Diet for gout

The appearance of this serious 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 you to avoid exacerbations and achieve a fairly long period of remission.

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

• normalization of 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 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 have excess weight, you should get rid of it, but not with strict diets, but gradually.A sharp loss of weight 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 drinking a large amount of liquid: in the phase of remission - at least 1.5-2 liters per day, in case of worsening of the disease - from 3 liters.You can drink regular or mineral water, tea, fruit drinks, rose 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 soften the course of the disease.However, in reality, the result is exactly the opposite: fasting provokes a sharp deterioration 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.In the first days of food refusal, 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 membrane of the synovial joints, which provokes a sharp worsening of the disease.

Accumulation of urates 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 foods high in purine 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 amount of certain meat and fish products or completely abandon them.The ban applies to:

• soup: meat, fish;
• meat, especially young animals;
• internal organs: kidneys, livers, 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: peas, lentils, soybeans, beans, beans;
• fats of animal origin;
• mushroom soup;
• vegetable sauce;
• various spices: pepper, mustard, horseradish;
• salty and spicy cheeses;
• chocolate, cream cakes, pastries;
• any product 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 significantly limit the amount of salt consumed.Promotes urate accumulation in tissues and joints.

Authorized 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.

• Dietary varieties of meat are recommended for the meat diet: turkey, chicken, rabbit.
• Boiled fish, shrimps and squids are allowed.
• Chicken and quail eggs are also recommended for gouty arthritis.
• Porridges based on various cereals, cereals, as well as pasta are useful.
• Experts advise patients diagnosed with gout to frequently consume dietary curd 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 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 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 kind of nuts and seeds is beneficial.
• For those with a sweet tooth, we can recommend marmalades, marshmallows, non-chocolate candies and jams.
• The diet for gout also includes bread - white and black.
• When choosing oil, it is better to prefer vegetable oil.Olive 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 fluids, which are necessary to remove uric acid components from the body.

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

• green tea;
• weak black tea with milk or lemon;
• rose decoction;
• chicory-based drinks;
• stew with wheat bran;
• vegetables, berries, fruit juices;
• fruit drinks, compote;
• kvass.

For patients with gout, fruit drinks made from cranberries or berries are particularly beneficial.

It is also recommended to consume cucumber juice, which helps 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.

Aggravation period

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

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 does not starve.
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 worsening gout is as follows:

• Vegetarian soup:vegetables, potatoes, dairy, with the addition of 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, cat-based products.
• Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat yogurt, cheese, milk (in very limited quantities, with care).
• CROPS- Based on them, you can prepare different dishes.
• egg– in the acute phase 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 of class 1, 2 and bran is allowed.
• Snacks:when gout worsens, vegetable salads, fruits, vinaigrettes and vegetable caviar are useful.
• Vegetables:It is recommended to include a large amount of fresh vegetables or some cooked vegetables in your diet.
• Fruits and berriesYou can eat them fresh, make jelly and compote from them.Dry fruits are also very useful.
• Desserts: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).
• Drink:tea (weak) with milk, lemon, rose decoction, dried fruits, wheat bran.

In the stage of worsening 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. Cottage cheese and kefir.The daily diet consists of 500 g of fat-free 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 soft-boiled egg + vegetable salad from allowed vegetables + apple and carrot pudding + weak tea.
• Second breakfast:stew of rose hips with honey or jam.
• Lunch:milk soup + potato cutlets + jelly or boiled meat (fish) with vegetable salad.
• Afternoon snack:ripe or fresh apples.
• Dinner:cabbage rolls with rice and vegetable filling + baked cheese + tea (with honey).
• Before sleeping:wheat bran decoction.