Gout attack!!
The good part of course is, its my left foot so I still can drive :-) And I can worknow barefoot :-) Wonderful advantage of having my own office. it is still not full blown so I am hopeful my flooding my system with lots of fluids might still work.
What is gout?
Gout is a common type of arthritis (joint inflammation). It causes sudden bouts of pain and swelling, usually in just one or two joints (the ball of the foot is commonly involved), and which, left untreated, last from days to weeks. These bouts of acute gouty arthritis are also called gout attacks.
Gout affects men (middle-aged generally) much more often than women. Gout is closely linked with the body's level of uric acid - a normal breakdown product of digesting certain foods. High uric acid levels and gout attacks can be treated by your doctor. ....
Table 1: High or low purine food sources
| Food Sources of Purine | Total purine content (mg of purine/100 g food) |
| Liver | 286.4 |
| Kidney | 230.8 |
| Poultry | 130.7 |
| lamb, roasted, chop | 127.5 |
| Pork, roasted, chop | 119.0 |
| Fish, white, fresh | 115.9 |
| Mushroom, fresh | 46.9 |
| Bread, crusted | 15.7 |
| Bread, white | 12.2 |
| Wheat flour | 11.5 |
| Cottage cheese | 8.0 |
| Plain yogurt | 7.0 |
| Rice, cooked | 5.9 |
Table 2: Purine content in meat organs, seafoods (fresh and canned), and vegetables (legumes).
| Purine food sources | Total purine content (mg/100 gram food) |
| Organ meats | Total purines |
| Pork liver | 289 |
| Chicken liver | 243 |
| Chicken heart | 223 |
| Beef kidney | 213 |
| Beef liver | 197 |
| Beef heart | 171 |
| Lamb heart | 171 |
| Beef brain | 162 |
| Lamb liver | 147 |
| Fresh seafoods | |
| Anchovies | 411 |
| Sardines | 345 |
| Salmon | 250 |
| Mackerel | 194 |
| Clams | 136 |
| Squid | 135 |
| Canned seafoods | |
| Sardines | 399 |
| Herring | 378 |
| Anchovies | 321 |
| Mackerel | 246 |
| Shrimp | 234 |
| Tuna | 142 |
| Oysters | 107 |
| Salmon | 88 |
| Clams | 62 |
| Dried legumes | |
| Blackeye peas | 230 |
| Lentils | 222 |
| Great northern bean | 213 |
| Small white bean | 202 |
| Split peas | 195 |
| Pinto bean | 171 |
| Red bean | 162 |
| Large lima bean | 149 |
| Baby lima bean | 144 |
| Cranberry bean | 75 |
| Garbanza bean | 56 |
According to a study that compared free and total purine bases content in meat products (steak, beef liver and haddock fillets) before and after cooking, cooking appears to increase the level of free and total purine bases in a diet. Total purine content is based on the sum of all the four purine bases.
Table 3: Purine content in raw and cooked foods.
| Meat products | Total purine content (mg of purine/food) |
| Liver, raw | 202.2 |
| liver, boiled | 237.0 |
| liver, broiled | 236.1 |
| Steak, raw | 105.9 |
| Steak, boiled | 107.8 |
| Steak, broiled | 121.0 |
| Haddock, raw | 101.7 |
| Haddock, boiled | 94.7 |
| Haddock, broiled | 118.7 |
Table 4: Purine content in chicken parts (listed high to low).
| Purine sources | Total purine content (mg of purine/food) |
| Liver, chicken | 236.1 |
| Drumstick, chicken | 132.3 |
| Breast, chicken | 130.7 |
| Gizzard, chicken | 130.5 |
| Thigh, chicken | 126.5 |
| Skin, chicken | 104.6 |
Alcohol drinks also contain purines. There is strong association between high consumption of alcoholic drinks and uric acid levels in the blood, and consequently gout. Below are estimates of purine content in alcoholic drinks analysed by British researchers.
Table 5: Purine content in alcoholic drinks (beer).
| Alcohol drink | Total purine content (mg of purine/Litre) |
| Traditional British beers | 20.3 - 27.5 |
| Guinness | 23.8 |
| Lager beer | 17.7 |
| Home-brewed beer | 3.9 |
| Cider | 0.4 |
my dad had this for many years. and then, he had to have a bypass, and a few months ago, was diagnosed with liver failure.
ReplyDeletetime to watch your weight and exercise more, paul!
*sigh* I am now exercising more. ... at least weekly games and have now been doing some short morning exercises ....
ReplyDeleteooohh... forgot to mention - weight is ok :-)
ReplyDelete:):) well, i'm hoping this isn't a diet-related disease. my maternal grandma also had bad arthritis for as long as i can remember. she was always in pain and i just can't imagine living like that. i can't even bear it now when i get twinges of pain in my left knee!!!! (mostly from running on hard surfaces.)
ReplyDeleteThanks for your concern. It is food related ... :-)Saturday's pot luck was a heavenly feast! mmmmmmm.... and then of course I was experimenting with my meat dishes - and ikan billis is high in purine.
ReplyDeleteAnd then of course there was the left over beef spaghetti....and it so happened the night before we had tofu (high in purine as well) and salmon ...
Foot feels so much better today with my water treatment :-) But tonight I am going out for dinner ... meeting old friends from Malaysia who unfortunately love to eat :-)
*sigh* looks like I have to cancel tonight's dinner. Went visitation and just a very short slow walk has made me start hobbling again. Can't see how I can go to Queens Street, park, meet and walk and walk back again .... :-(
ReplyDeletetake care.. :)
ReplyDeleteThanks. Sad though as it was to be dinner with Peter and Audrey Tan ... and tomorrow I have a meeting and Jennifer has to be in Hamilton for training :-( By Friday, they will have flown back...
ReplyDelete