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

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



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.  




crab, prawns, oysters, mussels and lobsters


Small fishes

ikan bilis, sardines


Red meat

beef, pork esp bak ku teh


Internal organs

brain, liver, kidney


Beans and bean products

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


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.