Search This Blog

Wednesday, August 7, 2013

Cherries Good for Gout?



Cherries are good for Gout!  I have heard that from many different people I know and from the web.  

However, how much and how often should we eat? 

Then I started searching the web and got the following from BBC.

http://www.bbc.co.uk/news/health-19746453

The study showed that eating cherries has 35% lower risk of Gout attack.  If taking the common anti-gout drug allopurinol at the same time, the risk is 75% lower.  It sounds pretty attractive.  However, it also stated that it needs eating up to 3 servings (10 -12 cherries/serving) over the two days before an attack.  Eating more will not gain extra benefit.   

I have not tried this out as cherries are kind of expensive in Hong Kong and are not sold very often.   I can only eat cherries couple times a year.   If you have experience of eating cherries for helping Gout attack, please share your experience with us. 







Monday, July 15, 2013

How much water should I drink after exercise?


Following up my previous post of Gout and Water , a male with gout should drink 3 litres or 12.5 glasses (2.16 litres or 9 glasses for female) of water each day. However, this target is for a person with normal workout.   How about if I do exercise/sports regularly?  As in my other post, sports could trigger gout attack as sweating could increase the uric acid concentration in blood.   Hence, we need to drink more water than the others.   So, how much water should I drink after exercise?   This is the question I used to have no definite answer.    "More" was the only answer.  However, it is very difficult to quantify "more".  


Fortunately, I had a chance to talk with my nutritionist.  "Six more glasses for each hour of exercise" , she said. "Just two glasses before the exercise, two during the exercise and two afterward".  How much water in one glass? "250 ml", she replied.  So, an hour of exercise needs 1.5 litre water. That’s 50%  more than a regular intake.  Her reply also corrected my misunderstanding of drinking water.  I used to think we need more water after exercise. The correct one is to drink before, during and after exercise.  


I further checked this topic on the web and found that there are even suggestions of exactly when to drink water.  The first is to drink water up to 15 minutes prior to the exercise.  Second is to drink water per 15-30 minutes while exercising.  However,  there is no exact time for drinking water after exercise.  The sites also suggest calculate the weight loss after exercise to replace the right amount of fluid. For 1-lb weight loss, 500-700ml of fluid is needed.


In short, here are 2 equations for your reference.


Equation 1 for no exercise:
12.5 glasses x 250ml  = 3, 000 ml = 3 litre per day
Equation 2 for 1 hour of exercise
12.5 glasses + 6 glasses = 18.5 glasses x  250ml  = 4500 ml = 4.5 litre per day


Of course, there are other factors affecting the dehydration.  External factors include  temperature and humidity.  Individual sweating rate and workout intensity also play their parts. Nevertheless, the above equations should give us an idea of how much to drink.  


Same as most people, I used to use “thirst” as an indicator for how much water I should drink after exercise.  Now, with the simple equations, I can easily plan my water intake.  For professional athletes, proper hydration can improve their performance.  As a person with gout, I just need to minimize the chance of  gout attack.  Hope this help!


Suggested Reading

Thursday, January 24, 2013

Soup causing Gout?

Soup is one of  the favorites in Chinese dishes, especially for Cantonese.  In Chinese restaurant, it is usually served before or in the middle of the meal.  It is also commonly served with noodles.   While at home, we tend to have the soup before and after meal.  Some people even have soups almost everyday.  I used to have soups twice or three times a week.  


There are two ways that Chinese prepare their soups, namely quick-boiled and slow-boiled or called “old fire soup”.  For quick-boiled soup, we just put all the ingredients into the boiled water until everything is cooked.  It usually takes five to ten minutes.  For the slow-boiled soup,  the process is much longer.  It can take up two to three hours.


What do we put in the slow-boiled soups?  Usually, we have many different ingredients such as meats, bones, vegetables, and sometimes Chinese herbs or medicine.   While Chinese believe that slow-boiled is good for our health,  it is  actually bad for gout. The reason is simple enough to understand.  The long boiling process actually dissolves the purine in the meat into the water.  So after two to three hours, the soup has much purine in it.  Having such soup is like having a high does of purine and can increase the uric acid concentration in blood shortly.


One would think that soups in restaurants should be better.  However, restaurants usually would not spend two to three hours to prepare soups.  Otherwise, the cost would be high.   Therefore, cost is also the reason they would minimize the total amount of ingredients in the soups.  How can we have soups that have good favor with a low cost?   Additives is the answer. Hence, additives are usually added to enhance the favor.  As stated in my previous post, some additives can increase the purine level.  The worst of the soups in restaurant is, we don't know what actually has been put into the "soup" for the favors.  Bones?  Seafood? It's just an unknown.  Canned soups and instant noodles share the same problem.   Even in western restaurant, I notice that most of the soups have mushrooms or clam which has high purine.


Soup is something that I did not aware of since it is in my Chinese culture.   In the past, I would have one bowl before the meal and one after.  I would also drink the soup in the cup/instant noodles.  I just did not know it is bad for gout.  Until I read more and more about the gout, I started to realize that soup could be one of the cause of my gout. Now, I would not have soup while eating outside.  Even at home, I have only half bowl of it.  Half bowl seems to be the right amount that I can bare.  


For those who really love soups, I think quick-boiled soup is the only choice.


Suggested Reading

1. MSG/Additives, causing Gout Attack?

2. Chinese News regarding Soups and Gout 1 (need to use google translate to English)
3. Chinese News regarding Soups and Gout 2 (need to use google translate to English)