When diagnosing gout, doctors, along with medications, recommend that patients first change their diet. The gout diet 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 the diet.
The main goal of diet therapy is to organize a diet that will help fight pathology and prevent relapse. With gout, the diet is aimed at:
- regulation of purine metabolism;
- decrease in the amount of urates;
- normalization of the process of elimination of excess uric acid;
- regulation of metabolic processes;
- increased alkalinity of urine;
- overweight weight loss;
- general health of the patient.
A hypopurine type of nutrition is being formed on the basis of therapeutic principles and the rules of dietary schemes, including the prohibition of foods with a high rate of purine compounds, salts and oxalic acids. It is also required to reduce the amount of fatty compounds, carbohydrates and proteins consumed.
Therapeutic nutrition and diet for gout provides for an increase in the proportion of vegetables, fruits, natural drinks, kefir and cottage cheese in the diet. The most effective is a single 4-5 regimen of proper nutrition with an average caloric content in the range of 2500-2800 units.
Important!
The drinking regimen should ensure the flow of fluid to the body in the amount of 2. 5 liters or more.
How to organize meals
To maximize the effectiveness of the diet for gout, you must adhere to several recommendations:
- the main way of cooking is boiling, baking, steaming;
- drain the meat broth after 10 minutes of boiling;
- alternate 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 for the development of an individual nutrition system.
The main types of diets
The organization of proper therapeutic nutrition will not completely eliminate gout, but it 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 a diet - table number 6. In addition, gout patients, especially those who suffer from shortness of breath and are overweight, often use diet table number 8, alkaline diets, rice and buckwheat. Kefir, cottage cheese, fruit or vegetable diets are well suited for fasting days.
Diet chart number 6
It is prescribed to patients with gout in the first place. It allows 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 activity of uric acid reactions in the body. As a result, the patient's well-being improves rapidly, the growth of the inflammatory process stops, swelling decreases, the feeling of pain and stiffness in the joints disappears.
Diet for high uric acid.
It is based on the refusal or reduction in the menu of products with a high level of purines, refractory fats, salt.
It is proposed to replace them with products with an alkalizing effect: dairy, sour milk, cottage cheese, fruits and vegetables. The diet provides for one day of fasting a week.
Diet for exacerbation of gout
First of all, during an exacerbation, it is required 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 supplied 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 should be arranged on alternate days, eating one type of food (cottage cheese, kefir, boiled vegetables, fruits).
Important!
Fasting causes a strong release of uric acid and is strictly prohibited in gout.
Diet chart number 8
Table number 8 strictly regulates nutrition for gouty legs in severely overweight patients. This diet aims to increase metabolism and eliminate excess fat in the body.
The main difference from the general requirements of a therapeutic diet for gout in this case is a moderate reduction in caloric content and fluid intake, on average, up to 1. 5 liters per day.
In a note!
For men with gout, the diet plans to keep the caloric content of food at a level no 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 therapeutic dietary nutrition. Its consumption restores disturbed metabolic processes, quickly gives a feeling of satiety and allows you to forget about the feeling of hunger for a long time. Buckwheat is a leader in the presence of vitamins and all kinds of trace elements.
Vegetable cereal protein is better absorbed and is capable of completely replacing animal protein. At the stage of restoration of bone and muscle tissues, the product helps in regeneration processes. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
In a note!
Buckwheat is prepared from diet foods more often without salt. Buckwheat diet allows you to quickly lose weight, 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, removes excess water and salt, well relieves swelling. Manganese, selenium, phosphorus, iron and zinc, which are part of rice, have a beneficial effect on all life support systems of the body.
The porous structure of the cereals extracts the accumulated harmful toxins, salts and slag from the diseased joints. The rice diet can also be used for fasting days, especially during a gout flare.
Important!
For the diet, only brown or white long-grain steamed rice is used. When treating gout with nutrition, these cereals can be used daily.
alkaline diet
Increased acidity in the body negatively affects metabolic processes. This is accompanied by a lack of calcium and the destruction of bone tissue. Using an alkaline diet will help prevent health-threatening processes. 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 nutrition system, you need to know which foods will benefit and help in the fight against gout, and which will have a harmful effect and cause an exacerbation of the disease.
All food products can be listed in the Gout Diet Staples table based on the quantitative content of purines, salt, fat and other harmful substances. The main sign of dividing the list of products for gout is the content of purine compounds.
| High in Purines | low purine |
|---|---|
|
|
Important!
Drinking beverages containing any amount of alcohol is strictly prohibited for gout.
What products are useful?
By determining the level of purines and unhealthy fats in food, you can find out exactly which foods can be eaten with gout without harm to health, and which should be limited.
In a note!
Fruits in the group of especially useful products for gout include pears, bananas, and apples. Malic acid, which is part of the fruit, is capable of neutralizing the action of uric acid.
Potassium destroys uric acid crystals, which contributes to their accelerated removal from the body. Ascorbic acid heals, restores and strengthens the connective tissues of the joints. Especially useful is fruit nutrition in the composition of fermented milk products.
Great benefits for gout will bring the regular use of fresh cherries and cherry compotes. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process of gout.
Useful substances contained in strawberries and strawberries neutralize uric acid and prevent crystals from forming in the joints.
In a note!
You can include in the diet for gout these berries and fruits in unlimited quantities.
What foods can not 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 they contain, which can cause an acute exacerbation of gout. Undesirable and fish, canned meat, which contains a large percentage of salt. Its use with a purine diet alters the water-salt balance and contributes to the additional deposition of salts in the joint tissues.
The list of prohibited foods for gout also includes tea, coffee, and cocoa. These drinks should not be taken with gout, since they retain uric acid in the body, disrupting the process of its withdrawal. This leads to a relapse of the disease.
Daily menu for the week.
A wide list of products allowed for consumption makes it possible to individually approach the choice of dishes and eat well for any patient with gout. The recommended diet for the week is balanced, complete and made up of useful foods for gout.
| breakfast 1 | Tortilla with herbs, rosehip broth, carrot salad |
| breakfast 2 | banana, kefir |
| Dinner | Vegetable soup with noodles, boiled potatoes, rabbit in 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 compote |
| afternoon tea | Pear, pumpkin fritters |
| Dinner | Curd soufflé, linden tea |
| breakfast 1 | Wheat porridge, apricot juice |
| breakfast 2 | Yogurt with cherries, rosehip broth |
| Dinner | Fish meatball soup, vegetable stew, apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| breakfast 1 | Rice Casserole, Smoothie, Apple Coleslaw |
| 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 | Herbed Cheese Casserole, 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, prune juice |
| breakfast 2 | Salad with baby carrots and garlic, plus an apple |
| Dinner | Egg drop 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 egg, 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, linden decoction |
Allowed vegetables and fruits can be consumed in unlimited quantities as a complement to the main menu. It is better not to use wheat bread for patients with gout, including the big toe.
Important!
Foods with the addition of natural honey for gout can cause an allergic reaction.
diet recipes
The proposed sample menu for the week includes many dietary dishes, tailored to what you need to eat. If you wish, you can replace them with others using a list of the table of allowed foods for gout and recommendations on what you can and cannot eat with gout.
borscht without meat
Peel 1 beet, carrot, onion. Simmer in olive oil chopped onion and tubers grated on a coarse grater with the addition of a tomato or 1 tbsp. tomato. 4 potatoes cut into cubes, boil in 1, 5 liters of water. for 10 min. until cooked, add shredded fresh cabbage. for 5 min. - vegetable stew. Season with salt to taste. When serving, add parsley, dill and a dollop 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 diced carrots. Simmer everything a bit. Add 10 pieces of washed and chopped prunes. We pass everything until the vegetables are soft. Pour in the rice, mix so that it is completely saturated with oil, pour 2 cups of boiling water. Add spices and salt to a minimum. After boiling, reduce heat and cook for 20 minutes under a tight lid.
rice pudding
Boil half a cup of rice in 1 litre. water for 10 minutes. Drain the water, rinse the rice. Pour it with a glass of milk and cook for another 25 minutes. until you get a smooth paste. Beat 2 eggs and steam 50 g of raisins. Mix everything with cooled porridge, add salt on the tip of a knife and 1 tsp. Sahara. Bake in an oven over medium heat in a greased 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. Sugar free drink.
With these recipes for every day, you can improve your well-being and reduce the manifestations of the pathology.
conclusion
Proper nutrition for gout must 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 complement, not a substitute for drug therapy. The recommendations of the rheumatologist should be followed at all stages of treatment.