In the diagnosis of gout, doctors, along with 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 accelerate 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 organize such a diet that helps fight pathology and prevent relapse. With gout, the diet is on:
- Regulation of purine metabolism;
- Decreasing the amount of urate;
- Normalization of the process of removal of excess uric acid;
- Regulation of metabolic processes;
- Increase in the alkalinity of the urine;
- Weight loss if overweight;
- general health of the patient.
A hypopurine type diet is formed on the basis of therapeutic principles and the rules of diet, including a ban on foods with a high rate of purine compounds, salts and oxalic acids. It is also necessary to reduce the amount of fat, carbohydrates and protein compounds consumed.
Therapeutic diet and diet for gout ensures an increase in the proportion of vegetables, fruits, natural beverages, kefir, gîte rural in the diet. The most effective is a 4-5 unique diet of adequate nutrition with an average calorie content in the range of 2500-2800 units.
Important!
The drinking regime should guarantee the flow of fluid into the body in a quantity of 2, 5 liters or more.
How to arrange meals
To maximize the efficiency of your diet for gout, you need to follow a few recommendations:
- the main way of cooking is cooking, baking, steaming;
- cook the meat broth after 10 minutes;
- 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 consult a specialist for the development of an individual nutritional system.
The main types of diets
The organization of the correct therapeutic diet will not completely eliminate gout, but it will significantly alleviate the manifestation of the pathology and prevent its recurrence. The type of diet prescribed depends largely on the general condition of the patient, his weight, the presence of additional diseases and even sex.
The mainstay of the medical diet for gout is a diet - table number 6. In addition, patients with gout, especially those suffering from shortness of breath and obesity, often use the diet table number 8, alkaline, rice and buckwheat diets. Kefir, gite rural, fruit or vegetable diets are good 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 dietary 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, the 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, salt.
It is proposed to replace them with products with an alkalizing effect: dairy, sour milk, hard cheese, fruits and vegetables. The diet provides for one fasting day per week.
Diet for the enlargement of gout
First, during an enlargement, 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 and sour milk products in the diet.
Before the end of the acute period of the disease, fasting days must be arranged every other day, eating a variety of foods (cottage cheese, kefir, cooked vegetables, fruits).
Important!
Fasting causes a sharp release of uric acid and is strictly forbidden in gout.
Diet table number 8
Table number 8 strictly regulated diet for gouty legs in patients with severe obesity. 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 intake of drinking liquids, on average, up to 1, 5 liters per day.
On a note!
For men with gout, the diet to keep the caloric content of food at a level not less than 2100-2500 units. With gout for women, diet number 8 limits the menu in the range of 1400 to 1700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows it to be used in the therapeutic diet. 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 better absorbed and is able to completely replace the animal. At the stage of restoration of bone and muscle tissue, the product helps in the regeneration processes. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is more often prepared with diet foods without salt. Buckwheat diet allows you to quickly lose weight, which has a positive effect on the joints, which are susceptible to the destructive effects of gout.
Rice diet
The rice-based diet is mostly used to cleanse the body and as a way to lose weight. Rice with gout accelerates metabolism, removes excess water and salt, relieves swelling well. Manganese, selenium, phosphorus, iron, zinc, which are part of the rice, have a positive effect on all life support systems of the body.
The porous structure of grains pulls out accumulating harmful toxins, salts and slag from diseased joints. The rice diet can also be used for fasting days, especially during an enlargement of gout.
Important!
For the diet only brown or white long grain steamed rice is used. If you treat gout with diet, these grains can be used every day.
alkaline diet
The increase in acidity in the body adversely affects the metabolic processes. This is accompanied by a lack of calcium and the destruction of bone tissue. The use of an alkaline diet will help to avoid health threatening processes. The basis of the diet are fruits, sour milk and dairy products. This diet can be used both during the period of enlargement of the gout, and in the stage of remission.
Prohibits and allows products
To set up the nutrition system properly, you need to know which foods benefit and help in the fight against gout, and which have harmful effects and cause an exacerbation of the disease.
All food products can be listed in the table of staples of the diet for gout, depending on the quantitative content of purines, salt, fat and other harmful substances. The main feature to break down the list of products for gout is the content of purine compounds.
| High in purines | Low Purin |
|---|---|
|
|
Important!
It is strictly forbidden to take gout drinks that contain any amount of alcohol.
Which products are useful
By determining the level of purines in unhealthy fats and foods, you can find out exactly how foods with gout can be eaten without harm to health, and what should be limited.
On a note!
Fruits in the group of particularly useful products 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 its accelerated removal from the body. Ascorbic acid heals, restores and strengthens connective tissue. Particularly useful is the nutrition of fruits and the composition of fermented milk products.
Great benefits for gout bring regular use of fresh cherries and cherry compote. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent 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 in the diet for gout these berries and fruits in unlimited quantity.
What foods can not be eaten
In addition to the products listed in the summary, strong meats, fish and mushrooms must be excluded from the diet. They are contraindicated due to the high content of purines in them, which can cause a sharp increase in taste. Uncooked and fish, canned meat, with a large percentage of salt. Their use with a purine diet disturbs the water-salt balance and contributes to the additional deposition of salts in the tissues of the joints.
The list of forbidden foods for gout also includes tea, coffee and cocoa. These drinks should not be drunk with gout as they retain uric acid in the body, interfering with the process of its withdrawal. This leads to a relapse of the disease.
Daily menu for the week
A wide range of products allowed for consumption makes it possible to individually approach the selection of dishes and eat right for each patient with gout. The recommended diet for the week is balanced, complete and consists of foods that are useful for gout.
| Breakfast 1 | Omelette with herbs, rose broth, carrot salad |
| Breakfast 2 | Bananas, Kefir |
| Dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit and onion sauce, apple juice |
| Afternoon tea | Apples, cheesecake, lemon tea |
| Dinner | Zucchini Caviar, Kissel |
| Breakfast 1 | Rice Porridge, Pear Broth, Tomato Salad |
| Breakfast 2 | Fruit salad, Kissel |
| Dinner | Onion soup, barley gray with wild mushrooms, dried fruit compote |
| Afternoon tea | Pears, pumpkin fries |
| Dinner | Curd Soufflé, Linden Tea |
| Breakfast 1 | White Porridge, Apricot Juice |
| Breakfast 2 | Yogurt with cherries, rose broth |
| Dinner | Soup with fish meatballs, vegetable stew, apple jelly |
| Afternoon tea | Cheesecake with sweet 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, zucchini baked with rice, orange juice |
| Afternoon tea | Bananas, 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 | A soup, cabbage rolls with vegetables and turkey, apple juice |
| Afternoon tea | Rural cottage cheese with bananas, strawberry tea |
| Dinner | Rice Pudding, Tomato Juice |
| 1. Breakfast | Poached egg, green tea |
| 2. Breakfast | Pears, green tea with marshmallows |
| Dinner | Meat-free borscht, macaroni and cheese, fruit compote |
| Afternoon tea | Apples baked with gîte rural, drink lemon |
| Dinner | Vinaigrette, decoction of linden |
Permissible vegetables and fruits can be consumed in unlimited quantities in addition to the main menu. It is better not to use white bread for patients with gout, including the big toe.
Important!
Foods containing natural honey for gout can cause an allergic reaction.
Diet recipes
The suggested sample menu for the week includes many diet tools, tailored to what you need to eat. If you want, they can be replaced with others by making a list from the table of permitted foods for taste and recommendations on what you can and cannot eat with gout.
Borscht without meat
Peel 1 beet, carrot, onion. Simmer in olive oil cubes onion and root vegetables grated on a large grid with the addition of a tomato or 1 tbsp. l. Tomatoes. Cut 4 potatoes into cubes, and boil in 1, 5 liters of water. For 10 min. until cooked, add fresh cabbage and grated strips. For 5 min. - 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 saucepan with vegetable oil, add 2 onions cut into strips and 2 carrots and cubes. Cook everything a bit. Add 10 pieces of washed and chopped prunes. We pass everything until the vegetable is soft. Pour rice, mix so that it is completely saturated with oil, pour 2 cups of boiling water. Add spices and salt to a minimum. After cooking, 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 water, rinse the rice. Dilute it with a glass of milk and cook for another 25 minutes. until you get a soft porridge. Beat 2 eggs and steam 50 g raisins. Mix everything with chilled porridge, add salt to the tip of a knife and 1 tsp. Sahara. Bake in an oven over medium heat in a greased pan until golden brown. Serve with cherry blossom syrup.
Strawberry Tea
A pinch of dry leaves with strawberries pour a glass of boiling water, soak for 3 minutes. Drink without sugar.
With these recipes for every day you can improve your well-being and reduce the manifestations of the pathology.
Conclusion
Proper nutrition for gout should become the daily norm in the patient's life. This will slow down 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.