To refute the rumor I gout patients can't eat seafood, but it's okay to eat freshwater fish! is that true?

01

Can gout patients eat freshwater fish?

After suffering from gout, many patients know not to eat seafood as much as possible, especially some shellfish, which are often high in purine. If the intake is relatively large, it may cause an acute attack of gout! So for gout patients, it is ok to eat some freshwater fish, such as carp, grass carp, crucian carp or eel, these are not fish from the ocean, right?

02

Let's first take a look at the purine content of some common freshwater fish

Under normal circumstances, when the purine content per 100 grams of food is less than 50 mg, it is defined as a low-purine content food, and if it exceeds 150 mg, it is defined as a high purine content food, and the food in between is a medium purine content food. , For gout patients, it is relatively safe to properly consume ingredients with medium purine content and increase the intake of ingredients with low purine content, and it is recommended not to consume ingredients with high purine content as much as possible.

After understanding this standard, let's take a look at the purine content of common freshwater fish:

Grass carp: The purine content of grass carp per 100 grams is 140.3 mg. Although it is a food with medium purine content, it is very close to 150 mg.

Carp: Carp contains 137.1 mg of purine per 100 grams, similar to grass carp.

Crucian carp: The purine content in 100 grams of crucian carp is 137.1 mg, which is the same as that of carp.

Eel: The purine content in every 100 grams of eel is 92.8 mg, which belongs to the food with medium purine content, which is relatively far from the content of 150 mg.

Although the purine content of grass carp, carp and crucian carp belongs to the middle purine content, the value of 150 mg is really close to the limit. It may be that eating a little more may cause it to be overdone, so for gout For patients, it is better to reduce the intake of these kinds of fish as much as possible. If you have to try to eat them, it is best to use steaming, try not to use fried cooking methods, which can easily lead to abnormal increase in uric acid. , and pay attention to control the amount of intake, try not to exceed 100 grams.

So for gout patients, is it insulated from fish? This is not the case. As long as you carefully look at the table above, you will find that there is a kind of fish with very low purine content, which belongs to the low-purine content food and is suitable for gout patients to properly ingest, that is mandarin fish.

Mandarin fish: The purine content of every 100 grams of mandarin fish is 24 mg, which is an absolute low purine content ingredient.

In addition, fish ingredients with a medium purine content can also be properly ingested. It cannot be said that in order to strictly limit the purine content, we should not eat anything, which will also cause malnutrition in gout patients. Pay attention to each intake. Try not to exceed 100 grams, try not to consume more than twice a week, and do not eat 100 grams each time, but eating three times a day will also cause the accumulation of uric acid, right?

03

Purine content of some other ingredients

Dr. Xie made a simple list of the purine content of some common ingredients in daily life. Gout patients can learn about it. Among these illustrations, the green ones are low-purine content ingredients and can be properly increased intake. The black ingredients with purine content should be properly ingested, try not to exceed 100 grams, while the red ones are ingredients with high purine content, so try not to touch them for gout patients.

Meat: Although there are some ingredients in the picture below, such as some internal organs are ingredients with purine content, but everyone should remember that the purine content in meat ingredients is very easy to be absorbed by our body and eventually metabolized to uric acid, so it is still To control the amount, try not to touch the internal organs. For example, red meat such as beef and mutton must also be controlled in quantity and pay attention to the cooking method.

Staple food: Most of the staple food are low purine content ingredients, which can be eaten with confidence, but it is also recommended that gout patients add coarse grains in their daily staple food choices, which are not only rich in dietary fiber, but also more nutritious and too fine. The staple food is also easy to induce the attack of gout.

Vegetables: Most vegetables are low-purine ingredients and can be eaten with confidence. However, some vegetables have high oxalic acid content, such as spinach. Excessive consumption may increase the risk of kidney stones. Try to blanch these vegetables in water before removing most of the oxalic acid, and you can eat them with confidence. In addition, although the purine content of seaweed and shiitake mushrooms is slightly higher, the amount of seaweed we consume is very small. Generally, no one can consume two taels of seaweed in a meal, and we must soak the shiitake mushrooms in water and wash them repeatedly before eating. , purine is easy to dissolve in water, and it can also be boiled and cooked before eating mushrooms. In fact, many studies have proved that the purines contained in plant-based ingredients are not easily absorbed by our body and do not increase the risk of gout attacks, so proper intake is possible, including soy products.

Eggs and milk ingredients, rich in vitamin C: These three ingredients have been shown to be negatively correlated with the increase of uric acid, especially the proper intake of fresh milk every day can help control blood uric acid, which is related to uric acid. Elevated ingredients that are strongly negatively correlated, so proper intake every day can help to better regulate your blood uric acid.

Fruits: Many gout patients think that their blood sugar is not abnormal, so they can safely consume a large amount of fruits. In fact, this idea is wrong. Although the purines contained in fruits are often very small, they contain very few purines. The fructose component is often relatively large, and a large amount of fructose can easily increase blood uric acid, especially many friends like to drink freshly squeezed fruit juice. But if you squeeze a glass of apple juice, it may take 2 to 3 apples to drink up, which is normal. In this case, it is easy to consume more fruit than the standard. As far as fruit is concerned, try to control it. Don’t eat too much. You can increase the intake of cherries appropriately, and control it to about 10 per day. Studies have shown that proper intake of cherries in gout patients can help reduce the risk of gout attacks by 40%. about.

04

Some other details for gout sufferers

If gout recurs, it is recommended to control blood uric acid scientifically and rationally with drugs with the help of a professional rheumatology and immunology doctor. It can only reduce blood uric acid by about 60.

In daily life, you must drink more water. The amount of water you drink every day should be more than 2000 ml. The main purpose is to promote the formation of urine, thereby helping to promote the excretion of uric acid.

Be sure not to drink alcohol, or drink more fructose-containing drinks, both of which are independent factors that induce gout attacks, especially beer and uric acid elevations are strongly positively correlated. Although the purine content contained in 100 grams of beer is only 14 mg, but everyone has to consider the amount. No one only drinks two or two beers at a time. If you drink a 500 ml bottle of beer, the purine content reaches 70 mg. , there are many friends who drink four or five bottles for a meal. In addition, beer is rich in purines, which are very easily absorbed by the body, so it is easy to increase the risk of increased uric acid.

To keep exercising. For gout patients, exercise must be adhered to in daily life, because proper exercise can help gout patients control their weight and make the body's metabolism more and more active. Jogging, brisk walking, swimming, cycling, and doing some yoga exercises all make sense to maintain joint flexibility.

In daily life, try not to stay up late, work and rest must be regular, pay attention to keep warm, especially when sleeping at night, cold can easily induce gout attacks, and irregular life is the same.

05

Summarize

The above are some dietary suggestions for gout patients, and also provide some tables for you, which show the purine content of many common ingredients. It is recommended that patients with gout must be clear about what they should eat, what they should not eat, and what they should eat in their daily life. In this way, the probability of gout attacks can be minimized by means of intervention to reduce the uric acid in the system. If the uric acid can be reduced to the standard for a long time, it is even possible to cure gout.

If you have any other doubts, you can leave a message below and let's discuss together.

I am Xie Xinhui, who insists on explaining the knowledge of complex diseases in simple language. It is not easy to code words. If you agree with my point of view, please help to follow or like it. If this article is helpful to you, please help to forward it to those who need it. friends, thank you!