list of foods high in purines - Common Causes of Gout: Sometimes They're Not Easy to Avoid
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Common Causes of Gout: Sometimes They're Not Easy to Avoid

Gout is certainly not a fun condition to have. It's a common rheumatic disease and it counts rheumatoid arthritis and osteoarthritis among its close cousins. Figures show that some 840 people out of 100,000 are afflicted with this disease, most of them men. Just what are the causes of gout, and are there any effective ways to avoid it? More often than not, gout is a result of lifestyle choices, but there are other factors that contribute to the disease's occurrence.


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Gout can be a life and death ailment if left untreated! I immediately made a phone call to Greg to check up! Greg followed our simple Natural Gout Cure and cured his gout, lost over 20 pounds and his blood pressure was over 15 points lower! I jokingly told him that he will be our 'cure gout poster child'.

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Some researchers have established a link between body acidity and gout. The more acidic your body is, the higher the possibility of developing gout. Conversely, having a more alkaline system encourages rapid uric acid elimination.

If you wish to learn more about Gout, Purines, or Uric Acid, check out Steve's s The Internet Guides. The Internet Guide: Uric Acid: http://gout.smartadssecrets.com/uric_acid

Normal results

Blood test

Reference values for blood uric acid vary from laboratory to laboratory but are generally found within the following range: Male: 2.1-8.5 mg/dL; female: 2.0-6.6 mg/dL. Values may be slightly higher in the elderly.

Urine test

Reference values for 24-hour urinary uric acid vary from laboratory to laboratory but are generally found within the following range: 250-750 mg/24 hours.

Therefore, a constantly low pH value can cause your body to decrease it's processing of uric acid, leading to hyperuricemia. Hyperuricemia is a medical term for a raised uric acid level in the blood, and can lead to gout. As the levels of uric acid become higher there is nowhere for any more uric acid to go, so it is deposited in crystal form in the spaces and connective tissues between the joints.

4.) Avoid or limit Alcohol Consumption. 5.) Exercise on a daily basis! Try to get at least 15 minutes of activity per day.

From obesity, we move to related causes of gout, specifically dietary and food habits. There are many types of food that have large amounts of purines, or substances that play a large role in uric acid production. It's kind of disturbing to find out that most foods that are rich in protein and fat also have a high purine content. But in today's fast-paced mode of life, this is just the kind of food that we're accustomed to eating! To further reduce the risk of acquiring gout, one should also refrain from taking in too much organ meats or sweetbread (including heart, kidney, and liver delicacies). Some seafoods, such as scallops, mackerel, and mussels are also dietary no-no's because these too are rich in purines. Intake of high-fat dairy foods should also be curtailed, including comfort foods like ice cream, butter, and cheese.

Preparation

The uric acid test requires either a blood or urine sample. For the blood sample, the patient should be fasting (nothing to eat or drink) for at least eight hours before the test. The urine test for uric acid requires a 24-hour urine collection. The urine test does not require the patient to fast or cut down on fluids. Some laboratories encourage patients to drink plenty of fluids during the collection period.

Uric acid is a waste product that results from the breakdown of purine, a nucleic acid. (Nucleic acids are the building blocks of DNA.) Uric acid is made in the liver and excreted by the kidneys. If the liver produces too much uric acid or the kidneys excrete too little, the patient will have too much uric acid in the blood. This condition is called hyperuricemia. Supersaturated uric acid in the urine (uricosuria) can crystallize to form kidney stones that may block the tubes that lead from the kidneys to the bladder (the ureters).

You should be aiming to reduce your body's pH level slowly. You can monitor these changes by purchasing a home urine or saliva testing kit. Try to balance your diet to include 70% of foods alkaline in nature and 30% acidic.

A number of health problems have been shown to lead to gout. Certain cancers or diseases involving blood-manufacturing organs are specifically cited, such as lymphoma and leukemia. A skin disease called psoriasis has likewise been linked to the emergence of gout in a number of people. And over-exposure to lead does not only cause birth defects and blood poisoning, it can lead to gout as well. Another all too common health problem among many people, especially those in the West, is obesity. Being overweight can cause not only gout, but other diseases as well, including diabetes, hypertension, and other forms of arthritis.



Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

Bio



Definition

Uric acid tests are tests that are done to measure the levels of uric acid in blood serum or in urine.

Purpose



The higher the pH levels of the body (an alkaline state) the easier it is for uric acid to be dissolved in the blood stream and eliminated via the kidneys. The lower the pH i.e. the more acidic the body pH the harder it is to process uric acid.

Steve Warshaw - Certified Personal Trainer and Nutritionist With over 15 years expereience developing training and nutrition programs for top level executives from companies such as Microsoft, Boeing, and Symetra Corp, Steve has established himself as a health and wellness expert.

A condition called hyperuricemia is one of the causes of gout. This is when the body fails to eliminate excess amounts of uric acid. Some people are born with a genetic metabolic defect in which they not only produce extra uric acid, but they fail to excrete it efficiently as well. This is bad because excessive amounts of uric acid will lead to the formation of uric crystals, which will then become embedded in the joints and the tissue surrounding them. These crystals are also known as tophi, and they are the cause of joint inflammation and pain. Gout usually appears in the joint of the big toe, but it can also become manifest in joints in the ankles, feet, knees, wrists, hands, and elbows. Pictures of a gouty toe almost always show the same characteristics: swelling and redness, and as you can probably imagine, pain.

Acidity is measured using a pH value ranging between 0 - 14, with 0-6 being acidic, 7 is neutral and 8-14 is alkaline. Where gout is concerned it is less about the pH value of the food, rather what that food does to the pH level of the body during and after digestion.

The Internet Guide: Gout - http://gout.smartadsscrets.com The Internet Guide: Purines - http://gout.smartadssecrets.com/purines

Red meats Shellfish Legumes Offal Mushrooms Yeast extracts Processed meats To tackle raised uric levels in the blood it is wise to restrict your intake of these foods until your gout is under control and uric acid levels have stabilized.

If you know anything about gout, you would guess that Greg was the perfect candidate for this arthritic condition. Greg was 30 pounds overweight, had a sedentary lifestyle (a sitting job), didn't exercise, typically ate high carb/fat meals, loved his beer and was 38 years old. I later realized, I probably could have approached him about wanting to try our natural gout cure as opposed to him coming to me.

But like Greg (who has been gout free for almost 8 months now), you can naturally cure gout with simple gout remedies and gout prevention cures! And an added bonus, if you live a gout free lifestyle, I guarantee that you will lose weight and decrease your chance of heart disease in the process.

 
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Risks

Risks for the blood test are minimal, but may include slight bleeding from the puncture site, a small bruise or swelling in the area, or fainting or feeling lightheaded.

And finally, if you want to follow the same path that Greg and hundreds of other ex-gout sufferers followed, please take a few seconds to consider:

Some Nuts Soybean Soda Cocoa Yeast Hops Table Salt Sugar Fried Food Like anything, it is not a good idea to drastically change your diet overnight. The best way for your body to process the changes is to introduce amendments slowly that your body can get used to the different foods and keep its processing running on maximum.

The uric acid tests are used to evaluate the blood levels of uric acid for gout and to assess uric acid levels in the urine for kidney stone formation. The urine test is used most often to monitor patients already diagnosed with kidney stones, but it can also be used to detect disorders that affect the body's production of uric acid and to help measure the level of kidney functioning.

Decreased excretion of uric acid is seen in chronic kidney disease, low thyroid, toxemia of pregnancy, and alcoholism. Patients with gout excrete less than half the uric acid in their blood as other persons. Only 10-15% of the total cases of hyperuricemia, however, are caused by gout.

Here is a list of some basic tips if you or a loved one is suffering from gout! 1.) Maintain Your Healthy Weight! 2.) Avoid Eating Meats (Purines)!

Gout can also be caused by certain medications, such as thiazide diuretic drugs, which are prescribed for heart failure and hypertension. Figures show that the majority of people who use this kind of drug acquired gout later in life. Other drugs that may contribute to a higher risk for gout are immunosuppressants (such as cyclosporine), low doses of aspirin, and pyrazinamide, an anti-tuberculosis agent. Gout is also strangely related to organ transplantation. Heart and liver transplants can heighten the risk, but perhaps it's a kidney transplant that poses the greater risk, since renal problems can prevent the elimination of uric acid from the body.

Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

Description

The uric acid blood test is performed on a sample of the patient's blood, withdrawn from a vein into a vacuum tube. The procedure, which is called a venipuncture, takes about five minutes. The urine test requires the patient to collect all urine voided over a 24-hour period, with the exception of the very first specimen. The patient keeps the specimen container on ice or in the refrigerator during the collection period.

Abnormally low uric acid levels may indicate that the patient is taking allopurinol or probenecid for treatment of gout; may be pregnant; or suffers from Wilson's disease or Fanconi's syndrome.

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Though scientists are as yet uncertain about how gout really occurs, they have discovered that the causes of gout can be genetic or environmental in nature, as discussed above. Knowing the things and events that can cause the disease would be a big step in reducing one's risk of acquiring it.

A European study reported a 16 year follow-up of over 9,000 men between 41 and 63 who entered the study with no evidence of coronary heart disease (CHD). After the study follow-up, most men continued to suffer with gout attacks but also were considered high risk for coronary heart disease. And as you might know, 1 out of every 5 deaths is associated with heart disease.

Urine test

Patients should be checked for the following medications before the urine test: diuretics, aspirin, pyrazinamide (Tebrazid), phenylbutazone, probenecid (Benemid), and allopurinol (Lopurin). If the patient needs to continue taking these medications, the laboratory should be notified.

As the body becomes more acidic, uric acid elimination slows down dramatically. This is due to the pressure the body comes under trying to process both the uric acid and the acidic foods. The kidneys become strained and are less effective in expelling excess uric acid.

Abnormal results

The critical value for the blood test is a level of uric acid higher than 12 milligrams per deciliter (about 3.4 ounces).

Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

The laboratory should also be notified if the patient has had recent x-ray tests requiring contrast dyes. These chemicals increase uric acid levels in urine and decrease them in blood.

3.) Drink half your weight in water! In ounces that is! I weight 180 pounds so I would drink 90 ounces of water per day! Roughly, 11 cups of water per day!

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Most people when choosing a gout friendly diet will look to cut out or reduce foods high in purine, as metabolizing purine in the body leads to increased levels of uric acid, which is the cause behind gout symptoms. However, high purine foods may not be the only foods to avoid with gout.

And the kicker! Men with gout were about 50% more likely to die from an acute heart attack than those men without gout! With millions of gout hospital visits each year, and over 500,000 coronary deaths per year... Can you understand the seriousness of gout?

Acidic foods that impact the pH of your body are: Beef Lobster Pheasant Ice Cream Processed Cheese Barley Processed Flour

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Alcoholic beverages should strictly be avoided or at least restricted to an occasional glass or two. This is because alcohol has a high purine concentration and contributes in significant ways to the body's production of uric acid. Not only does it spur the body on to produce more uric acid, but it also affects the ability of the kidneys to flush out excess amounts of this substance. Plus, alcohol is fattening, and we know that surplus weight can also lead to gout.

Let me explain! Curing Gout and Decreasing Your Chance of Heart Disease My career is centered around health! Therefore, my favorite part of the newspaper is the 'Health' Section. And while reading the daily paper, I noticed an article about gout! "Gout Increases Risk of Coronary Heart Disease". I instantly flipped the page and thought 'duh'. But, after thinking about my friend Greg, his family, our friendship, his life... I immediately flipped back and read the interesting article!

A few years ago, my friend Greg approached me about his arthritic problem of gout! He told me about his daily battle with the pain associated with gout! He also mentioned how going to bed (typically when a gout attack occurs) was more like a chore than a pleasure! Can you relate with Greg? The pain, the misery, the dread of the next attack! Or do you know a loved one who suffers from this painful disease?

Uric acid is formed during the processing and breaking down of purines in the body. This is a natural substance that is produced during cellular building and is also found in a lot of the foods we eat. Purine-rich foods include:

Usually gout strikes the big toe joint or one of the other joints in the foot or ankle, although it can rear its ugly head in any joint. The reason that gout occurs most commonly in the foot or ankle is because those joints furthest away from the heart and uric acid crystallizes in lower temperatures.

Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.


You can find out more about the natural ways to soothe gout symptoms on our web site.


By having a greater understanding of which foods to avoid with gout, you have a better chance of bringing your symptoms under control and preventing further gout flare-ups.


 
 
     
 
 





Learn More about Natural Gout Remedy

This is the first of an article series about this diet. See the bottom of this article for how to read the second article. Natural gout treatment largely involves diet. The most widely touted gout diet for sufferers of the disease of kings, is the low purine gout diet. The cause of gout theory behind it is that because uric acid is made from purines, and because uric acid is the...


What is gout? Gout is a form of arthritis resulting from deposits of uric acid crystals formed in the bodies joints. A gout attack will usually attack only one joint at a time, the big toe being the most common. Other joints that may also be impacted by gout are the feet, ankle, knee, hand, and wrist. The pain will typically last five to fourteen days, at which point the crystals will leave...


What is gout? Gout is a type of arthritis. It is caused by the buildup of uric acid in your joints. It can affect the foot, heel, ankle, elbow, wrist or hand. Most often though, it affects the big toe. Gout is a reoccurring problem that comes and goes. It usually comes on without warning, and then goes away after 7-10 days. What causes gout? Uric...


Gout is a disease that is due to an inborn disorder of the uric acid metabolism and is also referred to as metabolic arthritis. When you suffer from this disease monosodium urate crystals are deposited on the articular cartilage of joints and in tissues such as the tendons. Then also causes an inflammatory reaction to the tissue and the deposits get larger and burst through the skin to form...


Gout is a painful inflammation of joints caused by accumulation of uric acid crystals. Uric acid is a normal chemical formed by the breakdown of purines, which in turn are an important component of the human body. Many foods contain purines especially seafood and meat. Unless a patient has a family history or is taking medication that can cause gout such as some diuretics it may be hard to...


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