A Painful Disease called Gout

Gout is another common lifestyle disease caused by increased uric acid which can crystallize into joints causing severe pain and inflammation especially the big toe, though other joints can also get involved and in severe disease can have growth like lesions called tophi over this joints. You can also have uric acid stones in the kidneys. In Malaysia the Malays seem to have a slightly higher incidence compared to other races.

Though genes do play a role in gout, lifestyle aggravates the condition. Diet is the mainstay in prevention as the drugs can have side effects. A low purine diet is recommended to reduce the production of uric acid in the body.

Purine containing foods can be divided into the following groups:

Group 1 – Foods from this list should be omitted by patient with gout.

  • Anchovies (Ikan Bilis)
  • Goose
  • Heart
  • Kidney and Liver
  • Meat extracts
  • Minced Meat
  • Mussels
  • Roe
  • Sardines
  • Scallops
  • Sweetbreads
  • Yeast – Bakers and Brewer

Group 2 – Only one serving or half cup vegetables from this group or two to three ounces (3 match box size) portion of fish, meat or poultry per day is allowed.



  • Fish
  • Poultry
  • Meat
  • Shellfish
  • Baked beans
  • Dried peas
  • Dhal
  • Asparagus
  • Mushrooms
  • Cauliflower
  • Peas
  • Spinach (Bayam)


Helpful Suggestions

  1. Only 3 oz. or 90 gram (3match box) of meat, fish or poultry a day is allowed. One oz. per meal is to be used.
  2. During acute periods of illness; meat, fish or poultry maybe omitted entirely. Eggs, tau foo and milk maybe used instead.
  3. Excessive use of fat in cooking such as in fried rice, fried noodles should be restricted.
  4. The amount of coffee, tea and cocoa consumed should be restricted as well.
  5. Alcohol should be avoided or consumed in strict moderation.
  6. At least 6 to 8 glasses of water should be consumed and taking Vitamin C 1000mg can help in reducing uric acid.

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