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Diet for gout

The rules of the gout diet

The occurrence of this serious metabolic pathology is associated with the accumulation of uric acid salts (urates) in the body.The disease cannot be completely cured, but properly applied therapy makes it possible to avoid exacerbations and achieve a rather long remission.

Diet is an essential condition for improving the condition of patients.When gout is diagnosed, as in the case of urolithiasis, diet number 6 is prescribed.It allows you to:

  • normalizes purine metabolism;
  • reduces the amount of uric acid and its salts formed in the body;
  • it changes the pH value of the urine in the direction of alkalinity.

The rules of the gout diet

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

  1. You need to eat several times a day - from 3 to 5.This helps prevent the peak of the maximum concentration of purine bases in the blood.
  2. You should not consume excessive food.
  3. Fasting is also unacceptable.
  4. If you are overweight, you need to get rid of it, but not with strict diets, but gradually.Sharp weight loss can lead to deterioration of the patient's condition.A weight loss of 1-2 kg within a month is within normal limits.
  5. In the case of gout, an important condition for the normalization of the condition is the consumption of a large amount of liquid: in the remission phase - 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, rosehip decoction, compotes.
  6. The consumption of alkaline mineral water is simply necessary for this pathology: it promotes alkalinization of the blood, as a result of which urates 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 alleviate the course of the disease.In reality, however, the result is just the opposite: fasting causes a sharp deterioration of the condition.The reason lies in the peculiarities of human physiology.

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

Accumulation of urates in the synovium and in the 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 gout diet is primarily aimed at reducing the amount of foods containing a high purine base and substances that stimulate the "release" of urates from the blood serum and their 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, they plan to sharply limit or completely eliminate the amount of certain meat and fish products.The ban applies to:

  • broths: meat, fish;
  • meat, especially young animals;
  • offal: kidney, liver, lung, brain;
  • semi-finished meat products;
  • smoked meats;
  • sauces;
  • animal fats;
  • from fish products: salted or fried fish, canned fish, caviar;
  • fatty fish in any form (except in the acute stage).

When following the gout diet, you should also avoid the following:

  • all kinds of legumes: 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, cookies;
  • any product that contains a large amount of cocoa;
  • spinach, sorrel, fresh greens;
  • from fruits: figs, grapes, raspberries;
  • alcoholic beverages, especially wine and beer;
  • strong coffee, tea, cocoa.

When following a diet, the amount of salt consumed must be sharply limited.It promotes the accumulation of urates in tissues and joints.

Authorized products

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

  • Dietary types of meat are recommended for the 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 gout patients to frequently consume dietary cottage cheese and foods made from it.
  • You can also 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 vegetable: potatoes, zucchini, white cabbage, eggplant, carrots.
  • Some vegetables should be limited.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley and green onions.It is better to avoid them during the period of exacerbation of the disease.
  • Fruits are very beneficial for gout.We recommend that you include apples, pears, plums, oranges, apricots and various berries in your daily diet.
  • Eating any kind of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend jam, marshmallows, non-chocolate bonbons and marmalade.
  • The gout diet also includes bread - white and black.
  • When choosing oil, it is better to give preference to vegetable oil.Olive and flaxseed are especially useful.The amount of butter should be quite limited.

what can you drink

Maintaining a proper drinking regimen is very important when you have gout.Experts recommend drinking plenty of fluids, which are necessary to remove uric acid compounds from the body.

In addition to following the diet, you can consume the following drinks:

  • green tea;
  • weak black tea with milk or lemon;
  • rosehip decoction;
  • chicory-based drink;
  • wheat bran decoction;
  • vegetable, berry, fruit juices;
  • fruit drinks, compotes;
  • pooch.

Fruit drinks made from cranberries or cranberries are especially useful for gout patients.

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

An important aspect is the inclusion of alkaline mineral water with a low mineral content in the diet.

Exacerbation period

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

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from your diet.
  2. Make 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 for a gout flare-up is as follows:

  • Vegetarian soups:vegetables, potatoes, dairy products, with the addition of cereals, cold (beetroot soup, okroshka), fruit.
  • Lean varieties of meat, fish and poultryallowed three times a week: 150 g of meat or 180 g of cooked fish.Cooked meat products can be used to prepare various dishes: fried, steamed, slice-based products.
  • Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, be careful).
  • Cereals– You can prepare various dishes based on these.
  • Egg- in the acute stage of gout, you can eat 1 egg per day (you can boil it, cook an omelette).
  • Flour products, bread:Baking, rye and wheat bread made from 1st and 2nd class flour and bran is allowed.
  • Snacks:salads made of vegetables, fruits, vinaigrette and vegetable caviar are useful when gout is aggravated.
  • 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 jelly or compote from them.Dried fruits are also very useful.
  • Sweets:The gout diet (even in the acute phase) does not exclude the use of creams, marshmallows, jams, honey and sweets (except chocolate).
  • Drinks:tea with (weak) milk, lemon, rosehip decoction, dried fruits, wheat bran.

Fasting days help to stabilize the patient's condition during the aggravation of the disease:

  1. Fruit and vegetables.You can eat up to 1.5-2 kg of non-prohibited vegetables and fruits.
  2. Cottage cheese and kefir.The daily diet consists of 500 g of low-fat cottage cheese and 0.5 kg of kefir.
  3. Kefir.You should drink no more than 2 liters of kefir per day.

Sample menu for the day

  • First breakfast:1 soft egg + vegetable salad from permitted vegetables + apple and carrot pudding + weak tea.
  • Second breakfast:decoction of rose hips with honey or jam.
  • Lunch:milk soup + potato slices + jelly or boiled meat (fish) with vegetable salad.
  • Afternoon snack:baked or fresh apples.
  • Dinner:cabbage roll with rice and vegetable filling + fried cheesecake + tea (with honey).
  • Before going to bed:wheat bran decoction.