When diagnosing gout, doctors recommend that patients change their diet in addition to medication. Gout diet is an essential component of the complex treatment of the disease. Its use will speed up the recovery as much as possible, quickly alleviate the symptoms of pain, reduce the severity of the attack and prolong the periods of remission.
Principles and benefits of dieting
The main goal of dietary therapy is to organize such a diet that will help fight pathology and prevent relapses. In gout, the diet focuses on:
- regulation of purine metabolism;
- urate reduction;
- normalization of the process of removing uric acid;
- regulation of metabolic processes;
- increased urinary alkalinity;
- weight loss with overweight;
- general health of the patient.
The hypopurine type of diet is formed on the basis of therapeutic principles and rules of dietary schemes, 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 consumed fatty, carbohydrate and protein compounds.
Therapeutic diet and diet for gout predict an increase in the share of vegetables, fruits, natural drinks, kefir, cottage cheese in the diet. The most effective is 4-5 one-time regimens of proper nutrition with an average calorie content in the range of 2500-2800 units.
Bitan!
The drinking regime should ensure the flow of fluid into the body in the amount of 2, 5 liters or more.
How to organize meals
To maximize the effectiveness of a gout diet, you need to follow a few recommendations:
- the main way of cooking is cooking, baking, steaming;
- strain the meat broth after 10 minutes of boiling;
- alternative meat, fish and vegetarian dishes;
- use only natural liquids;
- spend fasting days;
- avoid fasting.
Bitan!
In the presence of chronic diseases, it is necessary to contact a specialist for the development of an individual diet.
The main types of diets
The organization of a proper therapeutic diet will not completely eliminate gout, but will significantly alleviate the manifestation of pathology and prevent its recurrence. The type of prescribed diet 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 diet - Table 6. In addition, patients with gout, especially those who suffer from shortness of breath and overweight, often use diet number 8, alkaline, rice and buckwheat diet. A diet with kefir, cottage cheese, fruits or vegetables is very suitable for fasting days.
Nutrition chart number 6
It is prescribed primarily to patients with gout. It allows in a short time to normalize the exchange of purine compounds and 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 quickly, the growth of the inflammatory process stops, the swelling decreases, the feeling of pain and stiffness in the joints disappears.
High uric acid diet
It is based on the rejection or reduction of the menu of products with a high index of purines, refractory fats, salts.
It is proposed to replace them with products with alkalizing action: dairy products, sour milk, cottage cheese, fruits and vegetables. The diet provides for one day of fasting per week.
Diet to worsen gout
First of all, during the exacerbation it is necessary to increase the amount of fluid you drink to 3 liters. Then completely exclude meat and fish dishes. Lack of animal protein can be filled by increasing the share of dairy and sour-milk products in the diet.
Before the end of the acute period of the disease, fasting days must be organized every other day, eating one type of food (fresh cheese, kefir, cooked vegetables, fruits).
Bitan!
Fasting causes a sudden release of uric acid and is strictly forbidden in gout.
Nutrition chart number 8
Table 8 strictly regulates the diet for gouty legs in overweight patients. This diet is aimed at speeding up the metabolism and getting rid of excess body fat.
The main difference from the general requirements of the therapeutic diet for gout in this case is a moderate reduction in calories and fluid intake, on average, up to 1, 5 liters per day.
Note!
For men with gout, the diet provides for maintaining the caloric content of food at a level not lower than 2100-2500 units. For gout for women, diet number 8 limits the menu in the range of 1400 to 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 a leader in the presence of vitamins and all kinds of trace elements.
Cereal protein is better absorbed by cereals and can completely replace animal protein. In the phase of renewal of bone and muscle tissue, the product helps in the processes of regeneration. Buckwheat porridge in combination with kefir is ideal for fasting days with gout.
Note!
Buckwheat is prepared with diet food more often without salt. Buckwheat diet allows for rapid weight loss, which has a positive effect on joints that are prone to the destructive effects of gout.
rice diet
Rice-based diet is most often used to cleanse the body and as a way to lose weight. Rice in gout speeds up metabolism, removes excess water and salt, well relieves swelling. Manganese, selenium, phosphorus, iron, zinc, which are in the composition of rice, have a beneficial effect on all life support systems in the body.
The porous structure of cereals removes accumulated harmful toxins, salts and slag from diseased joints. Rice diet can also be used for fasting days, especially during the exacerbation of gout.
Bitan!
Only brown or white long-grain cooked rice is used for the diet. When treating 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 health-threatening processes. The basis of the diet are fruits, sour milk and dairy products. This diet can be used both in the period of worsening gout and in the remission phase.
Prohibited and permitted products
In order to build a proper diet, you need to know which foods will benefit and help in the fight against gout, and which will be harmful and cause worsening of the disease.
All food products can be listed in the table of basic 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.
| With a high purine content | Low Purine |
|---|---|
|
|
Bitan!
With gout, it is strictly forbidden to take drinks that contain any amount of alcohol.
Which products are useful
By determining the levels of purines and unhealthy fats in food, you can find out which foods can be eaten with gout without harm to health, and which should be limited.
Note!
Fruits in the group of especially useful products for gout are pears, bananas and apples. Malic acid, which is part of the fruit, can neutralize the action of uric acid.
Potassium destroys uric acid crystals, which contributes to its accelerated removal from the body. Ascorbic acid heals, repairs and strengthens the connective tissue of the joints. Fruit nutrition in fermented dairy products is especially useful.
Regular use of fresh cherries and cherry compote will bring great benefits in gout. The berries contain antioxidants that act against free radicals. Bioflavonoids and anthocyanins prevent the inflammatory process in gout.
The beneficial substances contained in strawberries and strawberries neutralize uric acid and prevent the formation of its crystals in the joints.
Note!
You can include these berries and fruits in your gout diet in unlimited quantities.
What foods you can't eat
In addition to the products listed in the summary table, strong soups of meat, fish and mushrooms must be excluded from the diet. They are contraindicated due to the high purine content in them, which can cause a sharp worsening of gout. Fish and canned meat, which contain a large percentage of salt, are also undesirable. Their use in addition to the purine diet disturbs the balance of water and salt and contributes to the additional deposition of salt in the tissues of the joints.
Tea, coffee and cocoa are also on the list of prohibited foods for gout. These drinks should not be drunk with gout, because they retain uric acid in the body, interfering with the process of its withdrawal. This leads to relapse of the disease.
Daily menu for the week
A wide list of products allowed for consumption enables an individual approach to the choice of food and proper nutrition for each patient with gout. The recommended diet for a week is balanced, complete and composed of foods that are useful for gout.
| Breakfast 1 | Omelet with herbs, rosehip soup, carrot salad |
| Breakfast 2 | Banana, kefir |
| Dinner | Vegetable soup with vermicelli, boiled potatoes, rabbit in onion sauce, apple juice |
| afternoon tea | Apple, cheesecake, lemon tea |
| Dinner | Zucchini caviar, sorrel |
| Breakfast 1 | Rice porridge, pear soup, tomato salad |
| Breakfast 2 | Fruit salad, sour |
| Dinner | Onion soup, barley porridge with forest mushrooms, dried fruit compote |
| afternoon tea | Pear fritters, pumpkins |
| Dinner | Cottage cheese souffle, linden tea |
| Breakfast 1 | Wheat porridge, apricot juice |
| Breakfast 2 | Yogurt with cherries, rosehip soup |
| Dinner | Soup with fish meatballs, vegetable stew, apple jelly |
| afternoon tea | Cheesecakes with sour cream, compote |
| Dinner | Pilaf with prunes, kefir |
| Breakfast 1 | Rice pan, milkshake, cabbage salad with apple |
| Breakfast 2 | Strawberries with cream, green tea |
| Dinner | Beets with sour cream, buckwheat, turkey breast with prunes, mint tea |
| afternoon tea | Pancakes with strawberries, carrot juice |
| Dinner | Cheese pan 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 baked with rice, orange juice |
| afternoon tea | Banana, oat jelly |
| Dinner | Steamed fish with vegetables, kefir |
| Breakfast 1 | Millet milk porridge, plum juice |
| Breakfast 2 | Salad with young carrots and garlic, plus an apple |
| Dinner | Egg soup, sauerkraut with vegetables and turkey meat, apple juice |
| afternoon tea | Fresh cheese with banana, strawberry tea |
| Dinner | Rice pudding, tomato juice |
| 1. breakfast | Poached egg, green tea |
| 2nd breakfast | Pear, green tea with marshmallow |
| Dinner | Meatless borsch, macaroni and cheese, fruit compote |
| afternoon tea | Apples baked with cottage cheese, lemon drink |
| Dinner | Vinaigrette, linden decoction |
Allowed vegetables and fruits can be consumed in unlimited quantities in addition to the main menu. It is better not to use wheat bread for patients with gout, including the big toe.
Bitan!
Foods with the addition of natural honey for gout can cause an allergic reaction.
Diet recipes
The suggested sample menu for the week includes many dietary dishes, adapted to what you need to eat. If desired, they can be replaced by others using the list from the table of allowed foods for gout and recommendations on what you can and should not eat with gout.
Meatless borscht
Peel 1 beetroot, carrot, onion. Saute diced onion and root vegetables in olive oil on a coarse grater with the addition of tomatoes or 1 tbsp. l. tomato. 4 diced potatoes, boil in 1, 5 liters of water. In 10 min. until cooked add fresh cabbage cut into strips. In 5 min. - vegetable stew. Season with salt to taste. When serving, add parsley, dill and a spoonful 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 diced carrots. Stir everything a little. Add 10 pieces of washed and chopped prunes. We mash everything until the vegetables soften. Pour the rice, stir so that it is completely saturated with oil, pour with 2 cups of boiling water. Add spices and salt to a minimum. After boiling, reduce the heat and cook for 20 minutes under a tight lid.
sutlijaš
Boil half a cup of rice in 1 liter. water for 10 minutes. Drain the water, rinse the rice. Pour a glass of milk over it and cook for another 25 minutes. until you get a soft porridge. Beat 2 eggs and cook 50 g of raisins. Mix everything with the cooled porridge, add salt to the top of the knife and 1 teaspoon. Sahara. Bake in the oven over medium heat in a greased pan until golden brown. Serve with cherry syrup.
strawberry tea
Pour a pinch of dried strawberry leaves in 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 norm in a 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.
Bitan!
It should be borne in mind that diet is a supplement, not a substitute for drug therapy. The recommendations of a rheumatologist must be followed at all stages of treatment.