A big part of Ramadan is iftar. As the day draws to a close, all our focus and attention is on breaking our fast. We often tend to have a lot of heavy foods which are fried and calorie intensive but for people who are suffering from gout, the scenario can be wildly different. They have to abide by strict diets and medication. The following are some important points and tips to guide you on the relationship between gout and Ramadan and how you can manage it in this holy month.

What causes gout?

Gout is a type of arthritis that results from the build-up of uric acid crystals in the joints. Uric acid is a waste product produced by the body when it breaks down purines, which are found in many foods. When there is an excess of uric acid in the body, it can form crystals in the joints, leading to painful inflammation and swelling.

How Ramadan affects gout?

During Ramadan, people who fast consume their daily food and fluid intake within a limited period. This can disrupt the body's normal metabolic processes and lead to dehydration, which can exacerbate gout symptoms.

Dehydration can cause the concentration of uric acid in the blood to rise, making it easier for uric acid crystals to form in the joints. Additionally, fasting can lead to a decrease in urine production, which can further increase the concentration of uric acid in the body.

Moreover, some people tend to consume foods high in purines during Ramadan, such as meat and lentils, which can also trigger gout attacks. Eating a diet high in purines can cause an increase in the production of uric acid in the body, leading to gout flares.

How to prevent flare-ups during Ramadan

If you have gout, there are several steps you can take to prevent flare-ups —

Staying hydrated

To prevent dehydration, it is essential to drink plenty of water and other fluids during non-fasting hours. This can help reduce the concentration of uric acid in the blood and decrease the likelihood of flare-ups.

Choosing low-purine foods

During non-fasting hours, it is important to avoid or limit foods that are high in purines, such as red meat, shellfish, and legumes. Instead, opt for low-purine foods, such as fruits, vegetables, and whole grains.

Taking medications as prescribed

If you are taking medications for gout, it is important to continue taking them as prescribed by your healthcare provider. Fasting during Ramadan may affect the way some medications work, so it is essential to discuss any changes in your diet or routine with your physician.

Exercise regularly

Exercise can help to reduce stress levels and improve your overall health. Incorporate low-impact exercises like walking, yoga, or swimming into your daily routine during Ramadan to stay active and manage stress.