Many may have heard about such a disease as gout.It disrupts the activity of the musculoskeletal system as a result of the inflammatory process.The reason is a pathological process in which urates are deposited in all joints.A diet for gout and high uric acid will help significantly improve the patient’s condition.
Causes of the disease
If we talk about the causes of this disease, then the following should be noted:
- Heredity.
- Nutrition.
- A risk group that includes people with excess weight, hypertension, diabetes, kidney and stomach diseases.
- A person leads a sedentary lifestyle.
- A person constantly drinks alcohol.
Constant consumption of huge amounts of protein foods of animal origin can also lead to the development of this disease.
What are the symptoms?
If we talk about the symptoms of manifestation, then the following should be noted:
- The person will feel severe pain in the joints.Most often this occurs in the morning and at night.
- The joint swells and becomes tender.It is impossible to touch him.
- The skin becomes red.
- Increase in temperature and pressure.
- Nausea, loss of appetite.
It can also be noted that gout manifests itself both in the form of attacks and as a chronic disease.Also, very often kidney function can be disrupted, which will lead to complications.
What role does nutrition play?
Anyone who has ever encountered this disease knows that if the patient eats or drinks something from the list of prohibited ingredients, an attack may begin.The disease can be cured when nutritional therapy is prescribed by a leading specialist.The patient must carefully follow all the principles and avoid consuming prohibited ingredients.
It is best when a person eats 5 times a day, but in small portions.He should also drink a lot of purified water and decoctions.
Among the diets that are common during illness, two groups can be noted.This is a therapeutic option that is prescribed during an exacerbation of the disease.And prevention - most often occurs when the attack is no longer present, but the person still must adhere to the principles.It is in this case that the number of prohibited products is much smaller.
Basic principles of dietary nutrition
The main goal of dietary nutrition for this disease is to reduce uric acid compounds in the body of each person.This can be achieved by several methods:
- The number of foods that are classified as animal proteins is limited.
- Components are introduced that contain a small amount of purine bases.
- A sufficient volume of fluid is injected.
- Weight decreases.
If we talk about which foods need to be excluded, then they include those that contain a large number of purines.These include:
- Beef entrails.This includes the liver, kidneys, brains and much more.
- Shrimps.
- Some types of fish.
- Roasted legumes.
- Anchovies.
You also need to reduce the consumption of those ingredients that contain an average number of purines.This may include:
- Any products made from fatty meat, poultry.
- Fish products.
- Vegetables.
It must be emphasized that the meat of all young animals has a huge amount of purines.In addition, you should also reduce your intake of saturated fat.They will interfere with the normal removal of fluid from the kidneys.You also need to know the list that is strictly prohibited in case of illness.These include:
- Any smoked meats, as well as those ingredients that are sold in the form of canned food.
- Frozen meat and fish products.
- Broths.
- Alcohol in any form.
- Legumes, as well as frozen or canned vegetables.
- Cereals, except rice, wheat.
- Any confectionery that is prepared using salt and sugar.
- Salt, seasonings, marinades, olives, ketchup and other flavor enhancers in dishes.
A general table of permitted and prohibited foods is given for subsequent compliance with nutritional principles.
| Categories | Allowed | Prohibited |
|---|---|---|
| Bakery products | Black or white bread, savory pastries | Butter pastries |
| Meat dishes | Rabbit, turkey, chicken | Smoked, raw-smoked and boiled sausages, sausages, sausages, meat of young animals, fatty pork, offal (lungs, liver, kidneys), canned food |
| Seafood, fish | Marine cephalopods, crustaceans, shrimp, lean fish (salmon, trout), squid | Fatty, salted, smoked or fried fish (sardines, sprats, cod), caviar |
| Dairy products | Low-fat milk, kefir, unsalted cheese, yoghurt, sour cream, eggs (this product is allowed, but you can eat it only once a day, 1 piece in any form), cottage cheese | Salty and spicy cheeses |
| Cereals | Everything except legumes | Lentils, beans, soybeans, beans |
| Vegetables | Dill, corn, beets, onions, garlic, potatoes, carrots, white cabbage, cucumbers, zucchini, eggplant, tomatoes, pumpkin (helps improve metabolism) | Mushrooms, sorrel |
| Fruits, berries | Oranges, tangerines, green apples, dates, persimmons, dried fruits (except raisins), strawberries, lemons, apricots, pears | Grapes, figs, raspberries |
| Dishes | Cereal porridge with milk, vegetarian borscht, potato soups with added cereals, salads with fresh and pickled vegetables, vinaigrette, vegetable caviar, vegetable, milk or sour cream sauce | Meat, fish or mushroom broth, sorrel soup, as well as dishes with the addition of legumes and spinach;sauces based on the above broths, mayonnaise |
| Sweets | Marshmallows, marmalade, jam, marshmallows, non-chocolate candies, ice cream | Cream cakes, pastries |
| Fats | Any vegetable oil | Margarine, lard |
| Drinks | Green tea, tea from fruits and berries, tea with milk and lemon, juice (any, even tomato), herbal infusions, fruit drinks, compotes of fruits and berries, fresh cucumber juice, alkaline mineral water is also very useful for gout, rosehip infusion, chicory | Any alcohol, especially beer and wine;coffee, cocoa, strong tea |
| Spices | Vanillin, cinnamon, bay leaf, citric acid | Pepper, mustard, horseradish, hot spices |
What is allowed for minimum consumption?
As with any diet, there are deviations here.But you need to remember them and stick to them.You can consume a specific list of ingredients, but per week or month.No more than once a day, but preferably once every three days, use the following:
- If you are a tea lover and cannot live without it, then you can add milk to it.You can also add it to porridge.
- Beef is considered a prohibited element, but once a week you can boil it and eat it.This will reduce the amount of purines by 50%.
- You can eat asparagus, celery, spinach.But in no case should you increase the number too much.
- You can eat some types of fish.Cod or trout are best.
- Boiled poultry, but in small quantities.
- Sometimes you can eat some marinades.But this can only be done if you feel good.
- Tomatoes and green onions.
- A small amount of butter.
- Salo.
If you do not abuse such products, then a person can easily afford them in rare cases.
What can you eat?
Having looked at the list of what you can sometimes eat and what you can’t, it’s worth moving on to what you can.The essence of the matter is drawing up a diet from the list of permitted foods.The list is quite diverse, and therefore everyone can choose for themselves what they really want to eat.The main list of permitted ingredients includes:
- Dietary meat.This includes turkey, rabbit and, on rare occasions, chicken.
- All types of lean fish.
- Soups with vegetable broths.You can add already boiled meat there.But you need to cook it separately, because meat broth is prohibited.
- Pasta, bread and cereals.
- Berries.
- Fermented milk products.
- Desserts such as marshmallows, marshmallows and marmalade.
- Nuts and prunes.
- Oil.Flaxseed or olive oil is best.
- Vegetables, except legumes.
- Fruit and green teas.
- Herbal decoctions.
- Fruit drinks, as well as juices.There should be no preservatives.
- Herbs such as basil, dill, parsley.
One of the most ideal ingredients for patients who suffer from this disease is cabbage.It is used in absolutely any form and allows you to remove all unnecessary elements from the body.
If gout worsens, it is best to switch to liquid or semi-liquid meals.These can be vegetable purees, jelly, porridge, soups.You need to remember that this is not even a diet for gout, but a principle for the proper functioning of each organism.
Table number 6: what is it?
Very often, a diet is prescribed for gout, as well as urolithiasis.Previously, these diseases were called “royal” because they arose from heavy consumption of fatty foods and alcohol.Nowadays, the reasons are known, and therefore doctors only prescribe a strict diet.Within the framework of it you can prepare really tasty and varied dishes.
During an exacerbation, it allows you to bring some relief and get rid of the disease.There are both serious restrictions and some deviations.The duration is determined only by doctor's prescription.In particular, you can include the following:
- The amount of food consumed is moderate.
- Foods that contain large amounts of purines and salt are limited.
- Meat and fish are limited.
- Consume at least 2 liters of water.
- Under no circumstances should you go hungry.
- Fractional meals occur 5-6 times a day.
At table number 6 you can eat the following:
- One egg in any form.
- Bread.You can eat rye and wheat products, as well as any desserts made from flour.
- Meat products and fish.You need to choose low-fat varieties that are pre-boiled.You can eat no more than 150 g of meat per day.
- You can't eat any broths.
- Dairy products.You can eat cottage cheese and fermented milk products.It should be present in the diet every day.
- Vegetables.The only deviation is the exclusion of legumes, marinades and pickles.
- Cereals.You can consume absolutely any type, but in moderation.
- Fruits and berries.Eating citrus fruits is encouraged.For sweets, you can eat marmalade, honey, and dairy desserts.
- DrinksThis includes juices, fruit drinks, clean water.Under no circumstances should you drink tea, carbonated drinks, coffee, or alcohol.
Under no circumstances should you eat salty cheeses.You should also exclude all dried fruits, except prunes.
What about the drinking regime?
Every doctor attaches great importance to the drinking regime, because it is water that helps accelerate the elimination of purine bases.The total amount of water should be at least 2.5 liters.But here you need to pay attention to the doctor’s instructions.If you have problems with the cardiovascular system, then the volume is adjusted.If a person has urolithiasis, then it is better to choose mineral waters.This will alkaline the urine.In addition, you can add any citrus fruits.
What about weight?
Gout is also very often accompanied by obesity.It is when gout occurs that it is necessary to reduce body weight.Since high-calorie foods always lead to an increase in plasma uric acid levels, consumption should not exceed 30 kcal per 1 kg of weight.
Weight reduction should occur gradually.It is best when it is 1 kg per month.
Under no circumstances should you resort to fasting, because this will only complicate the situation with the disease.It is best to use diets such as kefir, cottage cheese, dairy, vegetable and fruit.
Weight loss will occur as a result of limiting the consumption of baked goods and sugar.If you have hypertension or ischemia with gout, it is best to eat a low-cholesterol diet.
Common mistakes
Many people, especially those who do not follow the necessary information, very often encounter errors.Among the most common are the following:
- Drinking alcohol.
- Eating foods that contain large amounts of purines.
- Little fluid intake.
- Excess calorie intake.
- A large amount of fats and proteins.
- Increased consumption of table salt.
- Lack of fruits and vegetables in the human diet.
All this will only harm and will not bring any positive effect.In any case, before implementing a particular diet, it is best to consult with your doctor.
An example of a menu that can be used when sick
| Day of the week | Meal time | Products for consumption |
|---|---|---|
| Monday | On an empty stomach | rosehip decoction |
| First breakfast | drink water and make a vegetable salad | |
| Lunch | fruit juice without preservatives | |
| Dinner | vegetable soup with the addition of pre-boiled meat, cabbage cutlets, as well as compote or rosehip decoction | |
| Afternoon snack | dried fruit compote | |
| Dinner | carrot cutlets, one egg omelette, and fruit tea | |
| For the night | kefir | |
| Tuesday | On an empty stomach | glass of water |
| First breakfast | tea with milk, cabbage and carrot salad | |
| Lunch | any juice without preservatives | |
| Dinner | vegetable broth soup.Lean meat with milk sauce | |
| Afternoon snack | dried fruit compote | |
| Dinner | any porridge with added milk, diet cabbage rolls with rice | |
| For the night | kefir | |
| Wednesday | On an empty stomach | dried fruit compote |
| First breakfast | juice, prunes, cheesecakes with honey | |
| Lunch | fruit juice without preservatives | |
| Dinner | Beetroot soup with kefir and stewed cabbage | |
| Afternoon snack | rosehip decoction | |
| Dinner | any porridge with milk and jelly made from fruits or berries | |
| For the night | kefir | |
| Thursday | On an empty stomach | rosehip decoction |
| First breakfast | tea and cabbage salad | |
| Lunch | kefir | |
| Dinner | vegetable broth soup, carrot cutlet | |
| Afternoon snack | grape juice | |
| Dinner | cabbage schnitzel with sour cream and jelly | |
| For the night | fruit or curdled milk | |
| Friday | On an empty stomach | herbal decoction |
| First breakfast | tea, boiled egg, cheesecakes | |
| Lunch | prune compote | |
| Dinner | vegetable broth soup and vegetable stew | |
| Afternoon snack | kefir | |
| Dinner | any porridge with milk and jelly | |
| For the night | curdled milk | |
| Saturday | On an empty stomach | water with lemon |
| First breakfast | tea and eat cheesecakes | |
| Lunch | fruit juice without preservatives | |
| Dinner | vegetable broth soup with potatoes, vegetable cutlets | |
| Afternoon snack | kefir | |
| Dinner | omelette, stewed carrots and tea | |
| For the night | kefir | |
| Sunday | On an empty stomach | herbal infusion |
| First breakfast | compote, cabbage and beet salad | |
| Lunch | tomato juice | |
| Dinner | borscht in vegetable broth and meat baked in foil | |
| Afternoon snack | kefir | |
| Dinner | any porridge with milk and stewed cabbage | |
| For the night | curdled milk |
Some recipes
Those who have been on a diet for gout for a long time are very often faced with a monotonous menu.That is why it is best to consider several options at once, which can rarely be found:
- Apple omelette.You will need apples, an egg, milk and butter.Apples are cut into slices and stewed in a frying pan with butter.After this, milk is poured in, which was previously beaten with the egg.Everything is placed in the oven until completely cooked.The omelette is sprinkled with powdered sugar and served.
- Rice casserole with beets.You will need beets, rice, egg and milk.The rice is boiled and combined with beets.Beat eggs with milk, you can add a little salt.Rice is poured into the liquid mixture and baked in the oven.
- Beef stroganoff made from boiled meat.You will need meat, butter, wheat flour, sour cream, milk and tomato juice.The meat is boiled and cut into small pieces.White sauce is made according to the recipe given below and poured over the meat.Tomato juice is added there.Cook everything at a boil for 10 minutes and season with sour cream.You can add a little butter and sprinkle with herbs.
Various sauces are in great demand when dieting.Among them the following can be noted:
- Sour cream sauce.To prepare you will need 100 g of sour cream, 12 g of flour, 12 g of butter.The flour is dried in the oven or in a frying pan.It should be yellow.The milk is boiled and a quarter is added to the flour.After this, this liquid is poured into boiling milk and seasoned with butter.
- Milk sauce.You need 100 ml of milk, 10 g of wheat flour.Half of the sour cream is boiled, flour, which has previously been dried, is added there.After this, the sauce is well mixed and brought to a boil.It is better to strain so that there are no lumps.
- White sauce.Vegetable broth 100 g, wheat flour 10 g and butter 5 g. The flour is dried in a frying pan and ground with butter.After this, carefully pour in the broth and stir.You need to cook for 10-15 minutes.
- Berry sauce.Berries 50 g, sugar 15 g, starch, water 100 ml.The berries are pureed and sugar is added.Add water and starch and mix everything over low heat.It is necessary to bring to a boil.
Often, gout patients come up with their own recipes for cooking.This is very easy to do if you follow the recommendations for heat treatment and the selection of approved products.
Contraindications for diet for gout
This diet has no particular contraindications.Most often this is due to the fact that it is based on standard principles, as for a healthy diet.The emphasis is on vegetable and fruit dishes.Complex carbohydrates are consumed, as well as a normal amount of dairy components.That is why everyone can stick to it and not suffer from hunger.
What results can you get?
If a person suffers from gout, but at the same time complies with all dietary requirements, then he can easily limit the production of uric acid and remove it from the body in maximum quantities.It is thanks to diet that many can cure the disease without the use of drugs.
Thanks to this diet, you can reduce the severity and number of attacks.In addition, you need to remember that calorie restriction also occurs through physical exercise.This will allow you to reduce weight to the desired level and achieve excellent results.
Gout is a serious disease that has a huge number of complications.Compliance with the regime allows you to reduce pain and symptoms for some time.If you want to get rid of the disease, then it is better to follow all the above recommendations and enjoy life without problems.