What can be eaten for gout?

Jul 16, 2025 Source: Cainiu Health
Dr. Yang Tiesheng
Introduction
Gout patients can generally consume foods such as wax gourd (winter melon), celery, tomatoes, cucumbers, apples, and medications including allopurinol tablets, febuxostat tablets, benzbromarone tablets, diclofenac sodium enteric-coated tablets, and colchicine tablets. Gout patients should combine dietary control with pharmacological treatment. Food choices should primarily be low in purines, and increased water intake is recommended to promote uric acid excretion.

Gout patients can generally consume foods such as wax gourd (winter melon), celery, tomatoes, cucumber, apples, etc., and take medications such as Allopurinol Tablets, Febuxostat Tablets, Benzbromarone Tablets, Diclofenac Sodium Enteric-coated Tablets, and Colchicine Tablets. Detailed explanations are as follows:

I. Foods

1. Wax gourd (Winter melon): It is a low-purine food with high water content, which can promote urine production, help excrete uric acid from the body, and has low calories, thus not increasing metabolic burden. It is suitable for daily consumption by gout patients and can be eaten cold-mixed or in soups.

2. Celery: Low in purines and rich in dietary fiber and potassium, celery can promote intestinal motility, regulate water balance in the body, assist in lowering uric acid levels, and is suitable for stir-frying or as a side dish.

3. Tomatoes: Extremely low in purines, tomatoes are alkaline-forming foods that can neutralize acidic substances in the body, promote uric acid dissolution, and increase uric acid excretion. They can be eaten raw or after cooking and are an ideal vegetable choice for gout patients.

4. Cucumber: High in water content and extremely low in purines, cucumbers contain malonic acid, which can inhibit the conversion of carbohydrates into fat while promoting urine excretion and accelerating uric acid metabolism. They are suitable as snacks or salad ingredients.

5. Apples: As low-purine fruits, apples are rich in pectin and vitamins, which can promote intestinal motility and help eliminate metabolic waste from the body. Being alkaline-forming foods, apples can also help regulate the body's acid-base balance and are suitable for moderate daily consumption.

II. Medications

1. Allopurinol Tablets: By inhibiting xanthine oxidase, these tablets reduce uric acid production and lower blood uric acid concentration. They are indicated for primary and secondary hyperuricemia, especially for patients with excessive uric acid production and reduced excretion.

2. Febuxostat Tablets: As xanthine oxidase inhibitors, these tablets selectively inhibit uric acid synthesis, lower serum uric acid levels, and are indicated for hyperuricemic patients with gout symptoms. They are not recommended for asymptomatic hyperuricemia.

3. Benzbromarone Tablets: As uricosuric agents, these tablets inhibit the reabsorption of uric acid in renal tubules, increase uric acid excretion, and lower blood uric acid concentrations. They are indicated for primary hyperuricemia, the intercritical phase of gouty arthritis, and tophaceous gout.

4. Diclofenac Sodium Enteric-coated Tablets: As non-steroidal anti-inflammatory drugs (NSAIDs), these tablets can relieve joint pain and swelling during acute gout attacks, reduce inflammatory responses, act quickly, and are suitable for short-term use during the acute phase of gout.

5. Colchicine Tablets: These can inhibit local cells from producing inflammatory mediators such as leukotrienes, reduce inflammation, and relieve pain during acute gout attacks. They are mainly used during acute gout attacks and should be used as early as possible after an attack occurs.

Gout patients need to combine dietary control with drug therapy. Food choices should mainly be low-purine, and increased water intake is recommended to promote uric acid excretion. Medication use must strictly follow medical instructions, with regular monitoring of serum uric acid levels. Patients should avoid adjusting dosages or discontinuing medications on their own.

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