EPIC MEAL PLAN

PATIENT F:
Name: Nicole Torres
Age: 60
Height: 156cm
Occupation: Retired
teacher
Condition: Gout
DEFINITION
Gout is a form of inflammatory arthritis that develops in some
people who have high levels of uric acid in the blood. The acid can
form needle-like crystals in a joint and cause sudden, severe
episodes of pain, tenderness, redness, warmth and swelling.
HOW TO AVOID GOUT?

If gout runs in the family, men in particular should limit their intake of alcohol, fats, and
foods that are more likely to increase uric acid level in the body -- meat, sardines, bacon,
mussels, and yeast. Alcohol, especially beer, can also bring on an attack of gout. Such
men should watch their weight with extra care. Drinking plenty of liquids may help
minimize the risk of kidney stones. Blood and urine tests can be used to determine your
potential risk of a gout.

FOODS TO AVOID
Foods and drinks that often trigger gout attacks include organ meats, game meats, some
types of fish, fruit juice, sugary sodas and alcohol.
SIGNS AND SYMPTOMS
 Intense joint pain. Gout usually affects the large joint of your big toe, but it can occur in any joint.
Other commonly affected joints include the ankles, knees, elbows, wrists and fingers. The pain is likely
to be most severe within the first four to 12 hours after it begins.
 Lingering discomfort. After the most severe pain subsides, some joint discomfort may last from a few
days to a few weeks. Later attacks are likely to last longer and affect more joints.
 Inflammation and redness. The affected joint or joints become swollen, tender, warm and red.
 Limited range of motion. As gout progresses, you may not be able to move your joint normally.

TREATMENT AND DIET

Treatment for an acute attack of gout includes the administration of nonsteroidal anti-inflammatory drugs
(NSAIDs), such as indomethacin and naproxen. Corticosteroids may also be injected into the affected joint to
reduce inflammation. A medication called colchicine may be administered if NSAIDs and corticosteroids are not
effective. Medications such as allopurinol and probenecid, which inhibit the synthesis of uric acid in the body, are
used to treat recurrent acute attacks. In addition, the frequency and severity of recurrent attacks may be reduced by
supplementation with vitamin C, which increases excretion of uric acid by the kidneys, thereby decreasing the
amount of uric acid circulating in the body.
References:
https://www.britannica.com/science/gout

https://www.arthritis.org/about-arthritis/types/gout/what-is-
gout.php#targetText=Gout%20is%20a%20form%20of,%2C%20redness%2C%20warmth%20and%20swelling.

https://www.everydayhealth.com/arthritis/gout/your-anti-gout-food-plan/

https://www.healthline.com/nutrition/best-diet-for-gout#section6

https://www.fatsecret.com/calories-nutrition/

https://www.medicalnewstoday.com/articles/315732.php