Gout and Diet

By Dr Ananya Mandal, MD

Gout is caused by accumulating levels of uric acid, a breakdown product of purines. A diet rich in purines can increase the uric acid levels and patients with gout are advised to avoid purine-rich foods.

Some examples of foods that are rich in purines include:

  • Red meat including beef, pork, lamb
  • Offal including liver, kidney and heart
  • Game meats such as rabbit and venison
  • Seafoods such as shellfish, mussels, crab, shrimp
  • Oily fish such as herring, mackerel, sprats, whitebait, anchovies, sardines and trout
  • Dried beans and peas
  • Foods or supplements containing yeast such as Marmite

People with gout are also advised to take the following measures:

  • Certain vitamins and medications should be avoided such as niacin and aspirin.
  • Patients should drink plenty of water throughout the day to prevent dehydration. This also help ensure uric acid is removed from the body.
  • Alcohol can raise the level of uric acid in the blood and should be avoided.
  • Weight loss is important in reducing the symptoms and effects of gout. However, crash diets with a low carbohydrate and high protein content should be avoided as they can precipitate gout. A low carbohydrate intake can increase the release of ketones, as fat is then burned to provide energy. This leads to ketosis, which can increase uric acid levels.

Reviewed by , BSc

Further Reading

Last Updated: Jul 24, 2014

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  1. Paivi Louvel Paivi Louvel Philippines says:

    This translation into Finnish is close to be ununderstandable!!!

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