Gout is one of the most common rheumatic diseases in the U.S., affecting about 8.3 million adults. Over the past few decades, the prevalence of gout has increased. The increased prevalence of gout has been linked to the increased prevalence of comorbidities associated with hyperuricemia, such as hypertension, obesity, metabolic syndrome, type 2 diabetes, and chronic kidney disease. Other factors that increase gout prevalence include diet and side effects of certain drugs used to treat cardiovascular disease
Gout management and Recommendations for Urate-Lowering Medications
A Closer Look at Gout Management & Dietary Recommendations
The researchers divided their dietary recommendations into three categories: Avoid, Limit, and Encourage. None of the recommendations were based on multiple randomized clinical trials or meta-analysis. The recommendations came from either a single randomized clinical trial, non-randomized trials, or the consensus of the experts. Interestingly, the researchers were unable to reach consensus on cherries, nuts, or legumes.
AVOID: organ meats high in purines; soda, other beverages, or foods that are sweetened with high fructose corn syrup; alcohol overuse (more than 2 servings per day for male and 1 serving per day for female gout patients; any alcohol during periods of frequent gout attacks or with advanced gout.
LIMIT: serving sizes of beef, lamb, and pork, seafood with high purine content (such as sardines and shellfish); servings of naturally sweet fruit juices; table sugar, sweetened beverages, and dessert; table salt; alcohol (especially beer, but also wine and spirits).
ENCOURAGE (but not to excess): low-fat and non-fat dairy products; vegetables.
Part 2 - Therapy and Anti-inflammatory Prophylaxis of Acute Gouty Arthritis
Researchers of good gout management provided the following guidance for dealing with acute gouty arthritis attacks:
Sources:
2012 American College of Rheumatology Guidelines for Management
of Gout. Part 1: Systematic Nonpharmacologic and Pharmacologic
Therapeutic Approaches to Hyperuricemia. Khanna D. et al. Arthritis Care
and Research. Volume 64 No. 10. October 2012.
http://onlinelibrary.wiley.com/doi/10.1002/acr.21772/abstract
2012 American College of Rheumatology Guidelines for Management
of Gout. Part 2: Therapy and Antiinflammatory Prophylaxis of Acute Gouty
Arthritis. Khanna D. et al. Arthritis Care and Research. Volume 64 No.
10. October 2012.
http://onlinelibrary.wiley.com/doi/10.1002/acr.21773/abstract
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Apr 22, 20 07:19 AM
During my first gout attack, I was in so much pain that I desperately scoured the internet for alternative cures as the colchicine that I was prescribed
Apr 22, 20 07:15 AM
TENS MACHINE work. The simple ones are $30 or so. And if anything goes wrong including dropping it they give you another. The TENS electrical stimulus
Apr 22, 20 07:14 AM
The FDA is run by crooks from big pharma and they don't mind approving unsafe medications that harm and kill tens of thousands of people every year. Yet