Which lifestyle modification is recommended to help prevent gout attacks?

• A. Increase fluids
• B. Limit alcohol intake
• C. Avoid exercise
• D. Take daily aspirin

Answer: (B)

Alcohol use is a common trigger for gout attacks because it raises uric acid levels and hinders its excretion by the kidneys. When alcohol is metabolized, uric acid production goes up and lactic acid levels rise, which competes with uric acid for renal excretion. This combination increases urate in the blood and promotes crystal formation in joints. Limiting alcohol directly reduces this trigger and is a practical, effective lifestyle change to prevent flares. Increasing fluids can help with hydration and uric acid elimination, but it doesn’t address the alcohol-driven production and excretion issues as directly. Taking daily aspirin can actually raise uric acid and worsen gout, so it’s not a helpful modification. Avoiding exercise isn’t recommended; staying active supports overall metabolic health and weight management, which also lowers gout risk.