When diagnosing gout, doctors recommend that patients first change their diet along with medication. Diet for gout is an important component of a comprehensive treatment of the disease. Its use will accelerate recovery as much as possible, eliminate pain symptoms as soon as possible, reduce the severity of attacks 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 fight pathology and prevent relapses. The diet with gout focuses on:
- regulation of purine metabolism;
- reduction of urate;
- normalization of the process of excretion of excess uric acid;
- regulation of metabolic processes;
- increased urinary alkalinity;
- lose weight with excess weight;
- general health of the patient.
A type of hypopurine diet is formed on the basis of therapeutic principles and rules of dietary schemes, including the prohibition of foods with high content of purine compounds, salts and oxalic acids. It is also necessary to reduce the amount of fat, carbohydrates and protein compounds consumed.
Therapeutic nutrition and diet for gout provides 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 proper diet with an average caloric content of between 2500-2800 units.
It is important!
The drinking regimen should provide the body with a fluid flow of 2. 5 liters or more.
How to organize meals
Here are some tips to increase the effectiveness of your diet for gout:
- the main way of cooking is to boil, cook, steam;
- After boiling for 10 minutes, drain the meat broth;
- alternative meat, fish and vegetarian dishes;
- use only natural liquids;
- to spend fasting days;
- Avoid fasting.
It is important!
In the case of chronic diseases, it is necessary to contact a specialist for the development of the individual nutrition system.
The main types of diets
Proper therapeutic nutrition will not completely eliminate gout, but will significantly alleviate the pathology and prevent its recurrence. The type of diet prescribed will largely depend on the patient's general condition, weight, the presence of additional diseases, and even gender.
The main type of medical nutrition for gout is diet - Table 6. In addition, patients with gout, especially those suffering from shortness of breath and overweight, often use diet number 8, alkaline, rice and buckwheat diets. Kefir, cottage cheese, fruit or vegetable diets are well suited for fasting days.
Diet schedule № 6
It is prescribed primarily to patients with gout. It allows to normalize the metabolism of purine compounds in a short time 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 inflammatory process stops growing, swelling decreases, and pain and stiffness in the joints disappear.
Diet for high uric acid
It is based on the rejection or reduction of purines, refractory oils, products with a high index of salt from the menu.
It is recommended to replace them with products that have an alkalizing effect: milk, sour milk, cottage cheese, fruits and vegetables. The diet involves fasting one day a week.
Diet for exacerbation of gout
First of all, it is necessary to increase the amount of fluid you drink during exacerbations to 3 liters. Then completely exclude dishes with meat and fish. Animal protein deficiency can be compensated by increasing the proportion of milk and sour milk products in the diet.
Before the end of the acute period of the disease, fasting days should be organized every day, eat some kind of food (cottage cheese, kefir, boiled vegetables, fruits).
It is important!
Fasting causes a sharp release of uric acid and is strictly forbidden in gout.
Diet schedule №8
Table 8 strictly regulates nutrition for gouty legs in overweight patients. This diet aims to increase metabolism and get rid of excess fat in the body.
In this case, the main difference from the general requirements of the therapeutic diet for gout is a moderate reduction in calorie content and intake of drinking fluids, on average, up to 1. 5 liters per day.
On a note!
The diet for men with gout ensures that the caloric content of food is not less than 2100-2500 units. For women with gout, diet number 8 limits the menu to 1, 400 to 1, 700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows it to be used in therapeutic diets. Its consumption restores disturbed metabolic processes, quickly gives a feeling of satiety and allows you to forget about hunger for a long time. Buckwheat is a leader in the presence of vitamins and all kinds of trace elements.
Vegetable grain protein is better absorbed and can completely replace the animal. The product promotes regeneration processes during the recovery phase of bone and muscle tissue. Buckwheat porridge with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is mostly prepared with a salt-free diet. Buckwheat diet allows you to lose weight quickly, which has a positive effect on the joints prone to the destructive effects of gout.
rice diet
Rice-based diet is most often used to cleanse the body and lose weight. With gout, rice speeds up metabolism, removes excess water and salt, and eliminates bloating. Manganese, selenium, phosphorus, iron, zinc, which are part of the rice, have a beneficial effect on all vital support systems of the body.
The porous structure of grains removes harmful toxins, salts and slag accumulated from diseased joints. The rice diet can also be used for fasting, especially during exacerbations of gout.
It is important!
Only brown or white long-grain steamed rice is used for the diet. When treating gout nutrition, these grains can be used daily.
alkaline diet
Increased acidity in the body has a negative effect on metabolic processes. This is accompanied by calcium deficiency and destruction of bone tissue. The use of 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 exacerbation of gout and in remission.
Prohibited and permitted products
To properly rebuild your nutrition system, you need to know which foods are helpful and helpful in fighting gout, and which are harmful and can exacerbate the disease.
Depending on the quantitative content of purines, salt, fat and other harmful substances, all foods can be listed in the table of dietary bases for gout. The main feature of the list of products for gout is the composition of purine compounds.
| High in purines | Low purine |
|---|---|
|
|
It is important!
It is strictly forbidden to drink any amount of alcohol in the gut.
Which products are useful
By determining the levels of purines and harmful fats in your diet, you can learn exactly which foods can be eaten and which should be restricted without harming your health with gout.
On a note!
Fruits in the group of products that are especially useful for gout include pears, bananas and apples. Malic acid, which is part of the fruit, is able to neutralize the effect of uric acid.
Potassium destroys uric acid crystals, which helps to remove it from the body quickly. Ascorbic acid heals, restores and strengthens connective tissue. Fruit nutrition is especially beneficial in fermented dairy products.
Great benefits for gout will bring regular use of fresh cherries and cherry compotes. Berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
The nutrients in strawberries and strawberries neutralize uric acid and prevent the formation of its crystals in the joints.
On a note!
You can include an unlimited amount of these berries and fruits in your diet for gout.
Which foods should 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 their high content of purines, which can lead to acute exacerbation of gout. Undesirable and fish, canned meat, contains a large percentage of salt. Their use with a purine diet disrupts the water-salt balance and contributes to the additional deposition of salts in the tissues of the joints.
Prohibited foods for gout include tea, coffee and cocoa. These drinks should not be consumed with gout, because they retain uric acid in the body, disrupting its excretion. This causes the disease to recur.
Daily menu of the week
An extensive list of products allowed for consumption allows any patient with gout to take an individual approach to food choices and eat properly. The recommended diet for the week consists of balanced, complete and nutritious foods for gout.
| Breakfast 1 | Omelet with herbs, hip juice, carrot salad |
| Breakfast 2 | Banana, kefir |
| Supper | Vermicelli vegetable soup, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, lemon tea |
| Supper | Pumpkin caviar, kissel |
| Breakfast 1 | Rice porridge, pear juice, tomato salad |
| Breakfast 2 | Fruit salad, kissel |
| Supper | Onion soup, barley porridge with wild mushrooms, dried fruit compote |
| afternoon tea | Pears, pumpkin meatballs |
| Supper | Curd souffle, linden tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Cherry yogurt, hip juice |
| Supper | Fish meatballs, vegetable stew, soup with apple jelly |
| afternoon tea | Cheese cakes with sour cream, compote |
| Supper | Rice with plums, kefir |
| Breakfast 1 | Rice casserole, milkshake, coleslaw with apples |
| Breakfast 2 | Creamy strawberries, green tea |
| Supper | Beets with sour cream, buckwheat, turkey breast with plums, mint tea |
| afternoon tea | Pancakes with strawberry and carrot juice |
| Supper | Cheese casserole with herbs, pear compote |
| Breakfast 1 | Oatmeal with grapes, tomato juice, fruit salad |
| Breakfast 2 | Cucumber salad with olive oil and orange juice |
| Supper | Buckwheat soup, baked zucchini with rice, orange juice |
| afternoon tea | Banana, oat jelly |
| Supper | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet porridge, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Supper | Egg soup, cabbage rolls with vegetables and turkey, apple juice |
| afternoon tea | Banana cottage cheese, strawberry tea |
| Supper | Rice pudding, tomato juice |
| 1st breakfast | Boiled eggs, green tea |
| 2nd breakfast | Green tea with pear, marshmallow |
| Supper | Meatless borscht, pasta and cheese, fruit compote |
| afternoon tea | Baked apple with curd, lemonade |
| Supper | Vinaigrette, linden decoction |
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 gout patients, including the big toe.
It is important!
Foods with natural honey for gout can cause an allergic reaction.
Diet Recipes
The sample menu offered for the week includes a wide range of diet foods tailored to what you need to eat. If desired, it can be replaced with others using the list of foods allowed for gout and recommendations on what you can and cannot eat with gout.
Meatless borsch
Peel 1 beet, carrot, onion. Cook chopped onions and coarsely grated root vegetables in olive oil with the addition of tomatoes or 1 tbsp. l. tomato. 4 potatoes cut into cubes, boil in 1. 5 liters of water. 10 minutesAdd chopped fresh cabbage to the strips until cooked. 5 minutes- vegetable casserole. Add salt to taste. When serving, add parsley, dill and a tablespoon of sour cream.
Pilaf with plums
Wash a cup of rice. In a saucepan with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Boil everything a little. Add 10 washed and chopped plums. Pass everything until the vegetables are soft. Pour the rice, mix until completely saturated with oil, pour 2 cups boiling water. Add a minimum of 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, wash the rice. Pour a glass of milk and cook for another 25 minutes. until you get a soft porridge. Beat 2 eggs and steam 50 g of raisins. Mix everything with chilled porridge, add salt and 1 tsp to the tip of a knife. q. Sahara. Bake in the oven over medium heat in a greased pan 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. Drink without sugar.
With these recipes for every day, you can improve your well-being and reduce the manifestations of pathology.
The result
Proper nutrition for gout should become a daily norm in the patient's life. This will slow down or even stop the development of pathology. As a result, it will be possible to protect other organs from damage.
It is important!
It is important to remember that diet is not a substitute for medication, it is a supplement. Rheumatologist's recommendations should be followed at all stages of treatment.