I am 61 years old, male and suffering from gout, high b p and cholesterol. Please advise a medicine. Regularly I am taking medicine for high bp [ltk 25 ; losartan potassium ip 25 mg ] cholesterol [ecosprin 75 [acetylsalicyclic acid/ aspirin ] and when gout problem increases zyloric acid tab.

Dr. Sumaiya PetiwalaDietitian/Nutritionist12yrs exp

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There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: maintain a high fluid intake (2-4 liters a day) avoid alcohol maintain a healthy body weight eat a balanced diet limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: beef kidneys brains dried beans and peas liver mackerel mushrooms lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications. 

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