It is believed that many people know that hyperuricemia can trigger gout attacks, and dietary control is a basic measure to correct hyperuricemia. However, some patients still have frequent gout attacks despite good dietary control, and there are 3 possible underlying causes:

1. Renal insufficiency

Hyperuricemia is mainly caused by an increase in the production of uric acid and/or a decrease in the excretion of uric acid. Dietary control only reduces the production of uric acid from the source, but the body can still synthesize uric acid from the diet. If the patient's renal insufficiency, it will lead to reduced excretion of uric acid, in fact, the hyperuricemia disease has not been corrected, thus triggering frequent gout attacks. In addition, some studies have shown that high blood sugar and high blood fat can induce acute attacks of the original gout, so it is equally important to control blood sugar and blood fat.

2. Drugs

Some patients with hypertension, coronary artery disease need to take long-term antihypertensive drugs such as furosemide, hydrochlorothiazide and other diuretics, or antiplatelet aggregation drugs aspirin, and these drugs can acidify the urine, thereby reducing the excretion of uric acid, resulting in gouty attacks. In addition, taking uric acid-lowering drugs if the uric acid drops too fast, will cause the original gout stone dissolution, and induce acute gout attacks.

3. Self-factors

In addition to avoiding a high-purine diet, patients should also pay attention to avoiding cold, fatigue, strenuous exercise, emotional fluctuations in life. At the same time, trauma, surgery, infection, radiotherapy and other factors can also cause acute attacks of gout. Special reminder of the sports family, according to the National Rheumatic Diseases Data Center's "gout hyperuricemia patients multi-center network registration and follow-up study" data show that strenuous exercise is the third cause of gout attacks in male and female patients. Sudden exposure to cold was the second trigger for gout attacks in women and the fifth in men. Therefore exercise must be controlled moderation, not excessive.

Some scholars carried out diet and exercise intervention for 441 cases of hyperuricemia patients for 3 months, and the exercise mainly chose walking, jogging, dancing (slow rhythm), playing Tai Chi, sword dancing and so on. Aerobic exercise was suitable for moderate exercise, which was performed 1 hour after meals, about 1 hour per day, 5 times per week. The patients' blood uric acid level decreased significantly after the intervention compared with that before the intervention. In conclusion, it is recommended that gout patients choose aerobic exercise, the intensity should not be too high, the time of exercise should not be too long, moderate intensity, aerobic exercise is appropriate to prevent joint strain.

No matter what the cause of gout, frequent attacks not only aggravate the patient's pain, but also cause deformation of the joints, limited activities, so it is still necessary to go to the hospital in time for treatment, a clear cause of the disease, the best policy. Finally, we must also remind friends of gout, today's market health care products are uneven, are claimed to reduce uric acid, treatment of gout, a lot of health care products are in fact illegal to add Western medicine ingredients to have the effect. Therefore, do not blindly believe in health care products, gout attack or to the regular hospital under the guidance of the doctor or pharmacist to identify the cause of gout, symptomatic treatment.