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What are purines? What role do they play in the diet? Why should the diet of people suffering from gout be purine-free? Where are the purines? What products should I avoid? The question is answered by the drug. Paweł Żmuda-Trzebiatowski
Should the diet of a person suffering from gout be purine-poor?
Good day. My name is Tomasz and I am a 40-year-old man who never denied himself pleasure in life. For many years, the basis of my diet was meat (mainly pork). Every week, usually on weekends, I drank alcohol (mostly beer) in copious amounts and led a stressful lifestyle. Unfortunately, I was recently diagnosed with gout. I will not hide that I feel terrible. I am quite overweight and have high blood pressure.
The doctor recommended that I necessarily switch to a purine-free diet or a diet that eliminates purines. Should the diet recommended for people suffering from gout really be purine-free? A friend told me that it was impossible, because we can find purines in most food products. So what should be allowed purine content in the diet for gout? Should I stop eating meat, drinking alcohol and drinking coffee completely?
I’m not quite ready for such a radical dietary revolution! What diet to use for gout to get at least a little pleasure from eating and not eat too much purine at the same time. Maybe it is enough to just change the way the dishes are prepared and instead of frying them, steam them for example? Regards.
Your doctor will advise you on how to limit the amount of purines in your diet
Dear sir, purines are found in almost all foods. Some are rich in them and others are not. The most important thing is to eat meals that contain as little purine as possible, because, as you already know, they increase the uric acid concentration in the blood. Products that produce a small or small amount of uric acid include vegetables such as peppers, cabbage, cucumbers, carrots, celery or cauliflower, fruits including pears, apples, cherries, strawberries and oranges, wholemeal bread, pasta, dairy products and eggs. You should mainly eat such products.
Of course, that doesn’t mean you’ll never be able to eat anything else. Foods such as cold cuts, legumes, beef and pork, mushrooms, cod, pollock and chocolate are products that produce moderate amounts of uric acid. You can only eat these products from time to time and in limited amounts.
There are also foods from which they are made large amounts of uric acidwhich are also absolutely contraindicated in your diet. These include offal, seafood, fish, fish products, canned food and meat jellies.
In addition to the prescribed diet, regular physical activity and adequate hydration are very important. You should consume at least two and a half liters of fluids. You should gradually reduce body weight by unnecessary kilograms, give up alcohol and other stimulants. Improving the lifestyle should also help reduce blood pressure, but if this does not happen, the treating physician should initiate appropriate antihypertensive treatment.
As you can see, a lot depends on your commitment and thoroughness. If you follow a diet and take care of physical activity, the chance of further gout attacks will be much smaller. If, however, such an attack occurs, please see your family doctor for appropriate treatment. Personally, I do not support the use of colchicine in the treatment of gout attacks due to its hepatotoxic effects, i.e. damaging the liver parenchyma.
– Lek. Paweł Żmuda-Trzebiatowski
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