When diagnosing gout, doctors, along with medications, recommend that patients first change their diet. Diet in gout is an essential component of the complex treatment of the disease. Using it will speed up recovery as much as possible, quickly relieve pain symptoms, reduce the severity of seizures and prolong periods of remission.
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 recurrence. In gout, the diet is aimed at:
- regulation of purine metabolism;
- urate reduction;
- normalization of the process of removing excess uric acid;
- regulation of metabolic processes;
- increase the alkalinity of urine;
- weight loss in overweight;
- the general health of the patient.
Hypopurine type of diet is formed on the basis of therapeutic principles and rules of dietary schemes, including the prohibition of foods high in purine compounds, salts and oxalic acid. It is also necessary to reduce the amount of fat, carbohydrate and protein compounds consumed.
Therapeutic nutrition and diet for gout provide an increase in the proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is a 4-5 one-time diet with an average calorie content in the range of 2500-2800 units.
Important!
The drinking regime should ensure the flow of fluid in the body in an amount of 2, 5 liters or more.
How to organize meals
To maximize the effectiveness of the gout diet, you need to follow a few recommendations:
- the main way of cooking is boiling, baking, stewing;
- drain the meat broth after 10 minutes of boiling;
- alternation of meat, fish and vegetarian dishes;
- use only natural liquids;
- spend days on an empty stomach;
- avoid starvation.
Important!
In the presence of chronic diseases it is necessary to contact a specialist to develop an individual food system.
The main types of diets
Organizing proper 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 depend largely 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 who suffer from shortness of breath and overweight, often use diet mass number 8, alkaline, rice and buckwheat diet. Diets with kefir, cottage cheese, fruits or vegetables are very suitable for fasting days.
Dietary table number 6
It is primarily prescribed to patients with gout. This allows for a short time to normalize the metabolism of purine compounds and eliminate the causes of crystallization and accumulation of uric acid salts.
Adherence to 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 decreases, the sensation 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 index of purines, refractory fats, salt.
It is proposed to replace them with products with alkalizing effect: dairy products, yogurt, cottage cheese, fruits and vegetables. The diet provides one day of fasting per week.
Diet for exacerbation of gout
First of all, during exacerbations it is necessary to increase the amount of fluid you drink to 3 liters. Then completely exclude meat and fish dishes. 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 should be organized on an empty stomach every other day, eating one type of food (cottage cheese, kefir, cooked vegetables, fruits).
Important!
Fasting causes a sudden release of uric acid and is strictly forbidden in gout.
Dietary table number 8
Table number 8 strictly regulates the diet of gout in patients with overweight patients. This diet is aimed at increasing metabolism and eliminating excess body fat.
The main difference from the general requirements of the therapeutic diet for gout in this case is a moderate reduction in calories and fluid intake, an average of 1. 5 liters per day.
Note!
For men with gout, the diet provides for maintaining the caloric content of food at a level not lower than 2100-2500 units. In 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 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 protein from cereals is better absorbed and is able to completely replace animal protein. At the stage of recovery of bone and muscle tissue, the product helps in the processes of regeneration. Buckwheat porridge in combination with kefir is ideal for hungry days with gout.
Note!
Buckwheat is prepared with dietary food more often without salt. The buckwheat diet allows you to quickly lose weight, which has a positive effect on the joints, which 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, zinc, which are part of rice, have a beneficial effect on all life support systems.
The porous structure of cereals removes the accumulated harmful toxins, salts and toxins from diseased joints. The rice diet can also be used on an empty stomach, especially during exacerbations of gout.
Important!
Only brown or white long-grain stewed rice is used for the diet. In the treatment of gout with diet, these cereals can be used daily.
alkaline diet
Increased acidity in the body adversely affects metabolic processes. This is accompanied by a lack of calcium and destruction of bone tissue. Using an alkaline diet will help prevent health-threatening processes. The basis of the diet are fruits, yogurt and dairy products. This diet can be used both in the period of exacerbation of gout and in remission.
Prohibited and permitted products
To properly restore the nutritional system, you need to know which foods will be useful and help in the fight against gout and which will have harmful effects and cause exacerbation of the disease.
All foods can be listed in the table of basic products of the gout diet, depending on the amount of purines, salt, fat and other harmful substances. The main feature for dividing the list of gout products is the content of purine compounds.
| High purine content | Low amount of purine |
|---|---|
|
|
Important!
In gout, it is strictly forbidden to drink beverages containing any amount of alcohol.
What products are useful
By determining the level of purines and unhealthy fats in food, you can find out exactly which foods can be consumed in gout without harm to health and which should be limited.
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 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, repairs and strengthens connective tissue. Especially useful is the nutrition of fruits in the composition of fermented dairy products.
Regular use of fresh cherries and cherry compotes will bring great benefits in gout. Fruits contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
The beneficial substances contained in strawberries and strawberries neutralize uric acid and prevent the formation of its crystals in the joints.
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 listed 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 in them, which can cause a sharp exacerbation of gout. Undesirable and canned fish, meat, high percentage of salt. Using them with a purine diet disturbs the water-salt balance and contributes to 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 for gout, as they retain uric acid in the body, disrupting the process of its withdrawal. This leads to recurrence of the disease.
Daily menu for the week
The wide list of products allowed for consumption allows an individual approach to the choice of dishes and proper nutrition for each gout patient. The recommended diet for the week is balanced, complete and composed of foods that are useful in gout.
| Breakfast 1 | Omelet 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, tea with lemon |
| Dinner | Zucchini caviar, sour |
| Breakfast 1 | Rice porridge, pear broth, tomato salad |
| Breakfast 2 | Fruit salad, sour |
| Dinner | Onion soup, barley porridge with wild mushrooms, dried fruit compote |
| afternoon tea | Pear, pumpkin steak |
| Dinner | Cottage cheese souffle, 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 | Cheesecakes with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice casserole, milkshake, cabbage salad 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 | Casserole with herbal cheese, 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 | Banana, oatmeal jelly |
| Dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Milk porridge from millet, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Dinner | Egg soup, cabbage rolls with vegetables and turkey, apple juice |
| afternoon tea | Cottage cheese with banana, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| 1st breakfast | Egg spread, green tea |
| 2nd breakfast | Pear, green tea with marshmallows |
| Dinner | Borsch without meat, pasta and cheese, fruit compote |
| afternoon tea | Apples baked with cottage cheese, drink with lemon |
| Dinner | Vinaigrette, decoction of linden |
Allowed vegetables and fruits can be consumed 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 the addition of natural honey for gout can cause an allergic reaction.
Diet recipes
The suggested sample menu for the week includes many dietary dishes tailored to what you need to eat. If desired, they can be replaced with others, using a list of tables of permitted foods for gout and recommendations on what you can and can not eat with gout.
Borsch without meat
Peel 1 beet, carrot, onion. Stew in olive oil diced onions and grated roots with the addition of tomato or 1 tbsp tomato. 4 potatoes, cut into cubes, boil in 1, 5 liters of water. For 10 minutes, add fresh cabbage, cut into strips. In 5 minutes - vegetable stew. Season with salt to taste. When serving, add parsley, dill and a spoonful of sour cream.
Pilaf with prunes
Rinse a cup of rice. In a pot with vegetable oil add 2 onions, cut into strips and 2 carrots into cubes. Stew everything a little. Add 10 washed and sliced prunes. We mash everything until the vegetables soften. Pour the rice, stir so that it is completely saturated with oil, pour 2 cups boiling water. Add spices and salt to a minimum. 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 a glass of milk over it and cook for another 25 minutes. until a soft paste is obtained. Beat 2 eggs and stew 50 g of raisins. Mix everything with chilled porridge, salt on top of a knife and 1 tsp Sahara. Bake in the oven over medium heat in a greased pan until golden brown. Serve with cherry syrup.
berry tea
A pinch of dried strawberry leaves 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 pathology.
Conclusion
Proper nutrition in gout should become a daily norm in the patient's life. This will slow down or even completely stop the development of the pathology. As a result, it will be possible to protect other organs from damage.
Important!
It should be remembered that diet is a supplement, not a substitute for drug therapy. The rheumatologist's recommendations should be followed at all stages of treatment.