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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Gout Be Treated Without Medicines?

My grandfather has been diagnosed with gout and he is looking for home remedies to relieve pain. He is currently on many medications for daily use, such as Warfarin and he takes Aspirin with it. I found a webpage that said taking Aspirin can cause uric acid buildup in the joints causing pain and I was wondering if it was safe for him to take a different NSAID such as Aleve, Motrin, etc. I was also hoping to get any other advice to help him out. He also has it in the hand. I appreciate any advice or information you can give me. Thank you in advance. - Cody G Hudson
Tue, 6 Dec 2016
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General & Family Physician 's  Response
As per your history is concerned if he has diagnosed as Gout check whether he is acute or chronic case,if acute then you can try like this -
Oral corticosteroids plus colchicine combination

Diet restrictions-a)Because uric acid is a breakdown product of purine, high-purine foods should be either avoided or consumed only in moderation. Foods very high in purines include organ meats such as sweetbreads ( pancreas and thymus), smelt, sardines, and mussels. Foods moderately high in purines include anchovies, trout, haddock, scallops, mutton, veal, liver, bacon, salmon, kidneys, and turkey.
Purines are found in all protein foods. All sources of purines cannot and should not be eliminated.
Overall, purine restriction generally reduces serum uric acid levels by no more than 1 mg/mL, with modest impact, and diets with very low purine content are not palatable. Diet modifications alone are rarely able to lower uric acid levels sufficiently to prevent accumulation of urate, but they may help lessen the triggers of acute gout attacks.
2)Patients with gout should avoid excess ingestion of alcoholic drinks, particularly beer, because alcohol use elevates uric acid levels and thus can precipitate attacks of gout. Indeed, heavy drinkers are much more likely to have recurrent gout attacks, even with allopurinol therapy. Moderate wine intake is not associated with increased development of incident gout, but excesses of any form of alcohol in gout patients are associated with acute gout flares.
3)Patients should avoid sodas and other beverages or foods sweetened with high-fructose corn syrup. They should also limit their use of naturally sweet fruit juices, table sugar, and sweetened beverages and desserts, as well as table salt. Patients taking colchicine should avoid grapefruit and grapefruit juice.
4)Maintaining a high level of hydration with water (at least 8 glasses of liquids per day) may be helpful in avoiding attacks of gout. In view of the association of gout with atherosclerosis, the diagnosis of gout may afford a particularly good opportunity for the clinician to advise a low-cholesterol, low-fat diet if such a diet is otherwise appropriate for the patient. Although a diet of this type may help uric acid levels, such advice should be given primarily to help prevent atherosclerosis.
5)Weight reduction in patients who are obese can improve hyperuricemia. Ketosis-inducing diets ( fasting) should be avoided, however.
Because acute attacks are already sufficiently limiting of activity, additional limitations of activity are not necessary. The patient should avoid trauma to the affected joint; otherwise, they should be active.
It is for acute cases if chronic let me know in detail(Thanks)
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How Can Gout Be Treated Without Medicines?

As per your history is concerned if he has diagnosed as Gout check whether he is acute or chronic case,if acute then you can try like this - Oral corticosteroids plus colchicine combination Diet restrictions-a)Because uric acid is a breakdown product of purine, high-purine foods should be either avoided or consumed only in moderation. Foods very high in purines include organ meats such as sweetbreads ( pancreas and thymus), smelt, sardines, and mussels. Foods moderately high in purines include anchovies, trout, haddock, scallops, mutton, veal, liver, bacon, salmon, kidneys, and turkey. Purines are found in all protein foods. All sources of purines cannot and should not be eliminated. Overall, purine restriction generally reduces serum uric acid levels by no more than 1 mg/mL, with modest impact, and diets with very low purine content are not palatable. Diet modifications alone are rarely able to lower uric acid levels sufficiently to prevent accumulation of urate, but they may help lessen the triggers of acute gout attacks. 2)Patients with gout should avoid excess ingestion of alcoholic drinks, particularly beer, because alcohol use elevates uric acid levels and thus can precipitate attacks of gout. Indeed, heavy drinkers are much more likely to have recurrent gout attacks, even with allopurinol therapy. Moderate wine intake is not associated with increased development of incident gout, but excesses of any form of alcohol in gout patients are associated with acute gout flares. 3)Patients should avoid sodas and other beverages or foods sweetened with high-fructose corn syrup. They should also limit their use of naturally sweet fruit juices, table sugar, and sweetened beverages and desserts, as well as table salt. Patients taking colchicine should avoid grapefruit and grapefruit juice. 4)Maintaining a high level of hydration with water (at least 8 glasses of liquids per day) may be helpful in avoiding attacks of gout. In view of the association of gout with atherosclerosis, the diagnosis of gout may afford a particularly good opportunity for the clinician to advise a low-cholesterol, low-fat diet if such a diet is otherwise appropriate for the patient. Although a diet of this type may help uric acid levels, such advice should be given primarily to help prevent atherosclerosis. 5)Weight reduction in patients who are obese can improve hyperuricemia. Ketosis-inducing diets ( fasting) should be avoided, however. Because acute attacks are already sufficiently limiting of activity, additional limitations of activity are not necessary. The patient should avoid trauma to the affected joint; otherwise, they should be active. It is for acute cases if chronic let me know in detail(Thanks)