Brief Answer:
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Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
The most important thing is to keep the uric acid level below 6.0 mg/ dl.

This can be done by taking a proper diet which is gout friendly and by taking medications to balance the uric acid levels.

Medications are of two categories:
Medication to help reduce the production of excess uric acid
Medication to help your kidneys get rid of excess uric acid

Short term medications inculde
1. Non steroidal anti inflammatory agents
2. Colchicine
3. Corticosteroids.

Long term medications include
1. Uricosuric agents
2. Xanthine oxidase inhibitors
3. Colchicine

medications are to be taken only with a prescription from your doctor.

Dietary changes may include:
Drink plenty of liquids, like water. Fluids like water help remove uric acid from the body.
Add low-fat dairy products to your diet. Eating more of these dairy products is associated with a decreased risk of gout.

Avoid high purine foods like:

1. Meats, Beef, Organ meats, Pork (such as liverwurst, kidney, and brain), Lamb, Meat-based gravies.

2. Beverage like Beer

3. Seafoods like Anchovies, Herring, Scallops, Sardines, Mussels, Trout, Roe (fish eggs), Codfish, Haddock

4. Vegetables like Spinach, Cauliflower, Asparagus, Mushrooms

5. Oatmeal, Peas, Dried beans, Lentils

You may include low purine foods as below:

1. Breads and Grains, Pasta, Grains, Rice, Cereals

2. Beverages like Carbonated drinks, Coffee, Milk and milk products

3. Vegetables like Tomatoes and Some types of green vegetables

4. Fruits, Cheese, Olives, Chocolate, Eggs, Sugar

A reference diet schedule may be as given below

Breakfast

Whole-grain, unsweetened cereal with skim or low-fat milk, topped with fresh fruit
Whole-wheat toast with trans-free margarine
100 percent fruit juice
Coffee

Lunch

Lean meat, poultry or fish (2 to 3 ounces) sandwich on whole-wheat bread, with lettuce, tomato and low-fat spread
Carrot and celery sticks, side salad or vegetable soup
Fresh fruit, such as apple, orange or pear
Skim or low-fat milk

Dinner

Baked or roasted chicken (2 to 3 ounces)
Steamed vegetables
Baked potato with low-fat sour cream
Green salad with tomatoes and low-fat dressing
Fresh fruit, such as berries or melon
Nonalcoholic beverage, such as water or tea

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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