Gout patients can drink more water in their daily life, which has the function of diluting and discharging uric acid and has a certain auxiliary effect on the treatment of gout. It is recommended that you drink white water, soda water, light tea and coffee, but avoid fructose-rich drinks such as fruit juice and cola, and avoid broth, especially thick soup cooked for too long. At the same time, try not to drink alcohol, especially beer and yellow wine, gout.
In daily life, we should also pay attention to strictly limiting the intake of high-purity food, not eating animal offal, shelled seafood and broth, and eating less meat and dried beans; Exercise properly, control your weight, keep warm, and avoid strenuous exercise and sudden colds; We should have a regular routine and keep a good attitude.
While improving lifestyle, we should also pay attention to rational drug use, including actively diminishing inflammation and relieving pain, and paying attention to reducing uric acid during remission. It is suggested that the serum uric acid level should be controlled within 360 umol/L. If tophus is formed or chronic gouty arthritis often occurs, it should be controlled within 300umol/L, which can promote the dissolution and excretion of urate crystals to the maximum extent.
In real life, not all hyperuricemia will develop into gout, and only some patients with hyperuricemia will develop into gout clinically. Hyperuricemia can only be called gout when there are manifestations of gouty arthritis, gouty stones and gouty nephropathy.
When the concentration of uric acid in blood is too high and it is in an acidic environment (only one of the two situations exists), uric acid can be deposited on bone joints, subcutaneous tissues and kidneys, causing gouty arthritis, tophus and gouty nephropathy.
The measures to prevent and promote uric acid excretion are: 1, and to reduce the production of uric acid: limit alcohol consumption and limit the intake of high purine diets such as heart, liver and kidney.
2. Drinking more than 2000ml of water every day can promote the excretion of uric acid.
3. Use diuretics such as hydrochlorothiazide and furosemide with caution to inhibit uric acid excretion.
4. As can be seen from the above, uric acid can be precipitated in acidic environment, so reducing urine appropriately, such as drinking alkaline drinks such as soda water and alkaline fruits such as lemons, can alkalize urine to some extent, resulting in uric acid not easily accumulating in urine and crystallizing and precipitating.
5. Chinese medicine also has the function of reducing uric acid, and medicine and food are homologous.
(This content is for reference only. )
Drinking three kinds of drinks can make uric acid excrete more and improve gout? Don't worry too much, it's unrealistic. If it's really that bad, we gout patients won't be so miserable. If so, what else can we do with uric acid-lowering drugs? Wouldn't it be better to drink some daily drinks directly? If gout really breaks out, don't listen to hearsay. It is best to take medicine scientifically under the correct guidance of doctors, improve diet and work habits, and recuperate together.
So this question, can drinking water improve gout?
In fact, patients with gout should really supplement enough water, because part of uric acid can be excreted with urine, which can play an auxiliary role in regulating uric acid concentration, but this does not mean that it can obviously reduce uric acid, or can alleviate the pain in acute gout attack. They can only be used as a way to help stabilize uric acid. It is suggested that patients with hyperuricemia/gout should replenish no less than 1500~2000ML daily (which can be adjusted according to their own situation and exercise amount), and should not drink it when they are thirsty. Even if they supplement 100~200ml of water for about 1~2 hours, this will not only maintain normal physiological activities of the body, but also help stabilize uric acid concentration.
Do you have any drinks that are particularly obvious for increasing uric acid concentration? How to choose?
This is not true, but there are many drinks that may increase the concentration of uric acid. For example, the "drinking honey can reduce uric acid", which has been heated up before, actually does not help uric acid, and 70% of honey is sugar, of which fructose accounts for a relatively high proportion, and there are a small amount of sugars such as sucrose, glucose and maltose. In short, it is not too much to say that it is sugar water. If we consume too much fructose, fructose metabolism will produce more nucleotides in our body, and these nucleotides are the precursors of purine synthesis, which means that purine synthesis will increase, and purine will eventually be metabolized into uric acid, so it will eventually increase the concentration of uric acid. If you drink more honey, it is estimated that uric acid will rise and gout will break out.
Therefore, patients with high uric acid should pay attention to avoid drinking some drinks rich in fructose or other added sugar (sucrose will also be decomposed into 1 fructose and 1 glucose), which may lead to the increase of uric acid, such as juice drinks, sweet drinks, online celebrity milk tea and so on. In addition, although fruit is a low purine food, it can't be eaten with the door open. It is enough to eat 200~350g every day, otherwise it may lead to excessive fructose intake, which is not good for controlling uric acid. In addition, broth may contain a lot of nucleotides. As mentioned earlier, this is the substrate of purine synthesis, so it may also promote the increase of uric acid.
The water suitable for patients with high uric acid is actually simple boiled water, or light tea or light lemonade. Soda is popular with everyone. In fact, the effect of soda water on neutralizing uric acid is not obvious, and the price is relatively expensive. In fact, there are not many places to choose. In short, patients with hyperuricemia can only control uric acid by drinking water, but not as the main way to regulate uric acid.
First of all, gout is a symptom of joint crystal deposition caused by high blood uric acid, which leads to tophi and joint destruction. Gout is mainly abnormal purine metabolism in human body, which is easy to destroy joints, kidneys and heart. However, the control of uric acid still needs to be maintained from some living habits, and drinking three kinds of drinks cannot be ruled out.
Let's popularize how to eliminate excessive uric acid in the body.
1, don't drink alcohol, eat some seafood, spicy and irritating greasy food and animal offal, and eat lightly, because these foods contain a lot of purine, and eating too much will aggravate metabolic disorder.
2, exercise more, strictly control weight, try to adhere to moderate exercise every day, which is more suitable for aerobic exercise, such as brisk walking and jogging. Exercise should be moderate (the maximum suitable heart rate for aerobic exercise), which is also beneficial to the metabolism of blood uric acid.
3. Taking some sodium bicarbonate every day is beneficial to alkalizing urine and dissolving uric acid stones. Sodium bicarbonate is very irritating to the stomach and can be taken intermittently to avoid long-term use.
4. Drink plenty of water, and keep the daily water consumption at about 2500ml, which is conducive to promoting the operation of the kidney, promoting the metabolism of purine substances in the kidney and diluting uric acid.
Daily drinks only help to excrete uric acid. If uric acid is high, you need to go to a doctor to return to normal. In life, boiled water, soda water and tea all contribute to the excretion of uric acid, but how to drink these daily drinks is also particular.
1, boiling water
Gout patients should drink more water to promote uric acid excretion besides taking medicine according to the doctor's advice. Therefore, gout patients should develop good drinking habits.
The so-called "good" drinking habits, first of all, it is best to drink boiled water (you can add a little salt, generally 500 ml of water plus 1 g of salt to help the body absorb water), and you should ensure that the daily drinking amount is not less than 1500 ml.
Secondly, the best time to drink water is 45 minutes after meals, some time before going to bed, 30 minutes after getting up in the morning and before breakfast.
Finally, you can't drink or drink less water at ordinary times, and wait until you are thirsty.
2, soda water
This kind of suitable drink is soda water, except boiled water, which is recommended for gout patients.
Soda water is an aqueous solution of sodium bicarbonate, which is weakly alkaline. In medicine, it is often used for external disinfection and sterilization, and can also be used for drinking, which helps to neutralize the acid-base balance in the human body and promote the excretion of uric acid in the body.
Soda water is naturally formed, and can also be made by hand with weak alkali effervescent tablets, soda effervescent tablets and machines. Natural soda water contains many trace elements besides bicarbonate, and it is a good drink. It is not only suitable for preventing gout, but also has other benefits to human body, such as nourishing stomach, relieving dyspepsia and constipation symptoms, and preventing skin aging.
However, it is best to drink soda water reasonably after regularly detecting the PH value of urine, so that soda water can play its anti-gout role more reasonably and effectively. Patients with gastritis or hypertension should not drink soda water.
It should also be reminded that most of the sodas sold in the market are carbonated drinks synthesized by pressing carbon dioxide into pure drinking water and adding sweeteners and spices, but really healthy sodas taste like aerated mineral water, so we should pay attention to the distinction when selecting them.
Step 3 drink tea
Drinking tea is very beneficial to health, such as refreshing, helping to stabilize blood sugar and blood pressure, and improving cardiovascular and cerebrovascular health. In recent years, studies have shown that the substance after metabolism of methylxanthine in the body is methylurate, which is two different substances from urate, and will not be deposited in kidneys and joints, nor will it form tophus. Moreover, tea is weakly alkaline, and moderate drinking can also help the body excrete uric acid and alkalize urine. Therefore, drinking tea regularly and in moderation is beneficial to prevent hyperuricemia and gout.
But when drinking tea, you need to pay attention to some details, which are the eight taboos of drinking tea: 1. Avoid drinking strong tea; 2. Avoid drinking tea on an empty stomach; 3. Avoid drinking too much tea; 4. avoid cooking tea; 5. Avoid drinking tea when you have a fever; 6. Avoid drinking strong tea after meals; 7. Avoid drinking tea and taking medicine; 8. Avoid drinking tea that has been soaked for a long time;
You can usually choose to drink light tea after meals 1 hour. Because tea contains a lot of tannic acid, black tea 5%~6%, green tea 10%~24%, if you drink tea immediately after meals, tannic acid will combine with iron in food to form insoluble precipitate, which is not conducive to iron absorption. Over time, it is easy to cause iron deficiency anemia. Tannic acid can also hinder the body's absorption of spoiled eggs.
I hope it helps you.
For gout patients, drinking more water is helpful to dilute and excrete uric acid. We suggest that everyone should drink more than 2000ml of water every day, with white water as the best. Soda water, light tea and coffee can also be drunk properly, but fructose-rich drinks such as fruit juice and cola should be avoided.
Although drinking water can help dilute and excrete uric acid, its effect is limited after all. In order to effectively control the level of serum uric acid and reduce the number of acute gout attacks and complications, it is necessary to improve lifestyle and rational drug use.
As a metabolic disease, gout has no radical cure under the current medical conditions, but we don't have to worry too much. Through active and standardized treatment, the disease can be well controlled and complications can be reduced. Everyone should pay attention to strictly limiting the intake of high-purity food in daily life, not eating animal offal, shelled seafood and broth, and eating less animal meat; Eat more fresh vegetables and drink more water; Exercise properly, control your weight, keep warm, and avoid strenuous exercise and sudden colds; We should also combine work and rest and maintain a good attitude.
While improving the lifestyle, we should also standardize drug use under the guidance of professional doctors, in which we should actively reduce inflammation and relieve pain in the acute stage; Attention should be paid to reducing uric acid in remission period, and it is suggested that the blood uric acid level should be controlled within 360 umol/L. If tophus is formed, it must be controlled within 300umol/L, which can promote the dissolution and discharge of urate crystals to the maximum extent.
Gout is a metabolic disease, which is swelling and heat pain caused by urate deposition in joints. Gout patients generally have hyperuricemia. The higher the uric acid level, the greater the possibility of gout. If you want to control gout, you must lower the uric acid level in your body.
I heard that there are three kinds of drinks that can excrete uric acid every day? What are the three? Drinking more water and exercising more can really help uric acid excretion, because uric acid is mostly excreted through urine, so drinking more water and urinating more can reduce the concentration of uric acid. So what water should I drink? I recommend drinking boiled water, mineral water or light tea, and drinking more than 2000ml every day. It is said on the Internet that drinking lemonade can help uric acid excretion. Actually, not necessarily, because lemonade contains fructose, which is easily converted into uric acid. Soda is also sweet, and fructose may be added, which is not conducive to controlling uric acid.
In addition to drinking more water, gout patients need to control their diet. Avoid foods with high purine content, such as animal offal, seafood, all kinds of red meat, broth, etc. The source of uric acid is only 20% in vitro, while 80% of uric acid is synthesized in vivo. Therefore, some people can't control gout simply by controlling their diet and need medical treatment. Allopurinol and febuxostat are commonly used.
The occurrence of gout is closely related to hyperuricemia. Controlling uric acid within the target range can effectively reduce gout attacks. Although not all gout patients need drugs to reduce uric acid, all patients should change their lifestyles. Then, in changing lifestyle, what drinks can gout patients drink to promote uric acid excretion? Next, medical science will analyze it for you.
Uric acid needs to be dissolved in water and excreted, so patients with hyperuricemia can reduce uric acid by increasing drinking water. You can drink boiled water, add fresh tea and drink some alkaline drinks. Alkaline environment can promote the dissolution and excretion of uric acid. However, different patients need to control the amount of drinking water: for patients without heart-kidney related diseases, after increasing the amount of drinking water, the heart can bear the increased burden, and the kidneys can also discharge excess water. The daily drinking water can be controlled at about 2000-3000ml, which can promote uric acid excretion, reduce gout attacks and shorten the course of gout; Patients with heart and kidney related diseases should drink water under the guidance of experts. Excessive drinking water will increase the total amount of liquid in the circulatory system and increase the burden on the heart. Patients with heart failure may have symptoms such as fatigue and shortness of breath. Water and metabolites are mainly excreted by the kidneys, but uric acid can also cause kidney damage. Therefore, if the renal function of patients with hyperuricemia or gout is impaired, the excretion capacity of the kidney will decrease, and excess water will stay in the body, which may cause edema. Drinking water should also be restricted.
Gout patients can increase their intake of milk and coffee while drinking more water. Milk can reduce gout attacks, which may be related to the fact that milk can promote uric acid excretion. It is suggested that patients with hyperuricemia or gout drink skim milk or low-calorie yogurt, which can consume about 300 ml per day. The relationship between coffee and gout is not clear, but some studies show that coffee does not increase the risk of hyperuricemia and may reduce the risk of gout. In addition to the above drinks, patients with hyperuricemia or gout should drink less drinks rich in fructose and alcohol: honey, cola, orange juice and other drinks have high fructose content, which will inhibit uric acid excretion and is not conducive to the control and treatment of gout; Alcoholic beverages can not only increase the source of purine, but also inhibit the excretion of uric acid. The greater the alcohol consumption, the higher the risk of gout. Therefore, drinking should be prohibited during acute attack of gout and restricted during remission. In addition, patients with gout should drink less concentrated broth and gravy, which have high purine content and may also induce gout.
To sum up, if gout patients have no intention of nephropathy, they can drink 2000-3000ml of water a day, mainly plain water, light tea and slightly alkaline drinks; At the same time, the intake of milk and coffee can be appropriately increased to reduce gout attacks; Try to drink less drinks rich in fructose and alcohol, and drink less highly concentrated broth and gravy, which can also reduce gout attacks.
Thank you for reading!
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Note: The content of this article is only used as health science, not as medical advice or opinions, and does not have medical guidance conditions.
The population suffering from hyperuricemia in China is as high as 65.438+0.8 billion, of which 654.38+00% patients have gout. In most people's impression, once gout has an acute attack, it will make people feel "miserable".
Gout attacks for the first time, mostly in the first attack of gout in the big toe. It often shows sudden and severe pain in a single joint, and the most easily affected part is the metatarsophalangeal joint, such as the big toe. Subsequent seizures may involve multiple joints, such as ankle, knee, wrist and elbow.
The pain is more than when the patient sleeps at night, and there is no sign before. Therefore, if you feel severe joint pain in the middle of the night, you should go to the hospital as soon as possible to check whether there is gout.
If gout is not controlled, there will be four situations, which will make you feel uncomfortable 1 and increase the frequency of attacks.
It used to be once every few years, but if it gradually becomes several times a year or even several times a month, it will really attract attention.
2. Topfi appeared
If uric acid is not properly controlled for a long time, urate crystals will accumulate more and more, and then turn into tophi. When the number of tophi in the body is increasing, it is necessary to consider whether to remove it surgically.
3. Gout has metastasized.
Originally, gout only started from the big toe, but after a few years, it slowly transferred to ankle joints, knee joints, fingers and other parts. At this point, gout has deteriorated.
4, kidney disease.
Once the uric acid content is too high, it will cause a certain burden on the kidneys. In the long run, it will damage the kidneys and even cause uremia and even death.
If the above four symptoms appear, you must seek medical attention in time to avoid the deterioration of your condition due to delay, and you will regret it at that time.
Do you know that gout patients drink three cups of "life-saving" water?
First, a cup of boiled water and a lot of water in the morning can promote urination, and then promote uric acid to be excreted with urine.
In addition, drinking plenty of water can also dilute uric acid in the body, reduce the formation of urate and contribute to health.
Therefore, if the uric acid is high, you must drink more water, and the daily drinking water should reach at least 2000ml.
Second, a cup of alkaline acid drainage.
Alkalized urine can dissolve urate, excrete it with urine, avoid deposition in the body, and prevent the formation of tophus and kidney calculi and kidney damage.
There is a dietary remedy-turnip miscellaneous grains powder, which is still in use today, which helps to reduce uric acid and relieve gout.
Gout patients can insist on drinking a cup of turnip miscellaneous grains powder every morning, which has a good effect on reducing uric acid and protecting kidneys.
Third, soak dried tangerine peel in water.
Pericarpium Citri Tangerinae is a kind of Chinese herbal medicine with high nutritional value and homology of medicine and food, which has good health care and health preservation effects. Moreover, dried tangerine peel itself has the functions of clearing away heat, detoxifying and diuresis. If you insist on soaking in water with dried tangerine peel every day, you can regulate the secretion in the body and discharge the toxic waste in the body.
Hello, I'm a nephrologist. I think I should be able to say a few words about uric acid. I saw this question today, in order to answer it as a "rebuttal post". As the saying goes, the causal cycle, gout used to be called "imperial disease." With the improvement of people's living conditions and material level, gout has also entered thousands of households. In the final analysis, it is still related to diet.
Let's first look at the ins and outs of uric acid, which is actually produced by DNA and/or RNA metabolism in our body. To put it bluntly, it is the metabolite of purine. Two-thirds of uric acid produced by our body is excreted by the kidneys every day, and the remaining 1/3 is excreted by the intestines.
It is true that the description of gout mentioned by the subject is very painful. The acute attack of gout is often local redness, swelling, heat and pain, and it is difficult to get to the ground. It is very easy to distinguish, but when it comes to the root cause of gout attacks, in fact, many people mistakenly think that high uric acid will lead to gout attacks. In fact, more than 700 hemodialysis patients in our department of nephrology have no gout, so I am here to tell you that the acute attack of gout is due to the fluctuation of uric acid in the body (that is,
Therefore, if you want to have fewer gout attacks, the only thing you can do is to maintain the stability of uric acid levels in your body. This is the only treatment. How can you maintain the stability of uric acid level in the body? That is, diet control combined with medication. If the uric acid value of people with a history of gout is greater than the normal range, they should take medicine for three months to control uric acid below 300. If there are gout stones, they should take medicine until uric acid reaches the target value for six months.
At ordinary times, we must always remind ourselves of low purine diet, such as seafood, animal offal, beef and mutton, thick soup and other high purine foods. Meat from poultry animals such as chickens and ducks can be used instead of meat (low purine content), and fruits with low fructose content (such as plums, cucumbers, plums, tomatoes, olives, cherries, etc.) should be eaten more. ).
On this basis, it is recommended to drink more than 2000ml of water every day, go to the toilet frequently, and don't wait until you want to go. As for the so-called drinks, there is really not so much pressure in clinic. I think drinking boiled water or pure water is enough, and don't drink sugary drinks and fruit juice (including carbonated drinks), so there are no so-called three kinds of water that can make uric acid excrete faster.