When diagnosing gout, doctors, along with medications, recommend that patients first change their diet. Diet for gout is an important component in the complex treatment of this disease. Its use will speed recovery as much as possible, quickly relieve pain symptoms, reduce the severity of attacks, and prolong the remission period.
Principles and benefits of diet
The main goal of dietary therapy is to arrange such a diet that will help fight pathology and prevent relapse. With gout, the diet aims to:
- regulation of purine metabolism;
- reduction in the number of veins;
- normalization of the process of elimination of excess uric acid;
- regulation of metabolic processes;
- increased urine alkalinity;
- weight loss when overweight;
- the general health of the patient.
Types of hypopurine diet are being formed on the basis of therapeutic principles and rules of dietary schemes, including the prohibition of foods with high levels of purine compounds, salts and oxalic acid. It is also needed 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 beverages, kefir, cottage cheese in the diet. The most effective is a 4-5 one-time proper diet regimen with an average caloric content in the range of 2500-2800 units.
Important!
The drinking regime should ensure the flow of fluid into the body in the amount of 2. 5 liters or more.
How to organize a meal
To maximize the effectiveness of the diet for gout, you must adhere to a few recommendations:
- the main cooking methods are boiling, baking, steaming;
- toss the meat broth after 10 minutes of boiling;
- substitute meats, fish and vegetarian dishes;
- use only natural liquids;
- spend the day fasting;
- avoid fasting.
Important!
With the presence of chronic diseases, it is necessary to contact a specialist for the development of the individual nutritional system.
The main type of diet
Proper organization of therapeutic nutrition will not completely eliminate gout, but it will significantly reduce the manifestations of pathology and prevent its recurrence. The type of diet prescribed largely depends 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 diet - table number 6. In addition, gout patients, especially those suffering from shortness of breath and overweight, often use diet table number 8, alkaline, rice and buckwheat diet. Kefir, cottage cheese, fruit or vegetable diets are perfect for fasting days.
Diet schedule number 6
It is prescribed to gout patients 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.
Adherence to nutritional requirements reduces the activity of uric acid reactions in the body. As a result, the patient's well -being rapidly improves, the growth of inflammatory processes stops, swelling is reduced, pain and stiffness in the joints disappear.
Diet for high uric acid
It is based on the reluctance or reduction in the menu of products with a high index of purines, refractory fats, salt.
It is recommended to replace them with products with an alkaline effect: dairy, sour milk, cottage cheese, fruits and vegetables. The diet provides one day of fasting per week.
Diet to aggravate gout
First of all, during an exacerbation, it is necessary to increase the amount of fluid you drink up to 3 liters. Then do not completely include dishes with meat and fish. Lack of animal protein can be filled 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 must be arranged daily, eating one type of food (cottage cheese, kefir, boiled vegetables, fruits).
Important!
Fasting causes a sudden release of uric acid and is strictly prohibited in gout.
Diet schedule number 8
Table number 8 strictly regulates the diet for gouty feet in overweight patients. 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 a moderate reduction in caloric content and fluid intake of beverages, on average, up to 1. 5 liters per day.
On a note!
For men with gout, the diet provides for maintaining the caloric content of food at a level not lower than 2100-2500 units. With gout for women, diet number 8 limits the menu in the range from 1400 to 1700 kcal.
Diet room
The low calorie content of buckwheat allows it to be used in therapeutic dietary nutrition. Its use 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 is able to completely replace the animal. At the stage of recovery of bone and muscle tissue, the product assists in the process of regeneration. Buckwheat porridge in combination with kefir is ideal for fasting days for gout.
On a note!
Buckwheat is prepared with more frequent diet foods without salt. Buckwheat diet allows you to quickly lose weight, which has a positive effect on joints prone to the damaging effects of gout.
rice diet
Rice -based diets are 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, 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 the grain removes toxins, salts and harmful slag that accumulate from diseased joints. The rice diet can also be used for fasting days, especially during worsening gout.
Important!
For the diet, only brown or white long grain steamed rice is used. When treating gout with diet, these grains can be used daily.
alkaline diet
Increased acidity in the body has a negative impact 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 are fruits, sour milk and dairy products. This diet can be used during periods of gout exacerbation, and in the remission stage.
Prohibited and permitted products
To rebuild the nutritional system properly, you need to know which foods will be beneficial and helpful in fighting gout, and which will have harmful effects and cause the disease to worsen.
All food products can be listed in the table of staple foods for gout, depending on the quantitative content of purines, salts, fats and other harmful substances. The main sign of the division of the list of products for gout is the content of purine compounds.
| High Purine | Low Purine |
|---|---|
|
|
Important!
It is strictly forbidden for gout to consume beverages containing any amount of alcohol.
What products are useful
By determining the levels of purines and unhealthy fats in foods, you can know exactly which foods can be eaten with gout without endangering health, and which should be limited.
On a note!
Fruits in the group of products that are very useful 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 accelerated removal from the body. Ascorbic acid heals, restores and strengthens connective joint tissue. Especially useful is the nutrition of fruits in the composition of fermented dairy products.
Great benefits for gout will bring regular consumption of fresh cherries and cherry compote. 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 its crystals from forming in the joints.
On a note!
You can include in the diet for gout these berries and fruits in unlimited quantities.
What foods should not be eaten
In addition to the products shown in the summary table, strong meat, fish and mushroom soups must be excluded from the diet. They are contraindicated due to the high purine content in them, which can lead to a sharp exacerbation of gout. Undesirable and fish, canned meat, contain a large percentage of salt. Its use with a purine diet disrupts the water-salt balance and contributes to the additional deposition of salt in joint tissues.
The list of forbidden foods for gout also includes tea, coffee and cocoa. This drink should not be drunk with gout, because it retains uric acid in the body, interfering with its production process. This leads to recurrence of the disease.
Daily menu for this week
The extensive list of products that are allowed to be consumed makes it possible to approach the choice of dishes individually and eat properly for any patient with gout. The recommended diet for this week is balanced, complete and consists of foods that are useful for gout.
| Breakfast 1 | Omelette with herbs, rosehip soup, carrot salad |
| Breakfast 2 | Bananas, kefir |
| dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| tea time | Apples, cheesecake, lemon tea |
| dinner | Zucchini caviar, kissel |
| Breakfast 1 | Rice porridge, pear soup, tomato salad |
| Breakfast 2 | Fruit salad, kissel |
| dinner | Onion soup, barley porridge with wild mushrooms, dried fruit compote |
| tea time | Pear, fried pumpkin |
| dinner | Soufflé curd, the linden |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip soup |
| dinner | Soup with fish meatballs, boiled vegetables, apple jelly |
| tea time | Cheesecake with sour cream, compote |
| dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice casserole, milkshake, coleslaw with apples |
| Breakfast 2 | Strawberries with cream, green tea |
| dinner | Beetroot with sour cream, buckwheat, turkey breast with prunes, mint tea |
| tea time | Pancakes with strawberries, carrot juice |
| dinner | Cheese casserole with herbs, pear compote |
| Breakfast 1 | Oats with raisins, tomato juice, fruit salad |
| Breakfast 2 | Cucumber salad with olive oil, orange juice |
| dinner | Buckwheat soup, roasted zucchini with rice, orange juice |
| tea time | Banana, oatmeal jelly |
| dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet milk porridge, plum juice |
| Breakfast 2 | Salad with carrots and garlic, as well as an apple |
| dinner | Egg soup, cabbage rolls with vegetables and turkey meat, apple juice |
| tea time | Cottage cheese with bananas, strawberry tea |
| dinner | Rice pudding, tomato juice |
| first breakfast | Boiled eggs, green tea |
| 2nd breakfast | Pear, green tea with marshmallows |
| dinner | Borscht without meat, macaroni and cheese, fruit compote |
| tea time | Baked apples with cottage cheese, lemon drink |
| dinner | Vinaigrette, merebus linden |
Permitted vegetables and fruits can be eaten in unlimited quantities in addition to the main menu. It is better not to use whole wheat bread for gout patients, including toes.
Important!
Foods with the addition of natural honey for gout can cause allergic reactions.
Diet Recipes
The sample menu suggested for this week includes many dietary dishes, tailored to what you need to eat. If desired, they can be replaced with others using a list from the table of foods allowed for gout and suggestions on what you can and cannot eat with gout.
Borscht without meat
Peel 1 beet, carrot, onion. Simmer in olive oil diced onions and grated root vegetables on a coarse grater with the addition of tomatoes or 1 tbsp. l. tomato. 4 potatoes cut into cubes, boil in 1. 5 liters of water. For 10 min. until cooked, add fresh cabbage chopped into 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 into cubes. Simmer everything a little. Add 10 pieces of washed and chopped prunes. We passed everything until the vegetables were tender. Pour the rice, mix until it is completely saturated with oil, pour 2 cups of boiling water. Add spices and salt at least. 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 in 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 the cooled porridge, add salt on 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.
the strawberry
Pinch of dried leaves with strawberries pour a glass of boiling water, soak for 3 minutes. Drink without sugar.
With this recipe for every day, you can improve your well -being and reduce the manifestations of pathology.
Conclusion
Proper nutrition for gout should be the daily norm in a patient’s life. This will slow or even completely stop the progression of the pathology. As a result, it is possible to protect other organs from damage.
Important!
Keep in mind that diet is a supplement, not a substitute for drug therapy. The recommendations of the rheumatologist must be followed at all stages of treatment.