Friday, April 1, 2022

These habits before bed can help lower uric acid.πŸ‘πŸ‘πŸ‘

As more and more people suffer from hyperuricemia, more and more people
are concerned about how to reduce uric acid in the body. The increase in uric acid in humans is mainly due to insufficient uric acid excretion and excessive uric acid production. The human body generally has about 1200mg of uric acid, and the human body produces about 700mg of uric acid every day. Under normal circumstances, About 500mg of uric acid is excreted through the kidneys, and the remaining 200mg of uric acid is excreted through the intestines. The body's daily excretion of uric acid and the production of uric acid should maintain a balance. Clinically, normal values for uric acid are 149 to 416 ΞΌmol/L in men and 89 to 357 ΞΌmol/L in women. When the blood uric acid concentration is higher than the normal value, it can be diagnosed as hyperuricemia clinically. Excessive uric acid in patients with hyperuricemia can form urate crystals. The crystals deposit in the patient's joint synovium, bursa, cartilage, and other tissues, causing a recurring inflammatory disease called gout. Gout attacks can cause gouty nephropathy, gouty acute arthritis, chronic arthritis, tophi and joint deformities.

Why does uric acid in the body increase?

Elevated uric acid is caused by an imbalance between the excretion and production of uric acid. However, only about 10% of patients with elevated uric acid are caused by excessive uric acid production, and most (more than 90%) patients are caused by decreased uric acid excretion.

Causes of decreased uric acid excretion:

  • Innate factors: Inherited genes cause a patient's decreased uric acid clearance and decreased excretion.
  • Acquired factors: Obesity, hypertension, metabolic diseases (eg, hypothyroidism, hyperthyroidism, lactic acidosis, diabetic ketosis), drugs (eg, aspirin, thiazide diuretics, cyclosporine).

Causes of increased uric acid production:

  • Innate factors: Genetically related enzyme deficiencies lead to metabolic abnormalities.
  • Acquired factors: Blood disorders (eg, myelodysplasia), strenuous exercise, diet (eg, excessive alcohol consumption, foods and beverages high in fructose, frequent consumption of foods high in purines), taking cytotoxic drugs (eg, chemotherapy drugs).

These habits before bed can help lower uric acid.

Try not to eat late night supper:

It is well known that diet plays an important role in the prevention and treatment of hyperuricemia. In daily life, many foods contain purines, especially animal offal, seafood, mushrooms and soybeans. These purines absorbed from food are called exogenous purines. It makes up about 20% of purines in the body. The human liver metabolizes purines into uric acid, so excessive intake of high-purine foods will increase blood uric acid. Eating late night supper is not only bad for your health. It has a more severe effect on patients with hyperuricemia, especially late night supper that are high in purines. Therefore, it is recommended that patients with hyperuricemia try not to eat late night supper. Even if you have a late night supper, eat foods that are low in purines and light.

Drink some water before bed:

In addition to taking uric acid-lowering drugs to reduce blood uric acid, drinking more water can also effectively reduce uric acid. Clinicians recommend that patients with hyperuricemia should drink plenty of water. Drinking plenty of water is a simple, inexpensive, and side-effect-free way to lower uric acid. Clinicians recommend that you should drink more than 1500ml of water per day. If the patient has urinary uric acid stones, the daily drinking water should be more than 2 liters. This promotes the excretion of more uric acid in the urine. In addition, since most gout attacks occur at night, drinking some water before going to bed can prevent the increase of blood uric acid during long sleep. During sleep, with the loss of blood water, blood uric acid will be concentrated, which will increase the concentration of uric acid. Therefore, hyperuricemia patients and gout patients are especially advised to drink some water before going to bed. In addition to drinking plain water, soda water can also help patients reduce uric acid. Because it alkalizes the urine, this increases the solubility of urate in the urine and promotes the excretion of more uric acid from the body.


Finally, although strenuous exercise may lead to increased uric acid production, moderate exercise can still be beneficial in patients with hyperuricemia (Appropriate stretching exercises can be done before going to bed.). Clinically, it is recommended that patients with hyperuricemia actively engage in aerobic exercise, and at the same time cooperate with muscle resistance training. For patients with gouty arthritis, activities should be reduced during an acute attack, but with the relief of symptoms, reasonable exercise can be performed under the guidance of experts. This is more helpful for the long-term management of uric acid.

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