Question

My husband has a history of uric acid (above 6), vid d deficiency also. He also has varicose veins. He is experiencing extreme pain around his knee area plus swelling if sits for prolonged hours. He was advised to take febuget, d3 injection twice a month along with that pain killers, but the medicines make his stomach upset
kindly suggest medicines and exercises.

Dr.Hariharan · Accepted Answer

It is reversible 100 % with diet
please contact mobile in what's app if you have gout, a form of arthritis characterized by the accumulation of uric acid crystals in the joints, it's important to follow a diet that helps manage your condition. The following are some dietary recommendations for individuals with gout, based on an indian diet:
1. Limit purine-rich foods: purines are compounds that break down into uric acid in the body. Foods high in purines can increase uric acid levels and trigger gout attacks. Limit or avoid purine-rich foods such as organ meats (liver, kidneys), red meat (beef, lamb), seafood (anchovies, sardines, shellfish), and certain legumes (lentils, chickpeas).
2. Increase low-fat dairy intake: low-fat dairy products, such as milk, yogurt, and cheese, have been associated with a lower risk of gout. They contain proteins that may help lower uric acid levels. Choose low-fat or skim varieties, and aim for 2-3 servings per day.
3. Consume plenty of fruits and vegetables: fruits and vegetables are generally low in purines and high in fiber and antioxidants, which can be beneficial for managing gout. Include a variety of colorful fruits and vegetables in your diet, such as berries, cherries, citrus fruits, leafy greens, tomatoes, and bell peppers.
4. Emphasize whole grains: whole grains like brown rice, whole wheat, oats, and quinoa are healthy carbohydrate sources that provide fiber and nutrients. They can be included in meals to replace refined grains.
5. Stay hydrated: drinking an adequate amount of water helps in flushing out uric acid from the body. Aim for at least 8-10 glasses of water per day, and include hydrating fluids like coconut water, herbal teas, and low-sugar fruit juices.
6. Limit alcohol and sugary beverages: alcohol, especially beer, can raise uric acid levels and trigger gout attacks. It's best to limit or avoid alcohol consumption. Additionally, sugary beverages like soft drinks and sweetened fruit juices should be minimized, as they may contribute to weight gain and worsen gout symptoms.
7. Moderate your intake of protein: while high-purine protein sources should be avoided, it's still important to consume moderate amounts of protein for overall health. Include lean sources of protein like skinless poultry, eggs, low-fat dairy, and plant-based proteins like legumes and tofu.
8. Control portion sizes and maintain a healthy weight: excess weight can increase the risk and severity of gout attacks. Watch your portion sizes, avoid overeating, and focus on achieving and maintaining a healthy weight through a balanced diet and regular physical activity.
Remember, it's always a good idea to consult with a healthcare professional or registered dietitian who can provide personalized dietary advice and guidance based on your specific needs and medical condition. Dr. hariharan dhamodharan m.s.ortho d.n.b.ortho.

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