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Diet for gout

Dietary guidelines for gout

The occurrence of this severe metabolic pathology is related to the accumulation of uric acid salts (urates) in the body.It is impossible to completely cure the disease, but properly managed therapy allows to prevent exacerbations and to achieve a sufficiently long period of remission.

An indispensable condition for improving the condition of patients is to follow a diet.When gout is diagnosed, as in the case of urolithiasis, diet number 6 is prescribed.It allows you to:

  • normalize purine metabolism;
  • reduce the amount of uric acid and its salts formed in the body;
  • shift urine pH toward alkalinization.

Dietary guidelines for gout

Compliance with certain nutritional principles can significantly improve the condition of patients.

  1. You need to eat several times a day - from 3 to 5.This helps to prevent peaks in the maximum concentration of purine bases in the blood.
  2. You should not overeat.
  3. Fasting is also unacceptable.
  4. If you are overweight, you need to get rid of it, but not through strict diets, but gradually.Acute weight loss can worsen the patient's condition.Losing 1-2 kg in a month is considered normal.
  5. An important condition for normalizing the situation with gout is to drink a lot of liquid: in remission - 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, fruit drinks, rose hips decoction, compotes.
  6. For this pathology, you just need to drink alkaline mineral water: it promotes blood alkalinization, thanks to which urates are removed from the body.

Fasting is a forbidden method

Some patients mistakenly believe that abstaining from food can help rid the body of excess purine bases and ease the course of the disease.But, in fact, the result is the opposite: fasting leads to a sharp deterioration of the condition.The reason lies in the characteristics of human physiology.

When the food supply stops, the body begins to use its own reserves.In this case, proteins become the most accessible material.A sharp increase in the level of uric acid in the blood serum is observed in the first days of food abstinence.Its excess begins to accumulate in the tissues of the body, in the synovial joint membrane, which causes a sharp exacerbation of the disease.

Accumulation of urates in the synovium and glomeruli of renal tubules can lead to the development of acute gouty nephropathy.

What foods should you avoid if you have gout?

Since this disease is caused by a disorder of purine metabolism, the diet for gout is primarily aimed at reducing the amount of foods high in purine bases and substances that stimulate the "release" of urates from the blood serum, followed by deposition in tissues and joints.It is also necessary to control the consumption of foods that contribute to changes in the acid-base balance of the body.First of all, the amount of certain meat and fish products should be sharply limited or completely abandoned.The ban applies to:

  • broths: meat, fish;
  • meat, especially young animals;
  • offal: kidneys, livers, lungs, brains;
  • semi-finished meat products;
  • smoked meat;
  • sauces;
  • animal fats;
  • from fish products: salted or fried fish, canned food, caviar;
  • fatty fish in any form (excluded in the acute phase).

While following a diet for gout, you should also avoid:

  • all types of legumes: green peas, lentils, soybeans, beans, beans;
  • animal fats;
  • mushroom broths;
  • vegetable sauces;
  • various spices: pepper, mustard, horseradish;
  • cheeses with a salty and spicy taste;
  • chocolate, cream cakes, pies;
  • any products with a large amount of cocoa;
  • 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 sharply limit the amount of salt consumed.Helps to accumulate urates in tissues and joints.

Authorized Products

The optimal way of eating for gout is a vegetarian diet based on various milk and vegetable soups, fermented milk products and fruit infusions.

  • Diet meat types are recommended for meat diet: turkey, chicken, rabbit.
  • It is allowed to eat boiled fish, shrimp and squid.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Various grains, cereals, as well as pasta-based porridges are useful.
  • Experts recommend frequent use of dietary curd and dishes made from it to patients diagnosed with gout.
  • You can include low-fat and salt-free cheese varieties in your diet.
  • Whole milk is not prohibited, but should be consumed with caution.
  • If you follow a diet for gout, you can eat almost any type of vegetable: potatoes, pumpkin, white cabbage, eggplant, carrots.
  • The amount of some vegetables should be limited.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley and green onions.It is better to avoid them during the exacerbation of the disease.
  • Fruits are very useful for gout.It is recommended to include apples, pears, plums, oranges, apricots and various types of berries in your daily diet.
  • Eating any type of nuts and seeds is beneficial.
  • For sweet lovers, we can recommend marmalade, marshmallows, chocolate-free candy and jam.
  • The diet for gout also includes bread - both white and black.
  • When choosing oil, it is better to give preference to vegetable oil.Olive and linseed are especially useful.The amount of butter should be quite limited.

What can you drink?

It is very important to follow the correct drinking regime for gout.Experts recommend drinking plenty of fluids to flush out uric acid compounds from the body.

It is allowed to drink the following drinks while following the diet:

  • green tea;
  • weak black tea with milk or lemon;
  • rose decoction;
  • chicory-based drink;
  • wheat bran decoction;
  • vegetable, berry, fruit juices;
  • fruit drinks, compotes;
  • kvass

Fruit drinks made from cranberries or lingonberries are especially useful for gout patients.

It is also recommended to consume cucumber juice, which helps to remove excess purines from the body.You can drink up to 200 ml of freshly squeezed juice per day.

An important point is to include alkaline mineral water with a small amount of minerals in your diet.

Aggravation period

The recommended diet for the period of gout exacerbation has some features.The following rules must be followed:

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from the diet.
  2. Make a menu based mainly on liquid foods: include 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 starve.
  4. Give the patient at least 2 liters of fluid per day.
  5. Be sure to include alkaline mineral water in your diet.

An approximate diet menu for gout exacerbation is as follows:

  • Vegetarian soups:vegetables, potatoes, dairy products, with the addition of cereals, cold (beet soup, okroshka), fruit.
  • Meat, fish, lean varieties of 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, baked, cutlet-based products.
  • Milk and fermented milk products:cottage cheese, cottage cheese dishes, low-fat sour cream, cheese, milk (in very limited quantities, with caution).
  • Cereals- You can prepare different dishes based on them.
  • egg- In the acute phase of gout, it is allowed to eat 1 egg per day (you can boil it, cook an omelette).
  • Flour products, bread:Bread made from 1st and 2nd grade flour and bran, rye and wheat bread is allowed.
  • Snacks:Salads from vegetables, fruits, vinaigrettes and vegetable caviar are useful during exacerbation of gout.
  • Vegetables:It is recommended to include plenty of fresh vegetables or any cooked vegetables in your diet.
  • Fruits and berriesYou can eat them fresh, make jellies and compotes from them.Dried fruits are also very useful.
  • Sweets:Diet for gout (even in the acute stage) does not exclude the use of creams, marshmallows, jams, honey and sweets (except chocolate).
  • Drinks:tea (weak) milk, lemon, rosehip broth, dried fruits, wheat bran.

At the stage of exacerbation of the disease, the stabilization of the patient's condition is facilitated by fasting days:

  1. Fruits and vegetables.It is allowed to eat non-prohibited vegetables and fruits up to 1.5-2 kg.
  2. Cottage cheese and kefir.The daily diet consists of 500 g of low-fat cottage cheese and 0.5 kg of kefir.
  3. Kefir.You need to drink up to 2 liters of kefir per day.

Sample menu for the day

  • First breakfast:1 boiled egg + vegetable salad from allowed vegetables + apple and carrot pudding + weak tea.
  • Second breakfast:hips decoction with honey or jam.
  • Lunch:milk soup + potato cutlets + boiled meat (fish) with jelly or vegetable salad.
  • Afternoon snack:baked or fresh apples.
  • Dinner:cabbage rolls with rice and vegetable filling + baked cheesecakes + tea (with honey).
  • Before sleeping:decoction of wheat bran.