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Gout can't drink, but what should I do if my mouth is greedy?
Zhang Laohan, a 69-year-old man, found more than 500 uric acid in his physical examination ten years ago. After he came back, he paid great attention to his diet and basically refused seafood and beer. But I can't change the habit of drinking all the time, so I changed to drinking red wine. I admire it. Zhang Laohan only drinks a little at a time to satisfy his craving, and never drinks too much. Until today, uric acid has not decreased much, but it has not increased much, still more than 500, and there is no history of gout attack.

What's going on here? It turns out that drinking red wine in a certain range will not lead to the increase of uric acid, and Zhang Laohan usually drinks more water, so it has no effect on his health. But Zhang Laohan's diet is very well controlled. He just drinks a little red wine every day. How much red wine can he drink? See below for details:

Wang's pain wind is a common acute paroxysmal arthritis, which is caused by the fact that uric acid can not be well metabolized in the body, thus forming urate crystals and depositing in joints and tissues around joints. When gout attacks, it is like a tiger bone, and the pain is unbearable. It is characterized by severe pain, swelling, erythema, stiffness, fever and sudden symptoms of the affected joint. Gout has a lot to do with diet, especially eating a lot of meat, animal offal, seafood, beer and other foods can make the uric acid content in the body rise rapidly. If it is not metabolized in time, it is easy to accumulate at the joints.

In addition to diet, such as strenuous exercise, sudden cold, obesity, fatigue, irregular work and rest, smoking and so on. Are risk factors for gout. Today we are going to talk about wine.

Everyone knows that gout can't be drunk, especially beer, because beer contains more guanylic acid, and the purine produced after metabolism is higher (about 80mg/ 100g), but the purine content in liquor is lower (about 1-2mg/ 100g). So can gout patients drink white wine? Obviously not.

The formation of gout is nothing more than two internal manifestations of increased uric acid production and decreased excretion. Any factors affecting the above two pathways will lead to the crystallization and precipitation of uric acid in joints and other places, forming gout. The reasons are roughly as follows:

First, alcohol affects purine metabolism, mainly accelerating purine metabolism and increasing uric acid production. Alcohol acts as a catalyst to accelerate the decomposition of adenine nucleoside triphosphate in the body, which eventually leads to the increase of uric acid production. Secondly, alcohol itself is metabolized into acetic acid in the body, and both acetic acid and uric acid are excreted through the kidney. A large amount of acetic acid will inevitably affect the excretion rate of uric acid, leading to an increase in blood uric acid levels. Thirdly, acetic acid will reduce the solubility of uric acid, increase the crystallization of uric acid, and deposit on joints and other places more easily, thus accelerating the formation of gout.

Fourthly, the potential damage of alcohol to the liver destroys the feedback mechanism of the body and leads to the accumulation of excessive uric acid. Fifth, when most people drink alcohol, they are often accompanied by high purine food intake, such as barbecue, which leads to a sharp increase in blood uric acid level in the body and induces an acute attack of gouty arthritis. Gout related to drinking mostly occurs on the second day after drinking late at night.

Therefore, liquor, including homemade rice wine, may cause gout. Please consider the influence of wine on uric acid metabolism before pushing and changing cups!

All the above viewpoints are supported by authoritative literature. Previous cohort studies have shown that the risk of gout increases when alcohol intake exceeds a certain threshold.

It has been reported recently that drinking no more than 10ml of red wine every day can reduce the risk of gout attack. Although this mechanism needs further study, Wang Laohan's example just proves this problem. Finally, it is emphasized that gout patients usually need to take medicine and avoid any alcohol when taking medicine.

Myrrh doctor, licensed pharmacist, senior nutritionist, protect life and health, refuse fake health preservation, and personally care for a healthy you!