Gout (scientific name: metabolic arthritis) is a result of purine metabolism, a disease caused by uric acid accumulation, is a form of arthritis, also known as metabolic arthritis.


Normally, women won’t suffer from gout before the age of 50 because the estrogen can inhibit the formation of uric acid; but after menopause will increase the attack rate. Due to the concentration of uric acid in human blood is too high, the formation of needle-like crystals in soft tissue such as the joint membranes or tendons, resulting in the body's immune system overreaction (sensitive) and cause painful inflammation.


It usually attack the big toe joint, ankle joint and knee joint. Long term gout patients have seizures in the fingers of the joints, and even the soft tissue parts of the ear. Redness, swelling, heat, intense pain will be occurred when having acute gout attack, and has a high probability to happen at midnight that make people wake up from sleep. In the early stage of gout, seizure is more common in lower limb joints.


The nursing gout:

  1. Limit purine intake at 150 mg per day or less.
  2. Limit the total daily heat energy, gout patients should control their weight, total daily calories should be less than normal by 10% to 15%. Do not eat too much snacks nor eat too much at each meal.
  3. Eat more alkaline base food, uric acid in alkaline environment is easy to dissolve, one should eat more vegetable, fruits, nuts, milk and other alkaline foods.
  4. Drink more water and don’t drink any alcohol, plenty of moisture in favor excretion of uric acid, it is recommended to drink 3000 ml water per day (about 10 cups of water or more), as well as, night time too.


The above information is brought to you by Dr. Wong Soi Kuan from Health Care Centre Main Campus