Baking soda, or sodium bicarbonate, does not help gout, according to Everyday Health. It is true that gout results from excess uric acid in the blood, and bicarbonate neutralizes acid. However, taking baking soda orally has no effect on the acidity of the blood because it quickly breaks down in the stomach into carbon dioxide and water. Baking soda may have some small effect on stomach acidity, but that provides no benefit to a person with gout.
Other home remedies, such as cherries, pineapple and apple cider vinegar, are also ineffective in relieving gout, states Everyday Health. However, coffee, when consumed in large quantities, may have a preventive effect. In one study, men who drank four to five cups of coffee a day had a 40 percent lower incidence of gout than those who drank no coffee at all. Drinking at least 2 quarts of water a day also sometimes helps decrease blood levels of uric acid and reduce the risk of gout flares.
Gout is a serious medical condition that requires ongoing treatment to prevent long-term complications, such as joint damage and kidney stones, explains the Gout & Uric Acid Education Society. Medicines like allopurinol and febuxostat decrease uric acid production, and colchicine relieves the pain of acute gout attacks.
Doctors also advise gout sufferers to follow a low-purine diet, states Mayo Clinic. This means avoiding foods like organ meats and many types of seafood, including tuna, herring, mussels and sardines. Drinking beer or distilled spirits is also discouraged, as are refined sugars and high-fructose corn syrup. Fruits, low-fat dairy products and high-purine vegetables, such as cauliflower, asparagus, spinach and peas, are good alternatives, as vegetable purines do not increase the risk of gout.