How to restore intestinal microflora?

The Question:

How to restore intestinal microflora, when taking antibiotics?

 I’m constipated, is that bad?

Answer To The Question:

What is constipation?

The term constipation usually refers to difficult emptying of hard stools, which is accompanied by unpleasant sensations. It is an extremely common disease and about 30% of the adult population suffers from it. Constipation is usually the case if the number of stools is less than three per week.

The stool must be every day? 

A large majority of the population is convinced that the stool must be every day. Daily emptying (defecation) is not absolutely necessary, nor is it an indicator of correct or incorrect bowel function. 

The decisive factor is the regularity of defecation and the fact that it is a painless process.

 Tips!

Restore the defecation reflex.

Addictive constipation is caused by the suppression of the defecation reflex.

This reflex is first extinguished by a lack of natural stimuli: a low-volume diet, a lack of fiber and fluids, little exercise. The second cause is the suppression of the spontaneous urge to defecate in a hurry). Never suppress a bowel movement! 

Defecation reflex training

Practicing the defecation reflex is also important: the patient drinks a glass of water (saline mineral water) after waking up. He performs the usual morning activities in the same order every day and the morning ritual ends with breakfast. Defecation is attempted every 20-30 minutes, regardless of whether a spontaneous compulsion has occurred. This needs to be done with iron regularity daily for several weeks. Most of the time, success comes soon.

Stool is a need, not a leisure activity. …

Try flaxseed!  Be careful you have to crush it first! 

Try Probiotics and magnesium bisglycinate.

Add more Fiber. 

Where to find fiber?

In addition to normal food, which should contain enough whole grain products (black bread and pastries, oatmeal), fruits and vegetables, you can add 10-25 g of linseed, wheat germ or bran. All this, of course, provided that there is sufficient supply of fluids. Sufficient exercise is also important, abdominal massages can also help.

If you are already taking Intra add Fiber Life. Beware, if you are starting with Fiber Life, drink a lot of liquid and start with one capsule a day between meals! Read more…

Source: National Cancer Institute, Google.com, Facebook.com, FreePictures, Lifestyles Independent Distributors

The proper way to drink water

The Water is very important to our bodies. Our bodies are made up of 70% to 80% of water. There are many diseases you can prevent, if you drink enough water, around 2 to 4 glasses of water in a day.

  • If you have kidney stones, drinking enough water can help prevent kidney stones (up to 2.5 liters per day) .
  • If you have urinary tract infections, especially the ladies, they can drink two glasses of water in one sitting and this can somehow washout the infections.
  • If you have heartburn like gastritis, you can drink two sips of water every 120 minutes, do this regularly, this can wash away the acid from your stomach, so this can help a bit.
  • And water can also help you reduce weight. You can drink a glass before a meal. It helps you feel a little full, and some say water can also make your skin more supple, more soft because you are hydrated.

The proper way to drink water

If you feel thirsty, drink. Remember the rule: "Eat half-full, drink half-full."And for older people, we will recommend drinking around 2 to 5 glasses of water in a day, it depends on their medical condition. So they have to ask their doctor about it.

When the weather is hot, when you’re exercising, you have to drink more water. If you have a fever, if you have cough and colds; water can also lower the fever; and it can also loosen the phlegm from the cough and the colds. And how do you know if you are dehydrated and you need to drink more water.

One tip is to check your urine color.

The urine color should be nice like white or yellow, but if the urine color is dark yellow or a little orange that means you are dehydrated already, so you have to drink more water.
I would prefer drinking distilled water, purified water but mineral water is also fine, but some doctors they don’t want to give mineral water if you have kidney stones.

So as you can see, there are many diseases you can prevent, many health benefits if you just know how to drink the water at the right time, at the right amount everyday. So I hope this little health tips can help you a bit. I posted my article there below you can use it and share it with your friends. And thank you for reading.

Carefully read the contents and composition of the energy drinks.We recommend drinks without preservatives.
Try to supply the body with minerals, antioxidants and vitamins in optimal amounts in the form of fresh juices and depending on your activity and level of stress.

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Next: How drink Intra Juice and add Nutria capsules? 

If you play sports, follow the coach’s instructions. Read more

How to take care of intestinal microflora?

What is intestinal microflora?

Microbiota (intestinal flora). Probiotics contained in the diet settle in the walls of the large intestine, where they produce lactic acid and other organic acids, thereby protecting the intestinal mucosa from infections by harmful bacterial strains. Microflora consists of a huge number of bacteria, fungi, but also viruses and sometimes parasites.

How to take care of intestinal microflora?

Microbes (just like us) benefit from basic quality foods that are not industrially processed and sweetened or flavored with additives. It is absolutely ideal to regularly enrich the menu with fermented foods, such as fermented vegetables, fermented dairy products, or sourdough bread.

What Harms?

The microbiome is greatly harmed by industrially processed foods that are poor in microbes, but also in food that keeps microbes alive. We should clearly exclude foods with a high content of refined sugar, solidified fats, alcohol, and other generally unhealthy foods from our diet.

What helps with indigestion?

Modification of the menu: Limit the consumption of fatty, fried foods, as well as oversalted foods and sweets. Choose a diet rich in fiber (fruits, vegetables, legumes, whole grain bread) and probiotics (fermented dairy products, fermented vegetables).

How long does it take to restore intestinal microflora, when taking antibiotics?

Patients can take probiotics during and after antibiotic treatment. Studies have shown that it takes up to three weeks to restore a healthy intestinal microflora after prolonged use of antibiotics.

Maintaining the Balance of Intestinal Flora through the Diet!

Gut resets aim to restore the balance of the microbiome by:

  1. Removing foods that feed harmful bacteria and cause inflammation.
  2. Introducing plenty of prebiotic foods, which feed beneficial bacteria.
  3. Encouraging healthful practices, such as getting enough sleep and exercise and staying hydrated.

Effective Prevention of Illness.

Ways to Improve Your Gut Bacteria, Based on Science

  • Eat a diverse range of foods. …
  • Eat lots of vegetables, legumes, beans, and fruit. …
  • Eat fermented foods.
  • Eat prebiotic foods.
  • If you can, breastfeed for at least 6 months. …
  • Eat whole grains.
  • Eat a plant-based diet.Try Intra.
  • Eat foods rich in polyphenols.

Source: Wikipedia.com, Google.com, free pictures, Facebook.com, yahoo.com, www.ncbi.nlm.nih.gov, Lifestyles Independent Distributors archive,

TIP. Did You Know? Polyphenols play an important role in promoting health.

Polyphenols are a group of substances found in fruits, vegetables, nuts, legumes, but also in coffee, tea and cocoa. They play an important role in promoting health. People who suffer from conditions related to PCOS, endometriosis or insulin resistance should pay special attention to products that are a source of polyphenols.

Black and Green tea is an effective antioxidant, improves brain function, increases physical performance and fat burning, reduces the risk of cancer, Alzheimer's and Parkinson's disease, has an antibacterial effect, reduces blood sugar levels and reduces the risk of developing diabetes, protects against cardiovascular diseases, promotes vitality and extends life of life. Green tea contains large amounts of polyphenols (one of the most potent components being Epigallocatechin Gallate (EGCG)). These polyphenols act as an antioxidant and help protect cells from oxidative damage by oxygen radicals. Polyphenols from green tea also effectively fight cancer, blocking enzymes that promote carcinogenic processes, further preventing the malignant proliferation of cells and preventing the formation of new blood vessels that provide nutrition for tumors. 

The Guide on how to choose good fruits and vegetables with a minimum of pesticides.

Numerous peer-reviewed scientific studies have shown that consuming produce high in pesticide residue, increases the risk of certain negative health impacts and that choosing organic can almost immediately reduce the amounts of residues in a person’s body.

More than 70 percent of non-organic fresh produce sold in the U.S. contains residues of potentially harmful pesticides, EWG’s 2022 Shopper’s Guide to Pesticides in Produce™ finds. Read more…

Our’s advice is that fruit whose origin is unknown should be carefully washed. But for apples, washing them leads to a maximum reduction of pesticides by half. It is more effective to peel the skin. As less risky fruits, we recommend bananas, avocados, pineapple, or some citrus fruits, where they do not find pesticides in the edible parts. Regarding vegetables, we recommend sweet potatoes, onions, or baby carrots.

And grandma’s advice to wash fruit with vinegar or lemon water? “The solubility of some pesticides may increase slightly, but complete removal cannot be counted on,” we reply.

Do you like gardening? So support your local organic growers or grow some vegetables and fruits yourself.

EWG’S DIRTY DOZEN FOR 2022 with the highest pesticide residues

Strawberries

Spinach

Kale, collard and mustard greens

Nectarines

Apples

Grapes

Bell and hot peppers

Cherries

Peaches

Pears

Celery

Tomatoes

EWG’S CLEAN FIFTEEN FOR 2022

Avocados

Sweet corn

Pineapple

Onions

Papaya

Sweet peas (frozen)

Asparagus

Honeydew melon

Kiwi

Cabbage

Mushrooms

Cantaloupe

Mangoes

Watermelon

Sweet Potatoes

Source:

https://www.ewg.org/foodnews/summary.php, google.com, www.facebook.com,

Covid-19: The most common symptoms and how to know if you have them. How does Covid-19 present itself today?

Common symptoms of the disease include: Temperature 37.1°C and above. Cough. Cough, sore throat.Difficulty breathing. Pain in the neck, ears, head, back, muscles or joints. Increased fatigue. Nausea and an altered sense of taste and smell. 

Symptoms of covid-19

Every person is unique, which is why Covid-19 can manifest itself differently in the infected person. It also depends on the course of the disease. For the most part, the symptoms of Covid-19 are similar to a common flu infection.Approximately 20% of people infected with the coronavirus do not experience any symptoms, but these people can still be infectious and spread the infection to their surroundings. According to current knowledge, up to 59% of these transmissions can be from asymptomatic individuals. For this reason, it is necessary to carry out regular testing and then follow the prescribed isolation.

The most common symptoms of Covid-19 (SARS-CoV-2) are:

Temperature 37.3°C and above

Cough

Fatigue

Difficulty breathing

Pain in the neck, head, back, muscles or joints

Loss of taste or smell

Different types of skin rash (electrified skin)

Skin color changes on the fingers or toes (‘covid toes’)

Diarrhea.

Nausea or vomiting.

Please, let your doctor know as soon as COVID-19 symptoms start so they can advise and monitor you. It is important to get tested if you have any COVID-19 symptoms. Symptoms of the omicron variant disease

Omikron usually attacks much more of the upper respiratory tract, so it does not result in severe pneumonia and associated breathing problems. The other symptoms are very similar to the previous variants, although they are usually milder. The president of the South African Medical Association, Angelique Coetzee, in an interview with Reuters, said that the omicron mutation is most often manifested:

Extreme fatigue (1 to 2 days), headaches, and a dry cough. Quite often, however, there is also an asymptomatic course of the disease.

Symptoms of a more serious course of covid 19

Shortness of breath – a person experiences significant breathing problems. He is short of breath during normal activities, even when moving around the house or going to the toilet. A feeling of suffocation may also occur.

Loss of appetite

Confusion

Persistent chest pain or pressure

High temperature – above 38 °C

Young sick and ill man in bed holding tissue cleaning snotty nose having temperature feeling bad infected by winter grippe virus in flu and influenza health care concept.

Other less common symptoms of covid-19:

Irritability Confusion Decreased level of consciousness – may be associated with seizures Anxiety

Depression

Sleep Disorders

More serious neurological complications – stroke, encephalitis, delirium and nerve damage The mentioned difficulties are certainly not worth underestimating. If you experience any of the above symptoms of covid-19 (or a combination of several symptoms), contact your general practitioner by phone, who will inform you of the next course of action.

According to the World Health Organization (WHO), most patients with covid-19 recover relatively easily without the need for hospitalization. In such a case, the general practitioner prescribes individual supportive treatment, during which you should observe isolation, bed rest and have a sufficient supply of fluids. Approximately 15% of those infected face a moderately severe course of the disease and require the supply of oxygen. Around 5% of those infected end up in critical condition and need intensive medical care. According to experience so far, it appears that a greater number of symptoms in the first days may be related to a more severe course of covid-19.

Pay particular attention to shortness of breath. If you start to get short of breath even while talking and doing normal activities, this is a sign that your blood oxygen levels are low. If the condition worsens dramatically, do not wait for anything and contact the emergency service

Post-covid syndrome (long covid)

Even a few months after recovering from covid-19, some people may experience quite serious health problems. Professor Nyarie Sithole from the Faculty of Clinical Medicine of the University of Cambridge told CT 24 in August 2021 that about 10% of people who have experienced covid-19 suffer from post-covid syndrome.

Patients turn to doctors with post-covid syndrome even 3 or more months after experiencing covid-19. Based on the available data, no link between the severe course of the disease and persistent health problems has yet been proven. Nyarie Sithole, on the other hand, claims that they have seen many patients who had a mild course, recovered from covid-19 in a few days, and yet they subsequently gradually developed post-covid syndrome. Although it is widely believed that the elderly and sick are more prone to these problems, in reality post-covid syndrome does not escape even young people in good health.

Symptoms of post-covid syndrome

Since the beginning of the pandemic, experts have already noted more than 200 different symptoms of post-covid syndrome, which also comes in waves and changes over time.

The most common symptoms of post-covid syndrome include:

Fatigue (the person can’t even do basic housework)

Brain fog (impaired concentration, memory problems, difficulty finding words, etc.)

Shortness of breath (breathlessness even with minimal activity)

Pain in the chest heartbeat

Migrating joint and muscle pains abdominal pain and headache

Insomnia and impaired sleep.

TIP. Insomnia, frequent awakenings, nervousness, this could be post-covid syndrome? Limit or completely stop the intake of sugar in food, we mean sweets. Increase your intake of whole grain rye flour.

For now, there is not enough information and professional studies about the post-covid syndrome to be able to summarize all the effects on human health. But Nyarie Sithole says that based on studies with related coronaviruses, at least 90% of people with post-covid syndrome can be expected to fully recover within 12 months. If you suspect post-covid syndrome, see your GP. He will carry out the necessary examinations and may also send you to an X-ray of the lungs, regular blood tests or to an appropriate specialist.

What works for long covid / post covid syndrome?

Early studies show that certain dietary supplements can help in the treatment of post-covid syndrome, which is characterized by high and chronic fatigue. Dietary supplements containing vitamins B, C and D have proven to be effective. Rest and Drink Fluids. Protect Others.

How is Covid showing up today?

Common symptoms of the disease include: Temperature 37.3°C and above. Cough. Difficulty breathing. Pain in the neck, head, back, muscles or joints

What medicines to take for coronavirus?

Paracetamol. For fever, choose either medicines containing paracetamol (known for example as Paralen, Panadol, etc.) or with the active substance ibuprofen (for example Ibalgin, Brufen, Nurofen). Paxlovid, Molnupiravir, and Monoclonal Antibodies for individals only.Dose the medicine correctly!!

How to treat yourself at home with Covid?

Protect Others. Recovery time can range from a few days to more than two weeks for severe cases. The infected person should stay in a separate, well-ventilated room and at the same time limit movement around the apartment and in common areas. In case of necessary contact with other household members, it is recommended to keep a distance of two meters, if they not were already sick with Covid-19( the usage of the respirators is essential) . Recovery time can range from a few days to more than two weeks for severe cases. 

Source: Google.com


The thyroid gland affects our physical and mental health

The thyroid gland is a small, inconspicuous organ that plays a vital role in maintaining your physical and mental health. The thyroid gland controls almost every cell in the body. Getting your thyroid checked early can save your life.

Approximately 200 million people worldwide suffer from some form of thyroid disease. The two most common are hypothyroidism (reduced activity of the thyroid gland) and hyperthyroidism (excessive activity of the thyroid gland), with women, affected ten times more often than men.

About 15% of women develop thyroid problems during their lifetime. Difficulties very often come with pregnancy or during menopause.

The most common condition worldwide is hypothyroidism, symptoms of which usually include fatigue, feeling cold, muscle weakness, and unexplained weight gain. In reality, however, the consequences are even more serious.

“The thyroid gland controls almost every cell in the human body,” points out Cindy Samet, a professor of chemistry at Dickinson College in Pennsylvania, who studies thyroid issues. “The thyroid gland can be said to be the main metabolic control center of the body. Brain, heart, and kidney function, as well as body temperature, growth, and muscle strength (and much more), are all at the mercy of thyroid function.”

The number of sick people is increasing.

The symptoms are alleviated by the mandatory iodization of edible salt in some countries, and therefore we no longer see goiter, which was a visible sign of problems with the thyroid gland.

How does the disease manifest itself?

Increased activity of the thyroid gland is accompanied by, for example, increased heart activity, high blood pressure, fatigue, weight loss, and psychological changes. But reduced activity doesn’t have to be so alarming. It manifests itself in fatigue, chills, swelling, shortness of breath, apathy, constipation, and sometimes joint pain, which many women (for example, during pregnancy or menopause) easily mistake for difficulties related to their condition and do not seek medical attention.

For example, according to the American Endocrinological Association, 60 percent of people with thyroid disease are unaware of their condition.

The number of patients with thyroid disease is increasing very rapidly. This is due both to the increase in the incidence of autoimmune diseases in the population and to the improvement and availability of diagnostics. Laboratory determination of thyroid hormone levels is today a basic and commonly available examination even in general practitioners’ clinics. A large proportion of patients with thyroid disease are detected as part of other tests, not for thyroid problems. In children, it is often an immunological examination due to repeated respiratory diseases, in adults, the finding on the thyroid gland is detected during an ultrasound examination of the vessels in the neck.

There are many causes of the disease.

The most common cause of thyroid disease is an autoimmune process that damages the thyroid gland and it can lead to a malfunction of the thyroid gland, to a change in its size or structure.

Why the number of autoimmune diseases, including the involvement of endocrine glands, is increasing so much is another complicated question. Once common in the past, hypothyroidism due to iodine deficiency is now a rare disease with widespread iodization of salt and is more likely to be a mild disorder in vegans or breastfeeding women. Even foods with a high “Strumigen content” (cabbage, horseradish) in large quantities can lead to reduced thyroid function.

Irradiation of the thyroid gland with radioactive radiation (external or radioiodine) is clearly a risk factor for the development of both reduced thyroid function and the most significant risk factor for the development of malignant tumors of the thyroid gland (irradiation of the neck for malignant tumors). Chemical substances in our environment also affect endocrine processes in the human body (lithium, phthalates). We still don’t know much about the cause of many other endocrine diseases.

Chronic stress also often affects the reduced function of the thyroid gland. Therefore, daily exercise and maintaining healthy relationships are also often recommended by experts, as both can also help the thyroid gland. Rest and at least seven hours of sleep are also important. But the thyroid gland is erratic. Her problems can negatively affect sleep. Depression, mood swings, and impaired ability to learn new things and to think in general are also frequent results.

It is not uncommon for people with hypothyroidism to end up in psychiatry. And it’s up to the doctor’s discretion whether to think of a possible thyroid connection. According to Medical News Today, hypothyroidism can also be responsible for anxiety, memory lapses, speech problems, and the development of so-called. pseudodementia. The paper states that 30-40 percent of sufferers suffer from an anxiety disorder at the same time.

What vitamins for the thyroid?

Thyroid inflammation is an autoimmune disease. As supportive therapy, it is advisable to take some of the vitamins whose levels decrease during this disease – selenium, zinc, antioxidants vitamin C, E, or omega-3 fatty acids. They reduce the formation of free radicals and thus prevent the development of inflammatory processes.

Limit the foods that are most harmful to the thyroid gland: Coffee.Sugar.Fried meals.Cruciferous vegetables.Gluten.Soya

Did you know that?

  • Thyroid disease or its treatment is never the main cause of obesity.
  • Thyroid disorders can develop over many years. An individual can live with the disease for a long time without realizing that the disorder affects them. Advanced is better recognized but more difficult to treat. Therefore, it is necessary to detect the disease at the earliest possible stage.
  • Pregnant and lactating women who have thyroid disease can take iodine. Only rarely do doctors not recommend iodine for women with Graves-Basedow disease or nodules.
  • After thyroid surgery and radioiodine, lifelong follow-up and usually lifelong thyroxine therapy are required.
  • A puncture of the thyroid gland is a painless examination because a thinner needle is used and the puncture takes a few seconds.
  • Examination – a puncture of the thyroid gland can lead to a rapid diagnosis and improve the prognosis of patients.
  • In stabilized patients with hypothyroidism, the dose of thyroxine is the same throughout the year – it does not make sense to adjust doses depending on the time of year.
  • If the Thyroid surgery operation is performed in a workplace with sufficient experience, it has a minimum of complications.
  • If thyroid disease is treated correctly, the symptoms of hyper- or hypothyroidism will gradually disappear, although this can sometimes take several months.
  • A rich source of iodine, for example, is the seaweed Kelp ( Fucus vesiculosus)  – you can add it to food or take its extract in tablets. Iodine is naturally also found in marine fish.

TIP.  Try Nutria Plus. Nutria Plus contains selenium, which is found in organic form in this product. This is because it is highly absorbable and usable by the body. Selenium, like iodine, is an important substance for the proper functioning of the thyroid gland. Best together with INTRA HERBAL JUICE.

Source and pictures: https://en.wikipedia.org/, Lifestyles Independent Distributors, www.google.com, www.yahoo.com, youtube.com, Lifestyles magazine Flowers

How To Eat when You Have Gout and Diabetes – Part 1

It’s possible to suffer from both gout and diabetes at the same time. People with both gout and diabetes are advised to avoid foods that may affect the levels of uric acid and insulin in the body. Therefore, recommended diets for this group focus on lowering both uric acid and blood sugar levels.

Eating Right

1. Avoid purine-rich foods. Since uric acid is produced from the metabolism of purine in the body, it is best to avoid foods that contain purine. Urate crystals accumulate in the joints if uric acid is elevated and this can aggravate joint pain in gout. Also, uric acid elevation can increase insulin resistance which is a condition wherein the body does not respond to the function of insulin.

This can further elevate the blood sugar levels of a person, leading to diabetic symptoms. Purine-rich foods are mackerel, anchovies, organ meats, dried beans, peas, canned goods, instant noodles, wine, and beer.

2. Avoid foods rich in fructose. Foods rich in fructose consume a lot of adenosine triphosphate (or ATP) when metabolized. This ATP is an energy-supplying molecule that the cells in the body use. Over-consumption of ATP leads to its depletion and results in the generation of substances such as lactic acid and uric acid, thereby increasing the levels of uric acid in the blood.
Also, fructose is considered a sugar. Consuming foods rich in fructose can elevate the blood sugar of a person and lead to the occurrence of symptoms.
Foods to avoid are apples, bananas, pears, agave, melons, asparagus, beans, broccoli, cabbage, onion, tomato, peanuts, raisins, figs, carbonated drinks, fruit drinks, ketchup, canned goods, chocolate, pastries, and breakfast cereals.


3. Avoid alcohol. Alcohol interferes with the removal of uric acid from the body. When alcohol is converted to lactic acid, it reduces the amount of uric acid that is eliminated from the body through the kidneys. This is because the lactic acid competes with the uric acid in terms of being removed by the kidneys through urine.
Increased levels of ethanol (alcohol) in the body increase the body’s production of uric acid by increasing the amount of ATP (Adenosine triphosphate) that is converted to AMP (Adenosine monophosphate) – a precursor of uric acid. Also, alcohol can affect the body’s sensitivity to insulin.

4. Eat high-fiber foods. Dietary fiber absorbs uric acid in the bloodstream, allowing it to be eliminated from the body through the kidneys. Also, pectin (which is a type of soluble fiber) lowers cholesterol by absorbing t from the body.
High levels of cholesterol in the body can increase blood pressure and can lead to the occurrence of diabetic symptoms. Include at least one high-fiber food in each major meal or snacks such as pineapple, oats, isabgol, cucumbers, oranges, barley, carrots, and celery. The ideal daily intake is 21 grams.

5. Eat foods rich in anthocyanins. Anthocyanins prevent the crystallization of uric acid and also prevent it from being deposited in the joints. Also, anthocyanins encourage hypoglycemic activity that may help to lower blood sugar. Foods rich in anthocyanins are eggplant, blueberries, cranberries, plums, black currant, grapes, pomegranates, red-fleshed peaches, and cherries.
You should include at least one of these foods in each major meal or snack.

6. Eat foods rich in omega-3 fats. Increasing your intake of omega-3 fatty acids can help reduce insulin resistance (a condition where the body is able to produce insulin but it is not used effectively), thereby reducing the risk or severity of type 2 diabetes. Also, the eicosa pentanoic acid (EPA) in omega-3 fatty acids can reduce the levels of cholesterol and uric acid. The recommended dose for omega-3 fatty acids is not more than 3 grams daily. Foods rich in omega-3 fatty acids are sardines, salmon, soybeans, flax seeds, walnuts, tofu, brussels sprouts, cauliflower, shrimp and winter squash.

Read more about Diabetes: How To Eat When You Have Gout and Diabetes – Part 2

Source: Google.com, www.wikihow.com

Acute Gout Attack

The goal of treatment during an acute gout attack is suppression of inflammation and control of pain. It is important to note, that if a patient is not on uric acid lowering therapy at the time of an acute attack – then this is not the time to initiate such therapy. However, if a patient is on uric acid lowering therapy at the time of an acute attack, it should not be discontinued.

Treatment of pain and inflammation can be achieved with NSAIDs, colchicine, or corticosteroids (systemic or intra-articular). The choice of which treatment is the right one for a particular patient should be made on the basis of the patient’s co-morbid medical conditions, other medications, and side effect profile.

Uric Acid Lowering Therapy

Indications

Patients who have multiple episodes of acute gout attacks per year or who have tophi on exam are candidates for uric acid lowering therapy. Use of uric acid lowering agents will reduce the frequency of gout attacks and over time, reduce tophi formation, and diminish the risk of joint destruction. The following are indications for uric acid lowering therapy:

  • tophi or chronic arthritis on exam
  • failure of colchicine prophylaxis of acute gouty arthritis
  • renal stones
  • Prior to chemotherapy as prophylaxis of tumor lysis syndrome
  • Extremely high levels of serum uric acid (>12 mg/dl)

Uric acid is the end product of purine (nucleic acid component of DNA) metabolism and is produced normally by the body during tissue remodeling and breakdown. About 20% of uric acid is derived from purines ingested in food. Causes of hyperuricemia can be divided into two major categories: decreased clearance of uric acid from the kidney and increased synthesis of uric acid.

Decreased renal clearance – (90% of patients)

  • Intrinsic kidney disease
  • heart disease causing decreased blood flow to the kidney
  • drugs (loop diuretics, low dose aspirin, cyclosporin)
  • genetic predisposition
  • age related decrease in glomerulofiltration rate

Increased uric acid synthesis

  • Dietary indiscretions
  • Genetic predisposition
  • Increased tissue turnover–tumors, lymphoproliferative disorders
  • Stress induced increased turnover of ATP
  • Alcohol induced turnover of ATP

All patients should be encouraged to modify their lifestyle including limiting alcohol intake, encouraging weight loss where appropriate and decreasing food rich in purines. Co-morbid medical conditions should also be controlled including hypertension, diabetes and hyperlipidemia.

Foods High in Purines

  • Very High – Hearts, herring , mussels, yeast , smelt, sardines, sweetbreads
  • Moderately High – Anchovies, grouse,mutton, veal, bacon, liver salmon, turkey, kidneys, partridge, trout, goose, haddock, pheasant, scallops

Source: https://www.hopkinsarthritis.org/arthritis-info/gout/gout-treatment/

Treatment of gout
In an acute attack of gout, drugs against pain and inflammation of the joints, so-called non-steroidal anti-inflammatory drugs, are used in relatively high, anti-inflammatory, doses. In addition, the doctor often prescribes the drug colchicine, which reduces the formation of uric acid crystals and reduces the inflammatory reaction to these crystals in the tissues. The drug allopurinol is then most often used in the long term. It lowers the level of uric acid, thereby helping to reduce the frequency of gout attacks, promotes the dissolution of already formed uric acid crystals and prevents their re-emergence. All gout medications are subject to a doctor's prescription.

You can also support the treatment yourself with a suitable diet and some dietary supplements. Vitamin C and other antioxidants are especially recommended. Pay special attention to the intake of vitamin D, omega-3 fatty acids and vitamin B12. It is possible that you suffer from their deficiency, especially if you follow a strict gout diet. To protect, nourish and regenerate joints, you can also use so-called chondroprotectives containing glucosamine and chondroitin. We can find them in over-the-counter medicines and in food supplements, in so-called joint nutrition. A suitable supplement is also collagen and again vitamin C, which contributes to the normal formation of collagen for normal cartilage function.

Can Intra Herbal Juice be used by diabetics?