Lifestyle changes cannot cure gout, but they can help control uric acid levels in the blood, which lead to gout attacks. Lifestyle recommendations include:
Uric acid is created by the breakdown of purines found in certain foods. Avoid or limit foods and beverages that are high in purines such as:
Blood uric acid levels can also be influenced by some foods and beverages that aren't high in purines such as:
A well-rounded healthful diet is important for overall well-being and maintaining a healthy weight. Be sure to get adequate amounts of calories, protein, and calcium. In general, eat less saturated and more mono- and polyunsaturated fats. Increase intake of fruits, vegetables, and whole grains. Excess weight can put extra stress on your joints. If you are overweight, talk to your doctor or a dietitian about dietary options.
It's important to drink plenty of fluids throughout the day. Fluids help flush uric acid from the body and help prevent recurrent gout attacks.
Talk to your doctor about adding bing sweet cherries and/or vitamin C supplements to your diet. These may help reduce uric acid levels and gout symptoms.
Be an active participant in your care. Talk to your healthcare team about symptoms or treatments that you are having difficulty with. Other treatments options may be available to help you better manage your health.
Gout. American College of Rheumatology website. Available at: http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Gout. Accessed February 24, 2020.
Gout. EBSCO DynaMed website. Available at:http://www.dynamed.com/topics/dmp~AN~T115215/Gout. Accessed February 24, 2020.
Gout. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: https://www.niams.nih.gov/Health_Info/Gout/default.asp. Accessed February 24, 2020.
Gout management—prevention of recurrent attacks. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T474277/Gout-management-prevention-of-recurrent-attacks. Accessed February 24, 2020.
Gout management—treatment of acute attack. EBSCO DynaMed website. Available at:http://www.dynamed.com/topics/dmp~AN~T474276/Gout-management-treatment-of-acute-attack. Accessed February 24, 2020.
Gout self care. Arthritis Foundation website. Available at: http://www.arthritis.org/about-arthritis/types/gout/self-care.php. Accessed February 24, 2020.
What are purines and in which foods are they found? World's Healthiest Foods website. Available at: http://www.whfoods.org/genpage.php?tname=george&dbid=51. Accessed February 24, 2020.
Last reviewed January 2020 by EBSCO Medical Review Board David L. Horn, MD, FACP Last Updated:1/21/2020