Millions of people around the world have gout, a type of arthritis. Gout attacks can happen when crystals of uric acid build up in the joints, which causes severe pain, swelling, and inflammation.


Uric acid is made when purines, which are found in many foods, are broken down by our body. Uric acid usually dissolves in the bloodstream and leaves our body through urine. But if the body makes too much uric acid or the kidneys can't get rid of it quickly enough, it can build up in the body and turn into crystals that settle in the joints and begin to wreak havoc!


Attacks of gout can come on quickly and without warning, and they often happen in the middle of the night. The joint that hurts gets hot, red, and swollen, and the pain can be unbearable. Oftentimes it will happen in the big toe joint, known as the podagra. Attacks of gout can last for days or weeks and can be very painful, and a huge inconvenience to everyday activities.


Medication can of course help with gout symptoms, and speaking with your doctor about medication options is very important to tackle gout! From the prevention side, a low-purine diet is also a great way to stop attacks.


The purine limit per day for someone trying to avoid gout flare-ups can vary depending on several factors, including age, sex, weight, and medical history. The American College of Rheumatology recommends that people with gout limit their daily purine intake to no more than 400 to 500 milligrams per day; even lower may be better! A 2012 study published in the New England Journal of Medicine found that men who consumed the lowest amount of purines (less than 100 mg per day) had a significantly lower risk of gout attacks than men who consumed higher amounts of purines.


Some foods are high in purines, which can make you more likely to get gout. Red meat, organ meats, some seafood, and alcoholic drinks, especially beer, are all things high in purines, and important to limit or avoid completely. Not all seafood and fish have high purine levels!!


Here are some wild caught seafood and wild fish options that are safe to eat on a gout diet because they are low in purines:


1) Salmon: Salmon has a lot of omega-3 fatty acids and not many purines. It is an excellent choice for people with gout who want to eat more fish. Both wild Alaskan king salmon and wild Alaskan sockeye salmon are considered to be low in purines and can be safely consumed by people struggling with gout as part of a balanced diet.


Wild Alaskan King Salmon:  67 mg purines per 3.5 oz

Wild Alaskan Sockeye Salmon:  63 mg purines per 3.5 oz


These values are relatively low compared to other high-purine foods like red meat and organ meats, which can contain several hundred milligrams of purines per 3.5 oz.


2) Canned Tuna: Some kinds of tuna are high in purines, but skipjack and albacore tuna are considered low to moderate in purines and safe for people with gout to eat. Tuna is also a good way to get omega-3 fatty acids and protein. The purine content of canned albacore tuna can vary depending on the specific product and brand. Generally speaking, canned albacore tuna is considered to be a moderate-purine food, similar to fresh albacore tuna.


Canned Albacore Tuna: 84 mg purines per 3.5 oz


This is slightly lower than the purine content of fresh albacore tuna, which is approximately 90 mg purines per 3.5 oz. Some canned tuna products may contain added ingredients, such as oils or flavorings, that could increase the purine content.

Additionally, some types of canned tuna, such as those labeled as "light" tuna, may contain different species of tuna that could have varying purine contents.


3) Shrimp: While most shellfish are high in purines, shrimp has a low amount of purines, so people with gout can eat it in moderation. Shrimp is also a good source of protein and other essential nutrients. Wild Alaskan shrimp, including spot prawns, are generally considered to be low in purines and can be safely consumed as part of a gout-friendly diet.


Wild Alaskan Spot Prawns (cooked): 93 mg purines per 3.5 oz


While this is slightly higher than some other types of seafood like salmon, it is still considered to be a relatively low-purine food compared to red meat, organ meats, and some types of seafood like anchovies and sardines. By staying away from high-purine foods and eating more low-purine foods like salmon, tuna, and shrimp, you can help reduce the number and severity of gout attacks.


*A side note on high purine veggies...

There are some vegetables that have high purine content, but vegetables with high purines have not shown to have any significant effect on gout. It is recommended to continue eating all vegetables, including the high purine ones, since avoiding them has no significant effect on flare ups.


Keith said:

This site sponsored by a company selling its seafood, not a responsible medical information site. Don’t believe everything they post. Many have pointed out that most information says shrimp are not good for gout. This misinformation negates any credibility of this site for any of the other information it presents, them though some of it is likely correct. A shame that I find so much inaccurate and contradictory information on this subject. The only consistently reliable site is Healthline.com

Ron said:

This is why you CATCH shrimp and should not give medically unqualified info about shrimp!

Theman said:

It seems almost impossible to figure out what has purines and what doesn’t. I swear I’ve read that milk is good, milk is bad, beans are good, beans are bad, oatmeal is good, oatmeal is bad, shrimp is good, shrimp is bad, tuna is good, tuna is bad. The list goes on and on. It sure would be nice if there was one, consistent story with this. I wouldn’t care if it wasn’t so MF-ing painful!

anonymous said:

to Marc Jones: Haddock is not good for gout. Neither are sardines.

anonymous said:

What about pollock? I get conflicting information.

Tommy said:

Shrimp is listed by every medical page and journal to be HIGH in purines and not advised to be eaten by people with gout. If you don’t know your facts, you shouldn’t be littering the internet with your misinformation.

David said:

Absolutely WRONG about shrimp. I can literally feel it coming on after one shrimp. Do better homework or don’t post.

Simone said:

Shrimp is high in purines! I am having a flare now. The culprit. Shrimp!

Marc jones said:

Is it ok to eat salmon a few times a wk.
Is haddock and cod ok to eat as one web site says it’s ok and another saying it’s not.

Yo said:

Shrimp is the only thing that gives me gout. Z

Tishun said:

What about crab legs, fish, cantaloupe, TV dinners,onions, ground chicken, ground turkey,yams

Ralph Salier-Hellendag said:

Shrimp is high in purines! Not low. This is causing a great deal of confusion among those of us with gout! There is a good body of data out there that is very much the opposite of your claims. You should take this down!

Matt said:

This is the first article I’ve ever read that shrimp is OK for gout. While I want to believe this, I doubt it’s true. A simple search of the purine content of shrimp shows it has more purines than sardines!

Mohammad said:

How about honey?

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