking colchicines, each dose must be spaced 6 hours apart. No more than five 0.5mg tablets should be taken in the first 24 hours, The total dose taken in an acute attack should not be greater than 12 tablets (6mg) over four days).

  • Ice packs may be able to reduce the pain further. Elevate and rest the affected limb to help reduce swelling and prevent it from being knocked.

  • If necessary use a walking stick to prevent putting pressure on the affected joints.

Preventing Gout Attacks
  • If you take medicine to prevent attacks take them regularly even during an acute attack of gout. If you miss a dose, don’t double up by taking two doses. Take your usual dose next time.

  • Drink plenty of water (6-8 glasses) throughout the day. Check with your doctor first if you have any kidney problems.

  • Avoid large amounts of alchohol, especially beer, as this can increase your weight and uric acid levels. Cut down on foods that contain a lot of purines (see below).

  • Check with your pharmacist or doctor about any medications you are taking to make sure they do not make you more susceptible to gout.

  • Regularly visit your doctor to have your blood uric acid levels checked. Keep to your ideal weight, ie the weight most suitable for your height.

  • If you are overweight talk to your doctor , pharmacist or nutritionist about about losing weight, which will also help your uric acid levels.

What can you eat?
  • Eat a well balanced diet including:

  • Bread and cereals

  • Fruits and vegetables

  • Low-fat dairy products

  • Lean cuts of meat, fresh fish, skinned chicken.

More advice on diet for Gout

Purine-rich foods that increase uric acid levels Purines are substances in some foods that are broken down by your body to produce uric acid. To prevent gout attacks, limit the following foods in your diet.

  • Large quantities of red meat such as steak, chops and corned beef from beef, lamb and pork.

  • Organ meat such as liver, kidneys, tripe, sweetbreads and tongue.

  • Shellfish such as pipis, mussels, oysters and fish roe

  • Oily fish such as sardines, herrings and anchovies Large amounts of legumes such as peas, beans and lentils

  • Yeast extract such as marmite and vegemite

  • Wilde game such as duck, mutton, bird and venison

  • Alcohol, especially beer.

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