GOUT – DIET AND OTHER TREATMENT
An excess of uric acid in the urine, especially if the volume is reduced, may lead to the formation of uric acid kidney stones. Apart from the severe pain produced by passing a stone, these can lead to obstruction and kidney damage.
Diet has always been a controversial factor in studying gout. Purines are the chemicals which readily break down to form uric acid, so food high in purine should be avoided. These include anchovies, liver, tongue, kidneys and sweetbreads.
Alcohol also has been controversial. It is now established that beer tends to precipitate an acute attack, as does red wine — but whisky appears to be free of blame.
An injury to the joint or the stress of an operation or acute infection may bring on an attack. Penicillin, aspirin, some diuretics (used for blood pressure or heart trouble and which remove fluid from the body) may all raise the uric acid levels.
In psoriasis, or some blood disorders like leukaemia where there is a rapid breakdown of cells, an excess of uric acid may result.
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