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Gout: A Foe for your Toe Gout is a misunderstood malady. Despite the intense pain that gout can bring, it is a condition that is rarely makes the glossy pages of a magazine. If you are ever personally hit with the sudden onset of gout, classically (50% of the time) seen as a sudden and excruciating pain in the big toe, you will have a newly found interest in the following information.


The first sign of gout is usually an intense pain during the night. The attack is commonly brought on following a day or evening of excess in alcohol, food, some drugs, or surgery. If the attack progresses, fever and chills will follow. Recurring attacks are common (90%), mostly occurring in the first year. While chronic gout is quite rare, gout sufferers do have a higher risk of kidney dysfunction and kidney stones.


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  Meat and Alcohol They also ate meat, no doubt lean meat since mono and polyunsaturated fats were encouraged. (Meat does contain both these fats, as well as saturated fats). Participants' alcohol consumption was moderate, there were no alcohol rules, and it remained the same as usual.

There are five main points that you need to remember in order to maintain a good gout diet plan. These are: - Minimizing the number of foods high in purines. These include, primarily, meat, beer, and seafood.

Now please visit the second article: Natural Gout Treatment - The Results Of A Gout Diet That Had A Lot Of Success

In order to prevent gout attacks specialists recommend a healthy diet low in purine. Alcohol should be avoided because it has a major influence in initiating attacks. If symptoms are noticed it is recommended to seek for professional help.

- Maintaining a healthy body mass by eating a very healthy diet high in nutrients. - Eating dairy products that are low in fat, to help to lower the risk of gout flare-ups.

Now that you know the main rules for planning a quality gout diet plan, you are prepared to speak to your doctor or a registered dietician about your healthy daily caloric intake and nutritional requirements, as well as the right foods to keep your diet properly balanced while still abiding by these five primary rules.

Anyone going on the Zone diet will have their personal daily carbohydrate, protein, and fat requirement. How to discover it is explained in Barry Sears' "Enter the Zone" book. The amount of protein you can eat determines the amounts of carbohydrates and unsaturated fats, in the 4:3:3 proportions, you can eat. Why the 4:3:3 rule is important is also explained in the book. If you know about soccer, you can think of the 4:3:3 rule as the commonly used soccer team formation. Or, another way of putting it, is to say that calories from protein are 0.75 (75%) of calories from carbohydrate and calories from fat are in the same proportion as calories from protein. Getting almost to 4:3:3 is allowed.

Refined carbohydrate foods were swapped for complex carbohydrate foods. i.e. they ate complex carbohydrates, not refined carbohydrates. Complex carbohydrates can be found in foods made from whole grains, (eg. whole grain flours and products made from them), and in many vegetables, low sugar fruits and beans.

There isn't space in this article to explain more about the difference between complex and refined carbohydrates. If you're not sure, the subject is easily researched on the Internet. For example, do an Internet search for "Glycemic Index," or "Glycemic Load."

Through this study, it was discovered that those who eat large amounts of meat are 40 percent more likely to develop gout. Furthermore, those who eat large amounts of seafood are 50 percent more likely to develop gout.

RULES Calories were restricted to 1,600 a day: 40% from carbohydrates, 30% from protein and 30% from mono and poly unsaturated fats.

As gout is caused by high levels of uric acid in the blood, a proper gout diet plan should aim to reduce uric acid levels and encourage proper elimination of uric acid from the body.

Dr. Hyon K. Choi published a study in the New England Journal of Medicine's March 11, 2004 issue. It discussed the importance of a low-purine, low-protein diet for decreasing the chances of crystal formation in the joints from uric acid in the body. Dr. Choi's study examined a group of over forty seven thousand men over a twelve year period. These men had no prior history of gout, but by the end of the twelve years, 730 of them had been diagnosed with gout.

The first phase of gout means an episode that happens at night. People often feel the symptoms during the night and caused pain to the affected joints. In some cases the attack follows a day of excess in alcohol, food or drugs. After progress the attack develops fever and chills along with pain. In more than 90 % of the cases these episodes are recurrent and might develop during the first year. Even if it is certitude that chronic gout cases are rare we have to mention that there is a risk of developing kidney dysfunctions and kidney stones.

To examine whether a diet could affect the markers that show insulin resistance exists, and lower uric acid levels, researchers in South Africa put 13 males, all gout sufferers, on a diet governed by three cardinal rules of the Zone diet, the well-known diet book written in the 1990's by Barry Sears PhD.

The problem with gout is that in most of the cases it is a misunderstood disease. Gout is caused by the increase of the uric acid crystals in the joints or in the surrounding tissues. Gout develops various symptoms that usually involve pain. These symptoms may include warmth, swelling and extreme sensitivity of the affected joints. In more than 50 % of the cases big toe joint affection is seen in gout patients. This is the most common problem when it comes to gout.

A gout diet plan is an important part of controlling your gout symptoms and attacks. After all, when not controlled, gout can cause severe and permanent damage to your tissues, joints, and tendons.

There is another cause of gout theory, which is that excess uric acid (hyperuricemia) is the result of insulin resistance, the pre type 2 diabetes condition. Insulin resistance in gout has been the subject of many studies. Simply put, insulin resistance is the condition where the cells become more resistant to allowing insulin to deliver glucose (mainly broken down from carbohydrate in foods) to them, for the purpose of energy creation. It's as if the jailer refuses to open the door of the cell. It's one of the causes of excess insulin. Excess insulin has been found in a number of studies to inhibit uric acid excretion as well as causing other problems.

But some studies have found that a low purine gout diet has no effect on uric acid levels. Most likely one reason is because most uric acid in the body is made in the liver from purine molecules of DNA and RNA, and not from the purines in foods and beverages. Another reason may be that the problem for a gout sufferer is not that he/she is producing too much uric acid but that he/she is not excreting enough.

There are two main types of gout, primary and secondary. Most (90%) of gout sufferers fall into the 'primary' category. This is a pattern with a cause that is generally unknown (idiopathic), although there are some genetic patterns that can lead one to tend toward elevated uric acid. Secondary gout is identified when uric acid is elevated in response to some other disorder (such as kidney disease). Some medicines (such as aspirin and diuretics) can lead to the onset of gout attacks because they decrease the excretion of uric acid from the body.

- Drinking lots of water and clear liquids. The better you hydrate your body, the more prepared it will be to flush uric acid away. - Eating more complex carbohydrates and fewer refined carbohydrates.

 
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Foods that were shown not to increase the risk of gout included: - Beans - Peas - Mushrooms - Spinach - Cauliflower Even though those foods are high in purines, they are low in protein. Choi has shown that it is a high-purine, high-protein combination that may be the true contributor to gout and not just the purines alone. It is also now suspected that gout and cardiovascular disease may also be linked, as the diets connected to gout are the same as those connected to heart and circulatory problems.

The most commonly medicines used are NSAIDs (non-steroidal anti inflammatory drugs) and colchicine. Both treatments help ease the pain and have an anti-inflammatory effect. The difference between these two possible ways of treatment is that colchicine may develop unpleasant side effects such as diarrhea, nausea, vomiting or abdominal cramps.

Fats Saturated fats, which are among the fats found in meat fat, dairy products, beef tallow (beef dripping) and lard, were swapped for monounsaturated fats (e.g. olive oil, canola oil) and polyunsaturated fats, (oils such as corn, sunflower and soybean oils). However, in the study, participants took polyunsaturated fats from fish. They were advised to eat fish at least four times a week during the study, even fish that are high purine such as mackerel.

To prevent gout attacks, the following lifestyle should be considered: ' Avoid alcohol, a major influence in initiating attacks. ' Follow a low-purine diet. This includes organ meats, meat, shellfish, yeast, and sardines, mackerel, etc. ' Reduce excess food intake including processed carbohydrates, excess fat and excess protein.

Foods high in purines and proteins and which should be avoided include: - Herring - Mussels - Hearts - Yeast - Sardines - Smelt

There are known two types of gout, primary and secondary. The first category includes more than 90 % of the gout sufferers. When uric acid is elevated in response to some other health problem such as kidney disease we can say that it is a case of secondary gout.

Refined and simple carbohydrates are found in foods made from refined grains (for example refined flours which are the basis for pasta, breads, cakes, biscuits (cookies) pies, pastries); white rice; and most cereals. And notably from sugars with the exception of fruit sugar,(fructose) and galactose. Simple carbohydrates include corn and other syrups, table sugar and honey; candies (sweets); processed foods with added sugar; and some fruits and vegetables.

Responsible for gout development might be an impropriate diet or high alcohol intake. Gout can also occur after a surgical intervention or after a severe illness. Joint injury might also be a cause of gout development. Specialists also noticed that medicines like aspirin and diuretics can lead to gout attacks because they stop in one way or another the excretion of uric acid from the body.

Gout is caused by elevated levels of uric acid in the fluids of your body. These uric acid crystals deposit in joints, tendons and kidneys, damaging the tissues and causing inflammation and pain. The pain is a result of countless needle-like crystals that form from the excess uric acid.

However, gout sufferers are overwhelmingly (95%) male.

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If you find yourself or your loved one suffering from a gout attack, it is unlikely you would hesitate to seek professional help. The pain of an acute gout attack has been compared to the pain of childbirth.

NB. The contents of this article contain medical information not medical advice. Please always discuss remedies with your doctor or other health care professional before implementing any treatment.

For more information about gout please review http://www.gout-info-center.com/foods-that-cause-gout.htm or even http://www.gout-info-center.com/gout-symptoms.htm

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 gout culprit, purine intake from foods and beverages should be restricted.

As we mentioned before gout is caused by the increasing levels of uric acid in the fluids of human body. The uric acid crystals are deposited in joints, tendons and kidneys and may cause serious damage and severe pain.

So in this diet there was moderate restriction of calories and carbohydrate, and control over proportional consumption of carbohydrate, protein and of fats. In the Zone diet the number of calories you get from food should be in the proportions of: from carbohydrates (40%), from protein (30%) and from fat (30%). This is one of the principles at the core of the diet. These proportions, or numbers close to them (getting more or less there is allowed) should be eaten at every meal and snack too. In the study, participants were asked to keep to these proportions at each meal, and they were encouraged to eat 3 to 5 meals and snacks daily, another Zone diet rule.

- Sweetbreads - Anchovies - Bacon - Liver - Grouse - Veal - Mutton - Turkey - Salmon - Kidneys - Trout

Complex carbohydrates are lower on the Glycemic Index (GI) scale than refined carbohydrates because they have a slower effect on blood glucose, and so the response of insulin to blood glucose is slower and more moderate. Insulin is much more responsive to refined and simple carbohydrates.

Conventional treatment for the symptoms of gout is the anti-inflammatory drug colchicine. Isolated from the autumn crocus, colchicine has a strong effect to combat inflammation (though it has no effect on uric acid levels!). This provides most sufferers relief within the day, although the drug may be difficult for many to tolerate due to digestive side effects.


- Goose


- Partridge


- Haddock


- Scallops


- pheasant


By eliminating such foods from your diet and following the five important tips for creating a gout diet plan, you will be helping your body to take control of your gout.


 
 
     
 
 





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