Our expert says:
It depends if you have gouty osteoarthritis or rheumatoid arthritis? If you suffer from gouty osteo-arthritis then you actually need to eat a diet that is low in compounds called 'purines'. Generally speaking anyone with gout needs to avoid a buildup of uric acid in the body. Excessive uric acid buildup is caused by a disorder in the metabolism of so-called "purines", which are compounds that occur in high quantities in red meat, organ meats (brains, liver, kidneys, sweetbreads), anchovies, meat extracts, broth, bouillon, and gravies made from meat drippings, sardines, herrings, mackerel, mussels, partridge, fish roes, baker's and brewer's yeast taken as supplements. Beans, pulses, spinach, asparagus and mushrooms have a moderate purine content and can be eaten in moderate quantities. Other vegetables and fruits have a negligible purine content and can be eaten freely. Alcohol and rich, fatty foods also exacerbate gout and cholesterol. Both the gout and raised cholesterol levels may also respond to an increase in the intake of omega-3 fatty acids. Salmon oil capsules are a good source of omega-3. For rheumatoid arthritis it is essential to consult a clinical dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area), because your nutritional needs may vary depending on which phase your rheumatoid arthritis is in at the moment. The dietitian will have to work out a diet for you that takes our medical conditions and any chronic medications you may be taking into account.
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