When diagnosing gout, doctors, along with medications, recommend that patients first of all change their diet. Diet for gout is an essential component of the complex treatment of the disease. Its use will speed up recovery as much as possible, quickly relieve pain symptoms, reduce the severity of attacks, and prolong periods of remission.
Principles and benefits of diet
The main goal of diet therapy is to organize such a diet that will help fight pathology and prevent relapses. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease in the amount of urates;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increase in the alkalinity of urine;
- weight loss when overweight;
- general health of the patient.
A hypopurine type of nutrition is being formed on the basis of therapeutic principles and the rules of dietary schemes, including a ban on foods with a high rate of purine compounds, salts and oxalic acids. It is also required to reduce the amount of fatty, carbohydrate and protein compounds consumed.
Therapeutic nutrition and diet for gout provides for an increase in the proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is a 4-5 one-time regimen of proper nutrition with an average calorie content in the range of 2500–2800 units.
Important!
The drinking regime should ensure the flow of fluid into the body in an amount of 2. 5 liters or more.
How to arrange meals
To maximize the effectiveness of the diet for gout, you must adhere to several recommendations:
- the main way of cooking is boiling, baking, steaming;
- drain the meat broth after 10 minutes of boiling;
- alternate meat, fish and vegetarian dishes;
- use only natural liquids;
- spend fasting days;
- avoid fasting.
Important!
In the presence of chronic diseases, it is necessary to contact a specialist for the development of an individual nutrition system.
The main types of diets
The organization of proper therapeutic nutrition will not completely eliminate gout, but it will significantly alleviate the manifestation of the pathology and prevent its recurrence. The type of diet prescribed will largely depend on the general condition of the patient, his weight, the presence of additional diseases, and even gender.
The main type of medical nutrition for gout is a diet - table number 6. In addition to it, patients with gout, especially those suffering from shortness of breath and overweight, often use the diet table number 8, alkaline, rice and buckwheat diets. Kefir, cottage cheese, fruit or vegetable diets are well suited for fasting days.
Diet table number 6
It is prescribed to patients with gout in the first place. It makes it possible in a short time to normalize the exchange of purine compounds and eliminate the causes of crystallization and accumulation of uric acid salts.
Compliance with nutritional requirements reduces the activity of uric acid reactions in the body. As a result, the patient's well-being quickly improves, the growth of the inflammatory process stops, swelling decreases, the feeling of pain and stiffness in the joints disappears.
Diet for high uric acid
It is based on the refusal or reduction in the menu of products with a high content index of purines, refractory fats, salt.
It is proposed to replace them with products with an alkalizing effect: dairy, sour-milk, cottage cheese, fruits and vegetables. The diet provides for one unloading day per week.
Diet for exacerbation of gout
First of all, during an exacerbation, it is required to increase the amount of fluid you drink up to 3 liters. Then completely exclude dishes with meat and fish. The lack of animal protein can be filled by increasing the proportion of dairy and sour-milk products in the diet.
Before the end of the acute period of the disease, fasting days must be arranged every other day, eating one type of food (cottage cheese, kefir, boiled vegetables, fruits).
Important!
Fasting causes a sharp release of uric acid and is strictly prohibited in gout.
Diet table number 8
Table No. 8 strictly regulates nutrition for gouty legs in patients with great overweight. This diet is aimed at increasing metabolism and getting rid of excess fat in the body.
The main difference from the general requirements of a therapeutic diet for gout in this case is a moderate reduction in caloric content and the intake of drinking fluids, on average, up to 1. 5 liters per day.
On a note!
For men with gout, the diet provides for maintaining the calorie content of food at a level not lower than 2100-2500 units. With gout for women, diet number 8 limits the menu in the range from 1400 to 1700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows it to be used in therapeutic dietary nutrition. Its consumption restores disturbed metabolic processes, quickly gives a feeling of fullness and allows you to forget about the feeling of hunger for a long time. Buckwheat is the leader in the presence of vitamins and all types of trace elements.
Vegetable cereal protein is better absorbed and is able to completely replace the animal. At the stage of restoration of bone and muscle tissue, the product helps in the regeneration processes. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is prepared with diet food more often without salt. Buckwheat diet allows you to quickly reduce weight, which has a positive effect on joints that are prone to the destructive effects of gout.
rice diet
The rice-based diet is most often used to cleanse the body and as a way to lose weight. Rice with gout speeds up metabolism, removes excess water and salt, relieves swelling well. Manganese, selenium, phosphorus, iron, zinc, which are part of rice, have a beneficial effect on all life support systems of the body.
The porous structure of the cereal draws out accumulated harmful toxins, salts, and slags from diseased joints. The rice diet can also be used for fasting days, especially during an exacerbation of gout.
Important!
For the diet, only brown or white long-grain steamed rice is used. When treating gout with nutrition, these cereals can be used daily.
alkaline diet
Increased acidity in the body negatively affects the metabolic processes. This is accompanied by a lack of calcium and the destruction of bone tissue. The use of an alkaline diet will help prevent health-threatening processes. The basis of the diet are fruits, sour-milk and dairy products. This diet can be used both during the period of exacerbation of gout, and at the stage of remission.
Prohibited and permitted products
In order to properly rebuild the nutrition system, you need to know which foods will benefit and help in the fight against gout, and which ones will have a harmful effect and cause an exacerbation of the disease.
All food products can be listed in the table of staples of the diet for gout, depending on the quantitative content of purines, salt, fat and other harmful substances. The main sign of dividing the list of products for gout is the content of purine compounds.
| High in Purines | Low Purine |
|---|---|
|
|
Important!
It is strictly forbidden for gout to take drinks containing any amount of alcohol.
What products are useful
By determining the level of purines and unhealthy fats in foods, you can find out exactly which foods can be eaten with gout without harm to health, and which should be limited.
On a note!
Fruits in the group of especially useful products for gout include pears, bananas and apples. Malic acid, which is part of the fruit, is able to neutralize the action of uric acid.
Potassium destroys uric acid crystals, which contributes to its accelerated removal from the body. Ascorbic acid heals, restores and strengthens connective articular tissues. Especially useful is the nutrition of fruits in the composition of fermented milk products.
Great benefits for gout will bring regular use of fresh cherries and cherry compotes. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
Useful substances contained in strawberries and strawberries neutralize uric acid and prevent its crystals from forming in the joints.
On a note!
You can include in the diet for gout these berries and fruits in unlimited quantities.
What foods can not be eaten
In addition to the products indicated in the summary table, strong meat, fish and mushroom broths must be excluded from the diet. They are contraindicated due to the high content of purines in them, which can cause a sharp exacerbation of gout. Undesirable and fish, canned meat, containing a large percentage of salt. Their use with a purine diet disrupts the water-salt balance and contributes to additional deposition of salts in the tissues of the joints.
The list of prohibited foods for gout also includes tea, coffee and cocoa. These drinks should not be drunk with gout, as they retain uric acid in the body, disrupting the process of its withdrawal. This leads to a relapse of the disease.
Daily menu for the week
A wide list of products allowed for consumption makes it possible to individually approach the choice of dishes and eat right for any patient with gout. The recommended diet for the week is balanced, complete and made up of foods that are useful for gout.
| Breakfast 1 | Omelet with herbs, rosehip broth, carrot salad |
| Breakfast 2 | Banana, kefir |
| Dinner | Vegetable soup with noodles, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, lemon tea |
| Dinner | Zucchini caviar, kissel |
| Breakfast 1 | Rice porridge, pear broth, tomato salad |
| Breakfast 2 | Fruit salad, kissel |
| Dinner | Onion soup, barley porridge with forest mushrooms, dried fruit compote |
| afternoon tea | Pear, pumpkin fritters |
| Dinner | Curd soufflé, linden tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip broth |
| Dinner | Soup with fish meatballs, vegetable stew, apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice casserole, milkshake, coleslaw with apple |
| Breakfast 2 | Strawberries with cream, green tea |
| Dinner | Beetroot with sour cream, buckwheat, turkey breast with prunes, mint tea |
| afternoon tea | Pancakes with strawberries, carrot juice |
| Dinner | Cheese casserole with herbs, pear compote |
| Breakfast 1 | Oatmeal with raisins, tomato juice, fruit salad |
| Breakfast 2 | Cucumber salad with olive oil, orange juice |
| Dinner | Buckwheat soup, zucchini baked with rice, orange juice |
| afternoon tea | Banana, oatmeal jelly |
| Dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet milk porridge, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Dinner | Egg soup, cabbage rolls with vegetables and turkey meat, apple juice |
| afternoon tea | Cottage cheese with banana, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| 1st breakfast | Poached egg, green tea |
| 2nd breakfast | Pear, green tea with marshmallow |
| Dinner | Borscht without meat, macaroni and cheese, fruit compote |
| afternoon tea | Apples baked with cottage cheese, lemon drink |
| Dinner | Vinaigrette, decoction of linden |
Permitted vegetables and fruits can be consumed in unlimited quantities as an addition to the main menu. It is better not to use wheat bread for patients with gout, including the big toe.
Important!
Food with the addition of natural honey for gout can cause an allergic reaction.
Diet Recipes
The proposed sample menu for the week includes many dietary dishes, tailored to what you need to eat. If desired, they can be replaced with others using a list from the table of allowed foods for gout and recommendations on what you can and cannot eat with gout.
Borscht without meat
Peel 1 beet, carrot, onion. Simmer in olive oil diced onion and root vegetables grated on a coarse grater with the addition of a tomato or 1 tbsp. l. tomato. 4 potatoes cut into cubes, boil in 1. 5 liters of water. For 10 min. until cooked, add fresh cabbage shredded into strips. For 5 min. - vegetable stew. Season with salt to taste. When serving, add parsley, dill and a spoonful of sour cream.
Pilaf with prunes
Rinse a glass of rice. In a cauldron with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Simmer everything a little. Add 10 pieces of washed and chopped prunes. We pass everything until the vegetables are soft. Pour rice, mix so that it is completely saturated with oil, pour 2 cups of boiling water. Add spices and salt to a minimum. After boiling, reduce the heat and cook for 20 minutes under a tight lid.
rice pudding
Boil half a cup of rice in 1 liter. water for 10 minutes. Drain the water, rinse the rice. Pour it with a glass of milk and cook for another 25 minutes. until you get a soft porridge. Beat 2 eggs and steam 50 g of raisins. Mix everything with cooled porridge, add salt on the tip of a knife and 1 tsp. Sahara. Bake in an oven over medium heat in a greased pan until golden brown. Serve with cherry syrup.
strawberry tea
A pinch of dry leaves with strawberries pour a glass of boiling water, soak for 3 minutes. Drink without sugar.
With these recipes for every day, you can improve your well-being and reduce the manifestations of pathology.
Conclusion
Proper nutrition for gout should become the daily norm in the life of the patient. This will slow down or even completely stop the development of pathology. As a result, it will be possible to protect other organs from damage.
Important!
It must be remembered that the diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist must be followed at all stages of treatment.