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Dr Neelam
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Dr NeelamBeginner
Asked: July 21, 20212021-07-21T10:20:41+00:00 2021-07-21T10:20:41+00:00In: Joint Pain

Uric acid

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What should be the treatment for raised uric acid ?

and diet plan for same patient?

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  1. Dr Gurudatta A. Amin Teacher
    2021-07-22T03:53:09+00:00Added an answer on July 22, 2021 at 3:53 am

    High plasma uric acid (UA) is a precipitating factor for gout and renal calculi as well as a strong risk factor for Metabolic Syndrome and cardiovascular disease. The main causes for higher plasma UA are either lower excretion, higher synthesis or both. Higher waist circumference and the BMI are associated with higher insulin resistance and leptin production, and both reduce uric acid excretion. The synthesis of fatty acids (tryglicerides) in the liver is associated with the de novo synthesis of purine, accelerating UA production. high intake of fructose-rich industrialized food and high alcohol intake (particularly beer) seem to influence uricemia. It is not known whether UA would be a causal factor or an antioxidant protective response. Most authors do not consider the UA as a risk factor but as presenting antioxidant function. UA contributes to > 50% of the antioxidant capacity of the blood. hence while treating patients with high uric acid we must take care of Obesity, High carb intake and oxidative stress .

    all our diet kits are efficient in reducing weight, reducing abdominal girth and rich source of antioxidants. also, we don’t allow Nonveg consumption during diet kit .

    hence in such cases, you can start any of the above-mentioned diet kits.

    Milk and salads are indicated in gout , some vegetables like spinach may have high purine, but studies show they don’t raise the risk of gout or gout attacks.

    if your patient has completed a diet kit then you can start with the following diet chart which will help him to control uric acid.

    this chart is designed by RD, Payal Banka (Registered Dietitian).

     

    Day 1
    Time Menu Quantity
    Empty Stomach Jeera Water (Jeera soaked overnight in water) 1 glass
    Breakfast Tomato Oats Chilla 2 no. (small)
    Cucumber Raita 1 cup
    Musk melon 2 small slices
    Mid-morning Green Tea 1 cup
    Lunch Sprout Salad 1 cup (Sprouts 30 gms)
    Multigrain Chapati 2 no.
    Vegetable 1 cup
    Dal ½ cup
    Buttermilk 1 cup/ 1 glass
    Snacks Roasted Makhana 1 cup
    Dinner Dudhi Soup 1 cup
    Boiled Quinoa ¾ cup
    Sambar 1 cup
    Vegetable 1 cup
    Buttermilk/sol kadhi 1 glass
    ( dairy items help in decreasing Uric acid)
    Bedtime Milk (no sugar) 1 cup
    Day 2:
    Time Menu Quantity
    Empty Stomach Cinnamon tea 1 Cup
    Breakfast Plain Paratha 1 Medium Size
    Paneer Bhurji with vegetable ½ cup
    strawberry 2-Jan
    Midmorning Roasted or soaked  Nuts 2 Almonds, 2 walnut halves
    Lunch Veggie Salad 1 cup
    Jowar Roti 1 no. (medium size)
    Leafy Vegetable 1 cup
    Moong dal ½ cup
    Buttermilk 1 cup/ 1 glass
    Snacks Almond milk 1 cup
    Dinner Bottlegourd raita 1 cup
    Chapati 2 no. medium
    Green Leafy Vegetable 1 cup
    Bed time Buttermilk 1 glass
    Day 3
    Time Menu Quantity
    Empty Stomach Soaked Methi with warm water 1 teaspoon soaked at night in 1/2 cup water
    Breakfast Vegetable Vermicelli Upma 1 cup
     Orange 2-3 slice
    Midmorning Lemongrass mint concoction 1 cup
    Lunch Veggie Salad 1 cup
    Chapati 2 no.
     Vegetable 1 cup
    Curd/ Buttermilk 1 cup/ 1 glass
    Snacks Sukha Bhel 1 cup
    Bottlegourd ginger juice 1 glass
    Dinner Mix Vegetable Salad 1 cup
    Bajra Roti 1 no. (medium size)
    Vegetable 1 cup
    Bed time Milk 1 cup
    Day 4
    Time Menu Quantity
    Empty Stomach Soaked Sabja seeds with water 1 teaspoon seeds + 1 glass water
    Breakfast Vegetable / egg Paratha 1 no.
    Curd 1 cup
    Midmorning Nuts (Almonds + Walnuts + Pumpkin Seeds 15 grams
    Lunch Mix Vegetable Salad 1 cup
    Chapati 2 no.
    Dudhi Vegetable 1 cup
    Masoor dal ½ cup
    Buttermilk 1 glass
    Snacks wheat khakhra 1 – 2
    curd 1 cup
    Dinner Tomato soup 1 cup
    Brown rice pulao 1 Cup
    Curd 1 cup
    Bedtime Buttermilk 1 Glass
    Day 5
    Time Menu Quantity
    Empty Stomach Dudhi juice 1 glass
    Breakfast Poha 1 cup
    Green Tea 1 cup
    Musk melon 2 slices
    Midmorning  soaked almonds 8 pieces
    Lunch Exotic Salad (Bell peppers + zucchini + broccoli + lettuce) 1 cup
    Jowar Roti 2 no. small
    Vegetable 1 cup
    Sprout Curd raita 1 cup
    Snacks Oats  and Milk Smoothie 1 glass
    Dinner Green Salad 1 cup
    Vegetable Khcihdi 1 cup
    Kadhi 1 cup
    Vegetable 1 cup
    Bed time Buttermilk 1 Glass
    Day 6
    Time Menu Quantity
    Empty Stomach Soaked overnight chia seeds water ½ teaspoon Chia seeds in 1 cup water
    Breakfast Moong dal dosa 2 – 3 no. (small)/ 1 Big
    Green chutney 2 tablespooons
    berries/cherries handful
    Midmorning Lemon mint juice (no sugar) 1 glass
    Lunch Cucumber tomato  Salad 1 cup
    Chapati 2 no.medium
    Green Leafy Vegetable 1 cup
    Snacks Roasted Makhana 1 cup
    Cinnamon Tea 1 cup
    Dinner Curd basil dip ¼ cup
    Vegetable Zoodles 1 cup
    Potato Patty 1 no.
    Grilled Exotic Vegetables 1 cup
    Bedtime Buttermilk 1 glass
    Day 7
    Time Menu Quantity
    Empty Stomach Detox Juice 1 glass
    (Spinach/ cucumber/ ginger/ chia seeds/ cinnamon powder)
    Breakfast Daliya with milk 1 cup
    Midmorning Roasted Almonds and walnuts 8 – 10 no.
    Green Tea 1 cup
    Lunch Paneer Vegetable Salad 1 cup
    Bajra Roti 1 no. (medium size)
    Green Vegetable 1 cup
    Masoor Dal 1 cup
    Snacks Sweet Potato and spinach patty 2 small
    Green Chutney 2 tablespoons
    Dinner Dudhi Tomato Soup 1 cup
    Multigrain Chapati 2 no. medium
    Green Leafy Vegetable 1 cup
    Bedtime Masala Milk 1 cup
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