One of the first warnings you may get from your doctor when
diagnosed with gout is to watch out for foods high in uric acid
producing properties known as purines. Purines, when metabolized,
lead to the development of uric acid. When excess levels of uric
acid are reached it can result in the formation of uric acid
crystals in the joints. As you know this can make your condition
worse and multiple the number of attacks you have to suffer
through. Some doctors may provide you with a list of common gout
trigger foods that can exacerbate your condition. While following
the list recommendations should offer relief, there are new
thoughts about the different types of foods that are known to be
higher in purines. Some foods high in purines that previously where
on the 'do not eat' list are now considered safe additions to your
diet.
The foods high in purine that should still be avoided are those
that fall into the meat category. But even here there are degrees
of avoidance. The most important meats to avoid due to their
likelihood of triggering a gout attack are any type of organ
tissue. Seafood is also best avoided, especially shellfish. Red
meat, game and fatty meat are also best avoided but a small amount
infrequently maybe okay. Remember, purines are only part of the
total equation when it comes to experiencing or controlling a gout
flare-up.
There are many foods high in purines that were once thought to
be as bad as organ meats, red meats, and seafood, but following
recent research are now considered to form an acceptable part of a
gout sufferers diet.
In 2004, the New England Journal Of Medicine released findings
stating that vegetables which are high in purines do not have the
same effect as the meats and seafood that gout sufferers are
advised to avoid. The same report found that low fat diary products
are beneficial to those who suffer from gout, and may offer a
measure of relief in the long run.
During studies that measured the effects of foods high in
purines, many vegetables with higher levels of purines did not
bring on gout attacks, as they were not processed in the same way
by the body as meats and seafood. The studies also confirmed that
meats, organ meats, and especially seafood were most likely the
common culprits for raising uric acid levels with the body, and may
directly increase a gout sufferers risk of experiencing a gout
attack. Diets low in dairy products were also seen to increase the
risk of suffering from a gout attack.
As a result, the food recommendations for gout sufferers have
been revised. It is still recommended that patients with gout, or
who are prone to gout due to family history and other issues,
maintain a low consumption of red meats, yeast breads, seafood,
alcohol, and organ meats. These foods are all still potent foods
high in purine that lead to increased uric acid levels. However,
many of the high purine vegetables like peas, spinach, and
mushrooms that were once on the list of foods to avoid are now
items that gout sufferers can reintroduce to their diet without
much concern about the affect they will have on uric acid levels.
Dairy and these vegetables may in fact aid a gout sufferer in their
quest for better health.