Summary: Foods can either raise or lower your uric acid levels, depending on their purine content. However, fructose can raise your uric acid levels even though it is not purine-rich. These are foods that contain more than mg of purines per 3. You should also avoid high-fructose foods, as well as moderately-high-purine foods, which contain — mg of purines per 3. These may trigger a gout attack.
Here are a few major high-purine foods, moderately-high-purine foods and high-fructose foods to avoid 6 , 11 , 20 :. Additionally, refined carbs like white bread, cakes and cookies should be avoided. Although they are not high in purines or fructose, they are low in nutrients and may raise your uric acid levels Summary: If you have gout, you should avoid foods like organ meats, game meats, fish and seafood, sugary beverages, refined carbs, added sugars and yeast.
Although a gout-friendly diet eliminates many foods, there are still plenty of low-purine foods you can enjoy. Foods are considered low-purine when they have less than mg of purines per 3. Here are some low-purine foods that are generally safe for people with gout 20 , 22 :. Aside from organ meats, game meats and certain fish, most meats can be consumed in moderation.
You should limit yourself to 4—6 ounces — grams of these a few times per week They contain a moderate amount of purines, which is considered to be — mg per grams. Thus, eating too much of them may trigger a gout attack.
Summary: Foods you should eat with gout include all fruits and vegetables, whole grains, low-fat dairy products, eggs and most beverages. Limit your consumption of non-organ meats and fish like salmon to servings of 4—6 ounces — grams a few times weekly. Eating a gout-friendly diet will help you relieve the pain and swelling, while preventing future attacks. Summary: A gout-friendly diet has plenty of options for a healthy and delicious menu.
The chapter above provides a sample gout-friendly menu for one week. Aside from your diet, there are several lifestyle changes that can help you lower your risk of gout and gout attacks. Insulin resistance also promotes high uric acid levels 25 , Research shows that losing weight can help reduce insulin resistance and lower uric acid levels 27 , That said, avoid crash dieting — that is, trying to lose weight very fast by eating very little.
Research shows that rapid weight loss can increase the risk of gout attacks 29 , 30 , Regular exercise is another way to prevent gout attacks. Not only can exercise help you maintain a healthy weight, but it can also keep uric acid levels low This was also partly due to carrying less weight Alcohol is a common trigger for gout attacks 36 , One study including people found that drinking wine, beer or liquor increased the risk of gout attacks.
Hyperuricemia does not always cause gout, and hyperuricemia without gout symptoms does not need to be treated. A medical doctor diagnoses gout by assessing your symptoms and the results of your physical examination, X-rays, and lab tests.
Gout can only be diagnosed during a flare when a joint is hot, swollen, and painful and when a lab test finds uric acid crystals in the affected joint.
The disease should be diagnosed and treated by a doctor or a team of doctors who specialize in care of gout patients. This is important because the signs and symptoms of gout are not specific and can look like signs and symptoms of other inflammatory diseases. Doctors who specialize in gout and other forms of arthritis are called rheumatologists.
To find a provider near you, visit the database of rheumatologists external icon on the American College of Rheumatology website. Once a rheumatologist has diagnosed and effectively treated your gout, a primary care provider can usually track your condition and help you manage your gout.
Gout can be effectively treated and managed with medical treatment and self-management strategies. Your health care provider may recommend a medical treatment plan to. In addition to medical treatment, you can manage your gout with self-management strategies. Self-management is what you do day to day to manage your condition and stay healthy, like making healthy lifestyle choices.
The self-management strategies described below are proven to reduce pain and disability, so you can pursue the activities important to you. Gout affects many aspects of daily living, including work and leisure activities. Home Managing arthritis Living with arthritis Healthy eating Gout and diet. Gout and diet How is gout affected by diet?
A healthy, balanced diet may help reduce the risk of gout attacks. Can losing weight help gout? Do certain foods cause gout? Purine-rich foods include: meat — particularly red meat and offal, such as liver, kidneys and heart seafood — particularly shellfish, scallops, mussels, herring, mackerel, sardines and anchovies foods containing yeast — such as Vegemite and beer.
Should I cut out purine-rich foods? Does fructose cause gout? Can I drink alcohol? Are some types of alcohol better than others? Should I drink lots of water? Where can I get advice about my diet? Gout and diet - printable information sheet Download. Discover more Children and arthritis Arthritis can happen at any age. What is accessible design? Find out about what accessible design is and about the Accessible Design Division. Sign up to Arthritis Insights Regular updates, news and research findings delivered to your inbox: Get the newsletter.
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