Gout is a form of arthritis and caused by a build up of waste product, uric acid in the bloodstream. Excess uric acid forms small crystals and deposit in and around the joints triggering inflammation, pain and swelling. Pain often attacks big toe joint, ankle, elbow and/or other joints.
Minimising high purine foods intake, exercise, maintaining body weight within healthy weight range, cutting down on alcohol and compliant with medication may help to minimise gout attack. Drink adequate water as fluid management is required when you are on dialysis.
Diet: Purine foods will break down into uric acid after digestion taking place. Thus, high intake of purine rich foods may cause uric acid to build up in body.
Purine content in 100 gram of foods
|High (150-825mg)||Moderate (50-150mg)||Low (0-50mg)|
|Alcoholic drinks: beer, spirit||Asparagus, cauliflower, mushroom, spinach||Beverages: coffee, tea and sodas|
|Anchovies, sardine, herring, mackerel*||Eel||Bread and cereals|
|Gravies||Fresh & saltwater fish*||Dairy products: cheese and milk|
|Meat extract||Legumes: lentils, beans, peas, green peas||Eggs*|
|Scallop||Meats: beef*, lamb*, pork*, veal*||Fish roe|
|Organ meats: brain, kidney, liver||Meats soups and broths||Fruits & fruit juice|
|Yeast extracts: Marmite, Vegemite||Poultry: chicken*, turkey*, duck*||Gelatin|
|Shellfish: crab, lobster*, oysters||Nuts|
|Wholegrain bread||Sugars, syrup and sweets|
|Wholegrain cereals||Vegetables(except those listed above) and vegetable soups|
* Good quality protein food source
Choose low intensity, aquatic, slow movement exercise or join the activities nearby your neighbourhood.
Recommend at least 150 minutes physical activity every week.
Consider gradual weight loss if you are overweight or obese.
You may consult doctor/dietitian for weight loss counselling.
Take your medication as prescribed.
For further information and enquiries, please contact your doctor/dietitian.