April 20 is World Gout Day, a global push to demystify gout and high uric acid. Despite affecting millions worldwide, myths around this metabolic condition still block prevention and care. Dr Li Fangkai and Dr Wei Ni from Beijing University of Chinese Medicine Eastern Hospital break down 14 common misconceptions and share evidence-based insights to help you stay ahead of gout.
Top 14 Gout Myths Debunked
- Myth: Hyperuricemia equals gout.
Reality: Only about 10% of people with elevated uric acid develop joint inflammation from urate crystals. - Myth: No need to treat asymptomatic high uric acid.
Reality: Even without attacks, it raises risks for diabetes, heart disease, stroke, kidney illness and stones. - Myth: Uric acid-lowering drugs severely harm liver and kidneys.
Reality: Approved medicines are safe; regular monitoring keeps side effects in check. - Myth: Stop medication once uric acid is normal.
Reality: Gout is chronic; long-term therapy stabilizes target levels before considering dose changes. - Myth: Start urate-lowering drugs during a flare.
Reality: Treat acute pain first; begin or resume maintenance therapy after inflammation subsides. - Myth: Any normal uric acid level is OK.
Reality: Targets vary: ≤420 µmol/L for hyperuricemia, ≤360 µmol/L for gout sufferers, ≤300 µmol/L if tophi or stones are present. - Myth: Pain relief alone is enough.
Reality: Long-term uric acid control prevents repeated flares and complications. - Myth: Lower uric acid is always better.
Reality: Levels under 120 µmol/L may risk neurological issues; aim for safe ranges. - Myth: Intense exercise clears uric acid.
Reality: Moderate aerobic activity helps, but dehydration from overexertion can trigger attacks. - Myth: Soda water and low-purine diet alone prevent gout.
Reality: Diet accounts for 20% of uric acid; medication, hydration and weight control are key. - Myth: Gout patients must avoid all meat.
Reality: Lean poultry and freshwater fish are fine in moderation; limit red meat and avoid organ meats. - Myth: Unlimited fruits and vegetables.
Reality: Certain veggies and high-fructose fruits can raise uric acid; portion control matters. - Myth: Beer is worse than spirits.
Reality: All alcohol raises uric acid; complete abstinence is ideal, with limited red wine as an option. - Myth: Avoid soy and dairy.
Reality: Low-fat dairy and processed soy products are low in purines and may aid uric acid excretion.
Experts emphasize a dual approach of diet, exercise, weight management and hydration, plus long-term medication when needed. Regular follow-up ensures safe, effective gout control and a better quality of life.
Reference(s):
Experts Debunk 14 Common Gout Misconceptions on World Gout Day
bjnews.com.cn
