Gout is closely related to uric acid. Purine ingested from food and purine produced in the body metabolize to produce uric acid. If it is a healthy person, uric acid will be excreted from the urine through the kidneys and will not accumulate in the body. But if uric acid is too much, or the urination path is not smooth, uric acid will accumulate in the body. With the accumulation, the concentration of uric acid gradually increases, and it will crystallize when it is increased once. When these crystals appear at the joints, gout will appear.

Therefore, gout patients need to reduce purine levels. But the purine produced in the body is difficult to change, so don't think about it, or focus on the factors that can be grasped.

High purine food:

One hundred grams of food contains more than 200 milligrams of purine. Among the foods we often eat, animal viscera (such as liver, waist, heart, brain, pancreas, etc. ), game, geese, some fish (such as sardines, herring, salmon, etc. ) and scallops fall into this category.

Medium purine food:

Purine content is between 0/00g 100 ~ 200mg, which mainly exists in various meats, such as pork, beef, mutton and aquatic products.

Some foods are high in purine if calculated by dry weight. The purine content of 100g dried boletus is above 200mg, and that of 100g dried beancurd may be above100g. However, if calculated by "fresh weight" or "food weight" eaten after water processing, their content is relatively low. For example, tofu contains about 60 to 70 mg of purine per100g, while cooked soybeans contain less than 50 mg of purine per100g. This content is similar to that of vegetables and fruits with high purine content (such as broccoli, peas, spinach, green peppers, bananas, etc.). ).

In other words, tofu and mushrooms are not a big problem for ventilated patients, but all kinds of meat should be controlled.

Non-purine factors related to gout:

Besides purine, there are other factors that affect the accumulation of uric acid in blood. The scientific community is not clear about the detailed mechanism of their influence on uric acid, and these factors are mainly based on epidemiological investigation. Among these factors, high-sugar drinks, alcohol and saturated fat are more obvious.

Many people quit "beer seafood" and soybean milk tofu after gout. Beer and seafood are both risk factors for gout, so it is certainly beneficial not to eat them. However, many people give up beer and white wine, eat seafood, eat fat and drink water, that is, they leave their hukou and enter the wolf's den again.

Seeing the friend who answered the question, I still couldn't answer the reason why gout can't drink white wine.

Everyone knows that gout patients can't drink beer, because beer contains more guanylic acid, and the purine produced after metabolism is higher (about 80mg/ 100g), while the purine content in liquor is lower (about 1-2mg/ 100g). So can gout patients drink white wine? Obviously not.

The formation of gout is nothing more than two internal manifestations of increased uric acid production and decreased excretion. Any factors affecting the above two pathways will lead to the crystallization and precipitation of uric acid in joints and other places, forming gout.

The reasons are roughly as follows:

First, alcohol affects purine metabolism, mainly accelerating purine metabolism and increasing uric acid production.

Alcohol acts as a catalyst to accelerate the decomposition of adenine nucleoside triphosphate in the body, which eventually leads to the increase of uric acid production.

Secondly, alcohol itself is metabolized into acetic acid in the body, and both acetic acid and uric acid are excreted through the kidney. A large amount of acetic acid will inevitably affect the excretion rate of uric acid, leading to an increase in blood uric acid levels.

Thirdly, acetic acid will reduce the solubility of uric acid, increase the crystallization of uric acid, and deposit on joints and other places more easily, thus accelerating the formation of gout.

Fourthly, the potential damage of alcohol to the liver destroys the feedback mechanism of the body and leads to the accumulation of excessive uric acid.

Fifth, when most people drink alcohol, they are often accompanied by high purine food intake, such as barbecue, which leads to a sharp increase in blood uric acid level in the body and induces an acute attack of gouty arthritis. Gout related to drinking mostly occurs on the second day after drinking late at night.

Therefore, liquor, including homemade rice wine, may cause gout. Please consider the influence of wine on uric acid metabolism before pushing and changing cups!

All the above viewpoints are supported by authoritative literature. Previous cohort studies have shown that the risk of gout increases when alcohol intake exceeds a certain threshold. Of course, some studies have found that drinking no more than 10ml of red wine every day can reduce the risk of gout attacks. The influence of alcohol on gout should be enough to attract the attention of high-risk groups.

Brief introduction of no medicine and no medicine

Dr. Tsinghua University, pharmacist in charge, senior nutritionist, 10 years experience in medication guidance, nutrition consultation and health management. No medicine, no medicine, healthy life, no disease, no medicine!

Gout patients must have deep feelings. It is found that gout is easy to recur in many cases after drinking, whether it is beer, white wine or other foreign wine. The reason is uric acid is too high in patients. Uric acid is the product of purine, and the increase of uric acid is caused by purine metabolism disorder. Alcohol in wine will increase lactic acid in the body. Lactic acid will not only inhibit the excretion of uric acid, but also promote the decomposition of purine, which will increase uric acid and eventually lead to gout.

Not only refers to liquor, liquor has the highest content of beer purine, followed by liquor, so it is not allowed to be mixed with liquor, otherwise the probability of gout attack will be greatly enhanced, and gout patients should give up drinking. In addition to alcohol causing uric acid to rise, there are other foods with high purine content, so we should also pay attention to purine intake in our daily diet, and try not to eat foods with high purine content, such as mushrooms, laver, animal offal, and some meat, beef and mutton, etc. Seafood food, such as fish and shrimp.

Therefore, in diet, it is suggested that gout patients eat some foods that help uric acid excretion, such as steamed bread, noodles, corn, etc. Eat less hot pot, and often eat more purine than usual, leading to the possibility of gout recurrence; Foods with low purine content include dairy products, eggs, vegetables and fruits. Drink plenty of water, and the daily drinking amount should be more than 2000ml, which is beneficial to the excretion of uric acid. In addition to a reasonable diet, you should also exercise properly at ordinary times and don't overwork yourself.

Instructor: Ren Jingjing, attending physician in the Department of Rheumatology and Nephropathy, Rizhao Traditional Chinese Medicine Hospital.

Specializing in the diagnosis and treatment of rheumatoid arthritis, gout, systemic lupus erythematosus, spondyloarthropathy, Sjogren's syndrome, systemic sclerosis and other diseases.

Gout patients should strictly abstain from alcohol, do not divide alcohol, and of course, they are not allowed to drink white wine. In the study of alcohol and gout, it is found that small, moderate, excessive drinking and different kinds of alcohol will increase the risk of gout-scientific evidence of food and health.

Purine that people ingest from food and purine that people produce in the body are both metabolised uric acid. The abnormal increase of serum uric acid concentration caused by purine metabolic disorder is hyperuricemia. In people with normal body function, uric acid will be excreted from urine through the kidneys and will not accumulate in the body. But if uric acid is too much, or the urination path is not smooth, uric acid will accumulate in the body. With the accumulation, the concentration of uric acid gradually increases, and it will crystallize when it is increased once. When these crystals appear at the joints, gout will appear.

People who often socialize outside, people who often eat hot pot, people who like seafood and people who like drinking, especially overweight and obese men, are more harmful to gout. Gout patients need to pay special attention to diet. Gout patients need to reduce the production of uric acid through diet to ensure smooth excretion of uric acid, which is helpful to prevent chronic diseases related to obesity.

Formula design principles:

1, the total energy should be less than the actual energy demand, reduce body fat and help the weight return to normal.

2. The protein intake of gout patients is less than that of normal people, because high protein can promote purine synthesis. A glass of milk, an egg and a proper amount of tofu every day, fish and seafood should be strictly limited to less than 50 grams, and it is forbidden to eat high-purity foods such as animal offal, roe and thick soup.

3, control fat intake, too much fat is not conducive to the prevention and treatment of chronic diseases, but also hinder uric acid excretion. Adopt a low-fat diet, such as skinless white meat such as chicken, rabbit and fish, and use less cooking oil.

The staple food should be mainly corn, flour, rice and potatoes. Miscellaneous beans should be controlled below 30 grams. Don't eat refined bread snacks containing a lot of polysaccharides, and don't drink sweet drinks.

5. Intake a lot of fruits and vegetables and increase the supply of potassium, calcium and magnesium, which is beneficial to alkalizing urine.

6, the cooking taste should be light, without adding chicken essence, beef essence, mushroom essence, thick soup treasure and other seasonings.

7. Don't drink, coffee or strong tea. Drink at least 2000 ml of water every day, increase urine output and help excrete as much uric acid as possible. You can use soda water instead of some water!

Author: Shi Xiaoyi, national second-class dietitian/nutrition ambassador of Dalian Dietitian Club/training lecturer of Dalian Dietitian Club/beautiful chef/guest of "Healthy and Light" program/good at nutritious meals.

Under normal circumstances, gout patients should pay attention to their eating habits. The diet here includes eating, drinking and using. In other words, gout patients should pay attention to the food they eat, the liquid they drink, the perfume they use or the like.

You can drink less liquor. But you can't drink beer.

Can gout patients drink white wine? This is a problem that many gout patients are very concerned about. Strictly speaking, gout patients are strictly forbidden to drink all kinds of alcohol, whether it is beer or white wine.

Drinking alcohol has always been an important cause of gout attacks. The reason is that alcohol in wine will increase the lactic acid content of human body, and lactic acid can not only inhibit the excretion of uric acid by renal tubules, but also promote the decomposition of purine in the body, which will directly lead to the increase of uric acid content in human blood. In addition, the content of purine in liquor is not low, so gout patients should strictly prohibit all alcoholic foods and drinks.

Liquor can be divided into distilled liquor and non-distilled liquor, in which the purine content of non-distilled liquor is higher than that of distilled liquor, mainly referring to liquor, and other beer, yellow wine and red wine belong to non-distilled liquor. However, because red wine contains antioxidants, vasodilators, anticoagulants and other effective components, The Lancet, an internationally renowned medical journal, believes that a moderate amount of red wine can slightly reduce uric acid. Other non-distilled spirits, such as beer and yellow rice wine, especially long-term yellow rice wine, cannot be drunk because of the oxidation of oxygen in the air. For gout patients, the taboo ranking of alcohol should be the most taboo yellow wine, followed by beer, fresh yellow wine, and then white wine and red wine.

Even so, gout patients are mostly middle-aged men, and many people are still a little addicted to alcohol. It may be a bit difficult to ban alcohol completely. In this case, it is ok to drink a little white wine, but beer must be banned and you can't drink alcohol during the attack. The quantity of liquor must be controlled and tasted.

The answer is: gout patients can't drink white wine.

For patients with gout and hyperuricemia, if you go to the hospital, the doctor will definitely educate you about your lifestyle, and you must stop drinking when you go back. Why? Because alcohol will increase uric acid in the blood. Especially beer, because the purine produced after beer metabolism is high, the content is about 80 mg/ 100 g, some people will ask, is the purine in liquor high? Answer: it's not high, about 1-2mg/ 100g, so why can't you drink it if it's not high?

Because alcohol can increase uric acid production, and uric acid can increase uric acid production by increasing the degradation of adenosine triphosphate.

In addition, alcohol can be metabolized into lactic acid in the body, and lactic acid can competitively inhibit the excretion of uric acid in the kidney, resulting in the decrease of uric acid excretion in urine and the increase of blood uric acid level. The two causes of gout are increased uric acid production and decreased uric acid excretion, and the principle of alcohol metabolism is precisely to promote uric acid deposition in the body and reduce uric acid excretion.

Therefore, it is really harmful to suggest that gout patients must give up drinking. Think about it. It is estimated that many people eat snacks such as big fish, big meat and seafood barbecue.

Here again, patients with hyperuricemia gout should adopt a low purine diet. Because diet therapy can reduce blood uric acid by about 10%- 18%. Animal viscera (especially brain, liver and kidney), seafood, thick soup, some beans and some vegetables (soybeans, mushrooms, laver, etc. ) contains high purine and should be avoided. All kinds of cereals, most vegetables, fruits, milk and eggs contain the least purine, so eat more. Drink plenty of water, quit smoking and drinking, pay attention to rest, avoid overwork, mental stress and exercise properly.

Authoritative interpretation of pharmaceutical affairs network, unauthorized reprint, plagiarism will be investigated.

No way! Don't touch any wine! There are also sugary drinks, and fruit juice can't be drunk;

Including a lot of food, you should also avoid eating:

First, hot pot soup, stock, thick soup;

Second, seafood, especially fish, eggs and shrimp;

Third, bean products, especially dried beans;

Fourth, animal viscera;

5. Halogen products and pickled products;

Foods that need to be strictly restricted:

One is meat and poultry food;

Second, meat and livestock food;

3. Crucian carp and perch;

Fourth, crustacean food;

Being able to effectively control the above foods is very important for the treatment of hyperuricemia, remember! Remember! Be sure to remember.

Suggestions on living habits:

First, strengthen exercise, but not strenuous exercise; Walk slowly for no more than 30 minutes every day;

Second, avoid catching cold, suffering (especially the affected area) and staying up late for a long time;

Third, drink at least 2000ml of boiled water or mineral water every day; Help excrete uric acid;

Fourth, keep a reasonable weight and avoid overeating and supper;

……

Lowering uric acid is also gradual and sudden, which may cause adverse reactions or recurrence!

Gout has deeply hurt me for twenty years. Let me feel pain in the middle of the night, watching my swollen legs and ankles, blaming myself for not being able to restrain myself. The scar forgets the pain, really, if it doesn't hurt, just drink (eat white) meat and have no scruples. It hurts like hell. However, if you are young, you can't eat this or touch it. Is there happiness in life? Contradiction ... white wine, if you don't drink it, is the easiest to grow painful stones, as you can see and hear. Patients, remember! "ouch, it hurts." Really, I hope medical experts can solve the pain of gout patients all over the world. Let's drink the wine dry, fill it up, and don't come back until we're drunk …

I went on a business trip four years ago and drank a glass of beer, almost ten bottles per person. On the third morning, gout broke out and my heart cracked. My colleague took me back, and the next day I was taken to another city. My classmates received me and drank two glasses of white wine. The result is good. Eat hot pot on Sunday, just pick up the food, drink too much white wine. Gout on Tuesday, still lying in bed today, all three joints at the same time.