Treating gout, all you want to know is here!

With the continuous improvement of people's living standards in China, the prevalence of hyperuricemia is increasing year by year, especially in economically developed cities and coastal areas, the prevalence of hyperuricemia reaches 5% to 23.

Many people ask why gout occurs? What should I do if I have gout? Are gout attacks closely related to eating high-purine foods? Which foods are low purine foods?

Why does gout occur? related to purines in food

Let's take a look at this picture first↓↓

Under normal circumstances, purines in food are absorbed into the body and eventually converted into uric acid, which is eventually excreted by the kidneys

Uric acid is easily dissolved when the temperature is high, so urate crystals naturally deposit in places where the temperature is low

How much uric acid is controlled? The guideline considers it to be 360μmol/L

The upper limit of the normal value of uric acid on the test sheet is 420μmol/L, but in fact, uric acid higher than 360μmol/L has already begun to crystallize! ! Therefore, the "2016 Guidelines for Diagnosis and Treatment of Gout in China" pointed out that the stable control of the blood uric acid level of patients below 360 μmol/L (6 mg/dl) is helpful for relieving symptoms and controlling the disease

Does high uric acid cause gout?

Only 5% to 12% of patients can develop gout.

High uric acid but no gout attack, should I take medicine?

If it exceeds 480 μmol/L, it is necessary to take medication.

What should you do when you have a gout attack?

Taking drugs that relieve acute inflammation (not antibiotics) When you have pain in the acute phase of gout, you can use colchicine, non-steroidal anti-inflammatory drugs, etc.

How should gout patients take uric acid-lowering drugs?

Long-term regular use, many patients only take uric acid-lowering drugs when gout attacks, and stop the drugs after the attack is relieved

How often should gout patients be reviewed?

Review at least 3 months

● It is recommended that patients initially taking uric acid-lowering drugs should have their uric acid and liver and kidney function re-examined in the outpatient clinic after 2 weeks;

● If there is no abnormality in the inspection results, it can be changed to re-examination once a month;

● If there is still no abnormality in the re-examination results, it can be changed to re-examination every 2 to 3 months

● For patients with kidney stones, it is recommended to review the kidney B-ultrasound every 3 to 6 months to observe the changes in the stones

What exactly are low-purine foods?

We all know that gout patients need a low-purine diet, so what food is low-purine? We divide food into:

● Low purine food (per 100 grams of food containing less than 25 mg of purine) is the main diet for gout patients, low purine content food

● Moderate purine food (25 to 150 mg of purine per 100 grams of food) moderate purine content food that gout patients can eat in small amounts during the period of no attack

● High purine foods (150-1000 mg of purine per 100 grams of food) high purine content foods that gout patients should not eat

Small reminder: For obese or overweight gout patients, in addition to restricting foods with high purine content, they should control their total daily energy intake