When diagnosing gout, doctors, along with medications, recommend that patients change their diet first. Diet for gout is an essential part of the complex treatment of the disease. Its use will speed up recovery as much as possible, quickly relieve pain symptoms, 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. With gout, the diet aims to:
- regulation of purine metabolism;
- decrease in the amount of urates;
- normalization of the process of elimination of excess uric acid;
- regulation of metabolic processes;
- increased alkalinity of urine;
- weight loss in case of overweight;
- general health of the patient.
A hypopuric type of nutrition is being formed on the basis of therapeutic principles and the rules of diets, including the prohibition of foods with a high content of purine compounds, salts and oxalic acids. It is also necessary to reduce the amount of fatty, carbohydrate and protein compounds consumed.
Therapeutic nutrition and diet for gout provides for an increase in the proportion of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is a single 4-5 times diet with an average calorie content of 2500-2800 units.
Important!
The drinking regime should ensure the outflow of fluid from the body in the amount of 2. 5 liters or more.
How to organize meals
To maximize the effectiveness of the gout diet, you should adhere to several recommendations:
- the main way of cooking is boiling, baking, steaming;
- drain the meat broth after boiling for 10 minutes;
- alternate meat, fish and vegetarian dishes;
- use only natural liquids;
- spend fasting days;
- avoid fasting.
Important!
In the presence of chronic diseases, it is necessary to contact a specialist for the development of an individual nutrition system.
The main types of diets
The organization of proper therapeutic nutrition will not completely eliminate gout, but it will significantly smooth the manifestation 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 nutrition for gout is a diet - table number 6. In addition to this, gout patients, especially those with shortness of breath and overweight, often use diet table number 8, dietsalkalis, rice and buckwheat. Kefir, cottage cheese, fruit or vegetable diets are well suited for fasting days.
Diet chart number 6
It is prescribed to patients suffering from gout in the first place. It allows in a short time to normalize the exchanges of purine compounds and to 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 growth of the inflammatory process stops, swelling decreases, the feeling of pain and stiffness in the joints disappears.
Diet for high uric acid
It is based on the refusal or reduction in the menu of products with a high index of purines, refractory fats, salt.
It is proposed to replace them with products with an alkalizing effect: dairy products, sour milk, cottage cheese, fruits and vegetables. The diet calls for one day of fasting per week.
Diet for exacerbation of gout
First of all, during an exacerbation, it is necessary to increase the amount of fluid you drink up to 3 liters. Then completely exclude meat and fish dishes. The lack of animal protein can be filled by increasing the proportion of dairy products and curds 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).
Important!
Fasting causes a strong release of uric acid and is strictly prohibited in gout.
Diet chart number 8
Table number 8 strictly regulates the nutrition of gouty legs in patients with significant overweight. This diet aims to increase metabolism and eliminate 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, on average up to 1. 5 liters per day.
On a note!
For men suffering from gout, the diet helps to maintain the calorie content of food at a level not lower than 2100-2500 units. With gout in women, diet number 8 limits the menu to 1400-1700 kcal.
Buckwheat diet
The low calorie content of buckwheat allows it to be used in therapeutic dietary nutrition. Its consumption restores disturbed metabolic processes, quickly gives a feeling of satiety and allows you to forget about the feeling of hunger for a long time. Buckwheat is the leader in the presence of vitamins and all types of trace elements.
Vegetable cereal proteins are better absorbed and are able to completely replace the animal. At the stage of restoration of bone and muscle tissue, the product contributes to regeneration processes. Buckwheat porridge in combination with kefir is ideal for gout fasting days.
On a note!
Buckwheat is prepared with dietary foods most often without salt. The buckwheat diet allows you to quickly lose weight, which has a positive effect on joints prone to the destructive effects of gout.
rice diet
The rice diet is 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 cereals removes accumulated harmful toxins, salts and slags from diseased joints. The rice diet can also be used for fasting days, especially during a gout exacerbation.
Important!
For food, only brown or white long-grain steamed rice is used. When treating gout through nutrition, 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 the destruction of bone tissue. The use of an alkaline diet will help prevent processes that are dangerous to health. The basis of the diet are fruits, sour milk and dairy products. This diet can be used both during the period of exacerbation of gout and in the stage of remission.
Prohibited and authorized products
In order to properly rebuild the nutritional system, you need to know which foods will benefit and help with gout, and which will have a harmful effect and cause an exacerbation of the disease.
All foodstuffs can be listed in the gout diet basic food table, according to the quantitative content of purines, salt, fats and other harmful substances. The main sign of division in the list of products for gout is the content of purine compounds.
| High in purines | Low purine level |
|---|---|
|
|
Important!
It is strictly forbidden for people with gout to take drinks containing any amount of alcohol.
What products are useful
By determining the level of purines and unhealthy fats in foods, you can know exactly which foods can be eaten with gout without harming health and which ones should be limited.
On a note!
Fruits from the group of products that are particularly 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 its accelerated elimination from the body. Ascorbic acid heals, restores and strengthens connective joint tissues. Fruit nutrition in the composition of fermented milk products is especially useful.
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 of 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 gout diet these berries and fruits in unlimited amounts.
What foods can not be eaten
In addition to the products indicated in the summary table, strong meat, fish and mushroom broths should be excluded from the diet. They are contraindicated due to their high purine content, which can provoke a strong exacerbation of gout. Junk and fish, canned meat, containing a large percentage of salt. Their use with a purine diet disturbs the water-salt balance and contributes to an additional deposition of salts in the tissues of the joints.
The list of banned 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 process of its withdrawal. This leads to a relapse of the disease.
Daily menu for the week
A wide list of products allowed for consumption makes it possible to individually approach the choice of dishes and to eat well for any patient suffering from gout. The recommended diet for the week is balanced, complete and made up of foods useful for gout.
The authorized vegetables and fruits can be consumed in unlimited quantities in addition to the main menu. It is best not to use wheat bread for gout patients including the big toe.
Important!
Foods containing natural honey for gout can cause an allergic reaction.
Diet recipes
The proposed sample menu for the week includes many dietary dishes, suitable for what you need to eat. If desired, they can be substituted with others using a list from the Table of Allowed Foods for Gout and recommendations on what you can and cannot eat with gout.
Borscht without meat
Peel 1 beet, carrot, onion. Simmer in olive oil diced onion and grated root vegetables on a coarse grater with the addition of 1 tomato or 1 tbsp. I. tomato. 4 potatoes cut into cubes, boil in 1. 5 liters of water. For 10 mins. until cooked, add shredded fresh cabbage. For 5 mins. - vegetable stew. Season with salt to taste. When ready to serve, add parsley, dill and a spoonful of sour cream.
Pilaf with prunes
Rinse a glass of rice. In a cauldron with vegetable oil, add 2 onions cut into strips and 2 carrots into cubes. Let everything simmer a bit. Add 10 pieces of washed and chopped prunes. We pass everything until the vegetables are soft. Pour the rice, mix so that it is completely saturated with oil, pour 2 cups of boiling water. Add spices and salt to a minimum. After boiling, reduce the heat and cook for 20 minutes under an airtight lid.
milk rice
Boil half a cup of rice in 1 liter. water for 10 minutes. Drain the water, rinse the rice. Pour it with a glass of milk and cook for another 25 minutes. until you get a soft porridge. Beat 2 eggs and steam 50 g raisins. Mix everything with cooled porridge, add salt on the tip of a knife and 1 tbsp. Sahara. Bake over medium heat in a greased skillet until golden brown. Serve with cherry syrup.
strawberry tea
A pinch of dry leaves with strawberries pour a glass of boiling water, soak for 3 minutes. To 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 norm in the patient's life. This will slow down or even completely stop the development of pathology. As a result, it will be possible to protect other organs from damage.
Important!
It should be remembered that the diet is a complement and not a substitute for drug therapy. The recommendations of the rheumatologist should be followed at all stages of treatment.