Quick and Simple Ways to Make Living With Gout Easier
The inflammation and excruciating pain of gout can hit suddenly, and it can become a chronic problem if you don’t make some smart changes. The key to living with gout and reducing flares is to lower the amount of uric acid in your bloodstream, so painful crystals don’t have a chance to form.
Purines found in food certainly are a problem, but simply following a low-purine diet probably isn’t your best bet. In theory, limiting purines means limiting uric acid buildup; in reality, a low-purine diet is complicated to manage and may not have the effect on your blood uric acid levels that you had hoped.
Instead, focus on balance in your diet, and life in general. A wholesome menu packed with variety can get you on track to lower uric acid levels and lower body weight, while exercise, relaxation and smart supplements can energize your system and improve your natural defenses.
The Most Important Dietary Changes to Make When Living With Gout
Gout raises your risk of developing other health problems like cardiovascular disease, insulin resistance and metabolic syndrome, so you need to tailor your diet to account for your specific risks. For instance, moderate drinking and oily fish (chock-full of omega-3 fatty acids) aren’t necessarily great for gout, but they can help in the fight against heart disease.
Work with your doctor to balance the benefits and risks based on the severity of your gout, and any other conditions at play in your body. Everyone is different, and you’ll need a personalized plan to tackle the challenges you face. However, here are some good general rules for anyone with gout to follow:
Add More Veggies
Full of water, nutrients, minerals and fiber, fresh vegetables should take center stage in your gout management plan. A good way to get more variety of vegetables is to serve a salad with each meal, and experiment with fresh side dishes to replace starchy grains and potatoes.
Some vegetables have less purine than others, but evidence shows these plant purines don’t have the same negative effect on the body as other purine sources. Even high-purine veggies like mushrooms, asparagus, peas and spinach can do your body good.
Focus on Beans and Whole Grains
You can get your protein from beans and legumes, your minerals from leafy greens, and your fiber and fat-fighting energy from whole grains (quinoa and barley are excellent examples).
The wonderful thing about beans and whole grains is they’re exceptionally filling, but relatively low in calories. For anyone trying to lose a bit of weight, this is very good news: regular servings of beans, legumes and grains will help manage cravings and hunger, all while reducing your calorie intake.
Animal protein tops the list of purine-rich foods, especially red meat, organ meats and seafood. Everything from mussels to liver could leave you in agony, but not everyone will respond to all meats the same way.
If you aren’t ready to give up meat entirely, at least choose wisely and limit your intake. Stick to animal products lower on the purine scale — chicken, turkey, salmon and haddock are better options — and eat no more than six ounces per day. Try to get most of your protein from beans and dairy instead of meat.
Avoid Most Alcohol
Beer is the biggest offender when it comes to gout attacks, but other alcohols can be problematic, too. High purine levels in alcohol can interfere with your body’s natural ability to eliminate uric acid, which leads to painful crystals lodging in the joints.
Doctors recommend you avoid alcohol completely when you’re having a gout attack, but even if your gout isn’t acting up, you may want to steer clear of wine, beer and spirits as a general rule.
Work in Low-Fat Dairy
There’s evidence dairy products can help your body get rid of excess uric acid to calm gout flares and protect against future attacks. It appears cow’s milk can suppress the enzyme known as xanthine oxidase, which helps to produce uric acid.