When diagnosing gout, doctors advise patients, first of all, to change their diet, along with medications. Diet for gout is an important component of the complex treatment of the disease. Its use will accelerate recovery as much as possible, quickly relieve pain symptoms, reduce the severity of attacks and prolong remission periods.
Principles and benefits of diet
The main goal of dietary therapy is to organize such a diet that will help fight pathology and prevent relapses. Diet with gout aims to:
- regulation of purine metabolism;
- decrease in the amount of urate;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increase in urine alkalinity;
- weight loss when overweight;
- the general health of the patient.
A hypopurine-type diet is established on the basis of therapeutic principles and rules of dietary schemes, including the prohibition of foods with a high content of purine compounds, salts and oxalic acids. It is also necessary to reduce the amount of consumed fat, carbohydrate and protein compounds.
Therapeutic nutrition and diet for gout provides an increase in the diet of vegetables, fruits, natural drinks, kefir, cottage cheese. The most effective are 4-5 one-time proper nutrition regimens with an average calorie content in the range of 2500-2800 units.
Important!
The drinking regimen should ensure the flow of fluid into the body in the amount of 2. 5 liters or more.
how to organize a meal
To maximize the effectiveness of the diet for gout, you should follow a few recommendations:
- the main cooking method is boiling, baking, steaming;
- After boiling for 10 minutes, drain the broth;
- alternative 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.
Major types of diets
The organization of proper therapeutic nutrition will not completely eliminate gout, but will significantly alleviate the manifestation of pathology and prevent its recurrence. The type of diet prescribed will largely depend on the patient's general condition, weight, presence of comorbidities, and even gender.
The main type of medical nutrition for gout is a diet - table number 6. In addition, people with gout, especially those with shortness of breath and overweight, often use diet chart 8, alkaline, rice and buckwheat diets. Kefir, cottage cheese, fruit or vegetable diets are well suited for fasting days.
Diet chart number 6
It is prescribed to patients with gout in the first place. It makes it possible to normalize the exchange of purine compounds in a short time and eliminate the causes of crystallization and deposition 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 rejection or reduction in the menu of products with a high purine index, refractory oils, salt.
It is recommended to replace them with products that have an alkalizing effect: milk, sour milk, cottage cheese, fruits and vegetables. The diet provides for one fasting day per week.
diet for gout exacerbation
First you need to increase the amount of liquid you drink during an exacerbation by up to 3 liters. Then completely exclude dishes containing meat and fish. Animal protein deficiency 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 should be arranged every day, some type of food (cottage cheese, kefir, boiled vegetables, fruits) should be consumed.
Important!
Fasting causes a sharp release of uric acid and is strictly prohibited in gout.
Diet table number 8
Table 8 strictly regulates nutrition for gouty legs in overweight patients. This diet aims to increase metabolism and get 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 calorie content and an average intake of drinking fluids up to 1. 5 liters per day.
On a note!
Diet for men with gout provides for maintaining the calorie content of food at a level not lower than 2100-2500 units. Diet number 8 with gout for women 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 impaired metabolic processes, quickly gives a feeling of satiety and allows you to forget about the feeling of hunger for a long time. Buckwheat is a leader in the presence of vitamins and all kinds of trace elements.
Vegetable grain protein is better absorbed and can completely replace the animal. At the stage of restoration of bone and muscle tissues, 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 more often prepared without salt with diet food. The buckwheat diet allows you to quickly reduce weight, which has a positive effect on joints prone to the destructive effects of gout.
rice diet
The rice-based diet is most commonly used as a way to cleanse the body and lose weight. Rice with gout accelerates 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 grains draws out harmful toxins, salts and slags that have accumulated from diseased joints. The rice diet can also be used for fasting days, especially during exacerbation of gout.
Important!
Only brown or white long grain steamed rice is used for the diet. While treating gout with nutrition, these grains can be used daily.
alkaline diet
Increased acidity in the body negatively affects 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 processes that threaten health. The basis of the diet is fruits, sour milk and dairy products. This diet can be used both in the period of exacerbation of gout, and in the phase of remission.
Prohibited and permitted products
To properly rebuild the nutritional system, you need to know which foods will benefit and help in the fight against gout, which will have a detrimental effect and provoke an exacerbation of the disease.
All food products can be listed in the table of the basics of a gout diet, 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 any amount of alcohol-containing beverages.
Which products are useful?
By determining the level of purines and unhealthy fats in foods, you can learn exactly which foods can be eaten and which should be limited without harming health in gout.
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, can neutralize the effect of uric acid.
Potassium destroys uric acid crystals, which contributes to its rapid elimination from the body. Ascorbic acid heals, repairs and strengthens connective joint 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 are effective against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
Strawberry and its beneficial substances neutralize uric acid and prevent the formation of crystals in the joints.
On a note!
You can include these fruits and berries in unlimited quantities in the gout diet.
What foods can't be eaten
In addition to the products indicated in the summary table, strong meat, fish and mushroom juices should 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 amount of salt. Their use with a purine diet disrupts the water-salt balance and contributes to the deposition of additional salt in the joint tissues.
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 and disrupt the withdrawal process. This leads to a relapse of the disease.
Daily menu of the week
A large list of products allowed for consumption makes it possible to individually approach the choice of food for gout sufferers and eat right. The recommended diet for the week consists of balanced, complete and gout beneficial foods.
| breakfast 1 | Herb omelette, rosehip juice, carrot salad |
| breakfast 2 | Banana, kefir |
| Dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit with onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, lemon tea |
| Dinner | Pumpkin caviar, kissel |
| breakfast 1 | Rice porridge, pear juice, tomato salad |
| breakfast 2 | Fruit salad, Kissel |
| Dinner | Onion soup, barley porridge with forest mushrooms, dried fruit compote |
| afternoon tea | Pear, zucchini fritters |
| Dinner | Curd souffle, linden tea |
| breakfast 1 | Wheat porridge, apricot juice |
| breakfast 2 | Cherry yogurt, rosehip juice |
| Dinner | Fish ball soup, vegetable stew, apple jelly |
| afternoon tea | Cheesecake with sour cream, compote |
| Dinner | Prune pilaf, kefir |
| breakfast 1 | Rice casserole, milkshake, apple coleslaw |
| breakfast 2 | Creamy Strawberry Green Tea |
| Dinner | Beetroot, buckwheat, turkey breast with prunes, mint tea with sour cream |
| afternoon tea | Crepes with strawberry, 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 cooked with rice, orange juice |
| afternoon tea | Banana, oatmeal |
| Dinner | Steamed fish with vegetables, kefir |
| breakfast 1 | Millet milk porridge, prune juice |
| breakfast 2 | Salad with young carrots and garlic plus an apple |
| Dinner | Egg soup, cabbage rolls with vegetables and turkey, apple juice |
| afternoon tea | Banana cottage cheese, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| 1st breakfast | Boiled egg, green tea |
| 2nd breakfast | Pear, green tea with marshmallows |
| Dinner | Meatless borscht, macaroni and cheese, fruit compote |
| afternoon tea | Baked apples with cottage cheese, lemon drink |
| Dinner | Vinaigrette, linden decoction |
Allowed vegetables and fruits can be consumed in unlimited quantities in addition to the main menu. It is better not to use wheat bread in patients with gout, including the big toe.
Important!
Foods with natural honey for gout can cause an allergic reaction.
Diet Recipes
The recommended sample menu for the week includes many diet meals tailored to what you should eat. If desired, they can be replaced with others, using a list in the table of allowed foods for gout and recommendations on what you can and cannot eat with gout.
Meatless borscht
Peel 1 beet, carrot, onion. Fry the chopped onion and root vegetables grated on a coarse grater in olive oil with the addition of tomatoes or 1 tablespoon. I. tomatoes. 4 diced potatoes are boiled in 1. 5 liters of water. 10 min. Add fresh cabbage chopped into strips until cooked. 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 in cubes. Bring everything to a boil. Add 10 washed and chopped prunes. We pass everything until the vegetables become soft. Pour rice, completely saturated with oil, pour 2 glasses of boiling water. Add spices and salt to a minimum. After boiling, reduce the heat and cook for 20 minutes with the lid closed.
rice pudding
Boil half a glass 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 chilled porridge, add salt and 1 tsp on the tip of a knife. Sahara. Cook in a greased pan on medium heat until golden brown. Serve with cherry syrup.
strawberry tea
A pinch of dried leaves with strawberries pour a glass of boiling water, leave for 3 minutes. Drink sugar free.
With these recipes for every day, you can improve your health and reduce the manifestations of pathology.
Solution
Proper nutrition for gout should become the daily norm in the patient's life. 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 should be noted that diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist should be followed at every stage of the treatment.