Gout:
Gout is a disease that results from a defect in the metabolism of purine compounds in the body, which leads to an increase in the level of uric acid in the blood and the deposition of sodium urate salts in some special tissues, leading to inflammation in the joints. This deposition occurs in particular in the cartilage and bones near the joints and in the tendons, particularly in the big toe. This disease has the advantage of occurring in severe pain and remission episodes.
This disease spreads in particular among males after the age of forty, and genetics plays a large role in human exposure to the disease, as well as obesity usually accompanies this disease.
Therapeutic feeding:
Purine. The emphasis on identifying purine in food is a matter that raises a lot of controversy, especially since the use of medicines in the treatment of this disease has greatly reduced the harsh restriction in the diet, and also from a practical point of view, it is impossible to eat a food completely free of purine compounds, as long as all Foods contain even small amounts of the nucleoproteins from which purines originate. Moreover, uric acid in the body has two sources, an external source, meaning foods containing burin, and an internal source, where uric acid is made inside the body from the simple products of protein, fat and carbohydrate metabolism. In sum, since this disease arises from a defect in the metabolism of purines in the body, it is recommended to avoid foods that are very rich in this compound as an attempt to limit the increase in its increase in the blood.
Protein. Protein is taken adequately according to the needs of the body and should not be increased. Some doctors believe that a decrease in the amount of protein taken helps prevent acute attacks of the disease.
The anointing. You should limit the intake of large amounts of fats in food because the fat impedes the excretion of urate salts from the body.
Carbohydrates. They are taken in relatively large quantities because they help excrete urate salts out of the body.
Liquids. Fluids "water and fruit juice" should be taken in large quantities (3 liters daily) to help excrete urate salts and prevent their deposition in the kidneys. It is preferable to make the urine alkaline by giving sodium bicarbonate salts to help dissolve the urate salts in the urine.
Tea and coffee. There was a widespread belief that tea, coffee, cocoa and chocolate increase uric acid in the blood, but then it became clear that these substances contain methylxanthin compounds that are converted in the body into methylurate that does not deposit in tissues such as urate.
Alcohol. Alcohol should be avoided as it can trigger a severe attack.
Obesity. The patient's weight must be maintained within the ideal limits, and when performing the process of weight loss, this should be done very gradually because it was found that rapid reduction is associated with the presence of ketone bodies in the blood that may cause an acute attack of the disease by impeding the process of excreting uric acid salts out of the body.
Diet in the acute phase:
In the acure stage of the disease, it is preferable to reduce the external source of purine as much as possible, by avoiding foods that contain purine in large and medium proportions.
A normal diet contains 1600-1000 mg of purine per day, but in cases of severe or advanced gout, it is advised that the food content of purine should not exceed 100-150 mg per day.
Diet in the Quiet phase:
In the quiescint stage of the disease, he is given a diet of average protein content of 7-50-7 grams or 8.0 grams per kilogram of body weight, high in carbohydrates and relatively limited in fat, with the exclusion of foods rich in purine such as liver, kidneys and meat extract "concentrated soups" Smoked meats, sardines and legumes, and thus the main source of protein for patients with gout is milk, cheese, eggs and vegetables because they are poor in content of nuclear proteins.
The following are the nutritional advice that gout patients should follow
1- Exclude foods rich in purine
2- Eat moderate protein
3- The food should contain a relatively high amount of carbohydrates to prevent a breakdown in body tissues or the formation of ketone bodies.
4- The food should be low or medium fat content.
5- Maintaining or reaching the ideal weight.
6 abstain from alcohol.
7- Drink plenty of fluids to make the urine always dilute.
8- Avoid abstaining from food for a relatively long period of time, dehydration and acidosis.
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Ref
The Book of Food and Nutrition) belongs to a large group of Arab scholars
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