A complete description of the diet for gout

Gout has been called “the disease of the aristocrats” for many centuries.It was suffered mainly by people of the upper strata, unaccustomed to moderation in diet.It is now reliably known that this disease has no connection with social status, but metabolism plays an important role here.

Improper metabolism and increased levels of uric acid in the blood cause the development of recurrent acute arthritis.No medicine can completely get rid of this disease, but significantly alleviating the patient’s condition by minimizing exacerbations is a very real task.

Modern drugs help eliminate excess uric acid, reducing its critical level, but still the main condition in the treatment of this complex disease is adherence to a special diet.It is through nutrition that the patient can achieve maximum results.

Nutrition for gout

Uric acid, the main enemy of a gout patient, is formed from purines.The latter is found in large quantities in animal foods, especially in fatty fish and pork.Therefore, meat and fish are almost completely prohibited.

There are purine substances in some plant foods.To minimize the likelihood of relapse, it is necessary to strictly monitor what the patient eats.

1. The main condition is that meals should be regular - 3-5 times a day.This will ensure the maintenance of the required level of purine substances in the blood, avoiding their excess;
2. You can't eat too much.The amount eaten is strictly regulated;
3. The reverse process - starvation - should not be allowed;
4. If the patient is overweight, every effort must be made to get rid of it.But you need to lose weight gradually, with the help of balanced diets.Losing kilograms too quickly can only worsen the patient’s condition.Optimal weight loss – 1-2 kg per month;

5. It is very important to drink as much fluid as possible during gout treatment.The norm is 1.5-2 liters per day when the condition is stable, and at least 3 liters of water should be drunk when the condition worsens.Water can be replaced with any other permitted liquid;
6. An essential element of the daily diet is alkaline mineral water.It helps rid the body of urates, which is important.

Gout requires a strict approach to the choice of foods; the patient must clearly know what can be eaten and what is strictly prohibited.Only ingredients that do not contain purines or contain them in small quantities are allowed into the diet, which is not able to affect the overall level of this substance in the body.

For the most part, these are fruits and vegetables, so following this diet will not be difficult for a potential vegetarian, but it will be much more difficult for a meat eater.But as a result, the patient will feel relief from pain and decreased swelling.

What not to eat if you have gout

It is worth preparing for the fact that this list is not so short.After all, the very purines that are undesirable for an organism affected by gout are found in many foods.

We will have to accept it as a fact that we will have to completely abandon white bread - it contains too much yeast.The latter actively promote the production of uric acid in the body.For the same reason, we are removing all baked goods from use.

What meat products should you not eat?Complete rejection of sausages, sausages, canned meats - they are literally replete with purines.For the same reason, we refuse offal; fatty pork meat is also absolutely prohibited.

We also remove seafood from the diet of a gout patient.Fatty fish, canned food, and caviar are especially strictly prohibited.

You should not eat spicy and salty varieties of cheese; this type of dairy product will do more harm than pleasure from eating it.

We remove all legumes from cereals - lentils, beans, soybeans, beans.The reason is the same - high purine content.

Of the vegetables, only mushrooms and sorrel are strictly prohibited.Until some time, tomatoes were also on this list for the simple reason that they contain purines.But their content is so insignificant, and the vitamin complex is so significant that today this vegetable has moved from the list of prohibited to the opposite list.

Fruits and berries also have a not so wide forbidden list; it includes only figs, raspberries and grapes.

Sweet lovers will have to refrain from eating overly creamy cakes and pastries.

As for fats, you should not experiment with margarine and lard.

For gout, it is recommended to drink plenty of fluids, but not everything is allowed to drink.The choice of drinks should be treated with equal caution.So, coffee and strong black tea are prohibited.

And this is not even because of the purines present in them - their content is low.But the diuretic effect of these drinks is an undesirable phenomenon.All alcohol, including beer and wine, is strictly prohibited.

Gout does not like spicy food, so we completely remove pepper, mustard, horseradish and other hot spices from dishes.You should not overuse salt.It is better to avoid it as much as possible.It is unacceptable to put bouillon cubes in dishes.The preservatives and purines they contain are simply off the charts.

Broths based on fish, meat, and legumes should also be removed from the diet.Remove mayonnaise.

All products from the above list are completely prohibited.They should not be used categorically.At first, it is better to keep this list at hand so that you can always check the list of prohibited items.

It's possible, but be careful

The above ingredients are completely excluded from use.This list is not very long, the problem is that it includes quite common dishes that are present in the diet of any healthy person every day.Next, a list of products allowed for consumption will be presented.But there is a small compromise between these lists.He absorbed what was acceptable to eat, but little by little.

Among vegetables, this list was topped by turnips, cauliflower, radishes, asparagus, celery, rhubarb, spinach, peppers, onions and parsley.All this vegetation contains that same malicious purine - the malicious companion of gout.But its content is small.But the vitamin content they carry is so great that it covers up all potential harm.

You can eat plums as a fruit.As for drinks, restrictions on tomato juice have been lifted, but not more than a glass.Honey should be consumed with great caution.

What can you eat if you have gout?

Much is strictly prohibited when purine metabolism is disrupted, but this does not mean that the patient is in a half-starved state due to constant prohibitions and refusals.Healing dishes can be tasty, moderately filling, but at the same time healthy.

Among baked goods, preference should be given to gray and rye bread; among baked goods, you can eat those that are not made with yeast dough.

Those who are not ready to become a vegetarian even for the sake of their own health can exhale, meat is allowed, but only lean meat.This includes rabbit, turkey, and chicken.But portions should be very moderate, no more than 170 grams, and you can eat it more often than every other day, the rest will be harmful.

Fish and seafood must be included in the diet, but you should choose exclusively low-fat species, for example, salmon, pink salmon, and trout.Among other marine inhabitants, the presence of shrimp, crustaceans, and squid is desirable in the patient’s plate.But under no circumstances should they be fried, only boiled.The patient should not consume the broth after boiling.

Milk and eggs are also an essential element of the diet.Preference is given to low-fat milk, kefir, yogurt, unleavened cheese, sour cream and cottage cheese.You cannot cook with whole milk; you must dilute it with water.It is allowed to use butter, but as an additive to hot dishes, and not as sandwiches.Eggs are also desirable, but not more than 1 per day.

Quite a few vegetables are allowed.Melons, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products improve metabolic processes.Garlic has proven itself to be excellent; it calms inflammation, alleviating the patient’s condition.During fasting days, vegetables become the main helpers, and the potassium contained in many of them helps eliminate uric acid.

There is no need to remember anything especially with cereals; for gout, all types of cereals are allowed, except legumes.This is a rich set of microelements that promote the regeneration process, and fiber, which allows you to cleanse the body efficiently.There are no special regulations for cereals, how much of what you can eat and when.There is only one condition - don’t overdo it.

There is also no big ban on berries and fruits.All citrus fruits, hard green apples, dates, persimmons, strawberries, apricots, pears, dried fruits - except raisins, which are made from prohibited grapes.It is quite natural that you should use it within reasonable limits, without overdoing it.

Among sweets, it is permissible to consume marshmallows, marmalade, jam, marshmallows, even candies are allowed, but not chocolate.You can eat ice cream.We should not forget that everything is good in moderation.

You can introduce fats into the diet, but they can only be of plant origin; animal fats are completely excluded, they are too heavy.

Drinks allowed are green tea, all kinds of fruit teas, but only using permitted fruits and berries; tea with milk and lemon are allowed on the menu.Homemade compotes, fruit drinks made from fresh berries and fruits, and fresh cucumber juice are useful for gout.You should definitely make it a habit to drink alkaline mineral water every day.

The only spices you can add to dishes are vanillin, cinnamon, bay leaf and citric acid.

You can eat all kinds of seeds and nuts, the only exception is peanuts, which contain too much purine.

The patient's daily menu necessarily includes milk porridge, borscht in vegetable broth, fresh vegetable salads, and various vegetable dishes.Preference is given to boiled; frying is almost not allowed.

Diet for gout

Compliance with certain nutritional rules is the basis for the patient’s well-being.There is no way to do without it.The daily diet has certain rules of construction that you will have to follow throughout your life, because gout is a chronic disease.In order for nutrition to be as effective as possible, it is better to entrust this issue to a competent doctor who will take into account all the nuances of the disease and the characteristics of the patient’s body - other existing ailments.

The daily diet necessarily includes liquid food, the foundation of nutrition - vegetable soups, vegetable and fruit salads, compotes, mineral water.Food should be taken at least 5 times a day.

You should drink at least two liters of water a day, this will help remove waste and toxins.There must be a fasting day, when all meat and fish are completely removed.The maximum permissible number of such days is 3. Any more is impractical and unreasonable.

The basis of nutrition is a vegetarian table, a minimum of meat, a maximum of vegetables and fruits.This diet is especially useful for those patients who are overweight.They should spend fasting days much more often than others.

You should not allow yourself to lose weight too quickly.It is optimal to lose no more than 2 kg per month.Losing weight too quickly will negatively affect your general condition and can provoke an attack of exacerbation of the disease.

Diet number 6 for gout

Table No. 6 was developed by a doctor; the purpose of this diet is to normalize purine metabolism, reduce the content of uric acid and salts, which are a product of purine processing.The energy value of this diet is 2700-2800 kcal.This menu is a table balanced in protein content.

Strict adherence to the antipurine diet will prevent exacerbation of the disease and significantly reduce the likelihood of relapse.This example is designed for a week, but you can stick to it constantly.

The basic principle of the diet comes down to a strict calculation of all proteins, fats and carbohydrates.So, the amount of protein per day should not exceed 70-90 g per day.Preference is given to animal proteins obtained from milk and its products.The fat level corresponds to 80-90 g per day.1/4 of this volume is of plant origin.The carbohydrate level is no more than 350-400 g per day.This volume is equal to 80 g of sugar.

The daily salt intake for diet No. 6 is no higher than 7-10 g. Liquid consumption ranges from 1.5-2 liters, while calories should not go beyond 2400-2800.It is equally important to monitor the amount of microelements consumed.So, potassium is at least 3.5 g, calcium - 0.75 g, thiamine - 1.5 g, retinol - 0.5, ascorbic acid - 150 mg.

Recipes from menu No. 6

The dishes included in the diet of a patient with gout are not as difficult to prepare as it might seem at first.Many of them may well be included in the diet of a healthy person.

Vegetable stew

• Large potatoes – 3 pcs.;
• Medium carrots – 1 pc.;
• Onion– 1 head;
• Fresh green peas – 1 tbsp.;
• Butter – 1 tbsp.l.;
• Sour cream – 100 g;
• Salt to taste.

Sauté chopped onion in oil, add diced carrots.Stew well.Add pre-boiled potatoes, peas and sour cream to the finished frying.Add salt.Simmer over medium heat for 1/4 hour.

Cucumber salad

• Fresh cucumber – 2 pcs.;
• Sour cream for dressing;
• Salt to taste.

Cut the cucumber into half rings and mix well in a cup along with sour cream.For variety, you can add any other permitted vegetables - cabbage, tomatoes.

Potato soup

• Potatoes – 3 pcs.;
• 1/2 raw egg;
• Butter – 1 tsp;
• Flour – 1 tbsp;
• Fresh greens;
• Sour cream – 1 tbsp.

Make mashed potatoes from potatoes; it is best not to mash them, but to pass them through a fine sieve.Add sauce made from oven-dried flour and 80 gr.and potato broth.Be sure to boil the sauce.Afterwards, add the egg and butter to the resulting potato mixture with sauce and boil again.

Syrniki

• Cottage cheese – 250 gr.;
• Semolina – 4 tbsp.l.;
• Egg.

Mix all the ingredients, you get a fairly thick paste.If that doesn’t work out, you can add more semolina.Leave for a while so that the cereal disperses and swells slightly.When the dough swells a little, you can bake.Form neat pancakes and roll them in flour.Fry on both sides.Can be eaten warm with sugar or cream cheese.

Potato pancakes

• Large potatoes – 3 pcs.;
• Egg – 1 pc.;
• Flour – 20 g;
• Sour cream;
• Vegetable oil– tsp.

Grate the peeled potatoes on the finest grater, add flour and egg to the resulting mixture, mix thoroughly.Spoon the dough onto the heated frying pan and fry on both sides for 5 minutes.Serve with sour cream.

Curd casserole

• Milk – 50 ml;
• Cottage cheese – 75 g;
• Egg whites – 2 pcs.;
• Sour cream;
• Butter;
• Sugar.

Mix the ingredients (except sour cream) thoroughly, put the resulting mass in a mold and put it in the oven, heated to 150 degrees.Bake until the top is slightly browned.Before serving, sprinkle with sour cream.

Vegetarian borscht

• Water – 3 l;
• Potatoes – 2 pcs.;
• Vegetable oil– 2 tbsp;
• Onion– 1 piece;
• Carrots – 100 g;
• Beetroot – 150 g;
• Cabbage – 100 g;
• Tomato paste – 1 tsp.

Add a spoonful of salt to boiling water and add diced potatoes.After 10 minutes of boiling, add shredded cabbage to the pan.At this time, fry the onion in a frying pan; when it is slightly simmered, add grated carrots to it one by one, and then the beets.

Let the vegetables cook well and add the pasta.It can be replaced with a glass of tomato juice.When the vegetables are ready, transfer them to the pan.You can add herbs, a little pepper and garlic.You can add sour cream to the finished dish.

Sample menu for diet No. 6

This is one of the options for what a weekly diet for a patient with gout might look like.

Day one

• Breakfast – porridge with milk with dried fruits (but not raisins), tea with milk
• Second breakfast – cottage cheese pudding.
• Lunch – soup with buckwheat, vegetable (zucchini) pancakes seasoned with sour cream, fruit jelly.
• Afternoon snack – a glass of tomato juice.
• Dinner – fresh white cabbage salad with apple.

Day two

• Breakfast – vegetable croquettes (carrots and rice), sour cream, tea with lemon.
• Second breakfast – fresh pear juice.
• Lunch – fresh vegetable stew, pasta casserole with sour cream, green tea.
• Afternoon snack – apple baked with honey.
• Dinner – beet salad, toast with unsalted cheese.

Day three

• Breakfast – milk porridge with cherries, rosehip compote.
• Second breakfast – sour cream with cottage cheese.
• Lunch – cabbage soup, cheesecakes, tea with milk.
• Afternoon snack – strawberry jelly.
• Dinner – potato pancakes with sour cream.

Day four

• Breakfast – omelet with dill, cheese sandwich, fresh fruit compote.
• Second breakfast - carrot salad with grated apple, seasoned with sour cream.
• Lunch – beetroot soup, kefir pancakes with sour cream, tea with lemon.
• Afternoon snack – fresh apple.
• Dinner – rice milk porridge with pumpkin and cinnamon.

Day five

• Breakfast - cottage cheese seasoned with honey, tea with field herbs.
• Second breakfast – pear.
• Lunch – vegetable noodle soup, cereal cutlets, compote.
• Afternoon snack – apple.
• Dinner – eggplant with cheese and tomato.

Day six

• Breakfast – millet casserole with honey, tea with milk.
• Second breakfast – banana.
• Lunch – rice soup, zrazy with cabbage, jelly.
• Afternoon snack – kefir with marshmallows.
• Dinner – potatoes baked with vegetables.

Day seven

• Breakfast – two hard-boiled eggs, cucumber salad.
• Second breakfast – toast with cheese.
• Lunch – millet porridge with milk, pancakes with cheese.
• Afternoon snack – fresh fruit.
• Dinner – stewed cabbage, toast with peanut butter.

How to eat during an exacerbation

Table No. 6 is well suited for a patient in remission, but in a situation of exacerbation, nutrition should be radically different.Only in this case will there really be a qualitative shift for the better and the aggravation will recede.The basic rule of nutrition comes down to a complete rejection of meat and fish dishes - only fruits and vegetables.

What does the menu look like during an exacerbation period?

Before breakfast – half a glass of warm alkaline mineral water, which can be replaced with rosehip decoction.

• Breakfast – 120 g of milk oatmeal and a glass of milk.A prerequisite is that the porridge must be liquid.
• Second breakfast – a glass of fresh apple juice or a raw apple.
• Lunch – pureed vegetable soup – 120 g, fruit jelly.
• Afternoon snack – a glass of fresh carrot or tomato juice.
• Dinner – 120 g of liquid milk rice porridge, a glass of apple compote.
• Second dinner - a glass of kefir.
• Before going to bed, you can drink tea with milk and honey.

An important condition is careful control over the volume of portions; they should be more than modest, approximately half of the daily portion.After the period of exacerbation subsides, you can introduce dishes with meat and fish, not only boil foods, but also fry them.