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Gout

Gout

Gout, characterized by sudden redness, swelling, and severe pain in the top of the big toe.

Jang-Hyuk Choi, KMD
의료 감수Jang-Hyuk Choi, KMDHead Doctor
Jang-Hyuk Choi, KMD
Medically Reviewed
동제당한의원·Jang-Hyuk Choi, KMDHead Doctor
#Food / Triggers

Q I am an office worker in my 40s who frequently attends company dinners near Dongincheon Station. Can even one or two glasses of beer trigger a gout attack?

A Beer contains both ethanol and yeast-derived purines, making it the alcoholic beverage with the greatest effect in raising uric acid levels. Even a small amount can trigger an attack if uric acid levels are already high. If unavoidable, you should be more cautious with beer than with small amounts of distilled spirits, and adequate hydration before and after drinking is helpful.

Detailed Answer

Ethanol inhibits the excretion of uric acid by the kidneys, and yeast-derived purines produced during beer fermentation directly increase uric acid substrates. Studies show that consuming just one can (355 mL) of beer can significantly raise blood uric acid levels, and the risk of an attack increases severalfold in those who already suffer from hyperuricemia. Dehydration also raises uric acid concentration, so the diuretic effect caused by drinking acts in combination with these factors. From the Perspective of a Korean Medicine Clinic: In Korean medicine, alcohol is classified as a hot, toxic energy; in particular, alcohols with a cold and damp nature, such as beer, exacerbate heat-related waste products within the body. Repeated drinking, such as at company dinners, continuously impairs digestive function, leading to the accumulation of sticky waste products that block the pathways of Qi and blood. Considering the reality faced by office workers who find it difficult to reduce their drinking frequency, Dongjedang combines treatment that raises the threshold for recurring attacks by reinforcing digestive function with herbal medicine and thoroughly clearing out heat-related waste products from the body. Lifestyle guidance on adequate hydration and snack selection before company dinners is also provided.
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동제당한의원 Care

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