Konsultasi Gizi Topik Asam Urat Kelompok 6 (A2023) Prodi Gizi FKM UHO

Summary

In this transcript, a nutritionist (Mbak) consults with Ibu Nana, who has been diagnosed with gout. The discussion covers the causes, symptoms, and potential risks of the condition, as well as the importance of dietary changes to manage it. Mbak explains how high uric acid levels from certain foods can trigger gout attacks, and recommends avoiding purine-rich foods like fried duck and intestines. She also advises limiting fried tempeh and tofu, consuming more fruits, and drinking plenty of water. The consultation ends with Ibu Nana committing to follow the dietary plan to improve her health.

Takeaways

• 😀 The conversation revolves around a consultation regarding gout (uric acid disease) and its management.
• 😀 The patient, Ibu Nana, was referred by her doctor for a diet consultation after being diagnosed with gout.
• 😀 Gout is caused by high levels of uric acid in the blood, which forms sharp crystals in joints, leading to pain, inflammation, and swelling.
• 😀 The common symptoms of gout include sudden joint pain, warmth, redness, and stiffness, often affecting joints like the big toe, knees, and hands.
• 😀 If left untreated, gout can lead to the formation of lumps under the skin called tophi, which do not hurt but affect appearance.
• 😀 High uric acid can also affect kidney function if crystals accumulate in the kidneys.
• 😀 Diet plays a crucial role in managing gout, with a focus on reducing foods high in purines, which contribute to higher uric acid levels.
• 😀 The patient needs to avoid or limit foods such as fried duck and intestines, which are high in purines, despite her preference for them.
• 😀 The patient is encouraged to consume more fruits and stay hydrated, aiming for at least 2 liters of water daily to help flush out uric acid.
• 😀 The diet plan includes limiting fried tempeh and tofu to only one serving per day, with a choice between the two, to avoid increasing uric acid levels.
• 😀 The consultation ends with a clear plan to follow up in two weeks, with a phone call reminder, and the patient is given contact information for further support.

Q & A

What is gout and how does it affect the body?

Gout is a disease caused by high levels of uric acid in the blood, leading to the formation of needle-like crystals in the joints. These crystals cause intense pain, inflammation, warmth, and swelling in the affected areas, making it difficult for the individual to move.

What are the common symptoms of gout?

Common symptoms of gout include sudden joint pain, often at night or during cold weather, warmth and redness in the affected joint, and stiffness which may hinder movement. The pain can become so intense that even light touch can cause discomfort.

What are the most common joints affected by gout?

The most common joints affected by gout are the ankle, big toe, knee, elbow, and fingers. These joints can become swollen, painful, and may even turn purple or red.

What can happen if gout is left untreated?

If gout is left untreated for a long period, uric acid crystals can accumulate under the skin, forming lumps called tophi. While these are not painful, they can affect the appearance of the joints. Additionally, untreated gout may lead to kidney problems if uric acid builds up in the kidneys.

What dietary changes can help manage gout?

To manage gout, individuals should avoid foods high in purines, such as fried duck and fried intestines, as these can raise uric acid levels. It is also important to limit the consumption of fried tempeh and tofu, and to maintain a balanced diet with fruits and vegetables that are low in purines.

Why is it important to limit the intake of purine-rich foods?

Limiting purine-rich foods is crucial because purines are broken down into uric acid in the body. Consuming too much purine can increase uric acid levels, leading to the formation of uric acid crystals in the joints, which causes pain and inflammation.

What role does hydration play in managing gout?

Drinking plenty of water helps to flush excess uric acid out of the body through urine. It is recommended to drink at least 2 liters of water per day to help reduce the risk of gout flare-ups.

Can fruits help in managing gout, and if so, how?

Yes, fruits can help in managing gout by providing essential vitamins and antioxidants that support overall health. However, it is important to choose fruits that are low in purines. Fruits can be consumed in various forms, including fresh, in salads, juices, or as fruit-based desserts.

How much tofu or tempeh is recommended for someone with gout?

For individuals with gout, the consumption of tofu or tempeh should be limited to one serving per day, with each serving being around half of a medium-sized piece. Consuming both tofu and tempeh in the same day should be avoided as it may increase uric acid levels.

What can be done if someone finds it difficult to avoid their favorite gout-triggering foods?

If someone struggles to avoid their favorite gout-triggering foods, such as fried duck or intestines, they can try gradually reducing the frequency of consumption. Over time, they can substitute these foods with healthier alternatives that are less likely to raise uric acid levels.