Pathophysiology of Gout

Patient/caregiver was educated on pathophysiology of gout as follows: Purines in the diet (part of proteins we eat) are metabolized to uric acid. Uric acid thus produced in the body is soluble in water and is ultimately excreted in the urine. Gout is a metabolic disorder of uric acid, secondary to excessive blood levels of uric acid. Excessive blood levels of uric acid can result either from increased uric acid production in the body or [...]

Gluten Free Diet-1

Patient was educated on gluten-free diet as follows: Avoiding gluten from the diet happens to be essential feature of management measures for celiac disease. All meats and dairy products are allowed, as they are gluten-free. This involves some lifestyle modifications with avoiding grains consisting of wheat, barley, and oats from the diet. Check for the ingredients of products, such as, crackers, cakes, bread, and other bakery products, to avoid eating any of them made with [...]

Recommendations for a Low Fiber Diet

Patient was educated on foods to be incorporated in a low fiber diet as follows: Choose white bread and food items made of refined flour over whole grain bread and food items made of whole grains, such as, oats, wheat, barley. Choose well-cooked vegetables over raw and undercooked vegetables. Choose white rice over brown rice. Choose fresh fruits without skin and seeds over dry and whole fruits with skin and seeds. Choose fruit juice with [...]

Food to be Avoided in Low Fiber Diet

Patient was instructed on foods to be avoided in low fiber diet as follows: Avoid whole grains such as, oats, wheat, barley, and quinoa and food items made of whole grains, such as, whole grain bread. Avoid any dry fruits, nuts, and seeds, such as, figs, almonds, and pistachios. Avoid any legumes and lentils, such as, black beans and lima beans. Avoid vegetables such as, potatoes with skin, green peas, carrots, tomatoes, and broccoli. Avoid [...]

Uses of Low Fiber Diet

Patient was instructed upon uses of low fiber diet as follows: Low fiber diet is recommended to reduce the frequency of bowel movements, typically in patients with irritable bowel syndrome with increased bowel movement and diarrhea. Fiber adds bulk to the stool and thereby, promotes bowel movement. So, reducing the amount of fiber in the diet will help slow the bowel movements down, thus helping individuals with diarrhea. Low residue diet is also helpful in [...]