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Diet for gout

Diet rules for gout

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

An indispensable condition for improving the condition of patients is adherence to a diet.When diagnosed with gout, as in the case of urolithiasis, diet No. 6 is prescribed.It allows you to:

  • normalize purine metabolism;
  • reduce the amount of uric acid and its salts formed in the body;
  • Change the pH of urine towards alkalinization.

Diet rules for gout

Compliance with certain nutritional principles can significantly improve the condition of patients.

  1. You should eat several times a day - from 3 to 5. This will help prevent peak increases in the maximum concentration of purine bases in the blood.
  2. You should not eat excess food.
  3. Fasting is also unacceptable.
  4. If you have excess weight, you need to get rid of it, but not through strict diets, but gradually.Significant weight loss can lead to a worsening of the patient's condition.A weight loss of 1-2 kg within a month is considered normal.
  5. With gout, drinking a large amount of fluid is an important condition for normalizing the condition: in the remission stage - 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, rosehip decoctions and compotes.
  6. Drinking alkaline mineral water is simply necessary with this pathology: it promotes the alkalinization of the blood, as a result of which urates are excreted from the body.

Fasting is a forbidden technique

Some patients mistakenly believe that refusing food 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 in the condition.The reason lies in the peculiarities of human physiology.

When the food supply stops, the body begins to use up its own reserves.In this case, proteins become the most accessible material.Already 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 begins to be deposited in the tissues of the body, in the synovial joint membrane, which leads to a sharp exacerbation of the disease.

The accumulation of uric acid 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 disorder of purine metabolism, the gout diet is aimed primarily at reducing the amount of foods high in purine bases and substances that stimulate the “release” of uric acid from 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 acid-base balance of the body.Initially, the plan is to severely limit the amount of certain meat and fish products or to avoid them altogether.The ban applies to:

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

Additionally, when following a diet for gout, you should avoid:

  • Legumes of all kinds: green peas, lentils, soybeans, beans, beans;
  • fats of animal origin;
  • mushroom broths;
  • vegetable sauces;
  • various spices: pepper, mustard, horseradish;
  • Cheese with a salty and spicy taste;
  • chocolate, cream cakes, pastries;
  • all products that contain cocoa in large quantities;
  • spinach, sorrel, fresh herbs;
  • from fruits: figs, grapes, raspberries;
  • alcoholic beverages, in particular wine and beer;
  • strong coffee, tea, cocoa.

If you are on a diet, you should severely limit your salt intake.It promotes the accumulation of urate in tissues and joints.

Authorized Products

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

  • Dietary types of meat are recommended for the meat diet: turkey, chicken, rabbit.
  • Boiled fish, shrimp and squid are allowed.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Porridges based on various types of grains, cereals and pasta are useful.
  • Experts advise patients diagnosed with gout to often consume dietary cottage cheese and dishes made from it.
  • You can include low-fat and unsalted cheeses in your diet.
  • Whole milk is not forbidden, but should be consumed with caution.
  • If you follow a diet for gout, you can eat almost any type of vegetables: potatoes, zucchini, cabbage, eggplant, carrots.
  • For some vegetables the amount 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 it.
  • Fruits are very beneficial for gout.It is recommended to include apples, pears, plums, oranges, apricots and various types of berries in the daily diet.
  • Eating any kind of nuts and seeds is beneficial.
  • For those with a sweet tooth, we can recommend jam, marshmallows, non-chocolate candies and preserves.
  • The gout diet also includes bread - both white and black.
  • When choosing oil, it is better to give preference to vegetable oil.Olive and flax seeds are particularly useful.The amount of butter should be relatively limited.

What can you drink?

With gout, compliance with the correct drinking regime is very important.Experts recommend drinking large amounts of fluid, which is necessary to remove uric acid compounds from the body.

During the diet you are allowed to drink the following drinks:

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

For patients with gout, fruit drinks made from cranberries or cranberries are particularly 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 freshly squeezed juice per day.

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

exacerbation period

The diet recommended for the period of exacerbation of gout has some peculiarities.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 primarily on liquid foods: this includes 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.

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

  • Vegetarian soups:Vegetables, potatoes, dairy products, with the addition of cereals, cold (beetroot soup, okroshka), fruits.
  • Meat, fish, poultry of lean varietiesAllowed three times a week: 150 g of meat or 180 g of cooked fish.Various dishes can be prepared from boiled meat products: baked, stewed, cutlet products.
  • Dairy and fermented milk products:Cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Grain– You can prepare different dishes based on it.
  • egg– In the acute stage of gout, you are allowed to eat 1 egg per day (you can boil it, cook an omelet).
  • Flour products, bread:Baking, rye and wheat bread made from grade 1, 2 flour and bran are allowed.
  • Snacks:With an exacerbation of gout, salads made from vegetables, fruits, vinaigrette and vegetable caviar are useful.
  • Vegetables:It is recommended to include a large amount of fresh vegetables or cooked vegetables in your diet.
  • fruits and berriesYou can eat them fresh and make jellies and compotes from them.Dried fruits are also very useful.
  • Sweets: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).
  • Drinks:Tea (weak) with milk, lemon, rosehip decoction, dried fruits, wheat bran.

In the phase of exacerbation 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 fruits.
  2. Quark 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 permitted vegetables + apple-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.