Hello. People with gout need to stop drinking alcohol, whatever it is, it is best not to drink it.

Beer cannot be drunk, as you may know, is high in purines and induces acute attacks of gout.

But white wine? There are so few purines compared to beer. But why still don't drink it.The reason for this is alcohol, which causes lactic acid to build up in the bodyIn contrast, lactic acid competitively inhibits the excretion of uric acid. In other words, lactic acid needs to be excreted, so it squeezes the excretion of uric acid, resulting in increased uric acid in the body.

So, not drinking white wine is not because it is high in purines, but it contains a lot of alcohol.

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Why do you have to give up alcohol for gout, doesn't it have a low purine content?？

Patients often ask me, "Can gout patients drink less alcohol? I heard that the purine content of wine is not very high ah? Then today I will talk to you about these two topics!

First of all, I'd like to say this with absolute certainty.Patients with gout are advised to abstain from drinking any kind of alcoholNo matter if it's beer, liquor, wine, or wine, it's not good for gout! They all promote elevated uric acid and trigger gout attacks! Why? I summarize the following reasons:

First, it affects uric acid metabolism and raises uric acid.

The main ingredient in all alcohol, ethanol, and ethanol can increase lactic acid in the body, the body's lactic acid can competitively inhibit the excretion of uric acid from the renal tubules, but also ethanol can lead to an increase in uric acid synthesis, which can directly elevate blood uric acid.

Secondly, some of the alcoholic beverages have a high purine content.

We usually drink some of the alcohol containing purine is very high, especially yellow wine and beer, in some areas of southern China and coastal areas, the high incidence of gout, and people love to drink yellow wine and beer have inseparable relationship, the purine content of yellow wine per one hundred milliliters of purine about 12 mg, the purine content of beer per one hundred milliliters of purine about 6 milligrams of purine. Although white wine, wine, fruit wine contains purine is not high, but can affect the purine metabolism through other ways, so that uric acid rise.

Third, the process of drinking alcohol is often accompanied by the intake of high-purine foods.

As the saying goes, "big mouth drinking and eating meat", "lobster with beer", in the process of drinking we tend to eat a lot of purine-containing foods, such as hot pot, seafood, meat, etc., and these foods are not only high in purine, but also high in fat and protein, which can promote obesity. promote obesity, obesity is also a very important reason to affect the metabolism of uric acid.

Fourth, drinking alcohol will affect the excitability of the central nervous system, so that the central nervous system paralysis, and the loss of uric acid drainage consciousness.

Fifth, long-term drinking can cause damage to the liver. It affects uric acid metabolism.

Alcohol damages the liver. Normally, when the body secretes too much uric acid, the liver synthesizes less uric acid, which is the body's normal regulation. If the liver function is impaired, this regulation will be destroyed. Thus, the synthesis of uric acid increases, inducing gout attacks!

Gout sufferers can't drink alcohol, so what can they drink?

In fact, the best drink for gout patients is plain water, if in the case of normal kidney function and heart function, it is recommended to drink more plain water, drink more water and urinate more, the increase in urine volume will help uric acid excretion, at the same time, drinking more water can also promote the discharge of uric acid crystals, reduce the chance of uric acid stone formation, and prevent the appearance of stones.

How should I drink water?

Gout patients also have to drink water, for the heart, kidney function is normal, there is no edema patients, drink water every day in 2000 ~ 3000 ml or so, do not drink too much at a time, should be small sips many times to drink, time to separate, half an hour before the meal and 45 minutes after the meal after the water, to avoid this time to drink water to dilute the gastric juice, affect digestion.

Can patients with gout drink beverages and dairy products?

Gout patients are not recommended to drink drinks, because most of the drinks contain fructose, these fructose has the role of promoting the production of uric acid, especially carbonated beverages, containing a large number of high fructose syrup, and these drinks will drink in a large number of fructose, there is an increase in the risk of elevated uric acid and induced gout.

Patients with gout can drink milk, but yogurt should be avoided as much as possible, because yogurt contains more lactic acid, lactic acid can interfere with uric acid excretion, which is very unfavorable to gout patients.

Can gout patients drink tea?

For gout patients can drink light tea in moderation, light tea is weakly alkaline, moderate consumption is conducive to urate from the urine, beneficial to the condition. However, gout patients are not recommended to drink strong tea, because tea contains a small amount of purine components and stimulants caffeine, there is a risk of promoting the rise of uric acid. So gout patients who want to drink tea can drink less light tea.

To conclude: all alcohol is bad for gout sufferers, all have the risk of aggravating gout and should be avoided. Drinks and juices are also not advisable for people with gout. Drinking more plain water or soda is encouraged! Best wishes for good health to all!

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Hello, everyone! I'm Dr. Yang, and I'm here to answer this user's question.

For patients with hyperuricemia who have had a gouty attack, according to the current clinical guidelines, it is recommended that the diet should be based on low purine foods, reducing medium purine foods and controlling the intake of high purine foods. And which purine content food does wine belong to?

Different types of wine have different purine contents

If all according to 100g contains purine content to calculate words: white wine's purine content for 2mg, wine for 5.3mg, beer for 79.3g, yellow wine for 153.3mg. and in general, we will 100g of food in the purine content of 150mg of food known as high purine food. In this way, it seems that except for yellow wine as high purine food, several other kinds of wine purine content is not high.

So why do we advise gout sufferers to stop drinking?

Outpatient clinic to see a lot of patients are in the drink after the gout to see the doctor, in fact, the main reason is not wine purine is too high, but because of the impact of the purine metabolism, so that the body of uric acid rises, triggering gout attacks:

One is that alcohol is metabolized by the liver, which affects the metabolism of purines and makes it difficult to metabolize the uric acid produced;

Secondly, alcohol enters the body and causes excess lactic acid to be produced, which interferes with the elimination of uric acid from the kidneys;

Thirdly, alcohol depletes levels during metabolism and other substances contained in alcohol are converted to purines in the body.

So, alcohol is really not at all friendly to us gout sufferers. Gout sufferers are advised to abstain from alcohol to avoid triggering gout.

For gout sufferers, what other beverages can you not drink, besides alcohol, and what other beverages can you drink?

Nowadays, gout patients are appearing at a younger age. Teenagers are suffering from high uric acid, the occurrence of gout people abound, in general, are some unhealthy lifestyle lead to. For gout patients, so high purine-containing beverages should not go to drink, such as a variety of carbonated drinks, fructose drinks. Even the street milk tea, fruit juice try not to touch.

In fact, the most suitable drink for gout patients is plain water, and it is recommended to drink about 1500~2000ml per day, which can also promote uric acid discharge. Some people feel that drinking plain water every day has no flavor, you can drink some milk or other dairy products appropriately, and if the risk of cardiovascular disease is low, you can drink some light tea or light coffee.

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Wine is not high in purines? In fact, it does not, it also depends on which kind of wine, such as beer and yellow wine, in the fermentation process will produce a large number of purine compounds, drinking will significantly elevate the uric acid, resulting in gout attacks, so it is gout patients should be strictly prohibited to drink. So, beer, yellow wine can not drink, white wine, wine can not drink? It is recommended to avoid drinking, although this kind of on its own purine content is not high, but the same will affect the uric acid metabolism, resulting in gout attacks.

China's wine culture has a long history, many people have the habit of drinking, but for gout patients, we do not recommend that you drink alcohol, drinking is a clear trigger for gout attacks, the specific mechanism is mainly:

1, alcohol will directly inhibit the renal tubules of uric acid discharge, which in turn leads to elevated blood uric acid levels, inducing gout attacks;

2, alcohol will cause an increase in the production of lactic acid, and lactic acid will also inhibit the kidneys to uric acid discharge, which in turn causes an increase in blood uric acid levels, inducing gout attacks;

3, yellow wine and beer, in the fermentation process will produce a large number of purine compounds, will directly elevate uric acid, inducing gout attacks;

4, we often consume a lot of high-purine foods in the process of drinking alcohol, and these foods will likewise increase blood uric acid levels, leading to gout attacks.

Therefore, we do not recommend gout patients to drink alcohol, especially should avoid drinking beer and yellow wine, if you only to quit drinking, can be appropriate to drink red wine, at present about whether red wine will induce gout is still controversial, because red wine contains alcohol, but also contains certain antioxidant factor, vasodilator and so on. Overall, it is best not to drink alcohol for gout. For those who have difficulty in giving up alcohol, it is recommended to drink red wine, but the amount and frequency must be strictly limited.

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Yes, compared with meat, eggs, dairy and other high-purine foods, the purine content of alcohol is not high, for example: the purine content of beer is only 2-5 mg/100 grams, while the purine content of pork (fat and lean) is as high as 37 mg/100 grams, but the alcohol is no less dangerous to gout sufferers than high-purine foods. There are four reasons for this:

1. Alcohol has the function of promoting increased synthesis of lactic acid in the body, and lactic acid also has the function of inhibiting the function of the kidneys to excrete uric acid, so that theBecause drinking alcohol increases lactic acid in the body, it indirectly weakens the body's ability to excrete uric acid, and uric acid in the body will increase as a result.

2. Beyond that.Alcohol has another effect, it directly accelerates the rate of purine synthesis in the bodyIn other words, with the help of alcohol, your body's ability to produce purines is also greatly enhanced, causing an increase in uric acid production.

3. Some alcohol, especially beer, its own purine content is not very much, but it contains more "guanosine", it will produce a lot of purine after metabolism in the body. ThereforeBeer is most typically a high purine food that increases uric acid production.

4. The last one, for those who are good drinkers, how boring is it to drink on an empty stomach? It must be accompanied by fish and meat, a delicious combination that makes it even better. In Qingdao, clams are regarded as the "perfect match" for beer, and the diet of clams and beer is the main reason why Qingdao has the highest incidence of gout in the world. An epidemiological survey from Qingdao University showed that the incidence of gout among adult males in Qingdao is as high as 2.2%, which is 2 times higher than the national average of 0.96%. And all kinds of meat is also the most common "drink dishes".Pairing these high-purine foods with alcohol is like adding insult to injury, further increasing the risk of gout attacks.

According to an April 20, 2004 report in Health News, Dr. Hyun Kyu Choi's group at Massachusetts General Hospital, part of Harvard Medical School, published a paper in the medical journal The Lancet stating:Compared with non-drinkers, men who consumed more than 50g of alcohol per day were 2.5 times more likely to suffer from gout; men who consumed 30-50g of alcohol per day were twice as likely; those who consumed 15-30g of alcohol per day were 50% more likely; and those who consumed 10-15g of alcohol per day had a 30% higher chance of suffering from gout.

So, whether you already have gout or not, it's better to drink this alcohol sparingly, preferably not at all.

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There are more than 500 million Chinese drinkers, and almost all adult males have drank alcohol; Chinese people have been exposed to alcohol since birth; babies' full-moon wines, children's promotion wines, graduation break-up wines, wedding wines, housewarming wines, socializing wines, begging wines, and even meals at home without a reason to have some wine.

Whether it is the production of liquor, or the number of alcoholics, in recent years is a continuous growth; consequently, the incidence of diseases related to frequent and excessive alcohol consumption is also significantly higher, gout is one of them.

Alcohol, a wide variety, high and low purine content

There are many types of alcohol in the world, and each country and region has its own alcohol that fits the local culture and environment. However, all spirits can be categorized according to their production process: distilled spirits, fermented spirits and prepared spirits.

Low purine content in distilled spirits

Baijiu is a familiar distilled spirits, foreign representatives are brandy, whiskey, rum, vodka, gin; the original fermentation of this type of alcohol first after brewing, and then after distillation cooling, and ultimately get a high number of alcoholic beverages in solution. After distillation of the alcoholic solution, purine content is reduced to white wine, for example, its purine content of about 2mg/100g, so white wine belongs to the ultra-low purine food.

Combatants drink 95° vodka.

Fermented wines represent beer not low in purines and red wine not low in fructose

Fermented wine, also known as brewing wine, is made mainly from grains and fruits, with grains brewing wine such as beer and fruits brewing wine such as wine. Fermented wine retains the original flavor of the brewing materials, but also retains the purine content of the brewing materials. The purine content of beer is about 80mg/100g, while the purine content of wine is about 2-5mg/100g. It can be seen that the purine content of beer is more than 75mg/100g, which belongs to the high-purine food, while wine belongs to the low-purine food.

However, according to the sugar content of wine is divided into dry, semi-dry, semi-sweet and sweet type, although usually we drink more dry red (sugar content is very low), but because the people are not used to its taste, and will often be seen in the Sprite drinking method, but increased its fructose content. Excessive intake of fructose will also affect the blood uric acid, after the article in detail.

Blends are complex and vary in purine content, depending on the type and amount of additives.

Mixed drinks are typically represented by Chinese medicinal wines and foreign cocktails, respectively.

The blending of medicinal wines needs to follow the principles of compounding of Chinese herbs, and the added ingredients are complex, ranging from botanical herbs to animal herbs; the ingredients dissolved into the wine usually contain alkaloids, tanning, salts, volatile oils, organic acids, lipids, and polysaccharides.

Cocktails are often made with distilled spirits or wine as the base spirit, and then fruit juices, syrups, egg whites, milk, coffee, salt, carbonated beverages, cream, etc., are added according to taste and visual effect needs.

In addition to focusing on purine intake, factors affecting uric acid excretion are equally important in controlling uric acid

Hyperuricemia is the most important causative factor of gout, and is the biochemical basis for the development of gout. Uric acid in the body is metabolized every day, and there is a dynamic balance between the production and excretion of uric acid, so that the blood uric acid is constantly renewed and yet maintained in the normal range. However, any factor that causes an increase in the source of uric acid in the body and a decrease in its excretion can lead to hyperuricemia.

And clinical data show that 90% of gout patients have impaired uric acid excretion; so, in a sense, avoiding factors that affect uric acid excretion is more important than reducing purine intake.

And [alcohol] itself is one of the factors that has the most serious effect on uric acid excretion.

Total alcohol intake is positively correlated with elevated blood uric acid, and excess alcohol can cause a buildup of lactic acid and ketone bodies in the body, which are strong inhibitors of uric acid excretion and inhibit uric acid excretion.

Many old gout patients know in their own hearts that as soon as they drink or drink more than a certain amount of alcohol, they will definitely have a gout attack in the early hours of the next morning.

These ingredients in wine also affect blood uric acid levels

Guanine nucleotides in beer

Gout have some understanding of friends certainly know: beer alcohol content than liquor is too low, but the impact is too high than liquor. This is because the purine contained in beer is not high, but it is a variety of wine in the highest purine content; and its rich guanine nucleotides are the most easily absorbed by the human body, can easily elevate blood uric acid.

Fructose in sweet wines, cocktails

Fructose in sweet wines, syrups added to cocktails, fruit juices, and carbonated beverages can also affect uric acid excretion. Fructose produces more uric acid by accelerating purine metabolism and inhibits the reabsorption of uric acid in the kidneys, reducing uric acid excretion.

These habits when drinking alcohol can also affect blood uric acid

Cup of wine, often unknowingly eat more high purine, high protein, high calorie, high fat food. Not only purine intake soared, fats, salt, fructose and other substances that affect purine excretion will also be consumed too much.

At home every meal drink one or two white wine or a bottle of beer friends, although each meal does not seem to be much, but persistent drinking state, the kidneys will continue to be in a "low-efficiency" excretion of uric acid state, so that the blood uric acid slowly and continuously rise.

The amount of alcohol consumed at a dinner party is difficult to control. Beer 2 bottles is the start, 3-5 bottles is not much; white wine drunk is also drinking like water. If this happens to gout patients, it is very easy to induce an acute attack of gout, very undesirable.

summarize

The danger of alcohol consumption for gout lies most notably in the fact that alcohol severely affects the excretion of uric acid, not its purine content. The more you drink, the more pronounced the effect on blood uric acid.It is recommended that acute attacks of gout patients "do not drink"; gout remission and uric acid stable control in the 360umol / L or less friends, you can occasionally, a small amount of low-alcohol, low-purine dry red wine, in order to solve the addiction to alcohol.

I am Dr. Qiao Fang from the Department of Rheumatology and Immunology, formerly a general practitioner at Sichuan Provincial People's Hospital. It is not easy to organize and publish! If you agree with my point of view, please help to point a concern or point a praise; if you have a different point of view, you are also welcome to leave a message below, we can discuss together; you can also be forwarded to your side of the need of friends; thank you!

Alcohol is one of the obvious causes of gout attacks.

For gout patients, in order to stabilize and control the condition, it is recommended to avoid drinking alcohol as much as possible, especially for acute gout patients, strictly avoid drinking alcohol.

For those who find it difficult to give up alcohol, it is recommended to drink alcohol during gout remission, but pay attention to the type, amount and frequency of alcohol consumption; it is recommended to drink red wine first, then white wine, while beer and yellow wine are strictly prohibited, both in acute and remission.

The effects of alcohol gout are mainly reflected in the effects on uric acid levels, which are manifested in the following ways: direct inhibition of uric acid excretion from the renal tubules, causing elevated blood uric acid levels and inducing gouty attacks. Increased production of lactic acid further inhibits renal excretion of uric acid, which in turn elevates uric acid levels.

Beer, yellow wine in the fermentation process will produce a large number of purine compounds, and purine is the precursor of uric acid, drinking will directly elevate the level of uric acid in the blood; some people will eat a lot of high-purine food when they drink alcohol, but also increase the level of uric acid in the blood, inducing gout.

Therefore, for gout patients, in order to stabilize and control their condition, it is recommended to avoid drinking alcohol, especially beer and yellow wine. If people have difficulty in giving up alcohol, they can consume red wine appropriately.

There is still controversy about whether drinking red wine increases the incidence of gout. Overall, drinking light or moderate amounts of red wine has little effect on gout.

White wine has a lesser effect on gout compared to beer and yellow wine, but it can have a greater effect compared to red wine.

For those who are difficult to quit drinking, according to the consensus opinion of relevant guidelines in China, gout patients should strictly limit alcohol consumption, in which men drink less than 2 alcohol units per day, and women drink less than 1 alcohol unit, and 1 alcohol unit is about 14g of pure alcohol, which is equivalent to 145mL of red wine with 12% alcohol content, 497mL of 3.5% beer or 43mL of 40% liquor.

I hope that you correctly understand, for the sake of your health, gout patients should try to avoid drinking alcohol, it is difficult to stop drinking people should strictly limit the amount and frequency of alcohol, red wine is the best choice.

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Many gout sufferers have experienced this: a large drink is certainly painful, but the next day the joints of the toes should suffer.

After the detection of high uric acid, the doctor will also recommend quitting smoking, many patients do not understand: the purine content of alcohol is not high ah?

Alcohol consumption is one of the most important triggers of gout attacks

Clinically, there are many causes of gout attacks, including excessive alcohol consumption. Clinically, more than half of the patients have triggers present before an acute attack, of which, beer consumption is the most common.

Why does drinking alcohol trigger gout attacks?

1, purine after oxidation, the final metabolite is uric acid, and ethanol will accelerate the rate of purine synthesis, a short period of time can increase the concentration of uric acid, ultimately leading to a surge in uric acid levels.

2, ethanol into the human body after the metabolites for lactic acid, large amounts of alcohol can increase the lactic acid content in the body, and lactic acid will inhibit renal tubular excretion of uric acid, thus reducing the excretion of uric acid. In addition, lactic acid can cause acidification of the blood, so that the solubility of uric acid decreases, and the possibility of uric acid formation of crystals is greatly increased.

3, ethanol in the liver metabolism will absorb a lot of water in the body, so that the blood viscosity will increase, resulting in the original saturated state of uric acid, and ultimately dehydration to form crystals.

4, Chinese people are accustomed to eating food while drinking, so invariably may be ingested a large number of high-purine, high protein, high-fat food, stacked on top of each other, it is difficult to ensure that gout does not come to you.

Although the purine content in beer is low, it contains many substances that will be converted into purines when they enter the body, so beer is the last drink that gout sufferers should mess with.

Alcohol is a catalyst for gout. It disrupts the normal diet and indulges the uric acid nuisance in the body, which can be harmful to gout sufferers. Therefore, so gout sufferers are advised to declare war on alcohol.

Water is the best drink, especially for gout sufferers.

For people with gout and high uric acid, plain water is the best drink. When you drink more water, the amount of urine will increase, and with it, the amount of uric acid excreted will also increase. As long as there is no problem with kidney function, you should drink more water, at least 1,500 ml of water per day in addition to normal diet, of course, if patients feel that it is a burden to drink so much plain water, they can replace it with light tea, vegetable juice, fruit juice to replenish water.

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Indeed gouty people should avoid high purine diet! Beer and yellow wine are high in purine content, inducing gout attack index of five stars, gouty people try not to drink!

And other wines: like red and white, can I drink them? Try not to drink them!

Red and white wines, while not high in purines, contain alcohol, which affects uric acid in two main ways.

For one thing, alcohol is metabolized in the body to lactic acid, causing a buildup of lactic acid in the body, which is known to competitively inhibit the excretion of uric acid by the kidneys. Off-topic: the same principle applies to yogurt, which is why people with gout should not drink yogurt either.

Secondly, alcohol promotes the conversion of adenine nucleotides and accelerates the breakdown of adenosine triphosphate in the body. Excessive breakdown of adenosine triphosphate increases adenine nucleotides, which undergo dephosphorylation to bring about adenosine and increase uric acid production.

In short, people with gout, drink a lot of water, is the best way to diuretic, alcohol-containing try not to drink if you can.

Alcohol is something that people with gout should quit, after all, only they know when it hurts.

Alcohol is prohibited for gout patients, and alcohol is also one of the important factors that induce gout. Because after alcohol is ingested into the body, it will generate a large amount of lactic acid in the body, lactic acid is also excreted through the kidneys, which will make uric acid and lactic acid in the body to form a competition, which can inhibit the excretion of uric acid, so as to make the level of uric acid increased.

Therefore, gout patients are not allowed to drink alcohol to avoid recurrent gout attacks. In life, you can eat more fresh vegetables and fruits rich in vitamin C, which can promote uric acid excretion.