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diet for gout

Diet rules for gout

The emergence of this serious 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 properly administered treatment allows you to avoid exacerbations and achieve a fairly long period of remission.

An indispensable condition for improving the condition of patients is to follow a diet.When gout is diagnosed, as in the case of urolithiasis, diet number 6 is prescribed.It allows you to:

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

Diet rules for gout

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

  1. You need to eat several times a day - from 3 to 5.This helps prevent sudden increases in the maximum purine base concentration in the blood.
  2. You should not consume too much food.
  3. Fasting is also unacceptable.
  4. If you have excess weight, you need to get rid of it, but gradually, and not with strict diets.A sharp weight loss can lead to a worsening of the patient's condition.Losing 1-2 kg within a month is considered within normal limits.
  5. In gout, an important condition for normalizing the condition is to drink a large amount of liquid: in the remission phase - at least 1.5-2 liters per day, in case of exacerbation of the disease - from 3 liters.You can drink ordinary or mineral water, tea, fruit drinks, rosehip decoction, compote.
  6. Drinking alkaline mineral water for this pathology is simply necessary: it promotes alkalinization of the blood, due to which urates are eliminated from the body.

Fasting is a prohibited 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.But in reality, the result is the opposite: fasting causes a sharp deterioration in condition.The reason for this lies in the features of human physiology.

When the food supply stops, the body begins to consume its own reserves.In this case, proteins become the most accessible material.In the first days of refusing food, a sharp increase in the level of uric acid in the blood serum is observed.Its excess begins to accumulate in body tissues in the synovial joint membrane, which causes 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 this disease is caused by a violation of purine metabolism, the gout diet 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 and their subsequent accumulation 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 of all, it is planned to sharply limit the amount of some meat and fish products or completely abandon them.The ban applies to:

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

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

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

While dieting, you should sharply limit the amount of salt consumed.It promotes the accumulation of urates in tissues and joints.

Authorized Products

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

  • For a meat diet, dietary meat varieties are recommended: turkey, chicken, rabbit.
  • Boiled fish, shrimp and squid are allowed.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Porridge based on various cereals, cereals and pasta is useful.
  • Experts recommend patients diagnosed with gout to frequently consume diet cottage cheese and dishes made from it.
  • You can include low-fat and salt-free cheese varieties in your diet.
  • Full-fat milk is not prohibited, but should be consumed with caution.
  • If you are on a diet for gout, you can eat almost any type of vegetable: 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.It is better to avoid them during the period of exacerbation of the disease.
  • Fruits are very beneficial for gout.It is recommended to include apples, pears, plums, oranges, apricots and various types of fruits in your daily diet.
  • It is beneficial to eat all kinds of nuts and seeds.
  • For those with a sweet tooth, we can recommend marmalade, marshmallows, non-chocolate candies and jam.
  • The gout diet also includes both white and black bread.
  • When choosing oil, it would be better to choose vegetable oils.Olives and flax seeds are especially useful.The amount of butter should be quite limited.

What can you drink?

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

You are allowed to drink the following beverages while following the diet:

  • green tea;
  • weak black tea with milk or lemon;
  • rosehip decoction;
  • chicory-based drink;
  • decoction of wheat bran;
  • vegetables, fruits, juices;
  • fruit drinks, compotes;
  • kvass

Fruit drinks made with cranberries or blueberries are especially useful for gout patients.

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 low mineral content in your diet.

exacerbation period

The recommended diet during the exacerbation of gout has some features.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: it includes liquid cereals, fermented milk products, fruit and vegetable juices, light tea with lemon and milk.
  3. It is very important to ensure that the patient does not go hungry.
  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:with the addition of vegetables, potatoes, dairy products, cereals, cold (borscht, okroshka), fruit.
  • Meat, fish, poultry of lean varietiesallowed three times a week: 150 g of meat or 180 g of boiled fish.Boiled meat products can be used in the preparation of various dishes: baked, boiled, products based on cutlets.
  • Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • grains– You can prepare various dishes based on these.
  • 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 1st, 2nd grade flour and bran are allowed.
  • Snacks:When gout flares up, salads made from vegetables, fruits, vinaigrette and vegetable caviar are useful.
  • Vegetables:It is recommended to include plenty of fresh vegetables or cooked vegetables in your diet.
  • Fruits and berriesYou can eat them fresh, make jelly and compote.Dried fruits are also very useful.
  • Desserts:Gout diet (even in the acute stage) does not exclude the use of cream, marshmallows, jam, honey and sweets (except chocolate).
  • Beverages: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. Fruits and vegetables.You are allowed to eat up to 1.5-2 kg of non-prohibited vegetables and fruits.
  2. Curd and kefir.The daily diet consists of 500 g of fat-free cottage cheese and 0.5 kg of kefir.
  3. Kefir.You should drink up to 2 liters of kefir per day.

Sample menu of the day

  • First breakfast:1 soft boiled egg + vegetable salad from allowed vegetables + apple and carrot pudding + light tea.
  • Second breakfast:decoction of rose hips with honey or jam.
  • Lunch:milk soup + potato cutlets + vegetable salad with jelly or boiled meat (fish).
  • Afternoon snacks:baked or fresh apples.
  • Evening meal:cabbage rolls with rice and vegetable filling + baked cheesecake + tea (with honey).
  • Before going to bed:decoction of wheat bran.