Hyperuricemia refers to the level of uric acid exceeding the normal value, which is generally determined through population-based studies. The normal value for uric acid in men is usually less than 420 μmol/L, and in women, it is usually less than 360 μmol/L. Reasons for elevated uric acid levels include disruptions in purine metabolism in the body and obstacles in uric acid excretion. Part of the primary cause of gout in patients is genetic abnormalities.
What are the symptoms of high uric acid?
In the first stage, there is an asymptomatic period of hyperuricemia. At this time, only a blood test can reveal an increased blood uric acid concentration, but there are no typical symptoms clinically, and it is generally not easily detected.
In the second stage, there is an acute gout attack period. The typical manifestation mainly involves redness, swelling, heat, and pain around the affected joints.
In the third stage, there is a period of chronic gouty arthritis. Mainly in the joints, such as the big toe joint, first metatarsophalangeal joint, ankle joint, knee joint, etc., gout crystals deposit in large amounts, joint destruction, deformity, and local functional impairment.
In the fourth stage, there is a period of chronic gouty kidney damage. Mainly manifested as chronic kidney damage and kidney stones.
Can’t eat fish with high uric acid?
People with high uric acid levels need to actively adjust their diet, such as seafood, but the scope of seafood is quite extensive, and fish is one of the favorite ingredients for many people to eat.
Eating too much fish can potentially damage the body for individuals with high uric acid levels because many people believe that seafood contains relatively high levels of purine substances, making it easier to increase metabolic burden.
After discovering high uric acid levels, can you really not eat fish? Scholar Wang Wenshan, now 84 years old, is an authoritative researcher in endocrinology in China with over 40 years of professional experience in metabolic disease research. Academician Wang stated: Patients with high uric acid levels can eat fish.
Fish is very nutritious, with relatively low fat content, meeting partial human needs and reducing fat intake, which is helpful in preventing obesity. However, it is recommended not to eat raw seafood.
Deep-sea fish contain relatively high purine substances, and heavy metal elements and microplastics in deep-sea fish are severely exceeded. Consumption can increase the body’s metabolic burden.
Fish tastes delicious, but it is best to choose steamed or boiled methods, and try to avoid braised or sweet and sour fish, as this can lead to excessive intake of various seasonings, increasing the metabolic burden on the body.
If you want to avoid gout and be more “active,” it’s best to eat less of the following types of foods because both meats and vegetables contain high levels of purine substances that are very detrimental to health. So, please watch your diet.
84-year-old academician: To avoid gout, eat less of these 7 items as much as possible
1. White pomfret skin purine content 3509mg/100g
Basically, the purine content in all fish skins is very high, with white pomfret skin having a high purine content of 3509mg/100g, ranking it as the top food with high purine content. Both white pomfret fish meat and skin have high purine content, but skin is more prominent.
2. Dried small fish 1538.9mg/100g
When the body has high purines, it can lead to metabolic disorders, easily raising blood uric acid levels, leading to gout. The purine content in dried small fish is as high as 1538.9mg/100g. It is not suitable to consume too much, especially for gout and high uric acid patients, who should avoid eating dried small fish to prevent worsening the condition.
3. Rich meat juice 500mg/100g
What are high purine foods? Many people may not realize that the rich meat juice we often drink belongs to high purine foods. The purine content in 100g of rich meat juice is as high as 500mg, truly a high purine food. For patients with gout or bleeding disorders, rich meat juice is a high purine food that should be avoided.
4. Asparagus 500mg/100g
Asparagus is renowned as the “king of vegetables” and is also listed as one of the world’s top ten famous dishes, holding a high position internationally. Although asparagus has higher nutritional value than general vegetables, fruits, and mushrooms, it is actually one of the high purine foods with a purine content of 500mg/100g.
5. Soybean sprouts 500mg/100g
Soybean sprouts are a common ingredient on the dining table, rich in nutrition, delicious in flavor, and a source of protein and vitamins. The purine content in 100g of soybean sprouts is as high as 500mg. Therefore, for patients with chronic metabolic diseases due to purine metabolism disorders, they should avoid consuming such high purine foods.
6. Seaweed 415.3mg/100g
Seaweed has high nutritional value, being a rare marine food ingredient and the world’s highest-producing cultivated seaweed. With a natural delicious taste, it is suitable for cooking or soup ingredients, known for its high-nutrition marine flavor, widely welcomed by people. However, seaweed is a seafood product that contains large amounts of purine, with a purine content of 415.3mg/100g.
7. Animal liver 220~390mf/100g
Many people love to eat animal liver because it is rich in nutrients, but there is one exception, gout patients. Because animal organs contain higher purine content, with the purine content of animal liver approximately 220-390mg/100g, gout patients should avoid eating animal organs, as it can worsen the condition.
Does gout require surgery?
The vast majority of gout patients do not need surgery for treatment. Through lifestyle interventions and medication, gout can be effectively controlled. Surgery for gout patients is generally considered in the following situations.
– When joints have been damaged.
Recurrent gout attacks causing joint damage, leading to joint dysfunction, or the presence of large gout stones that not only affect appearance but also limit local joint function;
If tendons are involved, affecting joint mobility, causing nearby nerves to be compressed, surgical treatment can be given, mainly for joint correction and gout stone removal.
– Urinary system stones.
If a patient develops urinary system stones, resulting in ureter obstruction, hydronephrosis, the effectiveness of oral medication treatment may be limited, and surgical treatment is considered at this time.
For some patients who have undergone surgical treatment, surgery can relieve gout symptoms, alleviate the pressure caused by gout, correct deformities caused by gouty arthritis, restore joint function, timely block the course of gout, and also play a role in saving kidney function.
Surgery can reduce the body’s uric acid burden, reducing further damage to other organs or systems caused by uric acid, benefiting the improvement of patients’ quality of life.
Here are foods that can reduce uric acid! It is recommended to know in advance.
1. Alkaline foods. Alkaline foods such as shepherd’s purse, enoki mushroom, etc. Alkaline foods generally help with uric acid excretion and can simplify urine effectively, dissolving uric acid in the urine and rapidly excreting it out of the body, thus reducing uric acid levels.
2. Foods rich in Vitamin C. Foods rich in Vitamin C such as celery, spinach, oranges, etc. Vitamin C can promote uric acid excretion effectively and suppress uric acid production, hence reducing uric acid levels.
3. Diuretic foods. Patients with high uric acid levels can eat diuretic foods such as mung beans, coix seeds, etc. By consuming diuretic foods, uric acid will be metabolized through the kidneys and excreted in urine. This can help reduce uric acid levels.
