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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?

just returned from visiting my brother out of state......he was very uncomfortable because he was suffering from an attack of gout and nothing seemed to help........I told him he needs to stop eating sugar because it contributes to inflammation.....but he did not want to hear that.........nothing he done helped......he was even unable to sleep........what can he do to stop gout beside take medication that seems to be hard on his kidneys?
Wed, 13 Sep 2017
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General Surgeon,  's  Response
Your brother having an elevated blood uric acid level, and Gouty Arthritis, may be at risk for kidney stones. He should try to eat a low purine diet.

Foods that are high in purine include:
•     All organ meats (such as liver), meat extracts and gravy
•     Yeasts, and yeast extracts (such as beer, and alcoholic beverages)
•     Asparagus, spinach, beans, peas, lentils, oatmeal, cauliflower and mushrooms

Foods that are low in purine include:
•     Refined cereals - breads, pasta, flour, tapioca, cakes
•     Milk and milk products, eggs
•     Lettuce, tomatoes, green vegetables
•     Cream soups without meat stock
•     Water, fruit juice, carbonated drinks
•     Peanut butter, fruits and nuts
•     Keep well hydrated, drinking 2 to 3 liters of water per day, unless you were told otherwise.
•     Take all of your medications for hyperuricemia as directed
•     Avoid caffeine and alcohol, as these can contribute to problems with uric acid and hyperuricemia.
•     Avoid medications, such as thiazide diuretics (hydrochlortiazide), and loop diuretics (such as furosemide or Lasix). Also, drugs such as niacin, and low doses of aspirin (less than 3 grams per day) can aggravate uric acid levels.
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How Can Gout Be Treated?

Your brother having an elevated blood uric acid level, and Gouty Arthritis, may be at risk for kidney stones. He should try to eat a low purine diet. Foods that are high in purine include: • All organ meats (such as liver), meat extracts and gravy • Yeasts, and yeast extracts (such as beer, and alcoholic beverages) • Asparagus, spinach, beans, peas, lentils, oatmeal, cauliflower and mushrooms Foods that are low in purine include: • Refined cereals - breads, pasta, flour, tapioca, cakes • Milk and milk products, eggs • Lettuce, tomatoes, green vegetables • Cream soups without meat stock • Water, fruit juice, carbonated drinks • Peanut butter, fruits and nuts • Keep well hydrated, drinking 2 to 3 liters of water per day, unless you were told otherwise. • Take all of your medications for hyperuricemia as directed • Avoid caffeine and alcohol, as these can contribute to problems with uric acid and hyperuricemia. • Avoid medications, such as thiazide diuretics (hydrochlortiazide), and loop diuretics (such as furosemide or Lasix). Also, drugs such as niacin, and low doses of aspirin (less than 3 grams per day) can aggravate uric acid levels.