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Gout And Nutrition

Gout is a disease that is due to an inborn disorder of the uric acid metabolism and is also referred to as metabolic arthritis. When you suffer from this disease monosodium urate crystals are deposited on the articular cartilage of joints and in tissues such as the tendons. Then also causes an inflammatory reaction to the tissue and the deposits get larger and burst through the skin to form sinuses discharging a white material.


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The probable causes of gout include: Genetic defects in metabolism resulting in hyper-production and retention of uric acid in the blood

Gout is also known as crystal-induced arthritis. It is a medical condition that sets in when uric acid crystals collect on the joints. At the first stage, gout usually affects the large joints in the big toe. Gradually it can spread to other parts of the body, like the ankles, the instep, the heels and the knees, the wrists and fingers of the hand and the elbows. In severe cases, even the shoulders, hips or spine can be affected. Gout does not spread from one joint to the next. Uric acid is a metabolic end product that is formed at the time the body breaks down purines present in certain food items. In normal conditions, the uric acid gets dissolved in the blood and gets eliminated from the body through the kidneys into the urine. However, people having a propensity for gout have such high levels of uric acid in their blood that the acid precipitates out in the form of crystals. The crystals get accumulated on the joints and other tissues, leading to inflammation and excruciating pain. A chronic condition can lead to the formation of tophi lumps formed under the skin due to large deposits on severely affected joints of the elbow, fingers and toes, and even on the external pinna.

Another medical condition, referred to as the pseudo-gout, results from the deposits of calcium-based crystals in the joints. In almost 90 percent of incidences of gout, men over the age of 40 and menopausal women are affected. An "episode" often takes place during the night. Within 12 to 24 hours of the onset, the afflicted joint becomes severely inflamed and starts to ache rigorously. The gout attack usually lasts about five to 10 days.

Gout is relatively common, and can usually be treated successfully, without having to resort to pharmaceutical drugs. Some quick and simple changes to your lifestyle can reduce and even eliminate your gout symptoms.

Therefore, a constantly low pH value can cause your body to decrease it's processing of uric acid, leading to hyperuricemia. Hyperuricemia is a medical term for a raised uric acid level in the blood, and can lead to gout. As the levels of uric acid become higher there is nowhere for any more uric acid to go, so it is deposited in crystal form in the spaces and connective tissues between the joints.

Acidity is measured using a pH value ranging between 0 - 14, with 0-6 being acidic, 7 is neutral and 8-14 is alkaline. Where gout is concerned it is less about the pH value of the food, rather what that food does to the pH level of the body during and after digestion.

Article by Sven Ullmann, who runs Deserved Health - information on health for you and your family. Read more about gout and nutrition. Get our health newsletter.

You can also apply ice to the affected area for 20-30 minutes multiple times throughout the day. Some may think that uric acid crystallization is increased with low temperatures but a recent study proved that those who use ice packs experienced a relief in pain without negative effects.

3. Avoid alcohol as much as possible, as alcohol consumption can this can cause gout flare-ups. 4. Drink 2 - 3 liters of water per day, as this will help dilute the uric acid in the body and allow the kidneys to regain control.

Hyperuricemia is a uric acid level higher than 420 ??mol/L in males and 380 ??mol/L in females. High uric acid levels don't always lead to gout. If it is suspected that you are suffering from gout the serum urate test should be repeated once the attack has subsided.

Gout commonly affects the big toe but can affect other area such as the joints in the ankle, heel, knee, wrist, instep, fingers, and spine. There have been instances where gout appears in the joints of the small toes which have become immobile because of an impact injury which leads to poor circulation and gout.

You can find out more about the natural ways to soothe gout symptoms on our web site.


By having a greater understanding of which foods to avoid with gout, you have a better chance of bringing your symptoms under control and preventing further gout flare-ups.

Some researchers have established a link between body acidity and gout. The more acidic your body is, the higher the possibility of developing gout. Conversely, having a more alkaline system encourages rapid uric acid elimination.

Indeed, many gout sufferers change their diet for life so that they never again suffer a gout flare up.


So, when creating low purine diets for gout sufferers you love, or changing your lifestyle to include a new gout diet, keep in mind that the sooner that the above strategies are adopted the sooner you can get relief from relief from gout symptoms.

If you have been living with the painful symptoms of gout for a while or this is the first time you have suffered from swelling, stiffness and pain in the joints, you have no doubt come across people telling you about low purine diets for gout.

Uric acid is a natural by-product that is produced when the body breaks down purine, so less purine in the body means that the kidney's can work to get the body back into balance by eliminating the excess uric acid as waste.

Further information about natural gout diets can be found on our web site. Of course, the adoption of a low purine diet may seem like quite a sacrifice, especially as it can be different to the typical western diet. However, many gout sufferers see the inconvenience of a new diet as a small price to pay to relieve themselves of the pain and discomfort of gout.

 
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The Signs and Symptoms of Gout include: Hyperuricemia Presence of uric acid crystals in joint fluid More than one attack of acute arthritis

The bloodstream usually carries only a tiny amount of uric acid but if there is an increased concentration then crystals are deposited on the cartilage and tissues that surround the joints. If you have high levels of uric acid in your bloodstream it can also result in uric kidney stones.

It is interesting to note that purine is naturally present in the tissues of our body, and it is only when there is an excess of purine, often caused by a diet rich in foods with high purine levels that the uric acid builds up.

To get an accurate diagnosis of gout you must have a light microscopy of joint fluid aspirated from the joint to show intracellular monosodium urate crystal in synovial fluid polymorph nuclear leukocytes. Only a well trained specialist can distinguish the difference from other crystals.

2. Eat food that have a moderate to low purine levels, such as most vegetables, fruit, cereals, white breads and avoid foods that are high in purine like meat extracts, shellfish, offal (liver, kidney's, brains, sweetmeats), gravies, dried beans.

The higher the pH levels of the body (an alkaline state) the easier it is for uric acid to be dissolved in the blood stream and eliminated via the kidneys. The lower the pH i.e. the more acidic the body pH the harder it is to process uric acid.

If you aren't able to get immediate medical attention there are a few things that can provide temporary relief to the pain and swelling commonly associated with gout. NSAIDS including ibuprofen can be used to reduce the pain and inflammation, but stay away from aspirin as it has been known to have adverse affects. You can also apply Preparation H ointment to the affected skin to reduce swelling.

Some Nuts Soybean Soda Cocoa Yeast Hops Table Salt Sugar Fried Food Like anything, it is not a good idea to drastically change your diet overnight. The best way for your body to process the changes is to introduce amendments slowly that your body can get used to the different foods and keep its processing running on maximum.

Kidney failure leading to hampered elimination of uric acid from the body Diuretic medications employed in the treatment of heart failure and diabetes.

A further danger of excess uric acid is the formation of kidney stones. These can be very painful and can also further reduce the ability of the body to expel waste uric acid.

Uric acid is formed during the processing and breaking down of purines in the body. This is a natural substance that is produced during cellular building and is also found in a lot of the foods we eat. Purine-rich foods include:

Most people when choosing a gout friendly diet will look to cut out or reduce foods high in purine, as metabolizing purine in the body leads to increased levels of uric acid, which is the cause behind gout symptoms. However, high purine foods may not be the only foods to avoid with gout.

Arthritis that develops in 1 day Attack of arthritis in only one joint, usually the toe, ankle, or knee A painful joint that is swollen, red, and warm

As the body becomes more acidic, uric acid elimination slows down dramatically. This is due to the pressure the body comes under trying to process both the uric acid and the acidic foods. The kidneys become strained and are less effective in expelling excess uric acid.

The common effects of gout include the sudden pain, swelling, redness, warmness, stiffness in the joint, and sometimes a low fever may persist. Those suffering from gout are in pain because of the crystals inside the joint that cause pain whenever the area is moved, as well as the inflammation of the tissues around the joint which tends to cause swelling and soreness.

Following a low purine diet has been shown to reduce the level of purine in the body, and this in turn reduces the levels of uric acid being produced.

You should be aiming to reduce your body's pH level slowly. You can monitor these changes by purchasing a home urine or saliva testing kit. Try to balance your diet to include 70% of foods alkaline in nature and 30% acidic.

Acidic foods that impact the pH of your body are: Beef Lobster Pheasant Ice Cream Processed Cheese Barley Processed Flour

Red meats Shellfish Legumes Offal Mushrooms Yeast extracts Processed meats To tackle raised uric levels in the blood it is wise to restrict your intake of these foods until your gout is under control and uric acid levels have stabilized.

So, when starting out on a low purine diet for gout, there are a few things that you should bear in mind. 1. Eat a balanced diet, which should be high in complex carbohydrates, low in protein and fat.

Usually gout strikes the big toe joint or one of the other joints in the foot or ankle, although it can rear its ugly head in any joint. The reason that gout occurs most commonly in the foot or ankle is because those joints furthest away from the heart and uric acid crystallizes in lower temperatures.

Erratic lifestyle, alcohol abuse, purine-rich diet and excess weight

Surgery or sudden injury, severe illness

Proper understanding of the cause and symptoms of gout can help in achieving a successful cure for gout attacks. Want to learn more about Gout Symptom Sign?, feel free to visit us at: http://www.about-goat.info/Articles/Gout_Symptoms.php


 
 
     
 
 





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