What drinks can gout drink?

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Coffee, tea, milk, honey, soda… What drinks can gout drink?

1. Coffee

In the past, it was believed that the caffeine in coffee would be converted into uric acid after metabolism in the body, increasing the level of uric acid, so people with gout should stop drinking coffee.

However, a large number of studies have now found that the molecular structure of caffeine is methylxanthine, which does not increase the level of uric acid after metabolism in the body. Moreover, current epidemiological surveys have not found that drinking coffee increases the risk of gout attacks.


However, drinking too much coffee and caffeine can stimulate nerves, especially for people who are prone to insomnia, heart palpitations and increased blood pressure after drinking coffee, and excessive coffee drinking can induce gout attacks. Therefore, for people with high uric acid, it is not recommended to drink a lot of coffee, and do not drink strong coffee.

2. Tea

Tea is a weak alkaline drink. Drinking it in moderation may help to alkalize urine. Therefore, people with high uric acid can drink a little light tea.

However, like coffee, if you drink strong tea or overnight tea, too much theophylline will stimulate the nerves, which is not good for gout control.


3. Fruit juice drinks

It is not recommended for gout patients to drink fruit juice drinks, because fruit juice is rich in fructose, and fructose is metabolized in the liver to produce purines. The final product of purines is uric acid. Excessive uric acid accumulation and crystallization will form tophi.

People with high uric acid are advised to eat whole fruit without juicing.


Four, honey water

The sugar content of honey is about 75%, mainly glucose and fructose. Therefore, for people with high uric acid, do not drink strong honey water. Otherwise, both fructose and energy intake may exceed the standard, which is not good for gout control.

If you really want to drink it, you can occasionally drink a small amount of light honey water during the non-acute attack period.


5. Milk

Milk is a low-purine food, so people with high uric acid can drink milk. However, you need to pay attention not to drink too much. If you drink too much protein, calcium will be lost.

Because fat can reduce uric acid excretion, people with high uric acid should choose skim milk or low-fat milk as much as possible.


6. Soda water

Soda water has the effect of neutralizing uric acid, and people with high uric acid can drink it in moderation.

But pay attention to the ingredient list, choose natural soda water containing sodium bicarbonate, and choose less synthetic soda water. Many synthetic soda waters have sweeteners and flavors added and are not recommended for drinking.

However, it should also be noted that you should not drink soda water in excess, otherwise the sodium intake will exceed the standard, which is also detrimental to your health.


7. Carbonated drinks

It is not recommended to drink. Fructose syrup may be added to carbonated beverages. Often drinking such beverages is not good for gout control.


8. Alcoholic beverages

Alcohol not only promotes the absorption of purines, but also causes the body to produce more lactic acid, which means that it competitively reduces the excretion of uric acid. Therefore, friends with high uric acid should strictly abstain from alcohol.


Nine, broth, hot pot soup

Thick broth and hot pot soup are high in purine content. People with high uric acid are advised not to drink it.


Ten, boiled water

For gout patients, boiled water is the best drink. Maintaining sufficient water intake is conducive to promoting the excretion of uric acid and has a certain auxiliary effect on reducing the level of uric acid.

The dietary guidelines recommend that the average adult with light physical activity should drink 1500-1700ml of water per day, while for gout patients, the amount of water should be appropriately increased, at least 2000ml (including tea and coffee) per day. If accompanied by tophi and kidney stones, you can Drink up to 3000ml/day, but be sure to drink it in divided doses.

Of course, for people with chronic renal insufficiency or special conditions such as edema and heart failure, they cannot drink water openly.


Department of Clinical Nutrition, Peking Union Medical College Hospital

Professor Yu Kang

Source: Sohu 1233km

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