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I've heard that drinking regular soda pop can give you gout. Is that true?
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Gout is a crystal-induced form of arthritis because of a problem with the breakdown of uric acid. Uric acid is a compound that forms when purine is metabolized (broken down) and passed out of the body through urine.
Purines are found in high concentration in meat and meat products, especially internal organs such as liver and kidney as well as some fish products. Plant based foods such as vegetables are generally low in purines but eating vegetables with purine content does not contribute to this problem. The rate of this form of arthritis is on the rise and it has been linked with obesity and metabolic syndrome. The increased intake of fructose-sweetened soft drinks has also been linked with an increased risk of gout but it doesn't cause gout.
Food does account for about one-third of the body's daily uric acid load. The rest comes from mechanisms within the body that produce this compound. When it is not passed out of the body through the kidneys and intestines, just the right conditions in the body result in the formation of uric acid crystals called tophus.
It's these crystals that form in the joints causing attacks of joint pain, swelling, and even oozing of crystals from the affected joint. The big toe is a common target for crystal formation in gout, but the ear and elbow are also common sites for crystal formation. Without visible formation of crystals, doctors diagnose this problem by examining fluid taken from inflamed joints. The crystals are clearly seen when the fluid is observed under a special polarized light microscope.
Once the problem has been diagnosed, treatment of the acute attack is with medications such as nonsteroidal antiinflammatories (NSAIDs). Chronic cases of gout are treated using a management model that involves lifestyle changes in diet, weight loss, and exercise. Eliminating foods and beverages high in fructose is one important strategy. Control (not cure) comes through the use of medications designed to reduce urate acid levels in the body.
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*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic. |
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