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My husband has been diagnosed with gout. Can changing his diet help him?
Most people are surprised to hear that I often diagnose people with gout – even in 2019.
Problem - Kings - Foods - Port - Fact
It’s not just a problem reserved for ancient kings who over-indulged in rich foods and drank too much port. In fact, gout, which causes sudden, excruciating pain in the joints, is the most common type of inflammatory arthritis I see.
Gout is caused by a build-up of a substance called uric acid, or urate. This can be genetic, or caused by kidney disease, obesity, high cholesterol and certain drugs such as diuretics.
Attacks - Months - End
The attacks can last for months on end and are incredibly painful.
As it is an obesity-related condition, any diet that gets you to a healthy weight will be useful. Avoiding a specific compound found in foods, called purines, helps to lower urate levels. High-purine foods include all alcohol, some seafood, fish and shellfish, as well as offal, bacon, turkey and venison. Beef, chicken and pork have a moderate purine level, as do asparagus, spinach and mushrooms.
Foods - Patients - Interventions - Change - Medications
Banishing all of these foods leaves little to eat, so most patients find dietary interventions too hard. But opting for dietary change is always worth it to avoid medications and side effects.
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