Gout dot phrase

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1. Take colchicine 1 tablet every hour as needed for gout attack (not to exceed 6 tabs in 1 day). Note that this will cause diarrhea at high doses.
2. Ice 15 min, at least 3 times a day.
3. Naproxen 500mg twice a day for pain (drink lots of fluids).
4. If no improvement, return for needle aspiration/injection.

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Diet and Gout

Purines (specific chemical compounds found in some foods) are likely to be broken down into uric acid. A diet rich in purines from certain sources can raise uric acid levels in the body, which sometimes leads to gout. A 2004 study reports that meat and seafood may increase your risk of gout, while dairy products may lower your risk. The study also found that purines in vegetables do not increase the risk of gout.

Foods to limit (very high in purines):
-Beef
-Pork
-Lamb
-Seafood
-Yeast (used in beer and bread)
-Alcoholic beverages, particularly beer2
-Bacon

Foods to eat occasionally (moderately high in purines, but may not raise your risk of gout):
-Asparagus, cauliflower, mushrooms, peas, spinach
-Whole-grain breads and cereals
-Chicken, duck, ham, and turkey
-Kidney and lima beans

Foods that are safe to eat (low in purines):
-Green vegetables and tomatoes
-Fruits and fruit juices
-Breads and cereals that are not whole-grain
-Butter, buttermilk, cheese, and eggs
-Chocolate and cocoa
-Coffee, tea, and carbonated beverages
-Peanut butter and nuts

Dairy products that may lower your risk of gout:
-Low-fat or skim milk
-Low-fat yogurt

If you have experienced a gout attack or have high uric acid in your blood (hyperuricemia), it is important to reduce your intake of meat and seafood, as well as beer.

Changing your diet may help lower your risk of having future attacks of gout. Reaching and maintaining a healthy body weight can help too.