A complete description of the diet for gout

For many centuries gout was called “the disease of aristocrats”.People from the upper classes, not accustomed to moderation in their diet, especially suffered from it.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 acute recurrent arthritis.No medicine can completely eliminate this disease, but significantly alleviating the patient's condition while minimizing exacerbations is a very real task.

Modern drugs help to eliminate excess uric acid, reducing its critical level, but 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 made up of purines.The latter is found in large quantities in foods of animal origin, especially 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 are 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 quantity consumed is strictly regulated;
3. The reverse process – starvation – should not be allowed;
4. If the patient is overweight, every effort should be made to get rid of it.But it is necessary 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 liquid as possible while treating gout.The norm is 1.5-2 liters per day when the condition is stable and you should drink at least 3 liters of water 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 rigorous approach to food choice;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 in the diet, which is not able to affect the general level of this substance in the body.

These are mostly fruits and vegetables, so following this diet won't be difficult for a potential vegetarian, but it will be much more difficult for a meat eater.As a result, the patient will feel pain relief and swelling will decrease.

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 suffering from gout are found in many foods.

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

What meat products should you not eat?Complete refusal of sausages, sausages, canned meat - they are literally full of purines.For the same reason we reject offal;Fatty pork is also absolutely forbidden.

We also eliminate seafood from the diet of a gout patient.In particular, fatty fish, canned food and caviar are strictly prohibited.

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

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

Among vegetables, only mushrooms and sorrel are strictly prohibited.Until some time ago, tomatoes were also present 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 prohibited list to the opposite list.

Fruits and berries also have a not so extensive prohibited list;includes only figs, raspberries and grapes.

Sweets lovers should refrain from eating excessively creamy cakes and pastries.

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

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

And this is not even due to 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 abuse salt.It's best to avoid it as much as possible.It is unacceptable to put bouillon cubes on plates.The preservatives and purines they contain are simply off the charts.

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

All products in the list above are completely banned.They should categorically not be used.In the beginning it is best to keep this list handy 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 present every day in the diet of any healthy person.Subsequently, the list of products allowed for consumption will be presented.But there is a little trade-off between these lists.He absorbed what was acceptable to eat, but little by little.

Among vegetables, at the top of this list are turnips, cauliflower, radishes, asparagus, celery, rhubarb, spinach, peppers, onions and parsley.All this vegetation contains the same harmful purine, the harmful companion of gout.But its contents are small.But the vitamin content they contain is so high that it covers any potential harm.

You can eat plums as a fruit.As for drinks, restrictions on tomato juice have been lifted, but no more than one 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 products, preference should be given to gray and rye bread;among baked products you can eat those that are not made with leavened dough.

Those who are not ready to become vegetarians even for the sake of their 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 them 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 in no case 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 can't cook with whole milk;you have to dilute it with water.It is allowed to use butter, but as an additive to hot dishes, and not to sandwiches.Eggs are also desirable, but no more than 1 per day.

Lots of vegetables are allowed.Melons, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products improve metabolic processes.The garlic proved to be excellent;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, excluding legumes.This is a rich set of microelements that promote the regeneration process and fiber, which allows you to effectively cleanse the body.There are no special rules for cereals, how much of what you can eat and when.There is only one condition: do not overdo it.

Also, there is 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 use it within reason, without overdoing it.

Among sweets it is allowed to consume marshmallows, jam, jam, marshmallows, sweets are also allowed, but not chocolate.You can eat ice cream.We must not forget that everything is good in moderation.

Fats can be introduced into the diet, but they can only be of vegetable origin;animal fats are completely excluded, they are too heavy.

Permitted drinks are green tea, all types of fruit teas, but only with fruits and berries allowed;milk tea and lemon are allowed on the menu.For gout, homemade compotes, fruit drinks made from berries and fresh fruits, and fresh cucumber juice are useful.You should definitely get into the habit of drinking 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 many purines.

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 meat;frying is almost forbidden.

Diet for gout

Compliance with certain nutritional rules is the basis of the patient's well-being.There's no way to do without it.The daily diet has some building rules 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 the matter 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 foods, 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 eliminate waste and toxins.There must be a fasting day in which all meat and fish are completely removed.The maximum allowable number of such days is 3. A larger number is impractical and unreasonable.

The basis of nutrition is a vegetarian table, a minimum of meat, a maximum of fruits and vegetables.This diet is especially useful for overweight patients.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 the 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 balanced table in terms of protein content.

Strict adherence to the antipurine diet prevents exacerbation of the disease and significantly reduces the likelihood of relapse.This example is designed for one week, but you can stick to it consistently.

The basic principle of the diet boils down to a strict calculation of all proteins, fats and carbohydrates.Therefore, 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 does not exceed 350-400 g per day.This volume is equal to 80 g of sugar.

The daily intake of salt for diet no.6 is not more than 7-10 g.Fluid consumption varies 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 gout patient are not as difficult to prepare as it might seem at first glance.Many of them could be included in a healthy person's diet.

Vegetable stew

• Large potatoes – 3 pieces;
• Medium carrots – 1 piece;
• Onion – 1 head;
• Fresh peas – 1 tablespoon;
• Butter – 1 tbsp.the.;
• Sour cream – 100 g;
• Salt to taste.

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

Cucumber salad

• Fresh cucumber – 2 pieces;
• Sour cream for seasoning;
• Salt to taste.

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

Potato soup

• Potatoes – 3 pieces;
• 1/2 raw egg;
• Butter – 1 teaspoon;
• Flour – 1 tablespoon;
• Fresh vegetables;
• Sour cream – 1 tbsp.

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

Syrniki

• Ricotta – 250 gr.;
• Semolina – 4 tablespoons.the.;
• Egg.

Mix all the ingredients, obtain a fairly thick paste.If that doesn't work you can add more semolina.Let stand for a while so that the cereals disperse and swell slightly.When the dough swells slightly, you can bake.Form clean pancakes and roll them in flour.Fry on both sides.It can be eaten hot with sugar or cream cheese.

Potato pancakes

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

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

Curd casserole

• Milk – 50 ml;
• Ricotta – 75 g;
• Egg whites – 2 pieces;
• Sour cream;
• Butter;
• Sugar.

Mix the ingredients well (except sour cream), put the resulting mass in a mold and place in the oven, preheated to 150 degrees.Cook until the top is lightly browned.Before serving, sprinkle with sour cream.

Vegetarian borsch

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

Add a tablespoon of salt to the boiling water and add the diced potatoes.After 10 minutes of boiling, add the chopped cabbage to the pan.At this point, fry the onion in a pan;when it is slightly simmering, add the grated carrots 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.

First day

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

Second day

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

Third day

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

Fourth day

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

Fifth day

• Breakfast: ricotta seasoned with honey, wild herb tea.
• Second breakfast – pear.
• Lunch: vegetable noodle soup, cereal cutlets, compote.
• Afternoon snack – apple.
• Dinner: aubergines with cheese and tomato.

Sixth day

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

Seventh day

• 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 a flare-up

Table no.6 is suitable 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 change for the better and the aggravation will attenuate.The fundamental rule of nutrition boils down to complete rejection of meat and fish dishes, only fruits and vegetables.

What does the menu look like during a period of exacerbation?

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

• Breakfast – 120 g of oatmeal milk and a glass of milk.A prerequisite is that the porridge is liquid.
• Second breakfast: a glass of fresh apple juice or a raw apple.
• Lunch – blended 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 of the volume of portions;they should be more than modest, about half the daily ration.After the period of exacerbation has subsided, you can introduce dishes with meat and fish, not only boil foods, but also fry them.