Gout, called the “disease of kings,” is a consequence of metabolic disorders. Uric acid salts (urates) are deposited in the joints. Nutrition affects the functioning of the body.
The disease is rare - 0.3%. Gout affects men over 40 years of age and women after menopause. Joints are susceptible to painful salt accumulation.
The human brain, blood, liver, urine, and sweat contain salt crystals that are poorly soluble in water - uric acid. The normal content of crystals does not affect the state of the body; an increase leads to illness. The main reason for the abnormal deviation is an unbalanced diet.
Gout is a consequence of increased concentrations of uric acid in the blood. Acid derivatives - urates - are deposited in the body, affecting joints, organs, and have a particularly negative effect on the kidneys. There are two reasons why a lot of urate accumulates in the body:
The number of gout patients is growing every year. The primary reason is poor nutrition. People prefer that their food list consists of fast carbohydrates, fatty foods, alcoholic beverages, and foods rich in purines (constituent elements of a living cell). During the war years, fewer people suffered from gout than now. This is due to the fact that meat products, alcohol, and other harmful products were difficult to obtain.
An attack of gouty arthritis is the first signal of the onset of the disease. It is an acute pressing pain in the joint. The latter is often the knee, ankle, or big toe joint. In the morning, a person wakes up from an attack of pain, which decreases during the day, but intensifies again closer to night. If you touch the inflamed area, it will seem hot, sharp pain is felt from light pressure on the joint.
The duration of attacks reaches 3-4 weeks. If measures are not taken (exclude foods contraindicated for gout from the diet), attacks will cover a large area, spreading to other joints, trying to destroy them.
An increase in uric acid levels is signaled by atypical growths on the legs (tophi). When they burst, light crystals are visible - uric acid. She was unable to leave the body through the kidneys. The growths make life difficult; the affected areas of the legs cause discomfort to the patient for a long time.
If you do not analyze your usual diet in time, there is a risk of gouty arthritis, which affects many joints. The disease occurs gradually - acid crystals accumulate in the joints. With a large number of accumulations, joint deformation is possible. Having filled the joints, the crystals move to soft tissues - muscles, tendons. An increase in mechanical load on the latter makes them weak and capable of tearing.
An increase in the number of tophi leads to the emergence of foci of urea accumulation everywhere. Those suffering from gout will gradually develop coronary heart disease, osteoporosis, metabolic syndrome, and arterial hypertension.
A negative consequence is urolithiasis. The disease is complicated by the fact that salt crystals settle in the kidneys, making it difficult to function.
Many people hear about kidney failure. Consequences: pyelonephritis, hydronephrosis, arterial hypertension. The cause of insufficiency is kidney stones, which are fatal.
Nutritionists, nutritionists, and adherents of a healthy lifestyle say that gout can be cured. It is necessary to review the diet, decide which foods to exclude and which to use regularly.
The fight against joint disease includes requirements that must be observed. Basic principles:
The relationship between gout and proper nutrition - a person receives a lot of useful substances from food, the deficiency is reflected in the external and internal state of the body. By organizing a healthy diet, there is a chance to reduce the level of pain, improve the general condition of the body, and normalize metabolism, the disturbances of which cause gout.
Recommended vegetables: carrots, beets, cucumbers. Some crops growing in garden beds have undesirable properties. Such vegetables include radish, celery, spinach, sorrel, horseradish - due to their pungency and acidity. Cauliflower is a vegetable that should not be eaten if you have gout on your legs.
Fruits are the second item on the list of a proper diet for gout. Allowed for consumption are dairy products (low-fat or low-fat), chicken and quail eggs, dried fruits, bee honey, a small amount of butter and vegetable oil every day.
Rating of the five most useful foods in a diet aimed at curing gout:
Products that are strictly prohibited for gout, even periodic consumption is unacceptable:
The list contains the main foods that you should not eat if you have gout.
In case of an acute attack, it is recommended to follow the following diet for the next 5-7 days:
The diet will lead to alkalization of crystals in the urine, which will result in an improvement in general condition.
Below is a list of foods you should not eat if you have gout in excess. It is recommended to limit their consumption. It is worth consulting with a nutrition specialist.
For a long time, nutritionists and doctors were interested in the question of whether tomatoes are a food that should not be taken for gout. Vegetables have many organic acids. Previously, the tomato posed a danger to patients, being one of the foods that should not be eaten if you have gout. Recent studies have dispelled previous conclusions - the purine content is lower compared to meat and beans; in the absence of abuse, red vegetables will help the patient.
How to determine whether a food item is a food not recommended for joint disease? It is enough to study the component composition - the content of proteins, fats, carbohydrates. A table that shows the content of substances in 100 grams of the product will help. Attention should be paid to the amount of proteins and fats - if there are a lot of them, the product is undesirable for consumption. A high carbohydrate content indicates healthy foods that will help in overcoming the disease.
When purchasing a cake, take a look at the composition and see that the carbohydrate content is 100 grams. is 60-70%. These are not the carbohydrates that the body requires. Sweet foods with a carbohydrate content of more than 40%, excess sugar, sweeteners in the composition complement foods that are not allowed for gout.
In order to systematize the advice, a daily diet is given, including permitted foods for gout. The dishes listed are not the only correct ones; they are given as a sample.
The basic rules that guide a person’s diet if they want to defeat gout and avoid the appearance of:
The rules discussed above are worth remembering and applying in any situation. Gout causes a lot of inconvenience, but it can be overcome if you change your eating habits. A clear understanding of what foods are prohibited for gout will help anyone who wants to overcome the unpleasant ailment on their legs.
Gout is a chronic disease characterized by impaired protein metabolism in the human body. With this disorder, the kidneys in the human body cannot remove uric acid from the body. As a result, uric acid crystals—uric acid salts—are deposited in joints, cartilage, bone tendons, under the skin, and in the kidneys. Such deposits disrupt the functioning of organs and joints and cause extensive tissue inflammation.
Uric acid is a breakdown product of purines, nitrogen-containing compounds that are an important component of the cell nucleus. The human body produces purines in small quantities, so we get the amount necessary for life from food. In addition to a hereditary predisposition to genetic metabolic disorders, it is our food that causes the development of gout. More precisely, eating meat products containing large amounts of purines.
The disease is chronic, and it is impossible to completely get rid of it, but the exacerbation can be relieved by reducing the intake of uric acid salts in the body. Reducing the level of uric acid in the body, first of all, contributes to the normalization of body weight. And for this it is extremely necessary to adhere to a strict diet and permanently exclude from consumption the list of foods prohibited for gout.
Let's take a closer look at what you can and cannot eat if you have gout? To achieve normalization of body weight, fats, carbohydrates and proteins of animal origin must first be excluded from the patient’s diet. It is necessary to replace animal protein with vegetable protein as much as possible, avoid cooking with complex fats, and exclude spicy foods and foods containing yeast. Reduce protein intake to 1 g per 1 kg of body weight.
What foods should you not eat if you have gout?
Products on the list of prohibited foods for gout should be completely excluded from the diet! Otherwise, their use will cause an exacerbation of the disease, and even the effect of drugs will be reduced to a minimum.
You can limit, but not completely exclude, foods that can diversify your diet menu:
The list of foods that you can’t eat if you have gout is so extensive that it involuntarily makes you wonder, is it even possible to eat if you have gout?
Despite expectations, the list of foods that can be eaten for gout is extensive.
The basis of nutrition should be liquid and semi-liquid food: soups, cereals, purees. It should be cooked in vegetable or butter and can be generously seasoned with herbs. Along with the dishes, you can eat black or white bread.
List of products allowed for consumption when suffering from gout:
Why should raspberries not be eaten if you have gout? Of all types of berries, raspberries have the highest purine content, so they should be excluded from the diet.
There should be at least four meals during the day. Don't confuse dieting with fasting! Sharp exhaustion of the body during gout is also undesirable for the body, like excess weight, and can lead to deterioration. Be sure to drink at least 2 liters of fluid.
Drinks on the diet menu may include special mineral water, green tea (can be with milk or lemon), decoctions of healthy plants, fruit drinks, and compotes.
Only by strictly adhering to a special diet and lists of prohibited and permitted foods for gout can you significantly reduce the content of uric acid salts in the body and ease the symptoms of the disease. Any violation of dietary nutrition, in this case, will lead not to a couple of extra pounds, but to a new attack of the disease. Therefore, you should think twice before allowing yourself to eat an extra piece of sharp cheese or drink a glass of wine, whether it is worth it.
Found 33 doctors treating the disease: Gout
Gout is a disease associated with the inflammatory process of individual joints, and it directly depends on a person’s lifestyle and eating habits . Chronic diseases of this type are treated not only with medication, but also with strict adherence to nutritional standards. See here for basic recommendations on how and how to treat gout. If you do not adhere to the simple rules of eating and eat whatever you want, this will lead to a worsening of the patient’s condition and a progressive course of the disease. Therefore, it is very important to know what not to eat if you have gout. This is especially true for people suffering from this disease.
What you enter into the body with food directly affects the course of the disease. Even when treating gout with special medications, progress will not occur without strict adherence to a dietary food regimen. Positive results may not be expected.
First, you should find out which foods are not allowed at all, and which should be limited, especially during an exacerbation of the disease. You need to constantly monitor how your body reacts to the food you eat.
The main criterion when choosing food products is their low content of uric acid salts - urates.
They are the ones who quietly settle day after day in the cavities on the cartilaginous part of the joints, causing inflammation and pain. This is most often seen on the legs.
Since this process is not noticeable at the beginning of the disease, the formation of tophi - crystalline growths - proceeds slowly. The best method for determining elevated uric acid levels may be a blood test. Gout is also insidious in that it can subsequently lead to the formation of stones and kidney damage. So you shouldn’t neglect a special diet. Read more about treatment for gout.
Treatment with a limited range of products was very effective even before the advent of modern drugs. The gout diet is aimed at reducing foods high in uric acid and purines in particular. It is also necessary to switch to a minimal consumption of sodium salts and animal fats.
Shocking statistics! According to recent studies, more than 80% of Russians have severe joint damage. However, most people are not even aware of the danger they are exposed to.
Many who already have characteristic symptoms of joint damage simply do not pay attention to it, thinking that there is nothing special about it. However, according to doctors, any pain and discomfort in the joints is a sign that the joint has begun to deteriorate.
The main symptoms of joint destruction include: swelling, numbness, crunching and pain in the joint (first with stress and bad weather, and then constant), lumbago in the lower back, frequent headaches, impaired motor activity of the toes and hands, and many others. At least one of the listed symptoms indicates the presence of joint problems.
Many doctors call the innovative drug “Artropant” a real salvation for joints. After all, it allows you to completely restore the joint and eliminate the risk of further development of dangerous pathologies in just a few weeks.
Therefore, it is not surprising that this particular cream was chosen as the main product during the Federal Healthy Joints program, which started 1.5 months ago.
During this program, any resident of the country will be able to purchase Arthropant at a discounted price!
We asked the country's leading orthopedist and rheumatologist, a doctor of the highest category, Professor Mikhail Vladimirovich Zavyalov, to tell us more about the federal Healthy Joints program. Read more "
An active lifestyle will help prevent disease or minimize unpleasant symptoms. Overeating and physical inactivity often lead to a rapid accumulation of purines in the joints of the legs. The daily concentration of this substance in the body should not exceed 200 mg.
Particular attention should be paid to therapeutic fasting. If you have gout, refusing to eat and drink enough is not acceptable. Because in the absence of food and water in the body, the concentration of purines increases several times. Even fasting days should be planned once or twice a week, giving preference to dairy products, vegetables and fruits.
If the disease worsens, especially with gout on the legs, you should limit the consumption of fresh bread, pastries, pizza and other flour products. Completely eliminate alcohol at any stage of the disease.
Another food enemy entering the body is table salt. It greatly increases the concentration of purines and accelerates the deposition of salts in the bone tissue of the legs. Therefore, you should eat unsalted food or add minimal amounts of salt. A good analogue of salt can be powdered kelp, which improves the taste of food without causing harm to the body.
The list of recommended foods for gout is very diverse. A special place is given to vegetables and fruits. They can be consumed both raw and various dishes can be prepared from them. The most useful drinks for gout are fruit compotes and decoctions.
Kohlrabi cabbage is considered the best product for normalizing weight and metabolic processes in the body . It effectively cleanses the body of toxins and normalizes uric acid levels. Broccoli has the same effect. Eating it will not only help cure gout at the initial stage, but also prevent this insidious disease.
Vegetarian soups are the best replacement for rich, fatty meat first courses. You can eat all fermented milk products and milk without restrictions. The list of products is very large.
Cabbage juice has very useful and medicinal properties . It restores the functioning of the gastrointestinal tract. Cabbage juice contains very important microelements such as iodine, sulfur, chlorine. They perform a cleansing function of the intestines, thereby strengthening the immune system. And the presence of potassium in cabbage allows you to remove excess liquid and sodium compounds.
Choline will help you quickly burn excess fat . White cabbage contains this element in large quantities. Particular attention should be paid to sauerkraut.
If you have gout, it is extremely important to get enough vitamins from your diet. In the autumn-winter period, sauerkraut will become an indispensable source of nutrients and microelements. All the healing properties of sauerkraut are also present in the brine.
Gout is a chronic disease, a common manifestation of which is gouty arthritis with unpleasant symptoms and characteristic signs. It is impossible to completely get rid of its manifestations, but you can reduce their number and frequency, and also make the period of remission quite long.
Maintaining a proper and nutritious diet is one of the most important components of therapeutic measures. Proper nutrition for gout is important not only to prevent possible exacerbations, but also to maintain good health.
Scientists have long proven the fact that gout occurs due to disturbances in the process of purine metabolism. A large number of purines enter the body as a variety of products through food, in which they are contained in the form of constituent parts of nucleic acids or are located in free form. These are mainly protein foods.
Purine metabolism and its components play an important role in the life of the human body, and therefore have clear regulation. But for a number of reasons, a failure occurs at a certain stage, and the process of decay begins to prevail over the processes of synthesis.
This leads to significant formation of uric acid, which is one of the end products resulting from purine metabolism.
Normally, it is excreted from the body through the kidneys, but as a result of metabolic disorders, it accumulates in large volumes, which the urinary system is not able to cope with. As a result, uric acid begins to accumulate, which in turn leads to the gradual deposition of its salts (urates) in the tissues of the body, most often in the joints. This is how gout develops.
Therefore, it is logical that limiting certain foods high in purines in the diet will help reduce accumulation processes and lead to normalization of purine metabolism. In this regard, the importance of proper nutrition with the consumption of certain foods is quite justified from a medical point of view. But not everyone knows what to eat if you have gout. Let's try to understand this issue in more detail.
Since a large amount of purines comes from food, it is necessary to exclude from the diet a number of foods, the consumption of which can provoke the development of an exacerbation of gout. Drawing up a complete diet for patients with gout is considered by experts as one of the components of complex therapy.
The main goals of the diet include:
The duration of a strict diet during an acute period of gout is usually a couple of weeks, during which the consumption of meat, fish products, and legumes is not allowed.
After two weeks, you can diversify your diet somewhat and allow yourself some foods in the form of lean meat or fish. Be sure to consume fermented milk products and plenty of fluids. And most importantly, you should not overeat; it is better to stick to a fractional diet.
Proper nutrition for gout really means a lot, but its observance requires not only a certain care and duration, but also the implementation of a number of specific rules.
It should be noted that an exacerbation of gout requires a complete rejection of fish and meat products. During remission, they can be eaten in small portions and only boiled. Broths and soups deserve special attention. When boiling fish or meat, you need to add them to the already prepared vegetable soup, and do not use the broth after them. This is necessary because during the cooking process a significant amount of purines from fish or meat accumulates in it.
Losing excess weight plays a significant role in the prevention of gout. But this needs to be done gradually. It is also important to give up bad habits, especially alcohol, which is one of the main causes of exacerbation of the disease.
To prepare any dishes, you should use the steam method or simply the boiling method, but absolutely nothing should be fried.
Proper nutrition in combination with competent therapy will reduce the intensity of gout symptoms in the form of pain and swelling as a result of the removal of uric acid salts from the body during gouty arthritis. Also, such a diet will help you reduce excess weight and lead to an improvement in overall well-being.
Each product that is removed from the diet for gout patients contains components involved in purine metabolism in varying quantities. This is directly related to the fact that gout develops as a result of disturbances in this metabolism, leading to excessive formation and subsequent accumulation of urates with the development of the main symptoms of the disease.
The list of products to exclude is quite wide. It is necessary to remove meat products, since they contain nucleoproteins, which serve as the main substrate for the formation of uric acid.
This is especially true for meat from young animals. This is where the content is greatest. Legumes are also a direct source of purines.
Seafood, lard and brains should be consumed with caution. An additional reason for this is the excess cholesterol they contain. The body's need for animal protein can be met with dairy products and eggs. During periods when gout does not manifest itself in any way, low-fat varieties of fish and meat are allowed, but only in boiled form. All greens are excluded, except dill. Parsley and lettuce can be used without exacerbation of gout.
Products in the form of fats exclusively of animal origin are also limited, since their consumption entails an increase in the content of uric acid and its salts in the blood plasma. All salty, fatty foods, as well as fried foods, marinades and preserves will contribute to the accumulation of salts and aggravate the symptoms of gout.
We should not forget that a large portion of purines are transferred from foods to broths during the cooking process, so it is also necessary to exclude them from the diet.
Normally, the synthesis and secretion of uric acid are in strict balance, but if it is disturbed, acid accumulates in the body, leading to the occurrence of gout. This often happens when a significant amount of purines is taken from food, which are an important component in the process of uric acid metabolism. Often, patients with gout are worried about what they should not eat if they have this disease.
To successfully fight the disease, it is very important to follow a proper anti-gout diet, which contains a minimum amount of protein. If we talk about which foods are not allowed, then you should exclude absolutely all foods that are rich in purines. Since excess lipids in food interfere with the normal excretion of uric acid, it is important to eliminate foods high in fat.
And most importantly - no alcohol for gout. Even a small amount of it will provoke a new attack of the disease. This statement also applies to beer.
The ban on any alcohol is directly related to the fact that during the metabolism of ethyl alcohol, lactic acid is formed, which can temporarily prevent the excretion of uric acid from the body.
Today, many gout patients often ask the question of what not to eat if they have gout. The table below shows the foods that need to be excluded.
It should be noted that some fruits, spices and vegetables have the ability to change the acid-base balance in the blood, which leads to an increase in uric acid and its salts. Therefore, it is worth excluding raspberries, grapes, mustard, radishes, vinegar, horseradish and pepper from your diet.
Strong tea, coffee, chocolate and sweet pastries are also contraindicated. Salt is prohibited because it affects the excretory function of the kidneys. Sugar will also have to be limited. It is especially important not to eat all of the listed foods if you have gout on your legs.
Simply excluding products from the list is not enough, since it is important to follow a number of specific rules when following a diet. These include eating small meals up to four or five times a day, steaming or boiling food, consuming vegetables and fruits, as well as large amounts of liquid - up to 2 liters per day. What can be done for gout will also be discussed, but a little lower.
Important! If you are overweight, doctors often recommend a strict diet and getting rid of extra pounds. But rapid weight loss as a result of prolonged fasting can lead to the opposite effect. Gout attacks will become more frequent and intense.
Those affected will have to come to terms with the fact that gout is incurable and can only be achieved in long-term, sustainable remission. To do this, you need to permanently exclude the following foods from your diet:
If you look closely at the list of prohibited foods, almost all of them are harmful to a healthy person, so it’s worth excluding them from the diet. For those who find it difficult to eat lightly salted food at first, it is recommended to add a small amount of garlic to the dish. The garlic flavor will create the illusion of a salty product and help you get used to the new diet.
No one today says that if you have gout, you should prohibit yourself from all of the listed foods for life. Their complete exclusion is necessary in the acute period of the disease. When it passes and a period of remission begins, a slight deviation from the rules is allowed, and the list of products in your diet can be somewhat expanded.
Now you should move on to foods allowed for gout. Fruits and vegetables are very healthy, regardless of whether they are raw or cooked. This is due to the fact that these products have an alkalizing effect on the composition of urine, which leads to disruption of the process of urate precipitation, slowing down the development of gout.
Citrus fruits have a particularly beneficial effect on this process. Even with gout, all dairy products are allowed. Milk, like butter, should be used when preparing porridge. If the disease worsens, then all dairy products should be eliminated for a while, since they contain a small amount of animal fat and protein.
Gout requires the consumption of large volumes of fluid, which is quite reasonable, since this will speed up the process of eliminating uric acid salts. For gouty arthritis in the legs, mineral waters with an alkaline composition have worked well.
Taking into account the fact that adherence to a diet for gout is necessary throughout life, all patients are recommended to begin studying nutritional recommendations from the list of allowed foods. This is due to the psychological characteristics of human perception: having read what goodies he is deprived of, the patient inattentively looks at the list of what is allowed, wondering how to get around medical prohibitions. And in vain, because the list of products includes a lot of tasty things. The main thing is not to overeat, but starving is also harmful.
If you are overweight, you need to reduce it gradually by arranging fasting days. Although fasting days are also recommended for normal and even reduced weight, this will help cleanse the body and remove uric acid salts.
It is allowed to eat the following foods when you are sick:
Butter baked goods are allowed in small quantities, but if you are overweight, it is better to avoid them. Only weak tea is allowed; it is recommended to drink it with lemon.
Food needs to be steamed or baked. This may seem tasteless to some, but with the advent of multicookers and steamers, many recipes have been invented for these kitchen units. If you open a cookbook, you can see that the permitted products will yield a wide variety of delicious dishes. Vegetables can be consumed either fresh, boiled or baked, making salads or using as a side dish.
It is allowed to eat lean meats and fish, but only in small quantities, boiled or steamed. You can also afford a small amount of salt and sugar. But it is worth remembering that everything should be in moderation, and some exceptions do not mean that you are now allowed to afford everything.
Many patients often ask their doctors the logical question of what to eat if they have gout. Vegetable and milk soups, turkey, rabbit, and lean fish will be good here. A variety of cereals, fruit juices, zucchini, pumpkin and cabbage are allowed. Alkaline mineral waters and any citrus fruits are very useful.
Important! You should not think that by taking medications for gout and eating everything in a row, you can get rid of the unpleasant symptoms of the disease forever. This can only worsen your condition and lead to the development of gouty nephritis, kidney failure and damage to numerous joints.
Fasting days should be carried out once a week, preferably on the same day, for example, Saturday. To improve the removal of uric acid from the body, nutritionists advise giving preference to liquid foods. You can eat:
It is not advisable to arrange fasting days more than once a week, even if the patient needs to lose excess weight. The diet prescribed for gout is designed in such a way that, if strictly followed, the weight gradually returns to normal and the symptoms of the disease decrease.
Nutritionists recommend creating a sample menu for the week in order to eat not only tasty, but also varied.
An attack of gout is similar in symptoms to arthritis and is manifested by severe pain, often at night. Typically, an exacerbation lasts 1-2 weeks, and then the symptoms gradually begin to subside. To speed up recovery, you must follow a strict diet.
The following ingredients allowed during remission are completely excluded from the diet:
For convenience, you can provide a table that allows you to quickly figure out which of the listed products are allowed to be consumed during an exacerbation and which are not.
Gout is a disease accompanied by acute pain and swelling of the joints, which is a consequence of a violation of purine metabolism, that is, an increase in the concentration of uric acid in the blood.
The most common primary gout is the result of poor nutrition and excessive consumption of alcoholic beverages, which, in combination with impaired metabolism, leads to very unpleasant consequences.
Attacks of gouty arthritis are most often provoked by:
The main purpose of dietary nutrition for gout is to normalize purine metabolism, achieved by reducing the consumption of foods rich in purines.
Additional goals that the patient achieves while following a diet:
You cannot eat 3 times a day with full plates. The intake of proteins, which in one way or another stimulate the production of purines, must be strictly dosed, then the body has time to process and remove uric acid without its accumulation in the tissues.
The optimal diet is 5-6 times a day; a prerequisite for the diet is a fasting day
This volume includes pure still water, homemade fruit and berry drinks without sugar, weakly brewed green tea, infusions of medicinal herbs, and alkaline mineral water.
It must be remembered that therapeutic nutrition for gout continues beyond the period of exacerbation, but becomes less strict. In the acute phase of the disease, it is allowed to consume no more than 200 mg. purines/day, which can be achieved not only by a sharp decrease in proteins, salt and food containing oxalic acid in the diet, but also by the use of proper heat treatment of products (steaming, boiling, stewing).
Since most patients are overweight, it is necessary to strictly limit “fast” carbohydrates, as well as animal fats. To improve overall health, it is preferable to eat a diet using natural foods without harmful compounds and transgenic fats. With all its severity, a diet for gout should provide the patient with all the necessary substances required for a speedy recovery.
The list of prohibited products includes:
During the period of exacerbation of gout (1-2 weeks), it is forbidden to eat any meat or fish, as well as salt, which is part of finished products. The listed foods are allowed to be taken only in a very limited form during long-term remission.
As acute symptoms subside, you can diversify your diet by including boiled meat, poultry, and lean fish. You can add a little butter to milk porridges.
Vegetable salads during this period allow the presence of tomatoes (no more than 3 pieces per week), parsley, and lettuce. Turnips, plums, champignons, and oatmeal are consumed with caution.
When a gout attack develops, proper nutrition significantly alleviates the patient’s condition and reduces the duration of the acute phase. It is recommended to take as much liquid food as possible (for example, vegetarian soups or dairy drinks).
The basis of the diet at this time, as well as for consumption without restriction in other periods, are:
It is imperative to take food rich in vitamin C, niacin and vitamin B1, since these substances can accelerate the elimination of urate from the body. In the subacute period, it is allowed to add all products to the menu, except those that are strictly prohibited.
It must be remembered that plant foods containing purines will do much less harm than a single consumption of alcohol or large amounts of meat, which can provoke another relapse of the disease.
The therapeutic diet for gout involves the use of different diets during exacerbation of the disease and in the disease-free period, differing in the complete absence of meat and fish in the menu and an increase in the proportion of vegetables and dairy products in the acute phase of gout.
The total daily calorie intake is 2700-2800 kcal. The chemical composition of the daily menu includes:
The total consumption of salt is allowed, the amount of which is calculated taking into account its content in products, no more than 5 g/day. Drinking regimen – 2 l. fluids in the absence of heart and vascular diseases; if there are contraindications to drinking plenty of water, the water intake should be reduced to 1.4-1.5 liters/day. The diet should provide the patient with a sufficient amount of vitamins and microelements.
In a single serving, a piece of meat or cutlet does not exceed 150 g of weight; fish portion – up to 160 g. Fasting day includes up to 2.5 liters. liquids, as well as up to 400 g of vegetables and fruits, 300 ml. dairy drinks. Fasting is strictly contraindicated due to a sharp increase in uric acid concentration.
After eliminating the main symptoms observed in the acute phase of the disease, the patient’s daily diet may be as follows:
Herbal medicine helps accelerate the excretion of uric acid, and also has a restorative effect, improves blood microcirculation in tissues.
Effective folk recipes used during any period of the disease:
To improve bowel function that suffers when taking anti-gout medications, it is recommended to take a spoonful of flaxseed daily. This product can be added to any dishes, and can also be eaten slightly fried (without adding oil).
To reduce the production of uric acid, it will be useful to eat onion soup 2 times a week: wash 1 onion with peel, add water (400 ml.), and cook for 20 minutes. Then chop the boiled onion in a blender and eat the soup in one go.
A healthy lifestyle, balanced diet, and compliance with all doctor’s recommendations are the best prevention of gout relapses.