Hyperuricemia And Gout

Hyperuricemia is a pathology characterized by an altered metabolism of uric acid which, by increasing its levels in the blood , can accumulate in the tissues leading to gout (SYMPTOMATIC pathology on a genetic basis which can also become highly disabling) ; hyperuricemia is defined as the condition for which – even after 5 days of a diet for uricemia and in the absence of specific drugs – the concentrations of uric acid in plasma remain ≥6.5mg/dl in women and ≥7.0mg/dl in women man (adults). Hyperuricemia is due to the excessive synthesis of purine bases (nitrogen compounds of

Nucleic Acids – DNA and RNA ) that are not used and accumulate; to dispose of them, it is therefore necessary to convert them into uric acid and excrete it with urine . Unfortunately, the ability to excrete is often not rapid enough to compensate for overproduction, resulting in hyperuricemia. On the other hand, there is also the possibility that the kidneys themselves have a defect in their ability to filter uric acid from plasma, constituting another cause of hyperuricemia independent of purine production . Hyperuricemia can therefore be caused by both an overproduction of purines and a reduced ability to dispose of uric acid.
gouty symptoms consisting of: urate deposits in various locations , arthritic-like joint inflammation due to urate deposits, gouty nephropathy.

Diet For Hyperuricemia And Gout

The diet for hyperuricemia is a diet aimed at reducing the levels of uric acid in the blood; any diet for hyperuricemia has 4 fundamental characteristics:

1. Reduces purine intake
2. Significantly increases your water intake
3. Eliminate all sources of grain alcohol
4. It induces or maintains a normal weight and fights obesity .

The foods that contain the most purines are: anchovies , sardines , sweetbreads , liver , kidney , brain, meat extract , game .
Followed by those with a medium purine content : meat , poultry, fish , crustaceans , cured meats and sausages in general; peas , beans , lentils , asparagus , spinach , cauliflower, mushrooms .
Concluding with those low in purines : milk, eggs, cheeses , vegetables (except those listed above), fruit , pasta and other cereals (except for wheat germ and wholemeal products ) .
Bearing in mind that a diet rich in glucose and its polymers favors the excretion of uric acid, while a diet EXCESSIVELY rich in fructose and fats facilitates its retention. As in many other metabolic diseases, also for hyperuricemia it has been demonstrated that the biochemical parameters suffer a greater benefit from the reduction of overweight /obesity rather than from the reduction of dietary purines. N.B. _ The diet for hyperuricemia and gout is often low in dietary fiber .

Useful Supplements

There are no useful supplements to counteract hyperuricemia and gout; however, often these are disorders linked to a genetic predisposition that require the use of specific drugs administered by the doctor such as: allopurinol , probenecid and sulfinpyrazone for continuous treatment, while, in case of acute cases, the following may be useful: colchicine and NSAIDs .

Example

• Obese pensioner , hunter and fisherman; he drinks 500ml of wine a day.

Sample Gout Diet – Day 1

Sample Gout Diet – Day 2

Sample Gout Diet – Day 3

Sample Gout Diet – Day 4

Sample Gout Diet – Day 5

Sample Gout Diet – Day 6

Sample Gout Diet – Day 7