I am a 76 year old male with severe arthritis and gout I use arthrexin for a long time but then change over to diclo flam drinking 50 mg twice a day problem not so good for my stomach what else can you suggest please. With the arthrexin I did not have problems with my stomach. Maybe something else thank you louis van der walt.

Dr. Julie Mercy J DavidPhysiotherapist25yrs exp

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?drinking plenty of water. Over-the-counter nsaids (nonsteroidal anti-inflammatory drugs), such as ibuprofen (advil, motrin). ?home remedies may be very beneficial for the management of chronic gout, as well. The dietary modifications detailed above can be very effective in certain patients. Drinking plenty of water to remain well-hydrated can be beneficial in preventing gout attacks. ?limit or avoid alcohol. Talk with your doctor about whether any amount or type of alcohol is safe for you. Recent evidence suggests that beer may be particularly likely to increase the risk of gout symptoms, especially in men. ?get your protein from low-fat dairy products. Low-fat dairy products may actually have a protective effect against gout, so these are your best-bet protein sources. ?limit your intake of meat, fish and poultry. A small amount may be tolerable, but pay close attention to what types ? and how much ? seem to cause problems for you. ?maintain a desirable body weight. Choose portions that allow you to maintain a healthy weight. Losing weight may decrease uric acid levels in your body. But avoid fasting or rapid weight loss, since doing so may temporarily raise uric acid levels. Food to eat: ?fresh fruits and vegetables such as berries, oranges, bell pepper and pineapple. ?low-fat dairy products, such as yogurt and skimmed milk. ?nuts including nut butter ??s such as almond butter and peanut butter. ?whole grains. ?potatoes, rice, whole-grain bread and pasta. ?eggs (in moderation). ?oils such as olive oil.?flax and other seeds. ?plenty of water and other non-sugary and non-alcoholic drinks. ?vitamin c. Supplements containing vitamin c may reduce the levels of uric acid in your blood. ?cherries have been lower levels of uric acid, as well as reduce the number of gout attacks. ?decaffeinated coffee and caffein will lower uric acid levels. Foods to be avoided: ?alcohol is a major trigger for gout attacks. Beer is especially bad for gout since it is rich in purines. ?certain fish, seafood and shellfish, including anchovies, trout, sardines, herring, codfish, mussels, codfish, scallops and haddock. ?organ meats such as liver, kidney, sweetbreads and brain. People with gout, however, can have a moderate intake of lean meats such as chicken and turkey. ?red meat including bacon, turkey, veal and venison.?dried beans and peas. ?food products containing a high amount of fructose such as soda and some juices, cereal, ice cream, candy and junk food. 

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