Diet for gout

The occurrence of this severe metabolic pathology is associated with the accumulation of uric acid salts (urates) in the body.It is not possible to completely cure the disease, but the correct therapy allows to avoid exacerbations and to achieve a much longer period of remission.

An indispensable condition for improving the condition of patients is maintaining a diet.When gout is diagnosed, diet No. 6 is prescribed, as is the case with urinary incontinence.This allows you to:

• normalization of purine exchange;
• reducing the amount of uric acid and its salts formed in the body;
• Change in urine pH towards alkalization.

Diet rules for gout

Observance of certain nutritional principles helps to significantly improve the condition of patients.

1. You should eat several times a day - from 3 to 5.This helps prevent the peak concentration of purine bases in the blood.
2. Do not overeat.
3. Fasting is also not accepted.
4. If you are overweight, you should lose it, but not through strict diets, but gradually.Acute weight loss may worsen the patient's condition.Weight loss of 1-2 kg in a month is considered normal.
5. An important condition for the normalization of the condition with gout is to drink a lot of liquid: at the stage of remission - at least 1.5-2 liters per day, during the exacerbation of the disease - at least 3 liters.You can drink ordinary or mineral water, tea, fruit drinks, rose decoction, compotes.
6. Drinking alkaline mineral water is simply necessary for this pathology: it helps to alkalize the blood, thanks to which urates are removed from the body.

Fasting is a forbidden method

Some patients mistakenly believe that abstaining from food helps to cleanse the body of excess purine bases and ease the course of the disease.But in fact, the result is exactly the opposite: fasting provokes a sharp deterioration of the condition.The reason for this is related to the peculiarities of human physiology.

When the food supply ceases, the body begins to use its own reserves.In this case, proteins become the most available material.During the first days of abstinence, there is a sharp increase in the level of uric acid in the blood serum.Its excess begins to deposit in the tissues of the body, synovial joint membrane, it provokes a sharp exacerbation of pain.

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 avoid if you have gout?

Since this disease is caused by a disorder of purine metabolism, the diet for gout is primarily aimed at reducing the amount of purine-based substances and substances that stimulate the "removal" of urates from the blood serum, and then in the 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.First of all, a sharp restriction or complete rejection of certain types of meat and fish products is being considered.The ban applies to:

• broth: meat, fish;
• meat, especially young animals;
• internal products: 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 of any kind (excluded in the acute stage).

When following a gout diet, you should also avoid:

• all types of legumes: green beans, lentils, soybeans, beans, peas;
• animal fats;
• mushroom soup;
• vegetable sauces;
• various spices: pepper, mustard, horseradish;
• cheeses with salty and bitter taste;
• chocolate, cream cake, confectionery;
• various products containing a large amount of cocoa;
• spinach, kombucha, fresh vegetables;
• from fruits: figs, grapes, raspberries;
• alcoholic beverages, especially wine and beer;
• strong coffee, tea, cocoa.

When following a diet, the amount of salt consumed should be sharply limited.It contributes to the accumulation of urates in tissues and joints.

Authorized Products

The optimal way to eat against gout is a vegetarian diet based on various milk and vegetable soups, sour milk products and fruit and vegetable tinctures.

• Dietary varieties of meat are recommended for the meat diet: turkey, chicken, rabbit.
• Cooked fish, shrimp and squid are allowed.
• Chicken and quail eggs are also recommended for gouty arthritis.
• Porridge made on the basis of various grains, cereals, as well as pasta products is useful.
• Experts advise patients diagnosed with gout to consume dietary cottage cheese and foods made from it frequently.
• You can include low-fat and unsalted types of cheese in your diet.
• Whole milk is not prohibited, but should be used with caution.
• If you follow a gout diet, you can eat almost any kind of vegetables: potatoes, zucchini, white cabbage, eggplant, carrots.
• Some vegetables should be limited in quantity.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley and green onions.It is better to stay away from them during the period of exacerbation of the disease.
• Fruits are very good for gout.It is recommended to include apples, pears, plums, oranges, plums and various types of fruits in your daily diet.
• Eating all types of nuts and seeds is beneficial.
• For those with a sweet tooth, we offer marmalade, marshmallows, chocolate-free candies and jam.
• Diet for gout also includes bread - both white and black.
• When choosing oil, it is better to give preference to vegetable oil.Olives and flax seeds are especially useful.The amount of fat should be limited enough.

What to drink?

It is very important to maintain a proper drinking regime for gout.Experts recommend drinking as much fluid as is necessary to remove uric acid compounds from the body.

Following the diet, it is allowed to drink the following drinks:

• green tea;
• weak black tea with milk or lemon;
• decoction of rose hips;
• chicory-based drink;
• wheat crop;
• vegetable, fruit juices;
• fruit drinks, compotes;
• kvass

Fruit drinks made from cranberries or lingonberries are especially beneficial for gout sufferers.

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

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

period of exacerbation

The recommended diet during gout exacerbation has some features.The following rules must be observed:

1. Completely remove 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 juices, weak tea with lemon and milk.
3. It is very important to ensure that the patient is not starving.
4. Give the patient at least 2 liters of fluids per day.
5. Don't forget to include alkaline mineral water in your diet.

An approximate diet menu for gout flare-ups is as follows:

• Vegetarian Soups:with the addition of vegetables, potatoes, milk, cereals, cold (beetroot soup, okroshka), fruit.
• Meat, fish, lean poultryallowed three times a week: 150 g of meat or 180 g of boiled fish.Boiled meat products can be used to prepare a variety of dishes: baked, stewed, cutlet-based products.
• Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat cream, cheese, milk (in very limited quantities, with caution).
• Dan- You can make different dishes based on them.
• egg- in the acute stage of gout, it is allowed to eat 1 egg per day (you can boil it and cook an omelet).
• Flour products, bread:Baking bread made from flour and bran of the 1st and 2nd varieties, rye and wheat bread is allowed.
• Food:When gout is aggravated, salads made from vegetables, fruits, vinaigrettes, and vegetable caviar are useful.
• Vegetables:It is recommended to include a large number of fresh vegetables or various cooked vegetables in your diet.
• Fruits and berriesYou can eat them fresh and make jelly and compote from them.Dried fruits are also very useful.
• Sweets:Diet for gout (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 decoction, dried fruits, wheat bran.

Stabilization of the patient's condition in the advanced stage of the disease is due to fasting days:

1. Fruits and vegetables.It is allowed to eat up to 1.5-2 kg of non-prohibited fruits and vegetables.
2. Cottage cheese and kefir.The daily ration consists of 500 g of low-fat cottage cheese and 0.5 kg of kefir.
3. Kefir.It is necessary to 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:rosehip decoction with honey or jam.
• Lunch:milk soup + potato cutlets + boiled meat (fish) with jelly or vegetable salad.
• Lunch:baked or fresh apples.
• Dinner:Cabbage rolls with rice and vegetable filling + baked cheesecakes + tea (with honey).
• Before going to bed:wheat bran decoction.