Many may have heard of such a disease as gout.It disrupts the activity of the musculoskeletal system as a result of the inflammatory process.The reason is a pathological process in which urates are deposited in all joints.A diet for gout and high uric acid will greatly help improve the patient's condition.
Causes of the disease
If we talk about the causes of this disease, then the following should be noted:
- Heredity.
- Nutrition.
- A risk group that includes people with excess weight, hypertension, diabetes, kidney and stomach diseases.
- A person leads a sedentary lifestyle.
- A person constantly drinks alcohol.
The continuous consumption of huge amounts of protein foods of animal origin can also lead to the development of this disease.
What are the symptoms?
If we talk about the symptoms of the manifestation, then the following should be noted:
- The person will feel severe pain in the joints.Most often this happens in the morning and evening.
- The joint swells and becomes tender.It is impossible to touch him.
- The skin becomes red.
- Increase in temperature and pressure.
- Nausea, loss of appetite.
It can also be noted that gout manifests itself both in the form of attacks and as a chronic disease.Also, very often kidney function can be disturbed, which will lead to complications.
What role does diet play?
Anyone who has ever dealt with this disease knows that if the patient eats or drinks something from the list of prohibited ingredients, an attack can begin.The disease can be cured when nutritional therapy is prescribed by a top specialist.The patient must carefully follow all the principles and avoid consuming prohibited ingredients.
It is better when a person eats 5 times a day, but in small portions.He should also drink plenty of pure water and teas.
Among the diets common during the illness, two groups can be noted.This is a treatment option that is prescribed during an exacerbation of the disease.And prevention - most often it happens when the attack is no longer present, but the person still needs to follow the principles.In this case the number of prohibited products is much smaller.
Basic principles of dietary nutrition
The main goal of the nutritional diet for this disease is to reduce the uric acid compounds in each person's body.This can be achieved by several methods:
- The number of foods classified as animal protein is limited.
- Ingredients containing a small amount of purine bases are introduced.
- A sufficient volume of fluid is injected.
- The weight is reduced.
If we talk about which foods should be excluded, then they include those that contain a large number of purines.These include:
- Beef offal.This includes the liver, kidneys, brain and more.
- Shrimps.
- Some species of fish.
- Roasted pulses.
- Anchovies.
You should also reduce the consumption of those ingredients that contain an average number of purines.This may include:
- Any products made from fatty meat, poultry.
- Fish products.
- Vegetables.
It should be emphasized that the meat of all young animals has a huge amount of purines.In addition, you should also reduce your intake of saturated fat.They will interfere with the normal removal of fluid from the kidneys.You also need to know the list that is strictly prohibited in case of illness.These include:
- Any smoked meats, as well as those ingredients sold in the form of canned foods.
- Frozen meat and fish products.
- Broths.
- Alcohol in any form.
- Legumes, as well as frozen or canned vegetables.
- Cereals, except rice, wheat.
- Any pastry made with salt and sugar.
- Salt, spices, marinades, olives, ketchup and other flavor enhancers in dishes.
A general table of permitted and prohibited foods is given for subsequent compliance with dietary principles.
| Categories | May | It is prohibited |
|---|---|---|
| Bakery products | Black or white bread, savory pastries | Butter pastries |
| Meat dishes | Rabbit, turkey, chicken | Smoked sausages, raw smoked and boiled, sausages, sausages, meat of young animals, fatty pork, offal (lungs, liver, kidneys), canned food |
| Seafood, fish | Marine cephalopods, crustaceans, shrimp, lean fish (salmon, trout), squid | Fatty, salted, smoked or fried fish (sardines, sprat, cod), caviar |
| Dairy products | Low-fat milk, kefir, unsalted cheese, yogurt, sour cream, eggs (this product is allowed, but you can eat it only once a day, 1 piece in any form), cottage cheese | Salty and spicy cheeses |
| Cereals | Everything except legumes | Lentils, beans, soybeans, beans |
| Vegetables | Dill, corn, beets, onions, garlic, potatoes, carrots, white cabbage, cucumbers, zucchini, eggplant, tomatoes, pumpkin (helps improve metabolism) | Mushrooms, sorrel |
| Fruits, berries | Oranges, tangerines, green apples, dates, persimmons, dried fruits (except raisins), strawberries, lemons, apricots, pears | Grapes, figs, raspberries |
| dishes | Cereal porridge with milk, vegetarian borscht, potato soups with added cereals, salads with fresh and pickled vegetables, vinaigrette, vegetable caviar, vegetable, milk or cream sauce | Meat, fish or mushroom broth, sorrel soup, as well as dishes with the addition of legumes and spinach.sauces based on the above broths, mayonnaise |
| Sweetness | Marshmallows, jam, jam, marshmallows, chocolate-free candies, ice cream | Cake with cream, sweets |
| Fat | Any vegetable oil | Margarine, lard |
| Drinks | Green tea, fruit and berry tea, tea with milk and lemon, juice (any, even tomato), herbal teas, fruit drinks, fruit and berry compotes, fresh cucumber juice, alkaline mineral water is also very useful for gout, rosehip infusion, chicory | Any alcohol, especially beer and wine.coffee, cocoa, strong tea |
| Spices | Vanillin, cinnamon, laurel, citric acid | Pepper, mustard, horseradish, hot spices |
What is allowed for minimum consumption?
As with any diet, there are variations here too.But you have to remember them and stick to them.You can consume a specific list of ingredients, but per week or month.No more than once a day, but preferably once every three days, use the following:
- If you are a tea lover and cannot live without it, then you can add milk to it.You can also add it to porridge.
- Beef is considered a forbidden item, but once a week you can boil it and eat it.This will reduce the amount of purines by 50%.
- You can eat asparagus, celery, spinach.But in no case should you increase the number too much.
- You can eat certain types of fish.Cod or trout are best.
- Boiled poultry, but in small quantities.
- Sometimes you can eat some marinades.But this can only be done if you feel good.
- Tomatoes and green onions.
- Small amount of butter.
- Hello.
If you do not abuse such products, then a person can easily afford them in rare cases.
What can you eat?
Having considered the list of what you can sometimes eat and what you can not, it is worth moving on to what you can.The essence of the matter is drawing up a diet from the list of permitted foods.The list is quite diverse and therefore everyone can choose for themselves what they really want to eat.The main list of allowed ingredients includes:
- Dietary meat.This includes turkey, rabbit and, rarely, chicken.
- All types of lean fish.
- Soups with vegetable broth.You can add already boiled meat there.But you have to cook it separately, because meat broth is prohibited.
- Pasta, bread and cereals.
- Berries.
- Fermented milk products.
- Desserts such as marshmallows, marshmallows and jams.
- Nuts and prunes.
- Oil.Flaxseed or olive oil is best.
- Vegetables, except legumes.
- Fruit and green tea.
- Herbal teas.
- Fruit drinks, as well as juices.There should be no preservatives.
- Herbs such as basil, dill, parsley.
One of the most ideal ingredients for patients suffering from this disease is cabbage.It is used in absolutely any form and allows you to remove all unnecessary elements from the body.
If gout worsens, it is best to switch to liquid or semi-liquid meals.These can be vegetable purees, jelly, porridge, soups.You must remember that this is not even a diet for gout, but a principle for the proper functioning of any organism.
Table number 6: what is it?
Very often, a diet is prescribed for gout, as well as for urolithiasis.Previously, these diseases were called "royal" because they arose from heavy consumption of fatty foods and alcohol.Today, the reasons are known, and therefore doctors only prescribe a strict diet.In its framework you can prepare really tasty and varied dishes.
During an outbreak, it allows you to bring some relief and get rid of the disease.There are both serious limitations and some deviations.The duration is determined only by a doctor's prescription.Specifically, you can include the following:
- The amount of food consumed is moderate.
- Foods that contain large amounts of purines and salt are limited.
- Meat and fish are limited.
- Consume at least 2 liters of water.
- Under no circumstances should you be hungry.
- Fractional meals are made 5-6 times a day.
At table number 6 you can eat the following:
- An egg in any form.
- Bread.You can eat rye and wheat products, as well as flour desserts.
- Meat products and fish.You should choose low-fat varieties that are precooked.You can eat no more than 150 grams of meat per day.
- You cannot eat broths.
- Dairy products.You can eat cottage cheese and fermented milk products.It should be present in the diet every day.
- Vegetables.The only deviation is the exclusion of legumes, marinades and pickles.
- Cereals.You can consume absolutely any kind, but in moderation.
- Fruits and berries.Citrus fruit consumption is encouraged.For sweets, you can eat jam, honey and dairy desserts.
- Beverages Includes juices, fruit drinks, pure water.Under no circumstances should you drink tea, carbonated drinks, coffee or alcohol.
Under no circumstances should you eat salty cheeses.You should also exclude all dried fruits, except prunes.
What about the drinking regime?
Every doctor attaches great importance to the drinking regime, because it is water that helps accelerate the elimination of purine bases.The total amount of water should be at least 2.5 liters.But here you need to pay attention to the doctor's instructions.If you have problems with the cardiovascular system, then the intensity is adjusted.If a person has urolithiasis, then it is better to choose mineral waters.This will make the urine alkaline.In addition, you can add any citrus fruits.
What about weight?
Gout is also very often accompanied by obesity.When gout occurs it is necessary to reduce body weight.Since high-calorie foods always lead to an increase in plasma uric acid levels, consumption should not exceed 30 kcal per 1 kg of weight.
Weight reduction should be done gradually.It is better when it is 1 kg per month.
In no case should you resort to fasting, because this will only complicate the situation with the disease.It is best to use diets such as kefir, cottage cheese, dairy products, vegetables and fruits.
Weight loss will occur as a result of limiting the consumption of baked goods and sugar.If you have hypertension or ischemia with gout, it is best to follow a low cholesterol diet.
Common mistakes
Many people, especially those who do not follow the necessary information, very often face mistakes.Among the most common are the following:
- Drinking alcohol.
- Eating foods that contain large amounts of purines.
- Low fluid intake.
- Excessive calorie intake.
- High amount of fats and proteins.
- Increased consumption of table salt.
- Lack of fruits and vegetables in the human diet.
All this will only harm and will not bring any positive result.In any case, before implementing a specific diet, it is best to consult your doctor.
An example menu that can be used when you are sick
| Day of the week | Lunch time | Products for consumption |
|---|---|---|
| Monday | On an empty stomach | rosehip decoction |
| First breakfast | drink water and make a vegetable salad | |
| Second breakfast | fruit juice without preservatives | |
| Meal | vegetable soup with the addition of pre-boiled meat, cabbage grains, as well as compote or rose broth | |
| Afternoon snack | dried fruit compote | |
| Dinner | carrot cutlets, scrambled eggs with one egg and fruit tea | |
| For the evening | kefir | |
| Tuesday | On an empty stomach | glass of water |
| First breakfast | milk tea, cabbage and carrot salad | |
| Second breakfast | any juice without preservatives | |
| Meal | vegetable stock soup.Lean meat with milk sauce | |
| Afternoon snack | dried fruit compote | |
| Dinner | any porridge with added milk, diet cabbage rolls with rice | |
| For the evening | kefir | |
| Wednesday | On an empty stomach | dried fruit compote |
| First breakfast | juice, prunes, cheesecakes with honey | |
| Second breakfast | fruit juice without preservatives | |
| Meal | Beet soup with kefir and boiled cabbage | |
| Afternoon snack | rosehip decoction | |
| Dinner | any porridge with milk and jelly made from fruit or berries | |
| For the evening | kefir | |
| Thursday | On an empty stomach | rosehip decoction |
| First breakfast | tea and cabbage salad | |
| Second breakfast | kefir | |
| Meal | vegetable stock soup, carrot cutlet | |
| Afternoon snack | grape juice | |
| Dinner | cabbage schnitzel with cream and jelly | |
| For the evening | fruit or curdled milk | |
| Friday | On an empty stomach | herbal decoction |
| First breakfast | tea, boiled egg, cheesecakes | |
| Second breakfast | plum compote | |
| Meal | vegetable broth and vegetable stew | |
| Afternoon snack | kefir | |
| Dinner | any porridge with milk and jelly | |
| For the evening | curdled milk | |
| Saturday | On an empty stomach | water with lemon |
| First breakfast | tea and eat cheesecakes | |
| Second breakfast | fruit juice without preservatives | |
| Meal | soup vegetable broth with potatoes, vegetable cutlets | |
| Afternoon snack | kefir | |
| Dinner | scrambled eggs, boiled carrots and tea | |
| For the evening | kefir | |
| Sunday | On an empty stomach | herbal infusion |
| First breakfast | compote, cabbage and beetroot salad | |
| Second breakfast | tomato juice | |
| Meal | borscht in vegetable broth and meat baked in foil | |
| Afternoon snack | kefir | |
| Dinner | any porridge with milk and boiled cabbage | |
| For the evening | curdled milk |
Some recipes
Those on a gout diet are very often faced with a monotonous menu.That is why it is better to consider several options at once, which can rarely be found:
- Apple omelette.You will need apples, an egg, milk and butter.Apples are sliced and cooked in a pan with butter.After that, milk is poured, which was previously beaten with the egg.Everything is placed in the oven until completely cooked.The omelette is sprinkled with powdered sugar and served.
- Rice casserole with beets.You will need beets, rice, egg and milk.Rice is boiled and combined with beets.Beat the eggs with the milk, you can add a little salt.The rice is poured into the liquid mixture and baked in the oven.
- Beef stroganoff made from boiled meat.You will need meat, butter, wheat flour, cream, milk and tomato juice.The meat is boiled and cut into small pieces.The white sauce is made according to the recipe given below and poured over the meat.Tomato juice is added there.Boil everything for 10 minutes and season the cream with salt and pepper.You can add a little butter and sprinkle with herbs.
Various sauces are in high demand when you are on a diet.Among them the following can be noted:
- Sour cream sauce.For the preparation you will need 100 g of cream, 12 g of flour, 12 g of butter.The flour is dried in the oven or in a pan.It should be yellow.Boil the milk and add a quarter of it to the flour.After that, this liquid is poured into boiled milk and seasoned with butter.
- Milk sauce.You need 100 ml of milk, 10 g of wheat flour.Half of the cream is boiled, flour that has been previously dried is added.After that, the sauce is mixed well and brought to a boil.It is better to drain it so that there are no lumps.
- White sauce.Vegetable broth 100 g, wheat flour 10 g.and butter 5 g.The flour is dried in a pan and ground with butter.After that, carefully pour the broth and mix.You need to cook for 10-15 minutes.
- Berry sauce.Berries 50 g, sugar 15 g, starch, water 100 ml.The berries are mashed and sugar is added.Add water and starch and mix everything over low heat.It is necessary to boil.
Often, patients with gout come up with their own recipes for cooking.This is very easy to do if you follow the recommendations for heat treatment and choose approved products.
Contraindications to diet for gout
This diet has no particular contraindications.Most of the time this is due to the fact that it is based on standard principles, such as for a healthy diet.The emphasis is on vegetable and fruit dishes.Complex carbohydrates are consumed, as well as a normal amount of dairy ingredients.That's why everyone can stick to it and not suffer from hunger.
What results can you get?
If a person suffers from gout, but at the same time complies with all dietary requirements, then he can easily limit the production of uric acid and remove it from the body in maximum quantities.It is thanks to the diet that many can cure the disease without the use of drugs.
Thanks to this diet, you can reduce the severity and number of attacks.In addition, you must remember that calorie restriction also occurs through physical exercise.This will allow you to reduce the weight to the desired level and achieve excellent results.
Gout is a serious disease that has a huge number of complications.Compliance with the regime allows you to reduce pain and symptoms for some time.If you want to get rid of the disease, then it is better to follow all the above recommendations and enjoy life without any problems.