### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi My father is 80 yrs old and has a heart problem.  His medication consists of: Simvastatin, Carvedilil, Rampril, Aspirin and Furosemide.  For the last two weeks he has incredibly painful periods of joint pain - gout.  I have inflicted a strict gout type diet on him - tons of fruit and so on - but allowed him to have an evening meal of his choice which consists of meat and veg normaly.  I thought we had it under control but he has had another nasty outbreak in his wrist (caused by the meat?).  What I am wondering is whether it is worth altering his diet at all from what it was before these gout episodes as it seems that a side effect of the tablets is to raise the uric acid levels in his blood.  Does the diet help enough to make any difference or is the only way for him to get relief is to take more tablets (we are getting other tablets today). Regards Mark

### output:

Hi Dear User ! I have gone through your questions and I understand your concern! Yes it's a medication in his treatment that cause Hyperglycemia (gout), and its Furosemide. This is a serious side effect of this Chat Doctor. Also, any kind of meat(with high purine) should be avoided in this acute phase of gout. Diet is very good to prevent any other gout -joint pain, But in this situation that it's an acute phase and need to take some other medications and do the changes in Furosemide to prevent further complications. I suggest to go to a rheumatologist He will change Furosemide with another one in consultation with the cardiologist doctor. He will check the acid uric level in blood, kidneys and according to the examination start the treatment with Anti-inflammatory 