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Know About Anti Gout Diet Tips

Most fruits and vegetables are high in potassium. Potassium regulates electrolytes in the body and has the ability to get rid of uric acid crystals from the blood. Potassium-rich fruits are bananas, avocados, apricots and cantaloupe. High-potassium vegetables include spinach, potatoes, asparagus, beets and pumpkin.


The Internet Guide: Gout - http://gout.smartadsscrets.com The Internet Guide: Purines - http://gout.smartadssecrets.com/purines


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Juice one small or half a medium-sized beet root, greens and all. Add a quarter bitter gourd, cut length-wise. This juice is very potent and should not be taken too frequently, especially if you are not accustomed to beet. Take it only once, or twice a week at the most.

A few words about strawberries Berries are excellent foods for a gout diet, principally because of their flavonoid anthocyanidins. (It is the anthocyanidins in cherries which are believed to have positive effects on lowering uric acid levels). These act as antioxidants thus boosting general health which is so important for gout sufferers. But among the anthocyanidin berries, strawberries stand out as the highest in Vitamin C.

red peppers 190mg; orange juice 124 mg; green peppers 120 mg; strawberries 106 mg; orange 96 mg; grapefruit juice 94 mg; kale 80 mg; broccoli 79mg; pineapple 74 mg; kiwi fruit 71 mg; lemon juice 61 mg; cantaloupe melon 59 mg; mango 57 mg; cauliflower 46 mg; red cabbage 40 mg; roasted chestnuts (European ) 37 mg; peas (frozen) 35 mg; raspberries 32 mg; lemon 31 mg; honeydew melon 31 mg; blackberries 30 mg; cabbage 26 mg; watermelon (one wedge ) 23 mg; tomatoes 23 mg. Since the potato is so popular, note one baked potato 202 grams size: 19 mg.

Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

Bio



Normal results

Blood test

Reference values for blood uric acid vary from laboratory to laboratory but are generally found within the following range: Male: 2.1-8.5 mg/dL; female: 2.0-6.6 mg/dL. Values may be slightly higher in the elderly.

In an earlier article I quoted examples of studies that have shown Vitamin C can reduce uric acid (UA) levels, the objective of all gout treatments whether by pharmaceuticals or natural remedies. The usual uric acid level target is 6mg/dL in men, slightly less in women. This is the level below which the trouble-causing MSU crystals, formed mainly from uric acid, may dissolve and thus alleviate or cure gout. However, there are no ironclad guarantees this will happen at that uric acid level.

Uric acid is a waste product that results from the breakdown of purine, a nucleic acid. (Nucleic acids are the building blocks of DNA.) Uric acid is made in the liver and excreted by the kidneys. If the liver produces too much uric acid or the kidneys excrete too little, the patient will have too much uric acid in the blood. This condition is called hyperuricemia. Supersaturated uric acid in the urine (uricosuria) can crystallize to form kidney stones that may block the tubes that lead from the kidneys to the bladder (the ureters).

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Risks

Risks for the blood test are minimal, but may include slight bleeding from the puncture site, a small bruise or swelling in the area, or fainting or feeling lightheaded.

Reduce calorie intake to maintain a healthy weight. However, avoid fad diets or very low calorie diets as rapid weight loss can precipitate gout.

It's not likely vitamin C on its own will cure gout. But it is helpful especially if combined with a low purine gout diet and other natural remedies for gout.

Include lemon juice at lunch for cleansing. Lemon juice is filled with vitamin C and antioxidants to help flush your body from unwanted uric acids. Couple the drink with a hearty salad and meal using tofu to replace red meat or chicken, finely chopped fresh garlic and extra virgin olive oil.

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Abnormally low uric acid levels may indicate that the patient is taking allopurinol or probenecid for treatment of gout; may be pregnant; or suffers from Wilson's disease or Fanconi's syndrome.

Urine test

Patients should be checked for the following medications before the urine test: diuretics, aspirin, pyrazinamide (Tebrazid), phenylbutazone, probenecid (Benemid), and allopurinol (Lopurin). If the patient needs to continue taking these medications, the laboratory should be notified.

The laboratory should also be notified if the patient has had recent x-ray tests requiring contrast dyes. These chemicals increase uric acid levels in urine and decrease them in blood.

Abnormal results

The critical value for the blood test is a level of uric acid higher than 12 milligrams per deciliter (about 3.4 ounces).

Preparation

The uric acid test requires either a blood or urine sample. For the blood sample, the patient should be fasting (nothing to eat or drink) for at least eight hours before the test. The urine test for uric acid requires a 24-hour urine collection. The urine test does not require the patient to fast or cut down on fluids. Some laboratories encourage patients to drink plenty of fluids during the collection period.

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The convention wisdom is that vitamins are best obtained from natural sources,that is from fresh foods. So how easy is it to eat or drink at least 500 mg of Vitamin C daily?

Urine test

Reference values for 24-hour urinary uric acid vary from laboratory to laboratory but are generally found within the following range: 250-750 mg/24 hours.

Drink several glasses of water everyday. 8-10 glasses daily is ideal. Water dilutes uric acid (a cause of gout) and rids them from the body. Cloudy urine means you have high acid content in your body and this is not a healthy sign. Clear urine suggests that you are properly hydrated and well on your way to good health.

Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.

The late Dr. Robert Atkins (the Atkins Diet) also believed Vitamin C is helpful in gout treatment. It was one of the vitamins in his anti gout formula, as explained in "Dr. Atkins' Vita-Nutrient Solution" (Simon & Schuster Inc., 1999). He included it because of a cause of gout theory that runs on these lines...

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Consume a moderate amount of protein. Limit meat, fish and poultry to 4 - 6 oz per day. Try other low-purine good protein foods such as low fat dairy products, tofu and eggs.

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And here are a couple of surprises. Two spices or condiments that are high in vitamin C and not often mentioned: paprika 100 grams (71mg); prepared horseradish 100 grams (25mg).

The uric acid tests are used to evaluate the blood levels of uric acid for gout and to assess uric acid levels in the urine for kidney stone formation. The urine test is used most often to monitor patients already diagnosed with kidney stones, but it can also be used to detect disorders that affect the body's production of uric acid and to help measure the level of kidney functioning.

Just add up from the following list to get 500 mg daily. Source figures are taken from the USDA's (United States Department of Agriculture) National Nutrient database release SR20. It is accessible online - search "National Nutrient database."

Decreased excretion of uric acid is seen in chronic kidney disease, low thyroid, toxemia of pregnancy, and alcoholism. Patients with gout excrete less than half the uric acid in their blood as other persons. Only 10-15% of the total cases of hyperuricemia, however, are caused by gout.

To standardize and simplify this list Serving size is 1 cup unless stated; raw foods only (except peas); foods with added Vitamin C excluded; doesn't account for different varieties, country or region of origin; climate when produced and other variables; figures rounded to whole numbers. It is, if you like, the big picture. Vitamin C amounts are in mg.

Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

Definition

Uric acid tests are tests that are done to measure the levels of uric acid in blood serum or in urine.

Purpose



The most recent of these studies suggested that 500 mg of Vitamin C daily could bring about a uric acid level reduction of about 10%. This is unlikely to be enough to bring UA levels down to the required target, but helpful. This amount of Vitamin C is easily purchased as a dietary supplement. Without question Vitamin C is the world's best known and most widely available vitamin. It's also one of the cheapest.

Fruits amount of vitamin C, if one whole fruit, or other amount, is the serving size: 1 papaya 188mg; 1 orange 70 mg; 1 red chili pepper 65 mg; and the juice from 1 orange 43 mg; 100 grams limes 29 mg.

Strawberries should be considered very carefully by gout sufferers. The Swedish botanist Carl Linnaeus (1707-1778) stated that a diet of only strawberries had cured his gout. His linkage of vitamin C and gout gains extra weight from the fact that Linnaeus was a botanist. He probably knew a lot about strawberries.

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This is not the usually explained purine theory. However it should be noted that not all gout sufferers have excessive uric acid in their bodies but most do. If you have gout and excess uric acid, the important thing is to try to reduce it.

A low-purine diet and medications are commonly used to treat gout. Purines are mostly found in foods which are high in protein and fat content. For breakfast, take low-fat protein foods. High-protein foods that are low in fat have been found to be safe.

Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

Cherries and strawberries have shown to have a particular helpful effect on gout so these foods should be eaten every day on the anti-gout diet for the prevention of gout.

Uric acid is a major body antioxidant and antioxidants quell free radicals. Excessive uric acid is produced because of free radical production. i.e the body deals with free radicals by creating excess uric acid. Therefore provide the body with more antioxidants so that it doesn't need to create excess uric acid.

It's hard to summarise a daily diet for all the tastes of people who read this article. But the easiest (no cooking time) and probably the most popular way to reach 500 mg daily - drink plenty of orange juice. Or, putting it simply, and you've heard this before, eat these fruits and vegetables.

Purines are mostly found in foods which are high in protein and fat content. Vegetable oils, greasy burgers and fatty fish are all high in purines, so you should avoid fried foods and naturally fatty produce. Basically, high purine content is found in almost all kinds of food: pork, beef, chicken, turkey, salmon, tuna, oysters, scallops, creams, eggs, peas and beans. But there are ways to have a low-purine diet.

Description

The uric acid blood test is performed on a sample of the patient's blood, withdrawn from a vein into a vacuum tube. The procedure, which is called a venipuncture, takes about five minutes. The urine test requires the patient to collect all urine voided over a 24-hour period, with the exception of the very first specimen. The patient keeps the specimen container on ice or in the refrigerator during the collection period.

But do not follow a strawberries only diet. This is a crash diet which is not a good idea since crash diets can trigger gout, and may worsen it. But if you suffer from gout strawberries are an excellent addition to your gout diet plan, because of their anthocyanidins, (the dominant one is pelargonidin), and their Vitamin C. Was it this combination that cured Linnaeus' gout? Perhaps it was.

Excessive alcohol consumption increases uric acid levels in the blood since alcohol disrupts the disposal of uric acid from the body. Diuretics, which are medications prescribed to help dispose of excess body fluids resulting from certain diseases like hypertension, edema, and other cardiovascular diseases.




 
 
     
 
 





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