Can patients with gout drink red wine?

Gout patients are not advised to drink red wine, and the main reasons can be summarized as follows: 1. **Effect of alcohol metabolism**: Red wine contains alcohol, which produces lactic acid during metabolism in the human body. Lactic acid competes with uric acid for excretion through the kidneys, thereby inhibiting the elimination of uric acid and increasing its levels in the body. This is detrimental to gout patients because gout is caused precisely by elevated uric acid levels. 2. **Increased uric acid production**: Alcohol also promotes the conversion of adenosine nucleotides, accelerating the breakdown of ATP in the body. This process increases the production of uric acid, further worsening the condition of patients with gout. 3. **Triggering gout attacks**: Alcohol and other components in red wine may stimulate the body to produce more uric acid, triggering gout attacks or exacerbating existing symptoms such as joint redness, swelling, and pain.