I am amazed by the number of people who ask me for advice on a low purine diet for gout.
I am not surprised by their concern, because the Internet is full of nonsense about purines and gout. What surprises me is the source of their worries.
When I ask why they are so concerned about purines, usually to the exclusion of everything else, they reply that their doctor gave them some lists of foods that they should avoid, and others that they should limit. I try to ask them what other advice they received, but they cannot remember.
“Something about acid, maybe, and I might need tablets for life,” or “I have to cut out alcohol,” or “There are some colchy-something-or-other pills I can take, but they will give me awful diarrhea.” Whatever else the doctor might have said, it is all forgotten, and the years of pointless obsession about purines begins. Sixteen years ago, I went through a similar experience, and it is also pretty much all I can remember from the consultations of the time.
I know a lot more now, but I feel I have let you down.
Some time ago, I started the section of my gout diet department that deals with medical issues of diet. Although diet is often overrated as a cause of gout, it can certainly be a factor in the treatment plan. There is a crossover between diet and treatment, so I have some medical pages in the diet department, and food pages in the treatment department. This makes good sense, as gout sufferers have different concerns when they arrive here.
Gout patients with concerns about their treatment, are most likely to start in the treatment department, and then want to know how diet might affect their gout treatment plan. This is my preferred way, but on a website, I cannot dictate where people will start and finish, so the diet<->treatment relationship has to be a two-way street.
Gout patients with concerns about their diet, are most likely to start with my gout diet guidelines. It is my duty to explain that they should consider a treatment plan first, and explain how treatment and diet fit together. If you are interested in how food and drink relates to gout, I urge you to start with my Diet For Gout guidelines.