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Diet for gout

Diet rules for gout

The occurrence of this severe metabolic pathology is associated with the accumulation of uric acid (urate) salts in the body.It is not possible to completely cure the disease, but properly administered therapy allows avoiding worsening and achieving a fairly long period of remission.

An indispensable condition for improving the condition of patients is adherence to a diet.When gout is diagnosed, as in the case of urolithiasis, diet no.6. Allows you to:

  • normalizes purine metabolism;
  • reduce the amount of uric acid and its salts that are created in the body;
  • change urine pH according to alkalinization.

Diet rules for gout

Adherence to certain nutritional principles can significantly improve the condition of patients.

  1. You should eat several times a day - from 3 to 5. This helps prevent peaks in the maximum concentration of purine bases in the blood.
  2. You should not consume excess food.
  3. Fasting is also unacceptable.
  4. If you have excess weight, you need to get rid of it, but not with strict diets, but gradually.Sharp weight loss can lead to worsening of the patient's condition.Losing 1-2 kg within a month is considered normal limits.
  5. With gout, an important condition for the normalization of the condition is to drink a large amount of liquid: in the phase of remission - at least 1.5-2 liters per day, in case of exacerbation of the disease - from 3 liters.You can drink plain or mineral water, tea, fruit drinks, rosehip decoction, compote.
  6. Drinking alkaline mineral water is simply necessary for this pathology: it promotes alkalinization of the blood, due to which urates are eliminated from the body.

Fasting is a forbidden technique

Some patients mistakenly believe that refusing to eat can help cleanse the body of excess purine bases and alleviate the course of the disease.However, in reality, the result is just the opposite: fasting causes a sudden worsening of the condition.The reason lies in the peculiarities of human physiology.

When the food supply stops, the body begins to use its own reserves.In this case, proteins become the most accessible material.Already in the first days of refusing food, a sudden increase in the level of uric acid is observed in the blood serum.Its excess begins to accumulate in the tissues of the body, in the synovial joint membrane, which causes a sharp worsening of the disease.

Accumulation of urate in the synovium and glomeruli of the renal tubules can lead to the development of acute gouty nephropathy.

What foods should you not eat if you have gout?

Since this disease is caused by a violation of purine metabolism, the diet for gout is primarily aimed at reducing the amount of food rich in purine bases and substances that stimulate the "release" of urate from the blood serum with subsequent deposition in tissues and joints.It is also necessary to control the consumption of foods that contribute to changes in the body's acid-base balance.First of all, it is planned to severely limit the quantities of certain meat and fish products or completely abandon them.The ban applies to:

  • soups: meat, fish;
  • meat, especially young animals;
  • viscera: kidneys, liver, lungs, brain;
  • Semi-finished meat products;
  • smoked meat;
  • sauces;
  • animal fats;
  • from fish products: salted or fried fish, canned food, caviar;
  • fatty fish in any form (except in the acute phase).

When following a gout diet, you should also avoid:

  • legumes of all kinds: green peas, lentils, soybeans, beans, beans;
  • fats of animal origin;
  • mushroom soups;
  • vegetable sauces;
  • various spices: pepper, mustard, horseradish;
  • salty and spicy cheeses;
  • chocolate, cream cakes, cakes;
  • all products containing cocoa in large quantities;
  • spinach, sorrel, fresh greens;
  • from fruit: figs, grapes, raspberries;
  • alcoholic beverages, especially wine and beer;
  • strong coffee, tea, cocoa.

When following a diet, you should severely limit the amount of salt you consume.It promotes the accumulation of urate in tissues and joints.

Authorized products

The optimal way of eating for gout is a vegetarian diet based on various milk and vegetable soups, fermented milk products and fruit infusions.

  • Dietary types of meat are recommended for a meat diet: turkey, chicken, rabbit.
  • Cooked fish, shrimp and squid are allowed.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Porridges based on various grains, cereals, and pasta are useful.
  • Experts advise patients diagnosed with gout to frequently consume dietary cottage cheese and dishes made from it.
  • You can include low-fat and unsalted types of cheese in your diet.
  • Whole milk is not prohibited, but should be consumed with caution.
  • If you follow a gout diet, you can eat almost any type of vegetable: potatoes, zucchini, white cabbage, eggplant, carrots.
  • The amount of some vegetables should be limited.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley and green onions.In the period of exacerbation of the disease, it is better to avoid them.
  • The fruit is very useful for gout.It is recommended that you include apples, pears, plums, oranges, apricots and various types of berries in your daily diet.
  • Eating any kind of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend marmalade, marshmallows, chocolate-free candies and jam.
  • The diet for gout also includes bread - white and black.
  • When choosing an oil, it is better to give preference to vegetable oil.Olives and flax seeds are especially useful.The amount of butter should be quite limited.

What can you drink?

Maintaining a proper drinking regimen is very important for gout.Experts recommend drinking large amounts of fluid, which is necessary to remove uric acid compounds from the body.

While following the diet, you are allowed to drink the following beverages:

  • green tea;
  • weak black tea with milk or lemon;
  • Decoction of rose hips;
  • chicory-based drink;
  • decoction of wheat bran;
  • vegetable, berry, fruit juices;
  • fruit drinks, compotes;
  • kvass.

Cranberry or cranberry fruit drinks are especially useful for gout sufferers.

It is also recommended to consume cucumber juice, which helps to remove excess purines from the body.You can drink up to 200 ml of freshly squeezed juice per day.

The important thing is to include alkaline mineral water with low mineral content in your diet.

Exacerbation period

The diet recommended for the period of gout exacerbation has some characteristics.The following rules must be followed:

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from your diet.
  2. Create a menu based primarily on liquid foods: include liquid cereals, fermented milk products, fruit and vegetable juices, weak tea with lemon and milk.
  3. It is very important to ensure that the patient is not starving.
  4. Give the patient at least 2 liters of fluid per day.
  5. Be sure to include alkaline mineral water in your diet.

An approximate diet menu for worsening gout is as follows:

  • Vegetarian soups:vegetables, potatoes, dairy, with added grains, cold (beet soup, okroshka), fruit.
  • Meat, fish, poultry of lean varietiesallowed three times a week: 150 g of meat or 180 g of cooked fish.Cooked meat products can be used to prepare various dishes: baked, stewed, cutlet-based products.
  • Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Cereals- Based on them, you can prepare various dishes.
  • An egg- in the acute phase of gout, it is allowed to eat 1 egg a day (you can boil it, cook an omelet).
  • Flour products, bread:It is allowed to bake rye and wheat bread from flour 1, 2 and bran.
  • snacks:vegetable salads, fruit, vinaigrette and vegetable caviar are useful when gout worsens.
  • vegetables:It is recommended that you include a large amount of fresh vegetables or any cooked vegetables in your diet.
  • Fruits and berriesYou can eat them fresh, make jellies and compotes from them.Dried fruits are also very useful.
  • sweets:The diet for gout (even in the acute phase) does not exclude the use of creams, marshmallows, jam, honey and sweets (with the exception of chocolate).
  • drinks:tea (weak) with milk, lemon, rosehip decoction, dried fruit, wheat bran.

In the phase of exacerbation of the disease, stabilization of the patient's condition is facilitated by fasting days:

  1. Fruits and vegetables.It is allowed to eat up to 1.5-2 kg of non-prohibited vegetables and fruits.
  2. Curd and kefir.The daily diet consists of 500 g of lean fresh cheese and 0.5 kg of kefir.
  3. Kefir.You should drink up to 2 liters of kefir per day.

Sample menu for the day

  • First breakfast:1 soft boiled egg + vegetable salad from allowed vegetables + apple and carrot pudding + weak tea.
  • Second breakfast:rosehip decoction with honey or jam.
  • lunch:milk soup + potato cutlets + jelly or boiled meat (fish) with vegetable salad.
  • afternoon snack:baked or fresh apples.
  • dinner:sarmice with rice and vegetable filling + baked cheesecakes + tea (with honey).
  • before bed:decoction of wheat bran.