Gout recurring, what link is missing?

Mondo Health Updated on 2024-01-31

Da Han talks about health

Gout is an inflammatory disease of the joints caused by abnormal uric acid metabolism, which is characterized by sudden onset of severe pain and reversal. After experiencing one or more gout attacks, many gout patients will wonder: why does gout reverse?Is there something wrong at some point?

First, we need to understand the pathogenesis of gout. The onset of gout is related to the production and excretion of uric acid. Uric acid is a waste product produced when the body metabolizes purines, and it is normally excreted through the kidneys. However, when uric acid is produced too much or not excreted enough, the concentration of uric acid in the blood rises, forming urate crystals that are deposited in joints and other tissues, triggering gout.

So, what are the possible causes of gout?

1.Dietary factors: Purines in food are the main cause of uric acid, therefore, excessive purine intake in the diet is an important cause of gout. For example, high-purine foods such as seafood, red meat, and beer should be avoided as much as possible.

2.Alcohol consumption: Alcohol affects the liver's uric acid excretion function, resulting in an increase in blood uric acid, which can lead to gout. Therefore, people with gout should abstain from alcohol or at least limit it.

3.Obesity: Obesity increases uric acid production while decreasing uric acid excretion, resulting in an increase in blood uric acid. Therefore, weight control is very important to prevent gout relapse.

4.Lack of exercise: Exercise can help burn off excess calories and reduce body weight, while also helping to increase uric acid excretion. Therefore, proper exercise is very beneficial to prevent gout reversal.

5.Non-standard medication: Some gout patients stop taking medication after their symptoms are relieved, or do not take medication regularly according to the doctor's instructions, which may lead to a re-increase in uric acid levels and cause gout to reverse.

6.Other diseases: hypertension, diabetes, hyperlipidemia and other diseases may affect the metabolism and excretion of uric acid, thereby increasing the risk of gout recurrence.

In summary, gout reversal may be caused by a variety of factors such as diet, alcohol consumption, obesity, lack of exercise, irregular medications, and other diseases. Therefore, in order to prevent gout from reversing, it is necessary to start from these links, such as diet control, abstinence or restriction of alcohol, weight control, appropriate exercise, standardized medication and related diseases. Only in this way can gout be effectively controlled and its repercussions reduced.

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