When gout is diagnosed, doctors, in addition to medications, 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, quickly relieve pain symptoms, reduce the severity of attacks, and prolong remission periods.
Principles and benefits of diet
The main goal of diet therapy is to organize such a diet that will help combat the pathology and prevent relapses. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease the amount of urates;
- normalize the process of eliminating excess uric acid;
- regulation of metabolic processes;
- increased urine alkalinity;
- weight loss when overweight;
- the general health of the patient.
Hypopurine type nutrition is formulated on the basis of therapeutic principles and rules of dietary schemes, including a ban on foods with a high rate of purine compounds, salts and oxalic acids. It is also essential to reduce the amount of fatty, carbohydrates and protein compounds consumed.
Therapeutic nutrition and diet for gout provides an increase in the number of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is 4-5 one-time regimen of proper nutrition with average calorie content in the range 2500-2800 units.
Important!
The drinking regime should ensure the flow of fluids into the body in a volume of 2. 5 liters or more.
How to arrange meals
To maximize the effectiveness of the diet for gout, you need to adhere to some recommendations:
- the main way of cooking is boiling, baking, steaming;
- drain the meat broth after 10 minutes boiling;
- alternative meat, fish and vegetarian dishes;
- use only natural liquids;
- spend fasting days;
- avoid fasting.
Important!
In the presence of chronic diseases, it is necessary to contact a specialist to develop an individual nutritional system.
The main types of diets
Proper organization of therapeutic nutrition will not completely eliminate gout, but will significantly alleviate 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 diet - table number 6. In addition, patients with gout, especially those suffering from shortness of breath and overweight, often use the diet table number 8, dietsalkaline food, rice and buckwheat. Kefir, cottage cheese, fruit or vegetable diets are well suited for fasting days.
Diet table number 6
It is prescribed to patients with gout in the first place. It 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 requirements reduces the reaction activity of uric acid in the body. As a result, the patient's well-being improves rapidly, the growth of the inflammatory process stops, swelling is reduced, 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, salts.
It is planned to replace products with an alkaline effect: dairy, sour milk, cottage cheese, fruit and vegetables. The diet provides for one fasting day per week.
Diet for worse gout
First, during exacerbation, it is necessary to increase the amount of fluid you drink up to 3 liters. Then completely exclude dishes with meat and fish. The lack of animal protein can be filled by increasing the proportion of dairy products and sour milk in the diet.
Before the end of the acute period of the disease, fasting days must be fixed every other day, eating one type of food (cottage cheese, kefir, boiled vegetables, fruits).
Important!
Fasting causes acute release of uric acid and is strictly prohibited in gout.
Diet table number 8
Table number 8 strictly controls the nutrition of your gouty feet in patients who are severely overweight. This diet is aimed at increasing metabolism and getting rid of excess fat in the body.
The main difference from the general therapeutic dietary requirements 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 calorie content of the 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 its use in dietary therapeutic nutrition. Its consumption restores disturbed metabolic processes, quickly gives a feeling of fullness and allows you to forget about the feeling of hunger for a long time. Buckwheat is the leader in the presence of vitamins and all kinds of trace elements.
Vegetable cereal protein is best absorbed and is able to completely replace the animal. At the stage of bone and muscle tissue restoration, the product helps in the regenerative processes. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is prepared with more often unsalted diet food. Buckwheat diet allows you to lose weight quickly, which has a positive effect on the joints that are prone to the destructive effects of gout.
rice diet
The rice-based diet is most often used to cleanse the body and as a way to lose weight. Rice with gout speeds up metabolism, eliminates excess water and salt, relieves swelling well. Manganese, selenium, phosphorus, iron, zinc, which are part of rice, have beneficial effects on all the body's life support systems.
The porous structure of cereals removes accumulated toxins, salts and harmful slag from diseased joints. The rice diet can also be used for fasting days, especially during worsening gout.
Important!
For the diet, only brown or white long-grain steamed rice is used. When gout is treated with nutrition, these cereals can be used daily.
alkaline diet
Increased acidity in the body negatively affects the metabolic processes. This is accompanied by a lack of calcium and destruction of bone tissue. The use of an alkaline diet will help prevent health-threatening processes. Fruits, sour milk and dairy products are the basis of the diet. This diet can be used during the gout exacerbation period, and at the remission stage.
Prohibited and approved products
In order to properly rebuild the nutrition system, you need to know which foods will benefit and help in the fight against gout, and which ones will have a detrimental effect and exacerbate the disease.
All food products can be listed in the table of dietary staples for gout, depending on the quantitative content of purines, salt, fat and other harmful substances. The main indication of the list of products for gout is the content of purine compounds.
| High and Purines | Low Purine |
|---|---|
|
|
Important!
Gout is completely forbidden to take beverages that contain any amount of alcohol.
What products are useful
By determining the level of purines and unhealthy fats in foods, you can find out exactly what foods can be eaten with gout without harming your health, and which should be limited.
On a note!
Fruits in the product group that are especially useful for gout include pears, bananas and apples. Malic acid, which is part of the fruit, is able to neutralize the action of fresh acid.
Potassium destroys uric acid crystals, which contributes to its accelerated removal from the body. Heals ascorbic acid, restores and strengthens joint tissues. It is especially useful to cultivate fruit in the composition of fermented milk products.
Regular use of fresh cherries and cherry compotes will bring great benefits to gout. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins inhibit 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 these berries and fruits in the diet for gout in unlimited quantities.
What foods can not be eaten
In addition to the products mentioned in the summary table, strong meat, fish and mushroom broth must be excluded from the diet. They are contraindicated due to the high content of purines in them, which can cause exacerbation of gout. Undesirable and fish, canned meat, which contains a large percentage of salt. Their use in a purine diet disrupts the water-salt balance and contributes to the further deposition of salts in the tissues of the joints.
The list of banned foods for gout also includes tea, coffee and cocoa. These drinks should not be consumed with gout, because they retain uric acid in the body, interfering with the withdrawal process. This results in the relapse of the disease.
Daily menu for the week
Due to an extensive list of products allowed for consumption it is possible to choose the choice of dishes individually and eat right for any patient with gout. The recommended diet for the week is balanced, complete and composed 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 | Piorra, pumpkin fritters |
| Dinner | Curd soufflé, linden tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip broth |
| Dinner | Soup with fish meatballs, vegetable stew, apple jelly |
| afternoon tea | Cheese cakes with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice casserole, milkshake, coleslaw with apple |
| 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, baked 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 vegetables and turkey meat, apple juice |
| afternoon tea | Cottage cheese with banana, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| 1st breakfast | Poached eggs, green tea |
| 2nd breakfast | Pear, green tea with marshmallow |
| Dinner | Meatless borscht, macaroni and cheese, fruit compote |
| afternoon tea | Baked apples with cottage cheese, lemon drink |
| Dinner | Vinaigrette, decoction of Linden |
Approved vegetables and fruits can be eaten in unlimited quantities in addition to the main menu. It is better not to use wheat bread for patients with gout, including the big toe.
Important!
Food with natural honey for gout can cause an allergic reaction.
diet recipes
The sample menu planned 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 from the table of approved foods for gout and suggestions on what you can and cannot eat with gout.
Borscht without meat
Peel 1 beet, carrot, onion. Simmer in diced onion olive oil and grated root vegetables on a coarse grater with the addition of tomatoes or 1 tbsp. l. tomato. 4 potatoes cut into cubes, boil in 1. 5 liters of water. For 10 minutes. until cooked, add fresh shredded cabbage into strips. For 5 minutes. - vegetable stew. 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 kettle with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Simmer everything slightly. Add 10 pieces of washed and chopped prunes. We cook everything until the vegetables are soft. Pour rice, mix until completely saturated with oil, pour 2 cups boiling water. Add at least spices and salt. After boiling, 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 into a glass of milk and cook for another 25 minutes. until you get soft porridge. Beat 2 eggs and steam 50 g of raisins. Mix everything with cooled porridge, add salt on top of a knife and 1 tsp. Sahara. Bake in oven over medium heat in greased pan until golden brown. Serve with cherry syrup.
strawberry tea
Pour a pinch of dry leaves with a glass of strawberry boiling water, soak for 3 minutes. Drink without sugar.
With these recipes for each day, you can improve your well-being and reduce the manifestation of pathology.
Conclusion
Proper nutrition for gout should be a daily routine in the life of the patient. This will delay or even stop the development of the 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 must be followed at all stages of treatment.