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Diet for gout

Diet rules for gout

The appearance of this serious metabolic pathology is related to the accumulation of uric acid salts (uric acid) in the body.It is not possible to completely cure the disease, but correctly administered treatment allows you to avoid exacerbations and achieve a fairly long period of remission.

A necessary condition for improving the condition of patients is diet.When diagnosed with gout, as in the case of urolithiasis, diet No. 6 is prescribed. It allows you to:

  • normalization of purine metabolism.
  • reduce the amount of uric acid and its salts formed in the body.
  • changes urine pH towards alkalinization.

Diet rules for gout

Compliance with 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 peak increases in the maximum concentration of purine bases in the blood.
  2. You should not consume too much 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.A sudden weight loss can lead to a worsening of the patient's condition.Losing 1-2 kg within a month is considered within normal limits.
  5. With gout, an important condition for the normalization of the condition is to drink a large amount of liquid: at the stage of remission - at least 1.5-2 liters per day, in case of exacerbation of the disease - from 3 liters.You can drink regular or mineral water, tea, fruit drinks, rose water, compotes.
  6. Drinking alkaline mineral water is simply necessary for this pathology: it promotes alkalinization of the blood, due to which uric acid is excreted from the body.

Fasting is a prohibited 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 effect is exactly the opposite: fasting causes a sharp worsening of the condition.The reason lies in the peculiarities of human physiology.

When the food supply stops, the body begins to use up its own reserves.In this case, proteins become the most accessible material.In the very first days after the refusal of food, a sharp increase in the level of uric acid in the blood serum is observed.Its excess begins to be deposited in the tissues of the body, in the synovial membrane of the joint, which causes a sharp exacerbation of the disease.

Accumulation of urates in the synovial membrane 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 mainly aimed at reducing the amount of foods with a high content of purine bases and substances that stimulate the "release" of urates 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 sharply limit the amount of certain meat and fish products or completely abandon them.The ban applies to:

  • broths: meat, fish.
  • meat, especially young animals;
  • offal: kidneys, livers, lungs, brains.
  • semi-processed meat products.
  • smoked meats;
  • sauces;
  • animal fats;
  • from fish products: salted or fried fish, canned food, caviar.
  • oily fish in any form (except in the acute stage).

When following a gout diet, you should also avoid:

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

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

Authorized Products

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

  • Dietary varieties of meat are recommended for the meat-based diet: turkey, chicken, rabbit.
  • Boiled fish, shrimp and squid are allowed.
  • Chicken and quail eggs are also recommended for gout.
  • Porridges based on various cereals, cereals, as well as 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 varieties 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, eggplants, carrots.
  • The amount of certain vegetables should be limited.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley and green onions.During the period of exacerbation of the disease, it is better to avoid them.
  • Fruits are very beneficial for gout.It is recommended to include apples, pears, plums, oranges, apricots and various types of berries in your daily diet.
  • Eating any type of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend jam, marshmallows, chocolate-free candies and marmalade.
  • The gout diet also includes bread - both white and black.
  • When choosing oil, it is better to go for vegetable oil.Olive and linseed are particularly useful.The amount of butter should be quite limited.

What can you drink?

Maintaining proper hydration is very important for gout.Experts recommend drinking large amounts of fluids, which are 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.
  • Rosehip decoction;
  • chicory-based drink;
  • Wheat bran decoction;
  • vegetable, berry, fruit juices.
  • fruit drinks, compotes;
  • kvass

For patients with gout, fruit drinks made from cranberries or lingonberries are particularly useful.

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

An important point is to include alkaline mineral water with low mineral content in your diet.

Explosive period

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

  1. Completely exclude fatty, salty, fried, fish, meat and fish products from the diet.
  2. Create a menu based mainly on liquid foods: include liquid cereals, fermented dairy 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 fluids per day.
  5. Be sure to include alkaline mineral water in your diet.

An approximate diet menu for a gout flare is as follows:

  • Vegetarian soups:vegetables, potato, dairy, with added cereals, cold (beetroot soup, okroshka), fruit.
  • Meat, fish, poultry of lean varietiesallowed three times a week: 150 g of meat or 180 g of boiled fish.Boiled meat products can be used to prepare various dishes: baked, boiled, cutlet-based products.
  • Dairy and fermented milk products:cottage cheese, dishes with cottage cheese, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Cereals– You can prepare various dishes based on them.
  • Egg– in the acute stage of gout, you are allowed to eat 1 egg a day (you can boil it, cook an omelet).
  • Flour products, bread:Baking, rye and wheat bread made from flour 1, 2 and bran is allowed.
  • Snacks:when gout is aggravated, salads from vegetables, fruits, vegetable vinaigrette and caviar are useful.
  • Vegetables:It is recommended to 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.
  • Sweetness: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.You are 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 grams of low-fat cottage 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 boiled egg + vegetable salad from allowed vegetables + apple and carrot pudding + weak tea.
  • Second breakfast:decoction of rosehips with honey or jam.
  • Lunch:of milk soup + potato cutlets + jelly or boiled meat (fish) with vegetable salad.
  • Afternoon snack:apples baked or fresh.
  • Dinner:cabbage rolls filled with rice and vegetables + baked cheese pies + tea (with honey).
  • Before sleeping:decoction of wheat bran.