Gout: Traditional and New Diet Recommendations

Gout is a serious condition caused by the accumulation of uric acid and its derivatives in the body. The disease is characterized by a violation of protein metabolism in the body and for this reason it belongs to the metabolic disease. Because with gout, uric acid accumulates in the blood, and uric acid accumulates in the tissues, the disease manifests itself in acute recurrent arthritis attacks. Unfortunately, gout cannot be completely cured, but the frequency of attacks and the duration of burns can be significantly reduced. Adhering to an anti-gout diet is very important in treating and preventing gout.

Purine metabolism in the body

When we say that high levels of uric acid in the blood are the cause of gout, we do not fully understand how and why this happens. To understand this process, let us turn to the basics of biochemistry. So, uric acid is the end product of the purine process in the body. When purine nucleotide synthesis and damage are disrupted, metabolic products, and especially uric acid, accumulate.

from which the purine element comes from the body

But where does the purine element come from in the body? Everything is very simple: they come in directly with food, and can also be produced freely by our body cells. The process of synthesis and breakdown of purine elements is very complex, for example, adenin (purine derivative) is broken down into other elements, which are then converted into xatin, which is then converted into uric acid. By the way, as in primates, gout is the final product of metabolic reactions, and its excess is excreted in the urine.

It should be noted that uric acid in normal quantities is not harmful to the body, especially if not stored in it. According to the permissible norm, the level of uric acid in the blood in men is 3, 4-7, 0 mg per 100 ml, and in women - 2, 4-5, 7 mg per 100 ml.

If there is a metabolic disorder or disease of the kidney system, the level of uric acid in the body can increase. Excessive accumulation of uric acid salts leads to the development of gout. However, if you detect this biochemical chain initially, it becomes clear that a major role in the development of gout is assigned to the consumption of excess meat, meat and salt products.

Purine compounds in food

Daily intake of purine compounds should not exceed 600-1, 000 milligrams of purine. Modern medical research clearly shows that only animal-derived purines affect the development of gout and kidney stones, but plant purines are completely harmless. Also provokes acute gout attacks, but at lower levels, milk purines can also.

Gout Symptoms

The main symptoms of gout:

  1. Acute unbearable joint pain, which tends to develop at night, accompanied by redness on the skin and swelling of the joints.
  2. Acute attacks of recurrent gout arthritis at intervals. However, without adequate treatment, this time interval is shortened, and attacks become longer and more intense.
  3. Appearance of tophus (abnormal subcutaneous tissue thickening).
  4. Kidney colic attacks. Deposition of uric acid salts provokes the development of kidney stones and nephropathy.
The main symptoms of gout

Gout lesions occur on:

  • metatarsophalangeal joints of the first toe;
  • elbow, knee and ankle joints;
  • finger joints.

Diet for gout

The latest anti-gout diet guidelines resemble healthy eating principles that benefit everyone. Diet for gout suppresses the synthesis and accelerates the excretion of uric acid from the patient's body.

The presence of this disease in a person requires:

  • continuous observation by a rheumatologist;
  • drug treatment during exacerbations and remission;
  • strict control of uric acid levels in the blood;
  • review your lifestyle;
  • correcting your taste preferences.

Continuous forgiveness can be achieved with a healthy lifestyle. Therefore, you must adhere to the following rules:

  • eat properly, eat foods that are low in purine, excluding animal fats, proteins, and carbohydrates from the diet;
  • reduction of any type of load on the affected joint;
  • weight control, however, do not lose weight too quickly, as this can trigger a new gout attack;
  • fasting day in accordance with the mono diet (only one product eaten during the day), medical fasting is strictly prohibited;
  • take medication only as prescribed by your doctor

Because uric acid is a product of purine metabolic reactions, it is found in all cells and organs of our body and in almost all foods. Large amounts of harmful purines (adenine, guanine, xanthine and hypoxanthine) are found in animal products with high metabolic processes, for example, sausages, sausages, sausages, ham, bacon, and even cells that divide at high rates, such as yeast. Purines found in cocoa, tea and coffee, such as theophylline, caffeine, theobromine, do not pose a danger to gout. They are a source of organic acids that help alkalize the body and get rid of excess uric acid.

What not to eat for gout

To prevent recurrent gout attacks, it is necessary to avoid foods that contain large amounts of purines. Thus, the diet for gout shows, first of all, the exclusion of the following products from the patient's diet:What not to eat with gout

  • various smoked meats;
  • inside of the flesh (tongue, brain, liver, kidneys);
  • any kind of sausage, sausage, wieners;
  • table salt;
  • beans (beans, peas, lentils);
  • mushrooms;
  • chicken;
  • goat;
  • pork;
  • canned meat;
  • lard;
  • petals and spinach;
  • canned fish;
  • salted fish;
  • alcoholic beverages;
  • yeast drinks (beer);
  • salty and spicy cheese;
  • feta cheese;
  • cooking oil
  • hot seasonings and spices (bay leaf, vinegar, pepper, mustard, radish);
  • It is strictly forbidden to consume fatty meat products, especially the meat of young animals, as well as fatty fish;
  • rich meat, mushrooms and fish broth.

Foods allowed in limited quantities for gout

The gout diet allows the consumption of certain foods, but their quantity must be strictly restricted, especially during acute attacks:

  • pastry products;
  • eggs (no more than two eggs can be eaten per day);
  • low-fat fish varieties (no more than 1-2 times a week);
  • boiled beef, rabbit, chicken or turkey can be eaten no more than 1-2 times a week;
  • strong tea;
  • strong coffee and cocoa;
  • chocolate;
  • figs, plums and raspberries;
  • cauliflower;
  • green;
  • radish and radish.

Tomatoes cause some controversy, there are two conflicting opinions about this score: some experts recommend limiting its use, others consider tomatoes very useful for gout. Therefore, in this case, it is better to be guided by personal opinion, depending on your state of health. Oatmeal also raises doubts, as its use in boiled form increases uric acid in the body.

What you can eat for gout

For gout, you can eat from the list below. They are considered healthy and can be eaten in unlimited quantities.

What can you eat with gout

Bread and flour products

With gout, it is permissible to eat bread (rye, bran, white flour) in any quantity.

Meat and Poultry

You can eat 1 or 2 times a week rabbit meat, beef, chicken only in boiled form. It is not forbidden to roast meat, but without hot and spicy spices. The best option is steamed meat in a double boiler.

Sup

Vegetarian soups form the basis of a gouty diet. Soups, cabbage soups, borscht are recommended to be cooked in vegetable soups, with the addition of various cereals and vegetables. Also okroshka and beets.

Dairy and dairy products

Fermented milk products are very useful for gout: curdled milk, kefir, yogurt. Milk, dairy products are also recommended: low-fat cottage cheese, light and unsalted cheese.

Eggs

You can eat 1-2 eggs a day in any form (boiled eggs, boiled, orsini).

Fish

Lean river fish can be steamed, boiled, grilled. Low fat fish broth is also beneficial.

Pasta and cereal

For gout, you can eat a variety of cereals and pasta. These foods should not be eaten in large quantities or eaten too often, as they contribute to weight gain, which is unacceptable for the disease.

Vegetables

Vegetables are also a staple food for gout. They can be eaten raw, boiled and baked in unlimited quantities: potatoes, pumpkin, peppers, white cabbage, eggplant, zucchini, beets, carrots, cucumbers.

Fruits and berries

You can eat fresh berries and fruits (except raspberries and figs), as well as heat treatment.

Candy

From sweets, you can eat marshmallows, marshmallows, marmalade, natural honey, jam.

Candy

Drinks

You can: tea with milk, weak without milk, weak coffee with milk, vegetable and fruit juices, herbal tea.

Sauces, seasonings and spices

The sauce can be cooked with vegetable gravy, milk and sour cream, with cinnamon, citric acid and vanilla.

Fat

Food can be cooked with sunflower oil or butter.

Gout Diet Menu Example

Diet # 6 is prescribed for gout. This diet does not include foods that are a source of purines, table salt, fats, but allows the consumption of foods with adequate amounts of vitamins, minerals and iron.

There is a diet number 6 with normal and number 6e - with decreased energy value for people suffering from gout and obesity. Such a diet consists of hypocalori foods (limiting the amount of baked goods, grains, fats and easily digestible carbohydrates).

Diet includes alkaline mineral waters, citrus fruits, which inhibit the accumulation of vein crystals in the joints and promote rapid elimination of uric acid. Food is prepared mainly by steaming or boiling. Vegetables and fruits can be eaten raw or cooked. Diet in small portions 5 - 6 times a day, at meal intervals - drink plenty of fluids.

Diet for acute foot gout is as follows:

  • vegetables and fruits -1, 5 kg (in broth, salad and as a main course);
  • cottage cheese - 400 grams (low-fat variety);
  • kefir - 500 ml (low fat, natural);
  • milk - 1 liter (diluted with water).

Gradually, as the acute period subsides, meat and fish products (cuts of meat, steamed balls, boiled meats and fish) are added to the gout diet.

Weekly anti-gout menu

Monday

  • Breakfast: fruit with honey and yogurt (1 plate), tea with milk and breadcrumbs.
  • Second breakfast: a glass of milk or kefir.
  • Lunch: soup with vegetable soup with vegetable oil, vegetables or cereals and herbs.
  • Afternoon snack: carrots or potato slices on top with low-fat cream.
  • Dinner: boiled eggs with cucumber or a small amount of salad with cabbage.

Tuesday

  • Breakfast: cucumber salad with sour cream.
  • Second breakfast: fruit juice.
  • Lunch: rice soup with vegetable broth with potatoes, cabbage slices, dried fruit compote.
  • Afternoon snack: rosehip stew.
  • Dinner: zrazy carrots with prunes, tea with lemon.

Wednesday

  • Breakfast: fresh cabbage salad with sour cream; tea with milk.
  • Second breakfast: tomato juice.
  • Lunch: vegetarian borscht, boiled chicken in sour cream sauce.
  • Afternoon snack: rosehip stew.
  • Dinner: buckwheat porridge with milk, stuffed cabbage bread (vegetables and rice).

Thursday

  • Breakfast: tea with milk, prunes with cottage cheese.
  • Second breakfast: fruit juice.
  • Lunch: cold or hot beets (optional), vegetable stew.
  • Afternoon snack: rosehip stew.
  • Dinner: fruit jelly, milk rice porridge.
anti-gouty menu

Friday

  • Breakfast: beet salad with vegetable oil, tea with milk.
  • Second breakfast: tomato juice.
  • Lunch: soup - vegetables with pearl barley, schnitzel cabbage, fried in vegetable oil.
  • Afternoon snack: grape juice.
  • Dinner: carrot slices with sour cream, fruit jelly.

Saturday

  • Breakfast: boiled eggs, tea with milk, carrots, boiled with vegetable oil.
  • Second breakfast: dried fruit compote.
  • Lunch: rice soup with potatoes on vegetable soup; pieces of fried cabbage.
  • Afternoon snack: watermelon.
  • Dinner: scrambled eggs, boiled carrots, tea with lemon.

Sunday

  • Breakfast: fresh cabbage salad with sour cream, milk tea.
  • Second breakfast: tomato juice.
  • Lunch: vegetarian borscht; boiled meat in sour cream sauce.
  • Afternoon snack: rosehip stew.
  • Dinner: buckwheat porridge with milk, boiled carrots with vegetable oil.

Gout cannot be completely cured, but the frequency and intensity of its attacks can be controlled with diet. If you follow all the doctor's recommendations, then you can forget the existence of such a disease.

Fasting day for gout

It is well known that disease is easier to prevent than to cure. Therefore, with gout, it is recommended to fast. However, this does not mean that you should go hungry all day. In addition, it is very dangerous, because stopping the intake of food into the body will cause an increase in uric acid in the blood. As a result, an acute gout attack will begin. Therefore, fasting day should not be "hungry". You can eat only one type of vegetable throughout the day, such as pumpkin or potatoes, or zucchini. Such a fasting day resembles a separate meal.

Fasting day for gout

You can also mix several types of vegetables and fruits if it is difficult to eat one product. In addition to vegetable fasting days, you can spend milk, kefir or curd days. During such an unloading diet, metabolic processes are simplified, which is very important for gout. For days like that, you can use a rice or apple-apple diet. To do this, boil a small amount of rice (75 g) in milk and take in small portions throughout the day. Among the main dishes, you can eat raw and baked apples. The total amount of apples should not exceed 250 grams. Another product for fasting day is watermelon. There is even a special "watermelon diet" for fasting days. Watermelon removes sodium from their body, so you need to eat it as often as possible.

General recommendations for patients with gout

  1. Avoid injuries to the toes and avoid wearing tight shoes, as gout is very common due to joint injuries.
  2. During a severe gout attack, keep your feet high without tightening them. The legs must be relaxed and rested.
  3. Apply a bottle of hot water with ice to the affected joint in the event of an acute gout attack.
  4. Drinking lots of herbal tea during an attack helps remove uric acid from the body. During the remission period, use sufficient amount of mineral water with the addition of lemon juice.
  5. Follow a fasting diet, as it is a component of gout treatment.
  6. Try to lose weight because it puts too much pressure on the affected joints and increases the risk of diabetes.
  7. Try to eat "right fat". With the decrease in the basic level of purines, which are rich in animal-derived foods, it is necessary to include vegetable oils in foods: corn, olives, sunflowers.
  8. Take vitamin and mineral complexes. With any diet, a balanced diet is very important. To do this, you must take adequate amounts of vitamins and minerals.
  9. During the period of forgiveness, you should lead an active lifestyle, often walk in the fresh air and do moderate sports.

Attention! During exacerbations, standard recommendations on what you can and should not eat should be set aside. If an acute gout attack occurs, seek medical help immediately from a doctor. During this period, you should choose food for the day of fasting, which consists of one product, or completely exclude all foods from the diet and drink only mineral water with lemon. You can eat this way for no more than one to two days.