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Diet for gout

Dietary principles for gout

The occurrence of this serious metabolic pathology is associated with the accumulation of uric acid salts (urat) in the body.It is impossible to completely cure the disease, but proper therapy can avoid exacerbations and achieve a fairly long period of remission.

An indispensable condition for improving the patient's condition is compliance with the diet.When diagnosed with gout, as in the case of urolithiasis, diet number 6 is prescribed.It allows you to:

  • normalizes purine metabolism;
  • reduces the amount of uric acid and its salts formed in the body;
  • Change the pH of urine toward alkalinization.

Dietary principles for gout

Compliance with certain nutritional principles can significantly improve the patient's condition.

  1. You should eat several times a day - from 3 to 5. This helps prevent the peak increase in the maximum concentration of purine bases in the blood.
  2. You should not consume excess food.
  3. Vegetarianism is also unacceptable.
  4. If you are overweight, you need to lose weight, but not with a strict diet but gradually.Sudden weight loss can lead to a deterioration in the patient's condition.Losing 1-2 kg within a month is considered within normal limits.
  5. With gout, an important condition for normalizing the condition is drinking plenty of water: during the remission period - 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, juice, rosehip decoction, and stew.
  6. Drinking alkaline mineral water is simply necessary for this pathology: it promotes alkalinization of the blood, thanks to which urine is removed from the body.

Fasting is a forbidden technique

Some patients mistakenly believe that refusing to eat can help cleanse the body of excess purine and ease the course of the disease.However, in reality, the result is exactly the opposite: fasting makes the condition significantly worse.The reason lies in the physiological characteristics of humans.

When the food supply stops, the body begins to use up its reserves.In this case, proteins become the most accessible material.During the first days of food refusal, serum uric acid levels increase sharply.Its excess begins to be deposited in the body's tissues, in the synovial membrane, causing aggravation of the disease.

Accumulation of urate in the synovial membrane and glomerulus of the renal tubule can lead to the development of acute gouty nephropathy.

What foods should you not eat if you have gout?

Since the disease is caused by a disorder of purine metabolism, a gout diet is mainly aimed at reducing the intake of foods high in purine bases and substances that stimulate the “release” of urate from the serum which is then deposited 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 expected to sharply limit the quantity of some meat and fish products or abandon them altogether.The ban applies to:

  • broth: meat, fish;
  • meat, especially young animals;
  • internal organs: kidneys, liver, lungs, brain;
  • semi-finished meat products;
  • smoked meat;
  • sauce;
  • animal fat;
  • from fish products: salted or fried fish, canned food, caviar;
  • Fatty fish in any form (except in the acute stage).

When following a gout diet, you should also avoid:

  • legumes: chickpeas, lentils, soybeans, peas, beans;
  • fats of animal origin;
  • mushroom broth;
  • vegetable sauce;
  • various spices: pepper, mustard, horseradish;
  • the cheese is salty and spicy;
  • chocolate, cakes, pastries;
  • any product containing cocoa in large quantities;
  • spinach, sorrel, fresh greens;
  • from fruits: figs, grapes, raspberries;
  • alcoholic beverages, especially wine and beer;
  • strong coffee, tea, cocoa.

When following a diet, you should strongly limit your salt intake.It promotes urine accumulation in tissues and joints.

Authorized product

The optimal diet for gout is a vegetarian diet based on a variety of dairy and vegetable soups, fermented milk products and fruit juices.

  • Recommended meats for the carnivore diet: turkey, chicken, rabbit.
  • Boiling fish, shrimp, and squid is allowed.
  • Chicken eggs and quail eggs are also recommended for gouty arthritis.
  • Porridge made from various cereals, cereals and pasta is very useful.
  • Experts advise patients diagnosed with gout to regularly eat cheese and dishes made from cheese.
  • You can add low-fat and unsalted cheeses to your diet.
  • Whole milk is not banned but should be used with caution.
  • If you follow a diet for gout, you can eat almost any vegetables: 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.During periods of exacerbation of the disease, it is better to avoid them.
  • Fruits are very beneficial for gout.It is recommended to include apples, pears, plums, oranges, apricots and various berries in your daily diet.
  • Eating any type of nut is beneficial.
  • For those with a sweet tooth, we can recommend marmalade, marshmallows, non-chocolate sweets and jams.
  • The gout diet also includes bread - both white and black.
  • When choosing oil, it is better to give preference to vegetable oil.Olives and flaxseeds are especially useful.The amount of butter should be quite limited.

What can you drink?

Maintaining a proper hydration regimen is very important for gout.Experts recommend drinking large amounts of fluid, which is essential to remove uric acid compounds from the body.

While on the diet, you are allowed to drink the following drinks:

  • green tea;
  • weak black tea with milk or lemon;
  • rosehip decoction;
  • drinks made from chicory;
  • wheat bran decoction;
  • vegetable, berry, fruit juices;
  • fruit drinks, juices;
  • kvass.

For patients with gout, fruit drinks made from cranberries or cranberries are especially useful.

You should also drink cucumber juice, which helps remove excess purines from the body.You can drink up to 200 ml of fresh juice per day.

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

Severe stage

The recommended diet during the exacerbation of gout has several characteristics.The following rules must be followed:

  1. Completely exclude fatty, salty, fried products, fish, meat and fish from the diet.
  2. Build a menu mainly based on liquid foods: including 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 go hungry.
  4. Have the patient drink at least 2 liters of water 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 soup:vegetables, potatoes, milk, with the addition of cereals, cold foods (beet soup, okroshka), fruits.
  • Lean meat, fish, and poultryAllowed three times a week: 150 g of meat or 180 g of boiled fish.Boiled meat products can be used to prepare various dishes: baked products, stews, cutlets.
  • Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cottage cheese, milk (in very limited quantities, use caution).
  • Cereal– You can prepare many different dishes based on them.
  • egg– During the acute stage of gout, you are allowed to eat 1 egg per day (can be boiled or cooked as an omelet).
  • Flour and bread products:It is allowed to bake cakes, rye and wheat bread made from flour of type 1, type 2 and bran.
  • Snacks:when exacerbating gout, salads from vegetables, fruits, vinaigrette and vegetable caviar are very useful.
  • Vegetable:It is advisable to include large amounts of fresh vegetables or any cooked vegetables in your diet.
  • Fruits and berriesYou can eat them fresh, make jelly, and process them.Dried fruits are also very useful.
  • Sweets:Diet for gout (even in the acute stage) does not exclude the use of ice cream, marshmallows, jam, honey and sweets (except chocolate).
  • Beverage:tea (weak) with milk, lemon, rosehip decoction, dried fruits, wheat bran.

During the period 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 a maximum of 1.5-2 kg of non-prohibited vegetables and fruits.
  2. Curd and kefir.The daily diet includes 500 g of lean cheese and 0.5 kg of kefir.
  3. Kefir.You should drink a maximum of 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 + 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 apples or fresh apples.
  • Dinner:Cabbage rolls with rice and vegetables + grilled cheese cake + tea (with honey).
  • Before going to bed:decoction of wheat bran.