What are the dietary taboos for gout patients?

First of all, we must make it clear that the core dietary taboos for gout patients are ultra-high purine foods, a large amount of fructose-containing drinks and foods, and various alcoholic drinks. These three categories are clear high-risk factors that will rapidly increase blood uric acid and induce acute gout. They are basically the red lines that all specialists and senior patients will repeatedly remind.

I have met many newly diagnosed patients, and I have experienced too many such losses. Last year, there was a 32-year-old programmer. When he was first diagnosed with gout, his uric acid level was 580. After taking medicine for half a month, it dropped to 420 as prescribed by the doctor. He felt that he was almost cured. Xia I went out for a late-night snack with my friends that day. I showed off three pounds of thirteen-flavored crayfish and drank two large cups of iced milk tea. That night, my big toe was throbbing in pain when I returned home. I went to the emergency room overnight to check that my uric acid level soared to 720. I had stepped on the two traps of high purine and high fructose at the same time.

Speaking of this, I have to mention that many taboo rules passed down by the older generation have actually long been controversial. The most typical one is whether soy products can be eaten. In the past, everyone thought that soybeans were a high-purine food and should be strictly avoided by patients with gout. However, clinical studies in recent years have shown that in the process of making soybeans into soy products such as tofu, soy milk, and soybeans, most of the purine has been lost through water treatment, and the metabolic pathways of plant purines and animal Purines are different. As long as they don’t eat two or three kilograms of tofu at one time, most patients will not suffer from gout at all. I have several old patients who have eaten soy products for more than ten years. Their uric acid has been stable below 360 and they have not had many illnesses. There is really no need to kill them with a stick.

Not all seafood should be avoided. The purine content of sea cucumbers and jellyfish is actually lower than that of many freshwater fishes. It’s okay to satisfy your cravings occasionally. What you really need to avoid are sardines, anchovies, shelled scallops and oysters, which are extremely high in purine.

There are many hidden pitfalls when going out for dinner. Don’t think that drinking non-alcoholic beer or fruit beer is fine. Even if it does not contain alcohol, the wort and added fructose in it are enough to cause uric acid to rise upward. There used to be a big brother in the patient group who did not dare to drink ordinary beer at dinner parties. He drank three bottles of non-alcoholic beer, and the next day he was still in pain and couldn’t get out of bed. There is also the Laohuo soup that friends in the south love to drink. It is the kind that has been simmered for three or four hours. All the purines in the meat are dissolved in the soup. One bowl of it has more purines than eating half a pound of fatty meat. Many patients in Guangdong suffer from gout caused by drinking Laohuo soup all year round.

In fact, there is no need to be too strict about dietary restrictions. After all, uric acid contributed by diet only accounts for about 30% of the total amount. If uric acid still cannot be reduced to the target value despite controlling diet, take the medicine as directed by the doctor. Don’t rely solely on dietary restrictions, which will delay the condition.