09/08/2024
THE PAIN AND AGONY ASSOCIATED WITH GOUT
From Walter Last's book, Overcoming Arthritis:
Gout is caused by uric acid crystals accumulating in joints and muscles.
Uric acid is formed from the oxidation of purines, but it can also be synthesized from simple molecules.
Purines are formed from the breakdown of nucleic acids, which are part of the nuclei of cells.
A diet high in meat and especially organ meat contributes to the formation of high levels of purines and uric acid. While it is not advisable to eat large amounts of cooked beans and peas due to their purine content, sprouted legumes are still recommended even with gout.
Sugars, especially fructose and the fructose part of household sugar, increase the production of uric acid and possibly the breakdown of nucleic acids.
However, an even stronger effect on uric acid production is alcohol, especially in the form of beer.
95% of those affected with gout are males and of these the most common feature is high beer consumption.
More than 75% of gout patients have insulin resistance or are obese. To compensate, their bodies produce much more insulin than normal. This in turn raises the level of uric acid. Therefore a high carbohydrate diet can also cause gout.
Caffeine from coffee and theophylline from tea are methylated purines. While they may not have a direct effect on uric acid levels, they contribute to the loss of calcium and magnesium from the body. 300mg of caffeine, which may be found in three cups of coffee, doubles urinary calcium loss in both men and women.
Some gout patients may have an inherited difficulty to excrete uric acid. Kidney problems and diuretic drugs may also contribute.
Drinking lots of water helps to flush uric acid from the body.
Some foods may trigger gout attacks, such as fish, organ meat, broccoli, asparagus, coffee and orange juice.
Cherries have a reputation of relieving gout. Eat lots of cherries during an attack or drink cherry juice. Also helpful are celery seeds (commonly used as extract), celery juice, and juniper berries or juniper extract.