Overview 

Gout is a type of arthritis that causes pain and stiffness in your joints. About 4 percent of adults in the United States have gout. In fact, gout is the most common type of inflammatory arthritis in men.

You might develop gout if you have too much uric acid in your blood. Uric acid forms sharp crystals that collect in the big toe and other joints. Symptoms include pain, tenderness, and swelling.

It’s important to get medical treatment for gout. High uric acid levels can lead to joint damage and kidney problems. Medications along with dietary changes can help relieve gout flare-ups.

One of the changes you might want to make is adding lemon juice to your diet. Lemon juice has been found to have several health benefits, including lowering the risk of kidney stones. Recent research shows that this citrus fruit juice may also help reduce gout symptoms.

Lemon Juice’s Effect On Gout 

A 2017 study found that lemon juice and lemon extract help to lower uric acid levels in the blood. Adults with high uric acid levels drank freshly squeezed lemon juice every day for six weeks. The same research trial-tested lemon fruit extract on mice with high uric acid. The mice also showed lowered levels of this acid.

Another clinical study reviewed the blood tests of 75 adults who drank freshly squeezed lemonade every day. The study included:

1. people with gout
2. people with high uric acid levels but no gout symptoms
3. people without gout or high uric acid

After six weeks, all the groups showed lower levels of uric acid.

The studies concluded that lemons and lemon juice might be a useful remedy to help treat gout along with medications and other dietary changes. Lemon juice may also help prevent gout in people with high uric acid levels. It’s possible that even those with normal levels of uric acid may benefit from using lemon juice to balance blood acid.

Why Lemon Juice May Be Helpful

Lemon juice may help balance uric acid levels because it helps make the body more alkaline. This means it slightly raises the pH level of blood and other fluids. Lemon juice also makes your urine more alkaline.

According to a study published in the British Medical Journal, this happens because drinking lemon juice causes your body to release more calcium carbonate. The calcium mineral bonds to uric acid and breaks it down to water and other compounds. This makes your blood less acidic and lowers uric acid levels in the body.

Lemon Juice Dosage For Gout 

More research is needed on how much lemon juice or lemon extract you need to help lower blood uric acid levels. The studies mentioned above used different dosages. In the first one, study participants had about 30 milliliters of freshly squeezed pure lemon juice daily. This is the juice of about one lemon per day.

In the second study, each person drank the fresh juice of two lemons diluted in two liters of water every day.

It’s not known if bottled or frozen lemon juice would have the same effect as fresh juice. The dosage for lemon extract for people is also not yet determined.

Additionally, the studies didn’t record the effect of lemon juice on gout symptoms, which is a crucial factor for anyone experiencing gout-related pain.

How To Prepare Lemon Juice 

It’s not known how quickly lemon juice works to lower uric acid, or if it can help symptoms during a flare-up. But drinking lemon juice daily even when you don’t have symptoms can become part of your preventative diet for gout.

Drink the juice of one to two lemons per day. To make sure you’re drinking the juice of at least one lemon per day, squeeze the entire amount into a measuring cup before adding it to your beverages. Use a lemon press to get all the juice out more easily. Roll the whole lemon on a counter or tabletop for a few minutes before juicing to help release more juice.

The best way to drink lemon juice is to dilute it. The research shows that lemon juice still works to help treat gout when it’s watered down. Add freshly squeezed lemon juice to your water bottle or make a lemon “tea” with hot water.

You can also flavor herbal or green tea with lemon juice. Avoid adding sugar to lemon beverages. Instead, sweeten with sugar-free alternatives like stevia, or flavor with mint.

Side Effects Of Too Much Lemon Juice

The medical studies reported that the adults treated with lemon juice didn’t have any side effects. However, lemon juice is still acidic until your body digests it. The natural lemon (citric) acid can wear away the enamel (outer layer) of your teeth.

It may also irritate your mouth, throat, and stomach. To prevent these side effects, avoid drinking pure, undiluted lemon juice. Rinse your mouth with water or brush your teeth right after drinking lemon water.

The Takeaway

Tell your doctor immediately if you have any gout symptoms. Joint pain can happen for a number of reasons. Your doctor can test your blood uric acid levels to find out if you have gout.

Lemon juice might help lower uric acid levels. However, it can’t treat gout or any other illness.

Get medical treatment for gout and any health conditions that may make you more likely to get gout. Genetics and other conditions like diabetes, heart disease, high cholesterol, and high blood pressure can raise your risk for gout.

Gout can trigger other serious health problems if it’s not treated. Take all medications as prescribed by your doctor. Talk to your doctor or nutritionist about the best diet for gout.

Sources:

1. Barnela SR, et al. (2012). Medical management of renal stone. DOI:
   4103/2230-8210.93741
2. Biernatkaluza EK, et al. (2015). Lemon juice reduces serum uric acid level via alkalization of urine in gouty and hyperuremic patients – A pilot study. DOI:
   1136/annrheumdis-2015-eular.5147
3. Wang H, et al. (2017). Lemon fruits lower the blood uric acid levels in humans and mice. DOI:
   1016/j.scienta.2017.03.023
4. What is gout? (n.d.).
   arthritis.org/about-arthritis/types/gout/what-is-gout.php