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Diet for gout

Diet rules for gout

The occurrence of this serious metabolic pathology is associated with the accumulation of uric acid salts (urates) in the body.It is not possible to cure the disease completely, but the right treatment allows you to avoid worsening and achieve a relatively long remission.

An indispensable condition for improving the condition of patients is to follow a diet.When gout is diagnosed, as in the case of gout, diet no.It allows you to:

  • normalize purine metabolism;
  • reduce the amount of uric acid and its salts produced in the body;
  • change the pH of urine towards alkalinity.

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 helps to prevent a maximum increase 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 are overweight, you need to get rid of it, but not with a strict diet but gradually.Severe weight loss can lead to worsening of the patient's condition.Losing 1-2 kg within a month is considered within normal limits.
  5. With gout, an important condition to normalize the condition is to drink a large amount of liquid: in remission - at least 1.5-2 liters per day, if the disease worsens - from 3 liters.You can drink plain water or mineral water, tea, fruit drinks, rose water, compote.
  6. Drinking alkaline mineral water is simply necessary for this pathology: it promotes alkaline blood formation, because uric acids are removed from the body.

Fasting is a forbidden technique

Some patients mistakenly believe that refusing to eat can help rid the body of excess purine bases and slow down the disease process.However, in reality, the result is exactly the opposite: fasting causes a great deterioration of the condition.The reason lies in the peculiarities of human physiology.

When the food supply ceases, the body begins to use up its own reserves.In this case, proteins become the most accessible material.During the first days of refusing food, a large increase in the level of uric acid in the blood serum is observed.Its excess begins to accumulate in the tissues of the body, in the synovial membrane of the joint, which causes a sharp aggravation of the disease.

Accumulation of uric acid in the joints and nodules 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 primarily aimed at reducing the amount of foods that contain a lot of purine bases and substances that stimulate the "release" of uric acid 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, it is planned to significantly limit the amount of certain meat and fish products or stop them altogether.The ban applies to:

  • broth: meat, fish;
  • meat, especially young animals;
  • offal: kidney, liver, lungs, brain;
  • semi-processed meat products;
  • smoked meat;
  • sauces;
  • animal fat;
  • from fish products: salted or fried fish, canned food, caviar;
  • oily fish in any form (except in acute stage).

When following a gout diet, you should also avoid:

  • legumes of all types: green beans, lentils, soybeans, peas, beans;
  • animal fats;
  • mushroom extract;
  • vegetable sauces;
  • various spices: pepper, mustard, horseradish;
  • cheeses with salty and spicy taste;
  • chocolate, cream tarts, cakes;
  • all products containing large amounts of cocoa;
  • spinach, sorrel, fresh vegetables;
  • from fruit: figs, grapes, raspberries;
  • alcoholic beverages, especially wine and beer;
  • strong coffee, tea, cocoa.

When following a diet, you should severely limit the amount of salt consumed.It contributes to the accumulation of uric acid in tissues and joints.

Authorized products

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

  • A diet of meat is recommended for a meat diet: turkey, chicken, rabbit.
  • Cooked fish, shrimp and squid are allowed.
  • Chicken and quail eggs are also recommended for gout.
  • Porridges based on various grains, cereals, as well as pasta are useful.
  • Experts advise patients diagnosed with gout to often consume cottage cheese and eat it.
  • You can include low-fat and unsalted varieties of cheese in your diet.
  • Fresh milk is not prohibited, but should be consumed with caution.
  • If you follow a diet for gout, you can eat almost any vegetable: potatoes, zucchini, 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 when the disease worsens, 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 all kinds of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend marmalade, marshmallows, candies without chocolate and jam.
  • A diet for gout also includes bread - both white and black.
  • When choosing oil, it is better to prefer vegetable oil.Olive and flax seeds are especially beneficial.The amount of butter should be quite limited.

What can you drink?

It is very important for gout to maintain proper drinking.Experts recommend drinking large amounts of fluid, which is necessary to remove uric acid compounds from the body.

While following the diet, you may drink the following beverages:

  • green tea;
  • weak black tea with milk or lemon;
  • Brussels sprouts;
  • chicory drink;
  • decoction of wheat bran;
  • vegetables, berries, fruit juices;
  • fruit drinks, compote;
  • kvass

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

It is also recommended to consume 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.

Aggravation period

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

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from the diet.
  2. Create a menu based primarily 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 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.

A recommended diet for gout flare-ups is as follows:

  • Vegetable soup:vegetables, potatoes, dairy products, with the addition of cereals, cold (beet soup, okroshka), fruits.
  • Meat, fish, poultry of lean varietiesallowed three times a week: 150 g of meat or 180 g of cooked fish.Cooked meat products can be used to prepare various dishes: baked, boiled, cutlets.
  • Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Corn- You can prepare various dishes from them.
  • Eggs- in the acute stage of gout, it is allowed to eat 1 egg per day (you can boil it, cook an omelet).
  • Wheat products, bread:It is allowed to bake rye and wheat bread from 1st, 2nd grade flour and bran.
  • Snacks:when gout worsens, salads from vegetables, 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 jellies and compotes from them.Dried fruits are also very useful.
  • Sweets:A 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, rose base, dried fruit, wheat bran.

In the phase of disease progression, stabilization of the patient's condition is facilitated by Fridays:

  1. Fruits and vegetables.You can eat up to 1.5-2 kg of non-prohibited vegetables and fruits.
  2. Shirts and kefir.The daily diet consists of 500 g of lean 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 egg + vegetable salad of permitted vegetables + apple and carrot pudding + weak tea.
  • Second breakfast:decoction of rose hips with honey or jam.
  • Lunch:milk soup + potato cutlets + jelly or boiled meat (fish) with vegetable salad.
  • Afternoon snack:baked or fresh apples.
  • Dinner:cabbage rolls with rice and vegetable filling + baked cheesecakes + tea (with honey).
  • Before bed:decoction of wheat bran.