When diagnosing gout, along with medication, doctors recommend that patients first 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, rapidly relieve pain symptoms, reduce the severity of attacks and prolong remission.
Principles and benefits of the diet
The main goal of dietary therapy is to organize such a diet that will help fight the pathology and prevent recurrence. With gout, the diet aims to:
- regulation of purine metabolism;
- decrease in urate levels;
- normalizes the process of removing excess uric acid;
- regulation of metabolic processes;
- increased alkalinity of urine;
- weight loss when overweight;
- the patient's general health.
A type of hypopurine nutrition is being formed on the basis of therapeutic principles and dietary rules, including a ban on foods with a high proportion of purine compounds, salts and oxalic acids. It is also required to reduce the amount of fat, carbohydrate and protein compounds consumed.
Therapeutic nutrition and diet for gout provides an increase in the proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is a reasonable diet 4-5 times once with an average calorie content in the range of 2500–2800 units.
Importance!
The drinking regime needs to ensure the flow of liquid into the body in the amount of 2. 5 liters or more.
Meal arrangements
To maximize the effectiveness of the diet for gout, you must adhere to several recommendations:
- the main way of processing is boiling, baking, steaming;
- drain the meat broth after 10 minutes of boiling;
- alternating meat, fish and vegetarian dishes;
- use only natural liquids;
- spend days fasting;
- avoid fasting.
Importance!
In case of chronic diseases, it is necessary to contact a specialist to develop an individual nutritional system.
Main types of diets
Proper organization of therapeutic nutrition will not completely eliminate gout, but it will significantly reduce the manifestations of the pathology and prevent its recurrence. The type of diet prescribed will largely depend on the patient's general condition, weight, presence of other diseases, and even gender.
The main type of medical nutrition for gout is the diet - table 6. In addition, patients with gout, especially those who are short of breath and overweight, often use the 8 diet chart. alkaline diet, rice and buckwheat. Kefir, cheese, fruit or veggie diets are great for fasting days.
Diet table number 6
It was 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 accumulation of uric acid salts.
Compliance with nutritional requirements reduces the activity of uric acid reactions in the body. Thanks to that, the patient's health is quickly improved, the inflammatory process stops developing, reduces swelling, pain and stiffness disappear.
Diet for high uric acid
Based on the refusal or reduction of the menu of products with high purines, refractory fats, salt.
It is suggested to replace them with products with an alkalizing effect: milk, yogurt, cheese, fruits and vegetables. The diet offers one fasting day per week.
Diet for Gout Exacerbations
First of all, during an exacerbation, it is necessary to increase the amount of water intake to 3 liters. Then, completely exclude dishes with meat and fish. The lack of animal protein can be compensated by increasing the proportion of dairy products and yogurt in the diet.
Before the end of the acute phase of the disease, it is necessary to arrange fasting days every other day, eating one type of food (cheese, kefir, boiled vegetables, fruit).
Importance!
Fasting causes a sharp release of uric acid and is strictly prohibited in gout.
Diet table number 8
Table 8 provides strict dietary guidelines for gout in overweight patients. This diet aims to increase metabolism and eliminate excess fat in the body.
The main difference from the general requirements of the gout diet in this case was a moderate reduction in calorie content and an average water intake of up to 1. 5 liters per day.
On a note!
For men with gout, the diet provides to maintain the calorie content of food at no less than 2100-2500 units. With gout for women, diet number 8 limits the menu to between 1400 - 1700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows it to be used in nutritional regimens. Its consumption restores disturbed metabolic processes, quickly gives a feeling of fullness and allows you to forget about hunger for a long time. Buckwheat ranks first in the presence of vitamins and all kinds of trace elements.
Proteins from plant-based grains are better absorbed and have the ability to completely replace animals. At the stage of restoration of bone and muscle tissues, the product helps to support the regeneration process. Buckwheat porridge combined with kefir is ideal for fasting days because of gout.
On a note!
Buckwheat is prepared with diet foods more often without salt. Buckwheat diet allows you to quickly lose weight, has a positive effect on joints susceptible to the negative effects of gout.
rice diet
The rice-based diet is often used to cleanse the body and as a way to lose weight. Gout cure rice speeds up metabolism, removes excess water and salt, reduces swelling well. Manganese, selenium, phosphorus, iron, zinc, which are part of rice, have beneficial effects on all the life support systems of the body.
The porous structure of the grain helps to remove toxins, salts and harmful slime that accumulate from diseased joints. The rice diet can also be used for fasting days, especially during gout flares.
Importance!
For the diet, use only brown rice or long-grain white rice. When treating gout with macrobiotics, these grains can be used daily.
alkaline diet
Increased acidity in the body negatively affects metabolism. This is accompanied by a lack of calcium and destruction of bone tissues. The adoption of an alkaline diet will help prevent health-threatening processes. The basis of the diet are fruits, yogurt and dairy products. This diet can be applied both during acute gout and in remission.
Prohibited and Allowed Products
To properly rebuild your nutritional system, you need to know which foods will benefit and help fight gout, and which will harm and trigger flare-ups.
All food products can be listed in the main table of the gout diet, depending on the quantitative content of purines, salts, fats and other harmful substances. The main indicator to divide the list of products for gout is the content of purine compounds.
| Contains a lot of Purines | Low Purines |
|---|---|
|
|
Importance!
Gout patients are strictly forbidden to drink alcoholic beverages.
What products are useful?
By determining the levels of purines and unhealthy fats in foods, you can figure out exactly which foods to eat with gout without harming your health, and which to limit.
On a note!
Fruits in the food group that are particularly helpful for gout include pears, bananas, and apples. Malic acid, which is part of the fruit, can neutralize the action of uric acid.
Potassium destroys uric acid crystals, which contributes to accelerating its removal from the body. Ascorbic acid heals, restores and strengthens connective tissue. Especially useful is the nutrition of fruits in the composition of fermented dairy products.
There are great benefits for gout when using fresh cherries and cherries on a regular basis. Berries contain antioxidants that fight free radicals. Bioflavonoids and anthocyanins suppress 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 your diet these berries and fruits in unlimited quantities.
Foods that can't be eaten
In addition to the products indicated in the summary, strong meat, fish and mushroom broths must be excluded from the diet. They are contraindicated due to their high purine content, which can trigger gout flares. Unwanted and canned fish and meat, contain a large percentage of salt. Their use in a diet high in purines disrupts the water-salt balance and contributes to the deposition of extra salt in the tissues of the joints.
The list of foods prohibited for gout also includes tea, coffee and cocoa. Gout sufferers should not drink these beverages, because they retain uric acid in the body, disrupting its elimination. This leads to a relapse of the disease.
Daily menu of the week
A diverse list of approved products makes it possible for any patient with gout to have access to individualized food choices and ways of eating. The recommended diet for the week is balanced, complete, and includes foods that are beneficial for gout.
| Breakfast 1 | Omelette with herbs, rosehip broth, 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 | Zucchini caviar, Kissel |
| Breakfast 1 | Rice porridge, pear broth, tomato salad |
| Breakfast 2 | Fruit salad, kiss |
| Dinner | Onion soup, barley porridge with wild mushrooms, dried fruit |
| afternoon tea | Pear, fried pumpkin |
| Dinner | Soufflé with curd, guise leaf tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip broth |
| Dinner | Fish ball soup stewed with jelly, apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice with casserole, milkshake, apple coleslaw |
| Breakfast 2 | Strawberry green tea ice cream |
| 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 juice |
| Breakfast 1 | Oatmeal with raisins, tomato juice, fruit salad |
| Breakfast 2 | Cucumber salad with olive oil, orange juice |
| Dinner | Buckwheat soup, grilled zucchini with rice, orange juice |
| afternoon tea | Banana, oat jelly |
| Dinner | Steamed fish with vegetables kefir |
| Breakfast 1 | Porridge with millet milk, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Dinner | Egg soup, cabbage and turkey rolls, apple juice |
| afternoon tea | Banana cheese, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| First breakfast | Boiled eggs, green tea |
| Monday breakfast | Green tea pear gummies |
| Dinner | Borscht without meat, macaroni and cheese, fruit compote |
| afternoon tea | Baked apple with cheese, lemon drink |
| Dinner | Vinaigrette, the decoction of the Bodhi tree |
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.
Importance!
Foods with the addition of natural honey for gout can cause allergic reactions.
Diet recipes
The sample menu proposed for the week includes many dietary dishes, suitable for your eating needs. If desired, they can be replaced with other foods using the list of allowed foods for gout and recommendations for what you can and cannot eat with gout.
Borscht without meat
Peel 1 beetroot, carrot, onion. Simmer in olive oil with diced onion and grated root vegetables on a coarse blender along with a tomato or 1 tbsp. l. tomato. 4 potatoes cut into cubes, boiled in 1. 5 liters of water. In 10 minutes. until cooked, add fresh cabbage finely chopped. In 5 minutes. - stewed vegetables. Season 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 cauldron with vegetable oil, add 2 onions cut into strips and 2 carrots cut into cubes. Bring everything to a boil. Add 10 pieces of plums, washed and chopped. We pass everything until the vegetables are soft. Add the rice, mix until all the oil is absorbed, pour in 2 cups of boiling water. Add seasoning and salt to a minimum. Once boiling, reduce heat and cook for 20 minutes under a tight lid.
rice cake
Boil half a cup of rice in 1 quart. water bath for 10 minutes. Drain the water, wash the rice. Pour it with a glass of milk and cook for another 25 minutes. until you get a soft porridge. Crack 2 eggs and steam 50 g of raisins. Mix everything with the cooled porridge, add salt on top of the knife and 1 teaspoon of MSG. Sahara. Bake in the oven over medium heat until golden brown. Served with cherry syrup.
strawberry tea
A pinch of dried leaves with strawberries pour a glass of boiling water, soak for 3 minutes. Drink without sugar.
With these recipes every day, you can improve your health and reduce the manifestations of pathologies.
Inference
Proper nutrition for gout should become a daily standard in the patient's life. This will slow down or even stop the development of the pathology altogether. Thanks to this, it will be possible to protect other organs from damage.
Importance!
It must be remembered that diet is a supplement, not a substitute for drug treatment. The recommendations of the rheumatologist must be followed at all stages of treatment.