When diagnosing gout, doctors, along with medication, recommend that patients first of all change their diet. The diet for gout is an essential component of the complex treatment of the disease. Using it will speed up recovery as much as possible, quickly relieve pain symptoms, reduce the severity of attacks, and extend remission periods.
Principles and benefits of diet
The main purpose of diet therapy is to organize such a diet that will help fight pathology and prevent relapses. With gout, the diet aims to:
- regulation of purine metabolism;
- reduction in the amount of urate;
- normalization of the process of removal of excess uric acid;
- regulation of metabolic processes;
- increased urine alkalinity;
- weight loss when overweight;
- the general health of the patient.
A type of hypopurine food is being formed based on therapeutic principles and rules of dietary schemes, including the prohibition of foods with a high degree of purine compounds, salts and oxalic acids. It is also required to reduce the amount of fatty components, carbohydrates and proteins consumed.
Therapeutic food and diet for gout provides an increase in the percentage of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. Most effective is a 4-5 times proper nutrition regimen with an average calorie content in the range of 2500-2800 units.
Important!
The drinking regime should ensure the flow of fluids in the body in an amount of 2. 5 liters or more.
How to organize meals
To maximize the effectiveness of your gout diet, you need to follow a few recommendations:
- the main way of cooking is boiling, baking, steaming;
- drain the meat juice after 10 minutes of cooking;
- alternative foods with meat, fish and vegetarian;
- use only natural juices;
- spend the days of fasting;
- 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
Organizing proper therapeutic nutrition will not completely eliminate gout, but will significantly facilitate 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, patients with gout, especially those suffering from shortness of breath and overweight, often use diet table number 8, alkaline diets, rice and buckwheat. Diets of kefir, cottage cheese, fruits or vegetables are suitable for fasting days.
Diet table number 6
It is primarily prescribed to patients with gout. Makes possible in a short time the normalization of the exchange of purine compounds and the elimination of 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 improves rapidly, the growth of the inflammatory process stops, the swelling decreases, the feeling of pain and stiffness in the joints disappears.
Diet for high uric acid
It is based on the rejection or reduction of the menu of products with a high index of purines, refractory fats, salt.
It is proposed to replace them with products with alkalizing effect: milk, sour milk, cottage cheese, fruits and vegetables. The diet provides for one day of fasting per week.
Diet for gout worsening
First of all, during an irritation, it is required to increase the amount of fluids you drink up to 3 liters. Then completely exclude meat and fish dishes. The lack of animal protein can be supplemented by increasing the percentage of dairy and sour milk products in the diet.
Before the end of the acute period of the disease, fasting days should be organized every other day, eating some kind of food (cottage cheese, kefir, boiled vegetables, fruits).
Important!
Fasting causes a sharp release of uric acid and is strictly forbidden in gout.
Diet table number 8
Table 8 strictly regulates the diet for gouty feet in overweight patients. This diet aims to increase metabolism and remove 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 intake of drinking fluids, on average, up to 1. 5 liters per day.
On a note!
For men with gout, the diet provides for the maintenance of the caloric 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 food. Its consumption restores disturbed metabolic processes, quickly gives a feeling of satiety and allows you to forget the feeling of hunger for a long time. Buckwheat is a leader in the presence of vitamins and all kinds of trace elements.
Cereal protein is better absorbed and is able to completely replace the animal. In the stage of bone and muscle tissue restoration, 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 most often without salt. The buckwheat diet allows you to lose weight quickly, which has a positive effect on joints that are prone to the destructive effects of gout.
rice diet
Rice-based diet is most often used to cleanse the body and as a way to lose weight. Ginger rice 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 the life support systems of the body.
The porous structure of cereals flushes out harmful toxins, salts and slag accumulated by diseased joints. The rice diet can also be used for fasting days, especially during a worsening of gout.
Important!
For diet, only boiled rice with long brown or white grains is used. When treating gout with food, these cereals 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. Using 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 gout deterioration and in the remission phase.
Prohibited and permitted products
To properly rebuild the nutrition system, you need to know which foods will benefit and help fight gout, and which will have a detrimental effect and cause an exacerbation of the disease.
All food products can be listed in the table of the main elements of the diet for gout, depending on the quantitative content of purines, salt, fat and other harmful substances. The main sign of the division of the list of products for gout is the content of purine compounds.
| With high purine content | Low purine |
|---|---|
|
|
Important!
It is strictly forbidden for gout to take beverages containing any amount of alcohol.
Which 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 harming health and which should be limited.
On a note!
Fruits in the group of products especially useful 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 joint connective tissue. Particularly useful is the fruit diet in the composition of fermented milk products.
Regular use of cherry and fresh cherry compotes will bring great benefits to the ground. 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 the formation of its crystals 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 shown in the summary table, juices of hard meat, fish and mushrooms should be excluded from the diet. They are contraindicated due to the high content of purines in them, which can cause a sharp deterioration of gout. Undesirable and fish, canned meat, containing a large percentage of salt. Using them with a purine diet upsets the water-salt balance and contributes to the additional deposition of salts 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 keep uric acid in the body, disrupting the process of its withdrawal. This leads to a relapse of the disease.
Daily menu for the week
An extensive list of products allowed for consumption enables the individual approach to the choice of dishes and the right food for each patient with gout. The recommended diet for the week is balanced, complete and consisting of foods that are beneficial for gout.
| Breakfast 1 | Herb omelette, rose juice, carrot salad |
| Breakfast 2 | Bananas, kefir |
| dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, tea with lemon |
| dinner | Pumpkin caviar, kiss |
| Breakfast 1 | Rice porridge, pear juice, tomato salad |
| Breakfast 2 | Fruit salad, kisses |
| dinner | Onion soup, barley porridge with forest mushrooms, compote with dried fruits |
| afternoon tea | Pear, pumpkin blush |
| dinner | Cheese souffle, lime tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rose juice |
| dinner | Fish meatball soup, vegetable stew, apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice casserole, milkshake, cabbage salad with apples |
| 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, roasted zucchini with rice, orange juice |
| afternoon tea | Bananas, oatmeal jelly |
| dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet porridge, plum juice |
| Breakfast 2 | Salad with fresh 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 |
| First breakfast | Boiled eggs, green tea |
| 2nd breakfast | Pear, green tea with marshmallow |
| dinner | Borscht without meat, pasta and cheese, fruit compote |
| afternoon tea | Baked apples with cottage cheese, lemon drink |
| dinner | Vinegrette, linden decoction |
Allowed vegetables and fruits can be consumed in unlimited quantities as an addition to the main menu. It is best not to use whole wheat bread for patients with gout, including the big toe.
Important!
Eating with the addition of natural honey for gout can cause an allergic reaction.
Diet recipe
The proposed sample menu for the week includes many diet dishes, tailored to what you need to eat. If desired, they can be replaced with others using a list of allowed foods for gout and recommendations on what you can and cannot eat with gout.
Borscht without meat
Peel 1 beet, carrot, onion. Boil in olive oil the diced onion and the grated root vegetables on a coarse grater with the addition of a tomato or 1 tbsp. l. tomatoes. 4 potatoes cut into cubes, boiled in 1. 5 liters of water. For 10 min. until cooked, add fresh minced cabbage to strips. For 5 min. - vegetable stew. Arrange them with salt to taste. When serving add parsley, dill and a tablespoon of sour cream.
Pilaf with prunes
Rinse a glass of rice. In a saucepan with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Boil everything a little. Add 10 pieces of washed and grated prunes. We pass everything until the vegetables are soft. Pour the rice, stir so that it is completely saturated with oil, pour 2 cups boiling water. Add spices and salt to a minimum. Once it boils, 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 smooth porridge. Beat 2 eggs and steam 50 g of raisins. Mix everything with cooled porridge, add salt on top of a knife and 1 tbsp. Sahara. Bake in the oven over medium heat in a greased pan until golden brown. Serve with cherry syrup.
strawberry tea
A pinch of dried strawberry leaves 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 patient's life. This will slow down or even stop the development of the pathology completely. As a result, it will be possible to protect other organs from damage.
Important!
It should be remembered that diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist should be followed at all stages of treatment.