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.

Lifestyle strategies

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.


Weight management:
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.

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