Discharge instruction for gout with colchicine and ibuprofen should include which dietary modification?

• A. Decrease consumption of red meat and most seafood
• B. Increase consumption of red meat
• C. Limit dairy products
• D. Increase carbohydrate intake

Answer: (A)

Managing gout involves lowering uric acid levels by reducing the intake of purine-rich foods. Foods like red meat and many seafoods are high in purines, and their breakdown raises uric acid in the blood, which can trigger painful flares. Therefore, decreasing consumption of red meat and most seafood is the most effective dietary modification to accompany colchicine and ibuprofen during discharge.

Dairy products, especially low-fat options, are not something to be restricted; in fact, they may help modestly lower uric acid. Increasing carbohydrate intake isn’t a targeted gout strategy. The key idea is to limit purines to help prevent future flares while you treat the current episode.