Patients with high uric acid levels can consume low purine foods in moderation, such as winter melon, cucumber, cherry, oats, eggs, etc. They can also follow medical advice to take medications such as febuxostat tablets, benzbromarone tablets, allopurinol tablets, sodium bicarbonate tablets, colchicine tablets, etc. It is recommended to seek medical attention in a timely manner, adjust diet and use medication reasonably under the guidance of a doctor.
1. Food
1. Winter melon
Winter melon has a high water content and purines, which help promote uric acid excretion. It is rich in potassium, which can regulate the acid-base balance in the body and is suitable for stewing soup or stir frying. However, those with spleen and stomach deficiency and cold need to control their intake.
2. Cucumber
Cucumbers are alkaline vegetables that can neutralize uric acid and promote diuresis. Raw or cold dishes can retain more vitamin C, but pickled cucumbers have a high salt content and should be avoided from consumption.
3. Cherries
Cherries contain anthocyanins that can inhibit uric acid production, and 10-15 cherries per day are recommended. It is helpful to relieve gout joint pain, but diabetes patients need to pay attention to sugar intake.
4. Oats
Oats' dietary fiber can delay purine absorption and is recommended as a staple food to replace polished rice and flour. Choose plain oatmeal without additives and avoid sugary ready to eat products.
5. Eggs
Eggs provide high-quality protein and have extremely low purines, with 1-2 eggs per day being recommended. Boiling or steaming eggs is healthier, avoid high-fat cooking methods such as deep frying.
2. Drug
1. Febuxostat Tablets
Febuxostat tablets reduce uric acid synthesis by inhibiting xanthine oxidase and are suitable for primary hyperuricemia. Possible side effects such as abnormal liver function may occur, requiring regular monitoring.
2. Benzbromarone tablets
Benzbromarone tablets promote renal uric acid excretion and are contraindicated for patients with kidney stones. During the medication period, it is necessary to drink more than 2000 milliliters of water per day to prevent urate deposition.
3. Allopurinol Tablets
Allopurinol tablets are suitable for patients with hyperuricemia and may cause allergic reactions. It is recommended to undergo HLA-B5801 gene testing for risk screening before medication.
4. Sodium Bicarbonate Tablets
Sodium bicarbonate tablets can alkalize urine and increase the solubility of uric acid. Long term use may cause electrolyte imbalance. Individuals with heart and kidney dysfunction should use it with caution.
5. Colchicine Tablets
Colchicine tablets are mainly used during acute gout attacks to alleviate inflammation and pain. Overdosing may lead to serious adverse reactions such as gastrointestinal bleeding. Patients with high uric acid levels should maintain a daily water intake of at least 2000 milliliters and avoid high purine foods such as animal organs and seafood. Regularly engage in aerobic exercises such as brisk walking and swimming to control weight within a reasonable range. Regularly monitor blood uric acid levels and reduce joint activity during acute attacks. The main cooking method is steaming, and the use of high sodium seasonings such as soy sauce and oyster sauce is restricted. Avoiding alcohol or sugary drinks at night and maintaining a regular schedule can help regulate metabolism.
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