Gout and Water

Gout and Water

Drinking water to relieve gout

Water is one of the best and simplest home remedies for gout. Water burns clean, it’s passed out of your urine, sweat, breathing, perspiring while working and it doesn’t stress the vital organs like the liver and kidneys and so on. Since water can serve as a joint lubricant, one who is at risk for gout should be sure to drink plenty of fluids. Drinking a half-gallon of water a day may keep gout attacks away. The recommended approximate amount is 8–12 eight fluid ounce glasses daily, (a glass/cup consisting of 8 oz. or 250 ml) or about eight glasses.  If you’re not sure how much eight fluid ounces is exactly, observe how much by pouring water into a measuring cup.

Water will help dilute uric acid, but the real benefit is in its ability to help excrete the acid. Water makes it easier for the kidneys to excrete uric acid and makes it less likely that it will form crystals, thus hopefully preventing the next gout attack. When there’s less water in the body, the density of serum (blood) uric acid rises. Dehydration can also lead to kidney infections, stones and even failure and has been identified as a possible trigger for acute gout attacks.  All this can create that excess uric acid that causes gout in the first place.

Other health benefits of drinking water

Furthermore, people on high protein diets are actually consuming more meat, which means they are at risk for consuming uric acid found in their food source. When eating meat and/or proteins, it takes seven times as much water for the kidneys to detoxify fats and proteins as it does for carbohydrates. It takes more water to separate the waste products from the protein and the principal food for the gout sufferer should be carbohydrates like veggies, fruits, grains, whole grain breads, whole wheat pastas and rice, preferably basmati. Body fluids transport waste products in and out of cells. Your kidneys do an amazing job of cleansing and ridding your body of toxins as long as your intake of fluids is adequate. Drinking more water can flush the body of these harmful toxins. If you chronically drink too little, you may be at higher risk for kidney stones, especially in warm climates. Drinking more water can also help someone overweight lose excess weight, or maintain proper weight.

Tart Cherry Extract for Gout

How water helps the gout sufferer

One school of thought about home remedies for gout is that the solubility of uric acid increases with a higher body pH ratio. That is, when the body is more alkaline, (higher pH) and therefore less acidic, the more uric acid will be dissolved and excreted. Drink the water in small amounts throughout the day. The amount of water to be consumed can be a bit intimidating when one tries to tackle it all at once or in sessions. Spread the water intake throughout the day to avoid getting overwhelmed. Doing this will also reduce bloating and also check urine for water levels. Your urine should be clear due to the constant water intake. If the urine does not appear clear, it is a sign to drink more water. You can also check your pH levels in the mornings with Ph Test Strips, when urinary pH is continuously between 6.5 in the a.m. and 7.5 by evening, you’re functioning in a healthy range. When you’re getting enough fluids, urine flows freely, is light in color and free of odor. When your body is not getting enough fluids, urine concentration, color, and odor increases because the kidneys trap extra fluid for bodily functions.

Water is the most important thing when you exercise. It’s essential for proper circulation, for urine production and temperature control. If you lose as much as 3% of your body weight in water, it begins to interfere with the efficiency, in whatever sport you are involved in or whatever labour you are involved in. Lose 10% of your body weight by water and you will go into a heat stroke! So what do you then? If you are going to exercise or play a sport, drink 24 ounces of water 2 hours before and then about 14 ounces just a few minutes before you exercise or compete. Then try and drink 7 ounces every 15 minutes while exercising or competing. What about drinking Gatorade to replace the potassium you lose while exercising? Not needed, eating one banana after exercising provides you with 7 times more potassium than 10 ounces of Gatorade or any other advertised products out there. Any fruit you eat after exercise will help replenish your carbohydrates, potassium and other minerals you lost while exercising. Water is the most important thing to take a lot of while exercising or playing a sport.

Finally, participants in an online survey who said they drank more than eight 8-ounce glasses of water a day experienced a 48% reduction in gout attacks, compared with individuals who reported drinking one glass of water or less a day according to a Boston University School of Medicine study. So make sure water is with you everywhere you go, I carry a bottle with me from morning to night and keep refilling it all day long, very simply, the more water you drink the less chance you have of getting a gout attack. You will also feel better, more energetic and less sluggish, so put that Coke, beer, juice down and grab yourself some water.

Posted by Spiro Koulouris

Gout and You Banner


What is the evidence that coffee can help gout sufferers?

This popular hot beverage is very popular with the Chinese and gout sufferers

Mix this type of vinegar in your glass of water for some relief


  • Casey K

    Reply Reply May 19, 2019

    I recently changed to a local water providing company that uses reverse osmosis water. Is this something I should avoid, I’ve found mixed reviews in doing some basic internet searching. What are your thoughts on the reverse osmosis water vs. tap or spring water?

    • Spiro Koulouris

      Reply Reply May 21, 2019

      Just about everyone knows that Reverse Osmosis (RO) systems excel at removing water impurities, but few are aware that they also remove the beneficial minerals. In fact, the reverse osmosis process removes 92-99% of beneficial calcium and magnesium. So no I don’t recommend it. I do not recommend tap water either.

      Spring water is good but I mostly recommend AlkaHydra now which boosts the pH of your water, it’s basically alkaline water what your body needs to help control your uric acid levels too. AlkaHydra consists of 74 Coral calcium minerals like Boron, Bromine, Calcium, Cesium, Chlorine, Chromium, Cobalt, Copper, Germanium, Indium, Iodine, Iridium, Iron, Magnesium, Manganese, Molybdenum, Nickel, Phosphorus, Selenium, Silicon, Sodium, Strontium, Sulfur, Vanadium, Vitamin C, Zinc and more.

  • Stanley

    Reply Reply April 2, 2019

    Does an infrared light help reduce inflammation and is it good for gout? Thank you.

  • Mark W

    Reply Reply March 31, 2019

    Hi Spiro, I have just suffered a gout attack; I have had them about once every couple of years and normally with Naproxen it dissipates within a few days; this one lasted nearly 10 days. Needless to say, I have had a bit of a scare; I have been eating more tomatoes and I drink a lot of sparkling minteral water. Is there anything to say that sparkling minternal water is a no go? Your website is great, and very helpful – thank you.

    • Spiro Koulouris

      Reply Reply April 2, 2019

      Not per se, do drink more regular water though. Sparkling mineral water won’t raise uric acid or cause a gout attack. Now the tomatoes, I would definitely eat much less. They are a gout trigger for me and for many gout sufferers. Read my post on Gout and Tomatoes to learn why.

  • Juan Ipina Sr

    Reply Reply January 12, 2019

    I have gained so much knowledge reading so much on gout from your site. Really appreciate the information as I was diagnosed with gout 8yrs ago, I still get my gout attacks but not as frequent. Reading all the information you provide has helped me understand so much on this topic. Great site, thank you!

  • Tim

    Reply Reply September 13, 2018

    Hi Spiro.
    I just came across your website and wanted to share this info with you.
    I was 23 when I was diagnosed with gout after a blood test to confirm, I’m currently 49. I’ve suffered chronic gout since, so around 25 years. I have been to a number of specialists and after researching for years, trying everything under the sun medication and natural remedy wise, I can confirm that water is the best preventative measure.
    As you know, everyone’s metabolism is different and we all have different triggers for an attack. I have found dehydration brings it on everytime.
    Gout sufferers like myself should consume at a minimum 2X the daily recommended amount of water. I now consume 1.25 litres of water with every meal (hard at first but becomes easy) plus more water with snacks. It truly is the best preventative medicine for me, regarding gout. People that do not have serious hyperuricemia which leads to regular gout attacks wouldn’t require this quantity but for those that do, this quanitity works well for me.
    All the best and kind regards,

  • WILL

    Reply Reply September 10, 2018

    Hi Spiro,
    I had a gout attack about one month ago and took Allopurinol for a couple of days. Then I went on holiday and drank quite a lot of lager for ten days. This would have normally started another attack but nothing happened at all. Then when I returned back to England after a week I had another attack. The only difference I can come up with is I was drinking filtered water while abroad and the water in my house has quite a lot of mineral deposits in it. Do you have any research on drinking filtered water to aid gout?

    • Spiro Koulouris

      Reply Reply September 10, 2018

      Hi Will!

      There aren’t any studies that show this at this time although it’s a popular internet myth and there are some articles on the topic but no scientific evidence, but if it works then why stop it right? Regardless, drinking lots of water which helps flush out uric acid can only help.

  • Josh

    Reply Reply June 28, 2018

    Spiro, great site! I’m not sure salt causes hypertension. Please see: https://mobile.nytimes.com/2012/06/03/opinion/sunday/we-only-think-we-know-the-truth-about-salt.html

  • Bill Harris

    Reply Reply May 15, 2018

    I haven’t seen much on drinking high PH water. This will counter the acid based foods that you eat and set your system to be balanced and aid in reducing uric acid.

    • Spiro Koulouris

      Reply Reply May 15, 2018

      Hi Bill!

      Do you have any studies that show this?

      From my research it’s not a cure-all but does help.

      • Bill Harris

        Reply Reply May 15, 2018

        I have not seen studies but if you review an acid alkaline food chart it is very difficult to eat a balanced diet and drinking high PH water will definitely help.

        Another great use for high ph water is every two to four weeks a person can drink the water with lemon for about 4 hours in the morning without eating to cleanse the kidneys. I have tested my uric acid after this procedure and it drops considerably.

  • mike

    Reply Reply December 9, 2017

    This is great info!

  • Dev

    Reply Reply October 9, 2017

    I’m afraid of getting gout when I’m older. My family hasn’t had any problems with gout but I’m young and I do drink a lot. Weekends and occasionally after work I’ll have a few. I’m 27. I’ve heard of another individuals getting gout drinking about the same rate I do.

    But I always drink plenty of water and my urine is clear most days of the week. Except early morning of course.
    My question is Does keeping hydrated everyday keep gout away? Even when drinking often.

    I also drink beer. I know that’s pretty bad for gout.

    • Spiro Koulouris

      Reply Reply October 10, 2017

      Hi Dev!

      Yes drinking water helps flush out excess uric acid up to a certain point, so it is recommended you drink at least 12 cups a day but we recommend about 16 cups a day. Limit the alcohol best you can.

  • mike

    Reply Reply February 19, 2017

    Hi! I had gout only once is it possible to never get it again?

  • Nancy Darling

    Reply Reply January 5, 2017

    I am drinking Dasani Water which has a ph of 4. What should be the h of the water we drink?

    • Spiro Koulouris

      Reply Reply January 5, 2017

      Preferably over 7. Anything below 7 is considered acidic. Dasani is at 7.2 and considered alkaline.

  • mohammed

    Reply Reply September 4, 2016

    I got treated gout attack a few months back now it’s here again and giving me much pain .I am using ice cubes for the pain & a pain killer and Feburic pill.I am drinking loads if water as well.I need to know is this enough to ward off or do I need to go through the whole procedure of curing it again ?Please help.

  • Asi M.

    Reply Reply June 28, 2016

    Great site, thank you for all of the useful info. I was diagnosed with gout 20 years ago after undergoing arthroscopic surgery on my ankle. During these 20 years I’ve been on allopurinol 100 mg and have only experienced 4-5 gout outbursts, nothing debilitating thus far. Last month I had a flare-up of the elbow followwed immediately by a flare-up of my big toe (first time). My joint is stiff but the pain is bearable. I have no problem taking Colchicine as it does not adversely affect me. What should be my policy re colchicine? Do I take it even if I have no pain but just stiffness? If so, I’ve seen a ton of contradictory info on how to take colchicine. Do I take along with allopurinol? When should stop taking it? What dosage should I take? Thank you

    • Spiro Koulouris

      Reply Reply June 28, 2016

      Hi Asi!

      I am not a doctor, so I can’t prescribe you medication, you should consult your doctor since I don’t know how serious your gout is and what your uric acid leves are. Usually, someone takes colchicine when suffering from a gout attack, so colchicine is mostly prescribed as a short term therapy for gout. Allopurinol on the other hand is prescribed as a long term therapy for gout, to help keep uric acid levels normal. Hope this helps.

    • David

      Reply Reply July 23, 2016

      I have just had a gout attack in my knee. It came from nowhere and literally left me thinking “Amputation….thats the answer!!” I have never known a pain like it in my life, so I’m on the research for why it occured. The only thing that I can think of, is I did eat a lot more tomatoes last week. Do you think this could have been the issue? I’m now on Colchicine tablets, and after three days the pain is going but is still there.

      • Spiro Koulouris

        Reply Reply July 24, 2016

        Could be David!

        Had flare ups couple years back eating too many Greek salads with tomatoes from my mother’s garden since they taste so great. So yeah, I cut them out since then eating them very rarely.

  • Michael S.

    Reply Reply August 16, 2015

    Interestingly, using the watercures.org protocol (copious amounts of water and unrefined, whole Sea/Pink salt (not lethal, toxic, everyday table salt) will lower blood pressure too and can be used to treat gout is the claim.

    Do you yourself still drink coffee every day? I find it very difficult to break away from coffee (I also put a tablespoon of blackstrap molasses in each cup), I’m torn on this as it doesn’t seem that coffee can actually improve one’s uric acid situation/excretion.

    • Spiro Koulouris

      Reply Reply August 16, 2015

      Yes I do drink coffee daily and I like to sprinkle some cinnamon on it.

      Read my post on Gout and Coffee to learn more.

      As for the salts you present, I’m going to have to research more on the subject.

      Do you know of any studies that prove this claim that I can look at?

      Regardless keep me posted on your experiment, it sounds interesting.

  • Michael S.

    Reply Reply August 13, 2015

    I came across your goutandyou.com website after I recently experienced my first full blown gout attack that gave me a purple right big toe/ball of foot, couldn’t walk or put work boot on.
    I brought this on myself from drinking too much beer (Guinness Stout) every day and eating big breakfasts of those sausage, egg and cheese sandwiches you buy at the convenience store.
    Your site is by far the most sensible and informative of the many I’ve visited. I find myself visiting often.

    I’m interested in your take on using natural salt as part of the water cures protocol in treating gout, http://www.watercures.org/water-cures-protocol.html
    I tried this using Real Salt, mined in Utah, and Selina Naturally Grey Sea Salt and it did seem to help.
    The salt along with copious amounts of good water are supposed to flush uric acid from the body, lower blood pressure and provide numerous other benefits of being correctly hydrated.
    Made sense to me so I’m trying it out. My blood pressure actually went down when I was checked at my doctor for the gout symptoms.
    On your site you state not to use too much salt.

    I’m new to the gout scene and was wondering what your opinion might be.

    • Spiro Koulouris

      Reply Reply August 13, 2015

      Too much salt can lead to high blood pressure so not too much of course. You don’t want to fix one health problem and start another.

      Keep me posted on any progress.

Leave A Response

* Denotes Required Field