When diagnosing gout, doctors, along with medications, recommend that patients first change their diet. Diet for gout is an important component of the treatment of a complex disease. Its use will speed up recovery as much as possible, relieve pain symptoms quickly, reduce the severity of attacks, and prolong the period of remission.
Principles and benefits of diet
The main goal of diet therapy is to regulate a diet that will help fight pathology and prevent relapses. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease in the number of veins;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increased urinary alkalinity;
- weight loss when overweight;
- general health of the patient.
The type of hypopurine nutrition is being formed on the basis of therapeutic principles and the rules of the dietary scheme, including the prohibition of foods with high levels of purine compounds, salts and oxalic acid. It is also necessary to reduce the amount of fat, carbohydrate and protein compounds consumed.
Therapeutic and dietary nutrition for gout provides for an increased proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective are 4-5 one-time regimens of proper nutrition with an average calorie content in the range of 2500-2800 units.
Important!
The drinking regime should ensure the flow of fluids into the body in the amount of 2. 5 liters or more.
How to arrange food
To maximize the effectiveness of the diet for gout, you should adhere to several recommendations:
- the main ways of cooking are boiling, baking, steaming;
- drain the meat broth after 10 minutes of boiling;
- alternative meat, fish and vegetarian dishes;
- use only natural fluids;
- spend fasting days;
- avoid fasting.
Important!
In the presence of chronic diseases, it is necessary to contact specialists for the development of an individual nutritional system.
Main types of diet
Proper organization of therapeutic nutrition will not completely get rid of uric acid, but will significantly alleviate the manifestations 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 diet - table number 6. In addition, patients with gout, especially those suffering from shortness of breath and being overweight, often use diet table number 8, an alkaline diet, rice and buckwheat. A diet of kefir, cottage cheese, fruit or vegetables is perfect for fasting days.
Diet table number 6
It is prescribed to patients with gout in the first place. This 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 needs 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, pain and stiffness in the joints disappear.
Diet for high uric acid
It is based on the rejection or reduction of the menu of products with a high purine index, refractory fat, high salt.
It is proposed to replace it with products with an alkaline effect: milk, sour milk, cottage cheese, fruits and vegetables. This diet provides one fasting day per week.
Diet for gout exacerbation
First of all, during an exacerbation, it is necessary to increase the amount of fluid you drink up to 3 liters. Then completely exclude dishes with meat and fish. Lack of animal protein can be filled by increasing the proportion of dairy products and sour-milk products in the diet.
Before the end of the acute period of the disease, fasting days should be arranged daily, eating one type of food (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 number 8 strictly regulates nutrition for gouty feet 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 regard is a moderate reduction in the calorie 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 to maintain 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 hunger for a long time. Buckwheat is a leader in terms of vitamins and all kinds of trace elements.
Vegetable cereal proteins are better absorbed and are able to completely replace animal ones. At the stage of restoration of bone and muscle tissue, the product helps in the regeneration process. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is prepared with diet foods more often without salt. Buckwheat diet allows you to quickly lose weight, which has a positive effect on joints prone to the destructive effects of gout.
rice diet
Rice-based diets are most often used to cleanse the body and as a way to lose weight. Rice with uric acid 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 cereal draws out accumulated harmful toxins, salts, and slags from sore joints. The rice diet can also be used for fasting days, especially during gout exacerbations.
Important!
For the diet, only long-grain steamed brown or white rice is used. When treating gout with nutrition, this cereal can be used every day.
alkaline diet
Increased acidity in the body negatively affects metabolic processes. This is accompanied by calcium deficiency and bone tissue breakdown. 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 during the period of exacerbation of gout, and in the stage of remission.
Prohibited and permitted products
In order to properly rebuild the nutritional system, you need to know which foods will be useful 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 staple food table for uric acid, depending on the quantitative content of purines, salts, fats and other harmful substances. The main sign of the division of the product list for uric acid is the content of purine compounds.
| Purine Height | low purine |
|---|---|
|
|
Important!
It is strictly forbidden for people with gout to drink beverages containing alcohol in any amount.
What products are useful?
By determining the levels of purines and unhealthy fats in food, you can know exactly which foods people with gout can eat without harming their health, and which ones to limit.
On a note!
Fruits in the product group that are particularly 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 the acceleration of its elimination from the body. Ascorbic acid heals, restores and strengthens connective joint tissue. Especially useful are the nutrients of fruits in the composition of fermented milk products.
Great benefits for gout will bring with it the regular use of fresh cherries and cherry compote. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in uric acid.
The beneficial substances contained in strawberries and strawberries neutralize uric acid and prevent the formation of crystals in the joints.
On a note!
You can include in the diet for gout, these berries and fruits in unlimited quantities.
What foods cannot be eaten?
In addition to the products indicated in the summary table, strong meat, fish and mushroom broths should be excluded from the diet. They are contraindicated due to the high content of purines in them, which can lead to a sharp exacerbation of gout. It is undesirable and fish, canned meat, contains mostly salt. Its 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 foods that are prohibited for gout also includes tea, coffee and cocoa. These drinks should not be taken with uric acid, as they retain uric acid in the body, interfering with its withdrawal process. This leads to recurrence of the disease.
Daily menu for the week
An extensive list of products that are allowed for consumption makes it possible to individually approach the choice of dishes and eat correctly for each patient with gout. The recommended diet for a week is balanced, complete and consists of foods that are useful for gout.
| Breakfast 1 | Omelette with herbs, rosehip broth, carrot salad |
| Breakfast 2 | banana, kefir |
| Dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, lemon tea |
| Dinner | Zucchini Caviar, kiss |
| Breakfast 1 | Rice porridge, pear broth, tomato salad |
| Breakfast 2 | Fruit salad, kiss |
| Dinner | Onion soup, barley porridge with forest mushrooms, dried fruit compote |
| afternoon tea | Pears, fried pumpkin |
| Dinner | Curd souffle, linden tea |
| Breakfast 1 | Oatmeal porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip broth |
| Dinner | Soup with fish balls, vegetable soup, apple jelly |
| afternoon tea | Cheesecake with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice casserole, milkshake, coleslaw with apple |
| Breakfast 2 | Strawberry with cream, green tea |
| Dinner | Beets 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, grilled zucchini 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 turkey and vegetables, apple juice |
| afternoon tea | Cottage cheese with banana, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| first breakfast | Boiled egg, green tea |
| 2nd breakfast | Pears, green tea with marshmallows |
| Dinner | Meatless borscht, macaroni and cheese, fruit compote |
| afternoon tea | Apple baked with cottage cheese, lemon drink |
| Dinner | Vinaigrette, linden stew |
Vegetables and fruits are allowed to be consumed in unlimited quantities as an addition to the main menu. It is better not to use whole grain bread for gout sufferers, including the big toe.
Important!
Foods with the addition of natural honey for gout can cause allergic reactions.
Diet Recipes
The sample menu proposed for this week includes many diet dishes, tailored to what you need to eat. If desired, they can be replaced with others using the list from the table of foods allowed for gout and recommendations on what you can and cannot eat with gout.
Meatless Borscht
Peel 1 beetroot, carrot, onion. Simmer in olive oil diced onion and root vegetables grated on a coarse grater with the addition of tomatoes or 1 tbsp. l. tomatoes. 4 diced potatoes, boiled in 1. 5 liters of water. For 10 minutes. until cooked, add fresh cabbage grated into strips. For 5 minutes. - boiled vegetables. Season with salt to taste. When serving, add parsley, dill and a dollop of sour cream.
Pilaf with plums
Rinse a glass of rice. In a skillet with vegetable oil, add 2 chopped onions and 2 carrots into cubes. Bring everything to a boil. Add 10 prunes that have been washed and chopped. We go through everything until the vegetables are soft. Pour the rice, stir until completely saturated with oil, pour 2 cups of 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 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 cold gruel, add salt on the tip of a knife and 1 tsp. Sahara. Bake in the oven over medium heat in a buttered skillet until golden brown. Serve 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 this recipe 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 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 diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist should be followed at all stages of treatment.