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    Fighting Gout With Skim Milk and Water

    New Studies Suggest Water and Skim Milk Can Help Treat Attacks of Gout
    WebMD Health News
    Reviewed by Louise Chang, MD

    Oct. 19, 2009 (Philadelphia) -- There's a new reason to drink plenty of water and skim milk: Both may help to prevent painful gout attacks, new studies show.

    "With gout, we spend a lot of time telling patients what they can't do -- to avoid beer and red meat, for example," says University of Auckland rheumatologist Nicola Dalbeth, MD, who headed the milk study.

    "It's useful to have something we can tell them they can do" to help control their disease, she tells WebMD.

    The studies were presented at the annual meeting of the American College of Rheumatology.

    Gout, a type of arthritis that occurs most frequently in overweight, middle-aged men, is caused by the buildup of uric acid and needle-like crystals in the joints.

    While there is certainly a genetic link to the disease, there is no question that lifestyle is a key contributing factor.

    One recently identified trigger for the painful attacks is dehydration. So researchers set out to determine if drinking water could be an antidote.

    Using ads on Google, the researchers recruited 535 people who said they had a gout attack within the past year. Participants' medical records were used to confirm the diagnosis.

    Within two days of an attack, participants logged onto a special web site and answered questions about what they ate and drank in the 24 hours preceding the attack. Then, they were asked to log in another time, when they were gout-free, and answer the same questions.

    Reducing Risk of Gout's Return

    Results showed the more water they drank, the lower their risk of recurrent gout attacks. "For example, having five to eight glasses of water in the past 24 hours was associated with a 40% lower risk of having a gout attack, compared with drinking none or one glass of water in the past day," says Tuhina Neogi, MD, PhD, assistant professor of medicine at Boston University School of Medicine.

    Neogi stresses that people with gout shouldn't substitute water for other treatments their doctors prescribe.

    "But this suggests that dehydration may indeed be an important trigger for gout attacks, and that drinking water may be a simple intervention to help reduce the risk of recurrent attacks," she tells WebMD.

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