Recently, the Department of Rheumatology and Immunology of the Second Hospital of Guangzhou Medical University came to a 27-year-old boy, his right foot repeatedly ulcerated, a number of joints of the limbs can be seen large and small yellow-white bumps, joint deformities, alarming! The doctor determined that these yellow-white bumps were gout stones. A check of his uric acid was as high as 597umol/L! Kidney ultrasound suggested that he had thickened and enhanced echogenicity of both kidney vertebrae and had developed gouty kidney changes!
In people’s impression, the main group of people suffering from gout is the middle-aged and elderly, and seems to be very far from young people. Only 27 years old, no underlying disease of the young man how can develop to such a serious point?
The actual fact is that you’ll be able to get a lot more than just a couple of days to get a lot more than just a couple of days.
Gout, simply put, is a disorder of purine metabolism leading to elevated uric acid, which then causes joint swelling and pain. The uric acid in the body mainly comes from the following two sources.
1. endogenous uric acid formed by enzymes as a product of protein breakdown in the body.
2. exogenous uric acid formed by digestion, absorption and enzymatic action of ingested purine compounds, etc.
”The incidence of gout has been increasing year by year in recent years, which has a lot to do with the improvement of living standards, irregular diet and overeating.” According to Dr. Huang Wenhui, chief physician of the Department of Rheumatology and Immunology of the Second Hospital of Guangzhou Medical University, gout is closely related to diet. For example, often eat seafood, large fish and meat, love to drink alcohol can cause exogenous uric acid elevation caused by gout, these many people have heard, but do you know, high sugar, carbonated drinks can also cause blood uric acid elevation.
Under the doctor’s questioning, the young man revealed: since adolescence, he drinks a lot of drinks every day, “almost no plain water”.
”A long time ago, I started to notice that my joints would suddenly become vaguely painful, thinking it was a sports injury, and then the attacks became more and more frequent and I felt something was wrong.” He said. He didn’t even realize that beverages are also an important factor in causing elevated uric acid, one of the reasons for the rejuvenation of gout.
For this young man, timely lifestyle adjustments, quit drinking, drink more water, adhere to the regular consumption of uric acid-lowering drugs, when the long-term stability of uric acid standards (the presence of gout stones, kidney stones, uric acid control below 300umol / L), gout stones are still expected to gradually dissolve, to stop further damage to the bone.
Don’t ignore another gout “accomplice” – fructose
How to prevent gout? Many people know that seafood with high purines is an accomplice and should be eaten sparingly, but there is another “accomplice” – fructose – that should not be ignored. When fructose enters the body, it can transform and promote the synthesis of purines, which means that one of the end products of fructose is uric acid.
So, what foods contain more fructose? Mainly in fruits and honey, but everyday just eating some fruits usually does not lead to excessive fructose intake, unless a lot of eating particularly sweet fruits such as lychee, longan, may cause high uric acid in the blood.
In addition, carbonated beverages also contain a lot of fructose, which gives people a refreshing and cool feeling in the mouth and can improve the taste of the beverage. The daily fructose intake for healthy people is 30-80 grams (40 grams on average). But if you drink a lot of carbonated drinks for a long time, it is easy to cause too much fructose intake, and a significant increase in uric acid is expected.
Gout stones are the result of long-term failure to control uric acid. If the level of uric acid in the body is too high and cannot be dissolved in the blood, it will slowly condense into crystals in the joints and skin, forming gout stones. Gout stones not only affect the appearance, but also destroy joints and bones. Urine is the main form of uric acid discharge from the body, to keep away from gout, less drinks and more water, regular urination is a reliable practice, plain water is the cheapest and healthy choice.
The average person urinates about 1,000-2,000 milliliters a day, with an average of about 1,500 milliliters, so it is recommended that people should try to drink enough water of 1,500-1,700 milliliters a day. People with a history of gout need to drink more water and urinate more, and it is recommended to drink more than 2,000 ml of water every day. In short, develop the habit of drinking more water when you have nothing to drink, drink water when you wake up, drink water before going to bed, drink water when you are tired from work …… This is good for gout prevention. In addition to drinking plain water, people who have the habit of drinking tea can also drink some light tea water appropriately.
Experts remind that gout can be controlled and treated, once the gout is detected, the key is to control uric acid, you can go to the regular hospital rheumatology and immunology department for consultation, do not blindly believe in various prescriptions.
