Eat more easily prone to goutte

Many people suddenly become "headache" because the health examination found uric acid in the blood is high, it is said that it will lead to goutte with images of deformed knuckles. Dr. Dao Thi Yen Phi - Ho Chi Minh City Medical Training Center - said:

- There are usually two causes of increased uric acid in the blood. One, due to the fact that the patient (patient) has weak kidney - poor functioning, kidney stones . will lead to a reduction in uric acid excretion. Some cases are caused by an increase in endogenous uric acid synthesis, in which most people are overly active. Two, due to diet - often found in people who eat too much meat and seafood . and drink plenty of alcohol increases exogenous uric acid.

If internal and exogenous uric acid increases, plus the reduction of uric acid excretion through the kidneys, it will increase uric acid in the blood.

Normal serum uric acid in men is If this concentration is exceeded, uric acid will deposit into crystals in the joint (the mechanism that causes goutte disease, joint pain) and in the kidneys.

* Is it because . eating too much meat?

- Can be explained simply as purines (many supplied through protein-rich foods such as meat, fish, liver, kidney, beans .) taken from outside into the body and converted into uric acid and is discharged through the kidneys.

Foods high in uric acid are: animal organs, lean pork meat, dogs, cows ., seafood such as squid, shrimp . and some kinds of fish, especially lean fish such as river fish , salmon, rays .

Some foods of vegetable origin do not contain purines but are effective in increasing endogenous uric acid synthesis - mushrooms, bamboo shoots, beans, and beans. Alcohol, alcoholic drinks all reduce uric acid excretion through the kidneys. Especially some beers using yeast derived from mushrooms contain many exogenous purines. Coffee, tea with oxidants will also increase the production of uric acid.

Eating more will increase uric acid depending on the ability of the kidneys to discharge. As recommended by the National Institute of Nutrition, eat 1 gram of protein / kg of weight a day. For example, a person weighing 60kg should eat about 60 grams of protein / day, of which about 50% of rice is supplied, the remaining 30 grams of protein are supplied through about 150 grams of meat, fish, beans . But most people I eat too much meat (about 400 grams) in a dinner party, a meal . with 2-3 cans of beer increases the risk.

Two goutte feet (Photo: KIM SON, TTO)

* To what extent does uric acid increase, how long will it lead to goutte?

- Goutte disease is usually divided into four stages:

1 - The stage of hyperuricemia without symptoms. Of those with hyperuricemia, only 5% turn to goutte. Most due to eating without restriction. As for those who adjust to good diet, about 30 years later, there is no goutte attack.

2 - Stage of acute arthritis due to goutte attack: Pain in one joint, most of them are big toe joints, pain is about 2 - 3 am, intense pain is like soaking in cold ice. When the pain begins to decrease, the patients feel cold due to high fever. In the morning, the pain subsided, but decreased, but after 2-3 hours later, it relapsed. The pain recurred for about two weeks, after which he found the pain itchy, peeled, then completely removed, leaving no sequelae.

3 - The period of progression - the patient has no problem at all . This period is about 10 years.

4 - Chronic goutte stage: kidney failure, kidney stones, deformities in joints, then appear in many small joints such as table joints, toe joints and hands. If left alone, there is no pain, movement is painful and stiff.

For women, it is very rare, only at the age of menopause.

* Thank you doctor!

KIM SON performs

Abstaining from many things

Acute goutte is common in men over 40 years of age and it usually starts after a meaty meal and drinks a lot of alcohol or after a long-term use of a certain drug such as aspirine, diuretic .

For prevention, should be examined and tested every 6 months. Detecting that at the time of the increase in blood uric acid, adjust the diet and exercise to ensure that there is no increase in uric acid, prolonging stage 1, do not proceed to stage 2. If goutte attack has occurred, it must be examined. and long-term follow-up in joints. For chronic goutte disease, follow-up treatment is followed according to the regimen of the specialist.

It is impossible to cure completely without adjusting diet and daily life. Diet: should reduce fish meat, pig brain, cow, mushroom, bamboo shoots ., do not drink beer, coffee, tea. Need to abstain from eating sour, including fruits and vegetables with sour taste, because it will increase uric acid deposition in the kidney. Some people after a night of drinking light to wake up drinking a tablet of high doses of vitamin C increase the risk of stagnant uric acid in the blood.