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Diet for gout

Diet rules for gout

The occurrence of this severe metabolic pathology is related to the accumulation of uric acid salts (urates) in the body.It is impossible to completely cure the disease, but properly conducted therapy allows you to avoid exacerbations and achieve a fairly long period of remission.

An indispensable condition for improving the condition of patients is adherence to diet.When diagnosing 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 in the body;
  • Changing urine pH towards 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 contributes to the peak of the maximum concentration of purine bases in the blood.
  2. You should not eat too much food.
  3. Fasting is also unacceptable.
  4. If you are overweight, you should lose it, but not with strict diets, but gradually.A sharp decrease in weight can lead to a worsening of the patient's condition.Losing 1-2 kg within a month is considered normal.
  5. An important condition for the normalization of the condition during gout is the intake of a large amount of liquid: in 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 plain or mineral water, tea, fruit drinks, rose brew, compotes.
  6. For this pathology, it is simply necessary to drink alkaline mineral water: it contributes to blood alkalinity, due to which urates are excreted 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 exactly the opposite: fasting leads to a sharp deterioration of the condition.The reason lies in the peculiarities of human physiology.

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

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

What foods should you avoid 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 food rich in purine bases and substances that stimulate the "release" of urates in the blood serum to further tissues and joints.It is also necessary to control the consumption of food that contributes to the change in the body's acid-alkaline balance.First of all, it is planned to drastically limit the amount of certain meat and fish products or to completely abandon them.The ban applies to:

  • broths: meat, fish;
  • meat, especially young animals;
  • Offal: 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 (excluded in the acute stage).

When following a gout diet, you should also avoid:

  • All types of legumes: green peas, lentils, soybeans, beans, beans;
  • fats of animal origin;
  • mushroom broths;
  • vegetable sauces;
  • various spices: pepper, mustard, onion;
  • cheese with a salty and spicy taste;
  • chocolate, cream cakes, cookies;
  • Any product that contains a large amount of cocoa;
  • Spinach, sour, 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 consumed.Contributes to the accumulation of urates in tissues and joints.

Authorized products

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

  • Dietary types of meat are recommended for meat diet: turkey, chicken, rabbit.
  • Boiled fish, shrimp and squid are allowed.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Porridge made on the basis of various cereals, cereals, as well as pasta is useful.
  • Experts advise patients diagnosed with gout to often eat dietary cottage cheese and dishes made from it.
  • You can include low-fat and salt-free cheese varieties 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 kind of vegetables: 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 exacerbation of the disease, it is better to avoid them.
  • Fruits are very useful 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.
  • Gout diet includes bread - both 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

During gout, it is very important to follow the correct drinking regime.Experts recommend drinking a large amount of liquid, which is necessary to remove uric acid compounds from the body.

Following the diet, you are allowed to drink the following drinks:

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

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

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

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

Aggravation period

The recommended diet during gout exacerbation has certain characteristics.The following rules must be observed:

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from the diet.
  2. Create 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 fluid per day.
  5. Be sure to include alkaline mineral water in your diet.

The approximate diet menu for gout exacerbation is as follows:

  • Vegetarian soups:Vegetables, potatoes, dairy products, with the addition of cereals, cold (beetroot soup, okroshka), fruits.
  • Lean meat, fish, poultryAllowed 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, stewed, cutlet products.
  • Milk and fermented milk products:Cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • grain- Based on them, you can prepare various dishes.
  • egg- In the acute stage of gout, it is allowed to eat 1 egg per day (you can boil it, make an omelette).
  • Flour products, bread:It is allowed to bake rye and wheat bread from 1st, 2nd grade flour and bran.
  • Snacks:Vegetable, fruit, vinaigrette and vegetable caviar salads are useful in gout exacerbations.
  • vegetables:It is recommended to include a large amount of fresh vegetables or any cooked vegetables in the diet.
  • fruits and berriesYou can eat them fresh, make jelly and compotes from them.Dried fruit is also very useful.
  • Sweets:Gout diet (even in the acute phase) does not exclude the use of creams, marshmallows, jam, honey and sweets (except chocolate).
  • Drinks:Tea (weak) with milk, lemon, rose extract, dried fruit, wheat bran.

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

  1. fruits and vegetables.It is allowed to eat up to 1.5-2 kg of forbidden 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 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:Rose hip decoction with honey or jam.
  • Lunch:Milk soup + potato cutlet + jelly or boiled meat (fish) with vegetable salad.
  • Afternoon breakfast:Baked or fresh apples.
  • Dinner:Cabbage rolls with rice and vegetable filling + baked cheesecakes + tea (with honey).
  • Before sleeping:Decoction of wheat bran.