Patient/caregiver was educated on measures to prevent activation of gout as follows: Among vegetarian sources, artichokes, apricots, broccoli, brussels sprouts, cauliflower, mushrooms, oats, green peas, peanuts, parsley, and tofu are rich in purine content and must be consumed sparingly by individuals with history of gout. Individuals with history of gout must keep a close watch regarding any new or worsening signs and symptoms of arthritis and joint inflammation. Report to your physician immediately regarding any [...]

Patient/caregiver was educated on measures to prevent activation of gout as follows: As metabolism of purines yields uric acid, all food sources rich in purines can ultimately result in excessive uric acid production, which can contribute significantly towards activation and exacerbation of gout. All dietary sources rich in purines must be avoided or consumed sparingly by individuals with history of gout, to prevent an exacerbation of the condition. All organ meat such as, liver, spleen, [...]

Patient/caregiver was educated on foods to avoid on a low purine diet as follows: As metabolism of purines yields uric acid, all food sources rich in purines can ultimately result in excessive uric acid production, which can contribute significantly towards activation and exacerbation of gout. All dietary sources rich in purines must be avoided or consumed sparingly by individuals with history of gout, to prevent an exacerbation of the condition. Organ meat such as, liver, [...]

Patient/caregiver was educated on indications for low purine diet as follows: Stress: The steroid hormone cortisol essentially helps with stress relief and management. Chronic unrelieved stress in individuals can result in increased secretion of cortisol, as a measure for stress management. Increased cortisol secretion in the body can result in the side-effect of protein breakdown. Increased protein breakdown in the body results in increased production of purines, which upon metabolism yields increased uric acid production. [...]

Patient/caregiver was educated on indications for low purine diet as follows: Obesity: Overweight and obese individuals produce large amounts of insulin to meet the body requirements. Excess of insulin is known to inhibit excretion of uric acid in the urine. This can result in progressively increased retention of uric acid in the body and hyperuricemia with increased risk for gout & uric acid kidney stones. Limiting purine intake for obese and overweight individuals can result [...]