Does seafood exacerbate gout?

A reader wonders whether consuming shellfish would cause gout flare-ups. Dr. Keith Roach thinks eating seafood, in moderation, should pose few risks.



December 29, 2021 - 9:07 AM

Photo by

DEAR DR. ROACH: About three months ago, I had an attack of gout. I believe it was my first, but I may have had one a few months earlier that was diagnosed as a foot infection. The symptoms lasted well over a month. My last uric acid reading was 5.1, but it was 8.6 in February 2021. 

I am watching my diet — I have not eaten red meat in over 30 years — and have basically eliminated shellfish, which I love. I also take 100 mg of allopurinol.

Is occasional shellfish a real risk? How likely is this that it is a one-time event? Is gout now likely to be a lifelong concern? — B.

April 7, 2020
September 30, 2019
May 21, 2019
November 5, 2018