Gout, drink soda water for a long time can uric acid come down? Doctor refutes rumors and talks with you about sodium bicarbonate

Recently, there are many kinds of sodas on the market, so many gout patients have doubts about whether drinking soda water for a long time can help us reduce uric acid. Today we’ll talk about this problem. < / P > < p > when we go out of the clinic, we often encounter patients with gout repeatedly, complaining that they have taken sodium bicarbonate tablets for a long time. Why is uric acid still high and gout occurs repeatedly? After seeing Dr. Xie, you will understand the following content! < / P > < p > under normal circumstances, when do we suggest that patients should take oral sodium bicarbonate tablets? The most common situation is that when patients are instructed to take oral benzbromarone to reduce uric acid, the main function of benzbromarone is to inhibit the reabsorption of uric acid by renal tubules, so as to promote the excretion of uric acid. What kind of patients is this drug especially suitable for? It is mainly applicable to patients with hyperuricemia and gout whose renal uric acid excretion is impaired. During taking this drug, the concentration of uric acid will be significantly increased. In this case, the risk of urinary acid kidney stones will be increased. Taking sodium bicarbonate tablets can help us alkalize our urine. Generally, we recommend taking 0.5-1g orally, three times a day. < / P > < p > in principle, we require that when taking sodium bicarbonate tablets, the pH value of urine should be stabilized between 6.2 and 6.9. If the pH value is too high, it will increase the risk of calcium salt stone formation. In this way, it is also a kind of injury to patients. Therefore, we suggest that patients who take benbromarone and sodium bicarbonate tablets to control blood uric acid should regularly test their own Urine, the simplest way is to buy a home urine pH detector. < / P > < p > in addition, we also recommend taking sodium bicarbonate tablets in patients with hyperuricemia whose pH value is too low. < / P > < p > we should understand that the main function of sodium bicarbonate tablets is to alkalize urine and prevent the formation of acid kidney stones in urine, but it does not promote the excretion of uric acid. However, we do not recommend patients to take sodium bicarbonate for a long time, because some patients may have obvious stomach discomfort and flatulence, and long-term use of sodium bicarbonate should be aware of the risk of elevated blood sodium and hypertension. < / P > < p > studies have shown that if the concentration of bicarbonate in our blood is greater than 26 mmol / L, the risk of heart failure will be increased; if the concentration of bicarbonate in our blood is less than 22 mmol / L, the risk of kidney disease will be increased. According to the recommendations in the 2019 Chinese guidelines for diagnosis and treatment of hyperuricemia and gout, we are guiding patients to take sodium bicarbonate orally In the process of urination, the concentration of bicarbonate in the blood must be controlled between 22 and 26 mmol / L. < / P > < p > when we buy bicarbonate water, we must pay attention to learn to look at the list of ingredients. First of all, whether there is sodium bicarbonate, and what is the amount of sodium bicarbonate? The figure below is a kind of sodium bicarbonate sold in the market. In the ingredient list, we can see that the main ingredients are water and food additives, including carbon dioxide and sodium bicarbonate. The content of sodium bicarbonate is 0.6 grams per liter, which is equivalent to buying three bottles of such mineral water, which is equal to about one piece of sodium bicarbonate tablets. We suggest that patients should take sodium bicarbonate, and the minimum daily dose should be 0.5 G, three times a day, so you need nine bottles of soda a day to meet the patient’s daily needs. How much does this 9 bottles of soda cost? Is it higher than medicine? < / P > < p > in addition, we should also pay attention to the specific content of sodium indicated in the nutrition composition table? Taking this ingredient list as an example, if we want to meet the consumption of sodium bicarbonate, we need nine bottles of soda water, providing 10% of the sodium ion we need every day. If we have some patients with heavy mouth and like to eat salty food, it is easy to lead to high sodium ion in patients and increase the risk of hypertension. < / P > < p > there is another quantity we need to calculate, that is, the amount of drinking water. Nine bottles of soda water need nearly three liters of water. It’s hard for us to drink three liters of this water every day, right? < p > < p > then some friends said, “can I put the sodium bicarbonate tablets I need every day into the water? Is this OK? You can try this, what is the taste of water! It can be said that the taste is very bad, I have tried such a drink, it is really difficult to swallow, and simply eat the pill down, it is not fragrant? Is it necessary to do so? < / P > < p > in fact, for gout patients, actively cooperate with their own doctors, use drugs scientifically and rationally, control their diet scientifically and reasonably, and exercise scientifically and reasonably. Slowly control your uric acid, this is a very systematic work, need to take your time! < / P > < p > and many patients around us think that taking medicine will be harmful to their health, so they often try to control their uric acid through a very simple way, and want to have it done once and for all. This idea is not good! < / P > < p > for soda water, if you want to drink it every day, it will not cause abnormal blood pressure and stomach discomfort. But if you want to drink soda water for a long time to help your uric acid control, and do not want to systematically control uric acid through drugs or other diet control, I am afraid it will not achieve the goal. < / P > < p > how to exercise and what kind of diet need to be controlled? Dr. Xie has written a lot of articles if you are interested. You can search doctor Xie’s past articles! I hope it can help you. < / P > < p > I am Xie Xinhui, who insists on explaining the knowledge of complex diseases in simple language. It is not easy to code words. If you agree with my opinion, please pay attention or praise it. If you or your family and friends also have problems in uric acid control, please forward this article to them who need it. Thank you! 21 days after delivery, the pregnant woman had a new baby, but the doctor did not find it was “twins”