When diagnosing gout, doctors, along with medications, advise patients first to change their diet. The diet for gout is an essential component of the complex treatment of the disease. Its use will speed up recovery as much as possible, will quickly relieve pain symptoms, reduce the severity of seizures and prolong periods of remission.
Principles and benefits of nutrition
The main goal of diet therapy is to organize such a diet that will help fight the pathology and prevent relapses. With gout, the diet aims to:
- regulation of purine metabolism.
- reducing the amount of uric acid.
- normalization of the process of removal of excess uric acid.
- regulation of metabolic processes;
- increase in alkalinity of urine.
- weight loss when overweight;
- general health of the patient.
A hypo-purulent diet is based on the therapeutic principles and the rules of the diet, including the prohibition of foods high in purine, salts and oxalic acids. It is also necessary to reduce the amount of fats, carbohydrates and proteins consumed.
Therapeutic diet 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 regimen regimen of proper nutrition with an average calorie content in the range of 2500–2800 units.
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The drinking regime should ensure the flow of fluid in the body in an amount of 2. 5 liters or more.
How to arrange meals
To maximize the effectiveness of your gout diet, you need to follow several recommendations:
- the main way of cooking is boiling, baking, steaming.
- drain the meat broth after 10 minutes of boiling.
- alternative dishes with meat, fish and vegetarian dishes.
- use only natural liquids.
- spend days fasting.
- avoid fasting.
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In case of chronic diseases, it is necessary to contact a specialist for the development of an individual diet system.
The main types of diet
Organizing the right therapeutic diet will not completely eliminate gout, but will significantly alleviate the onset 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 diet for gout is a diet - table number 6. In addition, patients with gout, especially those suffering from shortness of breath and overweight, often use the diet table number 8, alkaline diets, rice and buckwheat. Diets with kefir, cottage cheese, fruits or vegetables are suitable for fasting days.
Dining table number 6
It is initially prescribed to patients with gout. It enables in a short period of time the normalization of the exchange of purine compounds and the elimination of 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 development of the inflammatory process stops, the swelling is reduced, the sensation of pain and stiffness in the joints disappears.
Diet for high uric acid
It is based on the denial 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 alkaline action: dairy, sour milk, cottage cheese, fruits and vegetables. The diet provides one day of fasting per week.
Diet for worsening gout
First of all, during an outburst, you need to increase the amount of fluids you drink up to 3 liters. Then completely exclude meat and fish dishes. The lack of animal protein can be covered 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 should be arranged every other day, eating one type of food (cottage cheese, kefir, boiled vegetables, fruits).
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Fasting causes a sudden release of uric acid and is strictly prohibited in gout.
Dining table number 8
Table 8 strictly regulates the diet for urinary feet in patients with severe overweight. This diet aims to increase metabolism and get rid of excess fat in the body.
The main difference from the general requirements of a therapeutic diet for gout in this case is the moderate reduction in caloric content and fluid intake, on average, up to 1. 5 liters per day.
On a note!
For men with gout, the diet provides for the maintenance of the caloric content of food at a level not lower than 2100-2500 units. With gout for women, diet 8 limits the menu to 1400 to 1700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows its use in the therapeutic diet. Its consumption restores disturbed metabolic processes, quickly gives a feeling of fullness and allows you to forget the feeling of hunger for a long time. Buckwheat is the leader in the presence of vitamins and all types of trace elements.
Cereal vegetable protein is better absorbed and is able to completely replace the animal. In the stage of restoration of bones and muscle tissues, 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 made with diet foods most often without salt. The buckwheat diet allows you to lose weight quickly, which has a positive effect on the joints that are prone to the devastating effects of gout.
diet with rice
The rice-based diet is most often used for cleansing the body and as a way of losing weight. Rice with gout speeds up metabolism, removes excess water and salt, relieves swelling well. Manganese, selenium, phosphorus, iron, zinc, which are part of rice, have a beneficial effect on all life support systems of the body.
The porous structure of cereals removes accumulated harmful toxins, salts and slag from diseased joints. The rice diet can also be used for fasting days, especially during an outbreak of gout.
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For the diet, only brown or white steamed rice is used. In the treatment of gout with diet, 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 destruction of bone tissue. Using an alkaline diet will help prevent processes that are dangerous to health. The basis of the diet is fruit, sour milk and dairy products. This diet can be used both during the period of gout flare-up and in the recession stage.
Prohibited and permitted products
To properly rebuild your diet, you need to know which foods will benefit and help fight gout and which will have a detrimental effect and exacerbate the disease.
All food items can be listed in the list of basic elements of the diet for gout, depending on the quantitative content of purines, salt, fat and other harmful substances. The main sign of the division of the list of products for gout is the content of purine compounds.
| High in purines | Low purine |
|---|---|
|
|
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It is strictly forbidden for gout to drink beverages containing any amount of alcohol.
Which products are useful
By determining the level of purines and unhealthy fats in food, you can find out exactly which foods can be consumed with gout without harming health and which should be reduced.
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 helps speed up its removal from the body. Ascorbic acid heals, restores and strengthens the connective tissues of the joints. The nutrition of the fruit is especially useful in the composition of fermented dairy products.
The 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 inhibit the inflammatory process in gout.
Useful substances contained in strawberries and strawberries neutralize uric acid and prevent the formation of crystals in the joints.
On a note!
You can include in the diet for gout these berries and fruits in unlimited quantities.
What foods can not be consumed
In addition to the products indicated in the summary table, strong meat, fish and mushroom broths should be excluded from the diet. Contraindicated due to the high content of purines in them, which can cause a sharp flare-up of gout. Undesirable and fish, canned meat, which contain 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, disrupting the withdrawal process. This leads to recurrence of the disease.
Daily menu for the week
An extensive list of products allowed for consumption makes it possible to individually approach the choice of dishes and the right diet 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 | Banana, kefir |
| Dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, tea with lemon |
| Dinner | Zucchini caviar, kiss |
| Breakfast 1 | Rice porridge, pear broth, tomato salad |
| Breakfast 2 | Fruit salad, kiss |
| Dinner | Onion soup, barley porridge with forest mushrooms, dried fruit compote |
| afternoon tea | Pear, fried pumpkins |
| Dinner | Cheese souffle, linden tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rose broth |
| Dinner | Soup with fish meatballs, vegetable stew, apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| Dinner | Pilaf with plums, kefir |
| Breakfast 1 | Rice pot, milkshake, cabbage salad with apple |
| Breakfast 2 | Strawberries with cream, green tea |
| Dinner | Beetroot with sour cream, buckwheat, turkey breast with plums, mint tea |
| afternoon tea | Pancakes with strawberries, carrot juice |
| Dinner | Cheese pot 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 cooked with rice, orange juice |
| afternoon tea | Banana, oatmeal |
| Dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet porridge, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Dinner | Egg 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 | Borscht without meat, spaghetti and cheese, fruit compote |
| afternoon tea | Apples baked with cottage cheese, lemon drink |
| Dinner | Vinaigrette, decoction of linden |
Allowed vegetables and fruits can be eaten in unlimited quantities as an addition to the main menu. It is best not to use wheat bread for patients with gout, including the big toe.
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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 diet dishes, tailored to what you need to eat. If you want, they can be replaced with others using a list of allowed foods for gout and recommendations on what you can and can not eat with gout.
Borscht without meat
Peel 1 beetroot, carrot, onion. Simmer in olive oil chopped onion and root vegetables grated on a coarse grater with the addition of a tomato or 1 tbsp. large. tomato. 4 potatoes cut into cubes, boil in 1. 5 liters of water. For 10 minutes. until cooked, add fresh cabbage cut into strips. For 5 minutes. - vegetable stew. Season to taste. Add parsley, dill and a spoonful of sour cream to the serving.
Pilaf with plums
Rinse a glass of rice. In a saucepan with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Simmer everything a little. Add 10 pieces of washed and chopped plums. We pass them all until the vegetables are soft. Pour rice, mix so that it is completely saturated with oil, pour 2 cups boiling water. Add spices and salt to a minimum. After boiling, lower 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 over it with a glass of milk and bake for another 25 minutes. until you get a soft porridge. Beat 2 eggs and steam 50 g of raisins. Mix everything with cold porridge, add salt to the tip 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.
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.
conclusion
Proper nutrition for gout should become the daily rule in the patient's life. This will slow down or even stop the development of the pathology completely. As a result, it will be possible to protect other organs from damage.
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We must remember that diet is a supplement and not a substitute for medication. The rheumatologist's recommendations must be followed at all stages of treatment.