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Diet for gout

Diet rules for gout

The occurrence of this severe metabolic pathology is associated with the accumulation of uric acid salts (urates) in the body.It is not possible to completely cure the disease, but properly administered therapy allows you to avoid exacerbations and achieve a fairly long period of remission.

An indispensable condition for improving the condition of patients is following a diet.When diagnosed with gout, as in the case of urolithiasis, diet No. 6 is prescribed. It allows you to:

  • normalize purine metabolism;
  • reduce the amount of uric acid and its salts formed in the body;
  • change the pH of urine towards alkalization.

Diet rules for gout

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

  1. You should eat several times a day - from 3 to 5. This helps prevent peak surges in the maximum concentration of purine bases in the blood.
  2. You should not consume excess food.
  3. Fasting is also unacceptable.
  4. If you have excess weight, you need to get rid of it, but not through strict diets, but gradually.A sharp weight loss can lead to a worsening of the patient's condition.Losing 1-2 kg within a month is considered within normal limits.
  5. With gout, an important condition for normalizing the condition is to drink a large amount of fluid: in the remission stage - at least 1.5-2 liters per day, in case of exacerbation of the disease - from 3 liters.You can drink regular or mineral water, tea, fruit drinks, rosehip decoction, compotes.
  6. Drinking alkaline mineral water is simply necessary for this pathology: it promotes alkalinization of the blood, due to which urates are eliminated from the body.

Fasting is a prohibited technique

Some patients mistakenly believe that refusing to eat can help cleanse the body of excess purine bases and alleviate the course of the disease.However, in reality, the result is exactly the opposite: fasting provokes a sharp deterioration in the condition.The reason lies in the peculiarities of human physiology.

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

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

What foods should you not eat if you have gout?

Since this disease is caused by a violation 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 with subsequent 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, it is planned to sharply limit the amount of certain meat and fish products or completely abandon them.The ban applies to:

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

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

  • legumes of all types: green peas, lentils, soybeans, beans, beans;
  • fats of animal origin;
  • mushroom broths;
  • vegetable sauces;
  • various spices: pepper, mustard, horseradish;
  • cheeses with a salty and spicy taste;
  • chocolate, cream cakes, pastries;
  • any products that contain cocoa in large quantities;
  • 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.It promotes the accumulation of urates in tissues and joints.

Authorized Products

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

  • Dietary varieties of meat are recommended for the meat diet: turkey, chicken, rabbit.
  • Boiled fish, shrimp, and squid are allowed.
  • Chicken and quail eggs are also recommended for gouty arthritis.
  • Porridges based on various grains, cereals, as well as pasta are useful.
  • Experts advise patients diagnosed with gout to frequently consume dietary cottage cheese and dishes made from it.
  • You can include low-fat and unsalted varieties of cheese 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, zucchini, white cabbage, eggplant, carrots.
  • The amount of some vegetables should be limited.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley, and green onions.During the period of exacerbation of the disease, it is better to avoid them.
  • Fruits are very beneficial 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 those with a sweet tooth, we can recommend marmalade, marshmallows, non-chocolate candies, and jam.
  • The diet for gout also includes bread - both white and black.
  • When choosing oil, it is better to prefer vegetable oil.Olive and flaxseed are especially useful.The amount of butter should be fairly limited.

What can you drink?

Maintaining the correct drinking regime is very important for gout.Experts recommend drinking large amounts of fluid, which is necessary to remove uric acid compounds from the body.

While following the diet, you are allowed to drink the following drinks:

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

For patients with gout, fruit drinks made from cranberries or lingonberries are especially useful.

It is also recommended to consume cucumber juice, which helps 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 low mineral content in your diet.

Exacerbation period

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

  1. Completely exclude fatty, salty, fried meat, fish, meat and fish products from the diet.
  2. Build a menu based primarily 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 exacerbation of gout is as follows:

  • Vegetarian soups:vegetable, potato, dairy, with the addition of cereals, cold (beetroot soup, okroshka), fruit.
  • Meat, fish, poultry of lean varietiesallowed 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, stewed, cutlet-based products.
  • Dairy 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 various dishes based on them.
  • Egg– in the acute stage of gout, you are allowed to eat 1 egg per day (you can boil it, cook an omelet).
  • Flour products, bread:Baking, rye and wheat bread made from grade 1, 2 flour, and bran are allowed.
  • Snacks:when exacerbating gout, salads from vegetables, fruits, vinaigrettes, and vegetable caviar are useful.
  • Vegetables:It is recommended to include a large amount of fresh vegetables or any cooked vegetables in your diet.
  • Fruits and berriesYou can eat them fresh, make jelly and compotes from them.Dried fruits are also very useful.
  • Sweets:The diet for gout (even in the acute phase) does not exclude the use of creams, marshmallows, jam, honey, and sweets (with the exception of chocolate).
  • Drinks:tea (weak) with milk, lemon, rosehip decoction, dried fruits, wheat bran.

In the phase of exacerbation of the disease, stabilization of the patient’s condition is facilitated by fasting days:

  1. Fruit and vegetable.You are allowed to eat up to 1.5-2 kg of non-prohibited vegetables and fruits.
  2. Curd and kefir.The daily diet consists of 500 g of lean cottage cheese and 0.5 kg of kefir.
  3. Kefir.You should drink up to 2 liters of kefir per day.

Sample menu for the day

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