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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Healthy Diet Help With Gout And Heart Problems?

Hi My father is 80 yrs old and has a heart problem. His medication consists of: Simvastatin, Carvedilil, Rampril, Aspirin and Furosemide. For the last two weeks he has incredibly painful periods of joint pain - gout. I have inflicted a strict gout type diet on him - tons of fruit and so on - but allowed him to have an evening meal of his choice which consists of meat and veg normaly. I thought we had it under control but he has had another nasty outbreak in his wrist (caused by the meat?). What I am wondering is whether it is worth altering his diet at all from what it was before these gout episodes as it seems that a side effect of the tablets is to raise the uric acid levels in his blood. Does the diet help enough to make any difference or is the only way for him to get relief is to take more tablets (we are getting other tablets today). Regards Mark
Wed, 16 Nov 2016
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General & Family Physician 's  Response
Hi Dear User ! I have gone through your questions and I understand your concern!

Yes it's a medication in his treatement that cause Hyperuricemia ( gout),and it's Furosemide.This is a serious side effect of this drug that we use for high blood pressure in patient that suffer from gout.Also any kind of meat(with high purine) should be avoid in this acute phase of gout.
Diet is very good to prevent any other gout -joint pain,But in this situation that it's a acute phase and need to take some other medications and do the changes in Furosemid to prevent further complications.

I sugest to go to a rheumatologist He wil change Furosemide with another one in consultation with the cardiologist doctor.
He will check the acid uric level in blood ,kidneys and according to the examination start the treatment with Anti-inflammator drug ( Ibuprofen) or Allopurinol.
Meanwhile she wait for the rheumatologist follow the diet by avoiding these food:
Meats,fish,poultry,seafood,alcohol,beans,peas . drink plenty of water.

Wish these help .
Thank you for using HCM.If you have any other questions please feel free to ask me.

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Does A Healthy Diet Help With Gout And Heart Problems?

Hi Dear User ! I have gone through your questions and I understand your concern! Yes it s a medication in his treatement that cause Hyperuricemia ( gout),and it s Furosemide.This is a serious side effect of this drug that we use for high blood pressure in patient that suffer from gout.Also any kind of meat(with high purine) should be avoid in this acute phase of gout. Diet is very good to prevent any other gout -joint pain,But in this situation that it s a acute phase and need to take some other medications and do the changes in Furosemid to prevent further complications. I sugest to go to a rheumatologist He wil change Furosemide with another one in consultation with the cardiologist doctor. He will check the acid uric level in blood ,kidneys and according to the examination start the treatment with Anti-inflammator drug ( Ibuprofen) or Allopurinol. Meanwhile she wait for the rheumatologist follow the diet by avoiding these food: Meats,fish,poultry,seafood,alcohol,beans,peas . drink plenty of water. Wish these help . Thank you for using HCM.If you have any other questions please feel free to ask me.