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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 salts (urate) in the body.It is impossible to completely cure this disease, but the right therapy allows you to avoid exacerbations and achieve a relatively long period of remission.

A very necessary condition to improve the patient's condition is following a diet.When diagnosed with gout, as in the case of urolithiasis, diet No. 6 is prescribed.It allows you to:

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

Diet rules for gout

Compliance with certain nutritional principles can significantly improve the patient's condition.

  1. You need to eat several times a day - from 3 to 5. This helps to avoid a peak spike in the maximum concentration of purine bases in the blood.
  2. You should not overeat.
  3. Fasting is also not acceptable.
  4. If you have excess weight, you need to get rid of it, but not through a strict diet, but gradually.Sudden weight loss can worsen the patient's condition.Losing 1-2 kg in a month is considered within normal limits.
  5. With gout, an important condition to normalize the situation is to drink a large amount of liquid: in the remission stage - at least 1.5-2 liters per day, if the disease worsens - from 3 liters.You can drink plain or mineral water, tea, fruit drinks, rosehip decoction, compote.
  6. Drinking alkaline mineral water is only necessary for this pathology: it promotes alkalinization of the blood, by which the veins are removed 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 reduce the course of the disease.However, in reality, the result is the opposite: fasting causes a sudden deterioration in 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, protein becomes the most accessible substance.In the first days of refusing food, a sharp increase in the level of uric acid is observed in the blood serum.The excess begins to be deposited in the tissues of the body, in the membrane of the synovial joints, which causes a sharp aggravation 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 mainly aimed at reducing the amount of food high 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 food that contributes to changes in the acid-base balance of the body.First of all, it is planned to sharply limit the amount of certain meat and fish products or leave them completely.The ban applies to:

  • soup: meat, fish;
  • meat, especially young animals;
  • viscera: kidneys, liver, lungs, brain;
  • semi-finished meat products;
  • smoked meat;
  • sauce;
  • animal fat;
  • from fish products: salted or fried fish, canned food, caviar;
  • fatty fish in any form (not included in the acute stage).

When following a diet for gout, you should also avoid:

  • legumes of all types: mung beans, lentils, soybeans, beans, peas;
  • fats of animal origin;
  • mushroom soup;
  • vegetable sauce;
  • various spices: pepper, mustard, horseradish;
  • cheese with a salty and spicy taste;
  • chocolate, cream cake, pastry;
  • any product containing cocoa in large quantities;
  • spinach, dark chocolate, fresh vegetables;
  • from fruits: figs, grapes, raspberries;
  • alcoholic beverages, especially wine and beer;
  • coffee, tea, strong cocoa.

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

Legal Products

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

  • Types of meat nutrition recommended for a meat diet: turkey, chicken, rabbit.
  • Boiled fish, shrimp, and squid are allowed.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Porridge based on various grains, cereals, as well as useful pasta.
  • Experts advise patients diagnosed with gout to regularly consume a diet of cottage cheese and dishes made from it.
  • You can include low-fat and salt-free types of cheese in your diet.
  • Whole milk is not prohibited, but should be consumed with caution.
  • If you follow a diet for gout, 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.During the period of exacerbation of the disease, it is better to avoid it.
  • 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 kind of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend marmalade, marshmallows, non-chocolate candies and jam.
  • Diet for gout also includes bread - both white and black.
  • When choosing oil, it is better to choose vegetable oil.Olives and flax seeds are very useful.The amount of butter should be limited.

What can you drink?

Maintaining a proper drinking regime is very important for gout.Experts recommend drinking a large amount 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 rosehips;
  • chicory-based drinks;
  • wheat bran stew;
  • vegetables, berries, fruit juices;
  • fruit drinks, compote;
  • kvass.

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

It is also recommended to take cucumber juice, which helps 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 recommended diet for the period of gout exacerbation has several features.The following rules must be followed:

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from the diet.
  2. Build a menu based mainly 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. Make sure you include alkaline mineral water in your diet.

An approximate diet menu for worsening gout is as follows:

  • Vegetarian soup:vegetables, potatoes, dairy, with the addition of cereals, cold (beet soup, okroshka), fruit.
  • Lean meat, fish, chickenallowed 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 products and fermented milk:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Grains– You can prepare various dishes based on it.
  • Eggs– in the acute stage of gout, you are allowed to eat 1 egg per day (you can boil it, cook an omelet).
  • Flour products, bread:Toast, rye and wheat bread made from flour grade 1, 2, and bran are allowed.
  • Snacks:when aggravating gout, salads from vegetables, fruits, vinaigrette, and vegetable 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.
  • sweets:Diet for gout (even in the acute phase) does not exclude the use of cream, marshmallows, jam, honey, and sweets (except chocolate).
  • Drinks:tea (weak) with milk, lemon, rosehip decoction, dried fruits, wheat bran.

In the exacerbation phase 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 vegetables and fruits that are not prohibited.
  2. Curd and kefir.The daily diet consists of 500 g of low-fat cottage cheese and 0.5 kg of kefir.
  3. Kefir.You need to drink up to 2 liters of kefir every 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:decoction of rose hips with honey or jam.
  • Lunch:milk soup + cut potatoes + jelly or boiled meat (fish) with vegetable salad.
  • Afternoon snack:baked or fresh apples.
  • Dinner:cabbage rolls with rice and vegetables + baked cheesecake + tea (with honey).
  • Before bed:wheat bran stew.