patients with gout, since it has been confirmed to have gout, no matter if they drink lemonade, tea or soda, they have a certain auxiliary effect of lowering uric acid, but the effect may be very low. For patients with gout, adherence to medication, regular exercise, and lifestyle intervention can achieve the best uric acid lowering effect. Let’s talk about this topic today.
Hyperuricemia and gout
Hyperuricemia is the pathological basis of gout , but it does not mean that a person with high blood uric acid will definitely develop gout, so don't be afraid. According to China's guidelines for the diagnosis and treatment of hyperuricemia and gout, the current prevalence of hyperuricemia in China is 13.3%, and the number of patients has exceeded 1.2 billion , while gout patients in mainland China are 1. 1% , the number of patients has exceeded 17 million .
Under normal circumstances, there is a certain concentration of blood uric acid in our blood. Under normal circumstances, it should not exceed 420. Its source is mainly from two sources, one is our body’s endogenous synthesis (80%), and the other is Uric acid (20%) formed after the purine in food is metabolized.
If the patient's blood uric acid is more than 420 in two consecutive non-same abdominal measurements, it can be diagnosed as hyperuricemia.
About 70% of uric acid is excreted through the kidneys, that is, through urine, and about 30% is excreted through the intestine.
Encourage patients with hyperuricemia and gout to drink more water. The purpose of is to promote the formation of urine and the excretion of uric acid .
Why does high uric acid trigger the onset of gout?
This is mainly because if the uric acid in our blood exceeds the upper limit of 420 that we can dissolve, it may be deposited in our body to form urate crystals . What is the probability? Studies have shown that if blood uric acid exceeds 540, there is a 5% chance of forming urate crystals in the body. When these urate crystals are formed less, we will not have special feelings, but if they are formed More often, it is very likely that after a violent fluctuation of uric acid and a traumatic overeating, acute crystal inflammation was induced and gout attacked. When
attacks, the patient will experience severe pain that is unbearable due to inflammation, and there will be obvious inflammatory reaction , including local redness , local fever , and rapid swelling .
The picture below is an animation of a simulated gout attack. This tiny needle is a urate crystal.
These crystals look like this under the microscope!
Why do many people care about what kind of water gout patients drink?
I mentioned earlier that urate crystals can be deposited in many parts of our body. There will also be deposits in the kidneys. When the amount of deposits is larger, kidney stones will form, and severely can even lead to kidney failure. . The proper alkalinity of urine can help dissolve uric acid better and reduce the risk of urinary stones.
For example, patients who take benzbromarone orally, because it is the uric acid excretion drug , there will be more uric acid in the urine during the treatment. If the alkalinized urine is not given, there may be a risk of urinary stones. General doctors Tell patients that oral alkalization of urine is sodium bicarbonate tablets ( baking soda, the results of a domestic randomized controlled study show that oral sodium bicarbonate has a certain uric acid-lowering effect, about 50 ).
So many friends think that drinking soda or lemonade, so alkaline water will help promote uric acid excretion, even circulates that drinking soda or lemonade will reduce uric acid to normal. Say . Can drinking these water really help patients with gout lower uric acid? Let's discuss it together.
● soda , not to mention whether the concentration of sodium bicarbonate in the soda water meets the standard. Many sodas on the market now have a lot of additives and a certain amount of sugar in order to pursue the taste, which is not very beneficial for controlling uric acid . In addition, it is now controversial whether patients with gout need to alkalize their urine, because long-term use of sodium bicarbonate will cause water and sodium retention, which will cause and aggravate the condition of high blood pressure, which can induce the risk of heart failure. Some gout patients who take sodium bicarbonate tablets all year round have obvious stomach upset.
● lemonade , lemons are rich in vitamins c. There are many studies that prove that foods rich in vitamin c are negatively related to hyperuricemia. There is a study instructing multiple gout patients to drink juice squeezed from two fresh lemons every day, and dissolve it into 2 liters of water. After six weeks, the blood uric acid test found that the average decreased by about 10, suggesting that drinking fresh lemon juice does indeed reduce it. The effect of uric acid is not very strong. Compared with the uric acid value of hundreds of patients with gout, this drop can be described as a drop in the bucket.
●The ingredients in tea are complex, and there are many varieties of tea. Z10z consulted some documents, and most of them suggested that tea drinking has no correlation with changes in uric acid , that is, most scholars believe that tea has no effect on uric acid .
When you see this, you should understand that in fact, whether you drink soda, lemonade or tea, the main effect of is water . The purpose is to drink more water to promote the formation of urine and promote uric acid. excretion.
If has to choose between soda, lemonade and tea, then , personally prefers to suggest that patients drink lemonade, although the effect of lemon in reducing uric acid is not particularly great, it is rich in uric acid Vitamin C has a good effect on maintaining our resistance and physical condition. It is recommended to drink lemonade by dissolving lemon slices or squeezed juice into more water. Try not to drink concentrated fresh juice directly, which will cause some irritation to the mouth, throat and stomach.
What should patients with gout pay attention to?
gout patients, especially those with recurrent gout, if you simply drink some water to lower uric acid, the effect may be minimal, because unlike hyperuricemia, gout patients have already shown symptoms, which proves that deposits in the body The urate crystals are more .
For patients with gout, we require blood uric acid to be lowered to below 360, so as to better reduce the risk of gout attacks, and if patients already have tophi, we even have to strictly require the uric acid to be lowered to below 300, so In order to minimize the occurrence of gout, it can slowly dissolve the tophi that has formed. Of course, it takes a long time.
The blood uric acid of many gout patients is actually very high, some even exceed the value of 500 or 600. It can be said that it is really very difficult to simply drink what kind of water can reduce the uric acid to below 300 or 360. For gout patients, uric acid should be controlled more systematically:
● This medication, For patients who have had gout attacks, especially those who have more than two attacks a year, patients should be treated with drugs to lower uric acid. If you also have basic diseases such as high blood pressure, coronary heart disease, diabetes, etc., you should directly take uric acid medication. For specific drug selection, you should consult your local rheumatologist.
● Drink plenty of water and keep it above 2,000 ml per day. This way can better promote the formation of urine. Warm boiled water and light tea are both good choices. However, if you have a heart problem, it is recommended not to drink too much water, which may lead to aggravation of the heart problem. Be sure not to drink alcohol or drinks with a lot of sugar, especially drinks with a lot of fructose, it is very easy to cause violent fluctuations in uric acid.
● Must be scientific and reasonable exercise , such as walking, brisk walking, biking, jogging and swimming are more suitable programs. Exercise is not like lowering blood sugar. After exercise, blood sugar will drop significantly, but exercise has a lasting effect on lowering uric acid., Comprehensive effect, especially for controlling the weight of patients with gout.
●Scientific and reasonable diet. In daily life, try to control the intake of some high purine content ingredients. Appropriate intake of some medium purine content ingredients can appropriately increase the intake of low purine content ingredients, such as rich Vitamin C ingredients, such as proper milk and egg intake, are all good ingredients for controlling uric acid.
Summary
Controlling uric acid for patients with gout is a scientific, systematic, and more complicated project . It is not realistic to simply drink a certain kind of water to achieve uric acid.
recommends that patients with gout should not be superstitious about which water to drink to lower uric acid, but consult a professional rheumatologist for systematic medication, scientific medication, and lifestyle intervention on the basis of medication, through dietary control, and scientifically reasonable Exercise, drink plenty of water to help lower uric acid, so as to better help yourself control the onset of gout.
If you have any other doubts, you can leave a message below for discussion.
I am Xie Xinhui, who insists on explaining complex disease knowledge in simple language. The code word is not easy. If you agree with my point of view, please help me to pay attention or like it. If you or your family and friends are also troubled by uric acid control , Please forward this article to friends who need it, thank you!
life call to order super group to bring health home to refute the rumors @头条健康@生命召集令@头条防言
