Gout

Gout is a painful condition that results from deposition of uric acid crystals in the body.  

gout
The metatarsal-phalangeal joint (MTPJ) of the big toe is
most often affected. (See picture) The crystals may deposit in the
Kidneys – causing kidney stones &  Elbows – causing gouty tophus

 

Treatment

Acute treatment involves colchicine and Non-steroidal anti-inflammatory (NSAIDS) medications.  Once the acute phase subsides,  lifestyle modifications such as adopting a low purine diet and/or  uric acid lowering medications such as allopurinol and probenecid maybe prescribed to lower uric acid levels.

Lifestyle modifications

  • Eat a low cholesterol, low-fat diet. This diet would not only lower your risk of gout but also risk of heart disease.

  • Aim to attain acceptable body weight by exercising regularly. Losing weight too rapidly, however may occasionally precipitate gout attacks.  

  • Minimise alcohol intake such as beer, wine

  • Stay well hydrated by drinking at least 2 L of water daily.

  • Adopt a low purine diet by minimising the following food.  

 

1

Shellfish

crab, prawns, oysters, mussels and lobsters

2

Small fishes

ikan bilis, sardines

3

Red meat

beef, pork esp bak ku teh

4

Internal organs

brain, liver, kidney

5

Beans and bean products

 soya bean, peas, lentils, dhall, chickpeas, taukee, taukua, tempeh, miso, soya milk and tofu

6

Peanuts, cashew nuts

 

Lastly, inform your doctor if you are consuming thiazides diuretics (hydrochlorothiazides), levodopa, cyclosporine as these medications may increase your risk of gout.