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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 (urates) in the body.It is impossible to completely cure the disease, but correctly administered therapy allows you to avoid exacerbations and achieve quite long periods of remission.

An indispensable condition for improving the patient's condition is following a diet.When diagnosed with gout, as in the case of urolithiasis, diet No.6 is determined.This allows you to:

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

Diet rules for gout

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

  1. You should eat several times a day - from 3 to 5. This helps prevent peak spikes in the maximum concentration of purine bases in the blood.
  2. You should not consume food in excess.
  3. Fasting is also not permitted.
  4. If you have excess weight, you need to get rid of it, but not through a strict diet, but gradually.Sharp 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 for normalizing the condition is drinking plenty of fluids: 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 drink, rosehip decoction, compote.
  6. Drinking alkaline mineral water is simply necessary for this pathology: water promotes alkalinization of the blood, so that urates are excreted from the body.

Fasting is a prohibited technique

Some patients mistakenly believe that refusing food can help rid the body of excess purine bases and ease the course of the disease.But in reality, the result is exactly the opposite: fasting triggers a sharp 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 ingredient.In the first days of refusing food, there is a sharp increase in the level of uric acid in the blood serum.Its excess begins to be deposited in the tissues of the body, in the synovial membrane of the joints, which provokes a sharp exacerbation 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 the disease is caused by a violation of purine metabolism, the diet for gout is primarily aimed at reducing the amount of foods high in purine bases and substances that stimulate the “release” of urates from the blood serum, followed by their deposition in the tissues and joints.It is also important to control the consumption of foods that contribute to changes in the body's acid-base balance.First of all, it is planned to sharply limit the amount of certain meat and fish products or abandon them altogether.The prohibition applies to:

  • broth: meat, fish;
  • meat, especially young animals;
  • offal: 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 (excluding acute stages).

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

  • all types of legumes: green beans, lentils, soybeans, chickpeas, chickpeas;
  • fats of animal origin;
  • mushroom broth;
  • vegetable sauce;
  • various spices: pepper, mustard, horseradish;
  • cheese with a salty and spicy taste;
  • chocolate, cream cakes, pastries;
  • any product containing large amounts of cocoa;
  • spinach, sorrel, fresh herbs;
  • from fruits: figs, grapes, raspberries;
  • alcoholic beverages, especially wine and beer;
  • strong coffee, tea, cocoa.

When following a diet, you should limit the amount of salt consumed.This promotes the accumulation of urates in tissues and joints.

Official Product

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

  • Dietary meat varieties recommended for meat diets: 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 and pasta is useful.
  • Experts advise patients diagnosed with gout to frequently consume cottage cheese and dishes made from it.
  • You can include low-fat and unsalted types of cheese in your diet.
  • Whole milk is not prohibited, but it should be consumed with caution.
  • If you follow a diet for gout, you can eat almost all types of vegetables: potatoes, zucchini, white cabbage, eggplant, carrots.
  • The amount of some vegetables should be limited.This applies to celery, radishes, bell peppers, asparagus, cauliflower, parsley, and leeks.During an 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 all kinds of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend marmalade, marshmallows, non-chocolate candies and jams.
  • Foods for gout also include bread - white and black.
  • When choosing oil, it is better to choose vegetable oil.Olives and flax seeds are very beneficial.The amount of butter should be limited.

What can you drink?

Maintaining a correct drinking pattern is very important for gout.Experts recommend drinking plenty of fluids, which is necessary to remove uric acid compounds from the body.

While on a diet, you are allowed to drink the following drinks:

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

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

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

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

Exacerbation period

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

  1. Completely eliminate fatty, salty, fried meat, fish, bacon and fish products from the diet.
  2. Make 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 important to ensure 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.

An approximate diet menu for exacerbation of gout is as follows:

  • Vegetarian soup:vegetables, potatoes, milk, with the addition of cereals, cold (beetroot soup, okroshka), fruit.
  • 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, boiled, cutlet-based products.
  • Dairy and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Cereals– You can prepare various dishes based on them.
  • Egg– in the acute stage of gout, it is permissible to eat 1 egg per day (can be boiled, cooked in an omelet).
  • Flour products, bread:Toast, rye and wheat bread made from grade 1, 2 flour and bran are allowed.
  • Snack:when exacerbating gout, salads from vegetables, fruits, vinaigrettes and vegetable caviar are useful.
  • Vegetables:It is recommended to include plenty of fresh vegetables or any cooked vegetables in your diet.
  • Fruits and berriesYou can eat it fresh, make jelly and compote from it.Dried fruits are also very useful.
  • Candy:Diet for gout (even in the acute phase) does not exclude the use of cream, marshmallows, jam, honey and sweets (except chocolate).
  • Drink: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. Fruit and vegetables.You are allowed to eat up to 1.5-2 kg of non-prohibited vegetables and fruit.
  2. Curd and kefir.The daily diet consists of 500 g of non-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 today

  • First breakfast:1 boiled egg + vegetable salad from permitted vegetables + apple and carrot pudding + weak tea.
  • Second breakfast:decoction of rose hips with honey or jam.
  • Have lunch:milk soup + potato wedges + jelly or boiled meat (fish) with vegetable salad.
  • Afternoon snack:baked or fresh apples.
  • Dinner:cabbage rolls with rice and vegetable filling + baked cheesecake + tea (with honey).
  • Before sleeping:wheat bran decoction.