Gout: Traditional and New Diet Recommendations

Gout is a serious condition that results from the build-up of uric acid and its derivatives in the body. This disease is characterized by a violation of protein metabolism in the body, and for this reason it belongs to metabolic diseases. Since uric acid builds up in the blood and urate salts build up in tissues in gout, the disease manifests itself in attacks of acute recurrent arthritis. Unfortunately, gout cannot be completely cured, but the frequency of attacks and the duration of flare-ups can be significantly reduced. Following an anti-gout diet is of the utmost importance for the treatment and prevention of gout.

Purine metabolism in the body

When we say that the root cause of gout is high levels of uric acid in the blood, we don't fully understand how and why this happens. To understand this process, let's turn to the basics of biochemistry. So uric acid is the end product of purine processes in the body. If the synthesis and breakdown of purine nucleotides are disturbed, metabolic products and especially uric acid accumulate.

Where do purine elements come from in the body

But where do the purine elements in the body come from? Everything is very simple: They get into the house directly with food and can also be produced independently of the cells in our body. The process of synthesis and breakdown of purine elements is very complex. For example, adenines (purine derivatives) break down into other elements, which are then converted into xatins, which then turn into uric acid. By the way, in humans, as in primates, uric acid is the end product of metabolic reactions, and its excess is excreted in the urine.

It must be said that uric acid in normal amounts does not harm the body, especially if it is not retained in it. According to the permissible standards, 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.

In the case of metabolic disorders or diseases of the kidney system, the uric acid level in the body can be greatly increased. Excessive accumulation of uric acid salts leads to the development of gout. However, if you first trace this biochemical chain, it becomes clear that the main role in the development of gout is excessive consumption of meat products, meat, and salt.

Purine compounds in foods

The daily intake of purine compounds should not exceed 600-1. 000 milligrams of purines. Modern medical research clearly shows that only purines of animal origin influence the development of gout and kidney stones, but vegetable purines are completely harmless. Milk purins can also be used to a lesser extent to provoke an acute gout attack.

Gout symptoms

The main symptoms of gout:

  1. Acute unbearable pain in the joints that develops at night, accompanied by reddening of the skin and swelling of the joint.
  2. Acute attacks of gouty arthritis are repeated at regular intervals. However, without proper treatment, these intervals will be shortened and the seizures will become longer and more intense.
  3. Tofus (abnormal thickening of the subcutaneous tissue).
  4. attacks of renal colic. The deposition of uric acid salts leads to the development of nephrolithiasis and nephropathy.
The main symptoms of gout

Gout lesions occur in:

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

Diet against gout

The current anti-gout diet guidelines are similar to the principles of healthy eating that are beneficial to all people. A gout diet suppresses synthesis and speeds up the excretion of uric acid from the patient's body.

The presence of this disease in a person requires:

  • constant observation by a rheumatologist;
  • drug treatment for exacerbations and remissions;
  • strict control of the level of uric acid in the blood;
  • revise your lifestyle;
  • Correction of your taste preferences.

Sustained remission can be achieved through a healthy lifestyle. Therefore, you must adhere to the following rules:

  • eat right, use low-purine foods, exclude animal fats, proteins and carbohydrates from the diet;
  • Reduction of any stress on the affected joint;
  • Weight control however, do not lose weight too quickly as this can provoke a new attack of gout;
  • days of fasting in accordance with a mono diet (only one product is consumed during the day), medical fasting is strictly prohibited;
  • Only take medication as prescribed by a doctor.

Since uric acid is a product of the metabolic reactions of purines, it occurs in all cells and organs of our body and in practically all foods. A large number of harmful purines (adenine, guanine, xanthine and hypoxanthine) are found in animal products with high metabolic processes, e. g. B. sausages, sausages, sausages, ham, bacon and cells that divide at high speed such as yeast. Purines found in cocoa, tea, and coffee such as theophylline, caffeine, and theobromine pose no risk for gout. They are a source of organic acids that help alkalize the body and eliminate excess uric acid.

What not to eat if you have gout

To prevent a recurrence of gout attacks, foods that contain large amounts of purines must be avoided. A gout diet therefore initially implies the exclusion of the following products from the patient's diet:

What not to eat with gout
  • various types of smoked meat;
  • meat by-products (tongue, brain, liver, kidneys);
  • any kind of sausage, sausage, wiener sausage;
  • table salt;
  • legumes (beans, peas, lentils);
  • mushrooms;
  • chickens;
  • lamb;
  • pork;
  • canned meat;
  • lard;
  • sorrel and spinach;
  • canned fish;
  • salted fish;
  • alcoholic beverages;
  • yeast beverages (beer);
  • salty and spicy cheese;
  • feta cheese;
  • Edible oils
  • spices and hot spices (bay leaves, vinegar, pepper, mustard, horseradish);
  • It is also strictly forbidden to consume fatty meat products, especially meat from young animals, as well as fatty fish.
  • rich meat, mushroom and fish broth.

Foods that are approved for gout in limited quantities

The gout diet allows the use of certain foods, but their amount must be strictly limited, especially during an acute attack:

  • baked goods;
  • eggs (you cannot eat more than two eggs a day);
  • low-fat types of fish (no more than 1-2 times a week);
  • boiled beef, rabbit, chicken or turkey can not be eaten more than 1-2 times a week;
  • strong tea;
  • strong coffee and cocoa;
  • chocolate;
  • figs, plums and raspberries;
  • cauliflower;
  • greens;
  • Radishes and beets.

Tomatoes are causing some controversy, there are two opposing opinions on this point: some experts recommend limiting their consumption, others think tomatoes are very useful for gout. Therefore, on this matter, it is better to be guided by your personal opinion, depending on your state of health. Oatmeal also raises some doubts as its use in cooked form increases uric acid levels in the body.

What to eat for gout

If you have gout, you can eat from the following list. They are considered healthy and can be consumed in unlimited quantities.

What can you eat with gout

Bread and flour products

With gout, bread (rye, bran, white flour) can be consumed in any quantity.

Meat and poultry

You can eat rabbit meat, beef and poultry only cooked once or twice a week. It is not forbidden to bake meat, but without hot and savory spices. The best option is steamed meat in a double boiler.

Soups

Vegetarian soups form the basis of the gout diet. It is recommended to cook soups, cabbage soup and borscht in vegetable broth, adding various cereals and vegetables. Also okroshka and beetroot.

Milk and milk products

Fermented dairy products are very useful in gout: sour milk, kefir, yogurt. Milk and dairy products are also recommended: low-fat cottage cheese, mild and unsalted cheese.

Eggs

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

Fish

Lean river fish can be steamed, boiled and baked. Low-fat fish broths are also helpful.

Pasta and cereals

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

Vegetables

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

Fruits and berries

You can eat all berries and fruits (except raspberries and figs) fresh and after heat treatment.

Candy

From candy, you can eat marshmallow, marshmallow, jam, natural honey and jam.

Sweets

Drinks

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

Sauces, spices and spices

Sauces can be prepared with vegetable broth, milk and sour cream, cinnamon, citric acid and vanilla.

Fats

Food can be cooked with both sunflower oil and butter.

Example of a gout diet menu

Diet No. 6 is prescribed for gout. This diet excludes foods that contain purines, table salt, and fats, but allows the use of foods with adequate amounts of vitamins, minerals, and iron.

There is diet No. 6 with normal and No. 6e - with reduced energy value for people who suffer from both gout and obesity. Such a diet consists of low-calorie foods (limits the amount of baked goods, cereals, fats, and easily digestible carbohydrates).

The diet contains alkaline mineral water and citrus fruits, which prevent the accumulation of urate crystals in the joints and promote the rapid elimination of uric acid. The food is mainly prepared by steaming or boiling. Vegetables and fruits can be eaten raw or cooked. Diet in small portions 5 - 6 times a day, in the intervals between meals - drink plenty of fluids.

The diet for acute leg problems should be as follows:

  • Vegetables and fruits -1, 5 kg (in broths, salads and as main dishes);
  • cottage cheese - 400 grams (low-fat varieties);
  • kefir - 500 ml (low-fat, natural);
  • milk - 1 liter (diluted with water).

As the acute period subsides, meat and fish products (schnitzel, steamed meatballs, boiled meat and fish) are gradually included in the diet of gout.

Weekly menu against gout

Monday

  • Breakfast: fruit with honey and yoghurt (1 plate), tea with milk and breadcrumbs.
  • Second breakfast: a glass of milk or kefir.
  • Lunch: Soup with vegetable broth with vegetable oil, vegetables or muesli and herbs.
  • Afternoon snack: carrot or potato chop drizzled with low-fat cream.
  • Dinner: boiled egg with cucumber or a small portion of salad with cabbage.

Tuesday

  • Breakfast: cucumber salad with sour cream.
  • Second breakfast: fruit juice.
  • Lunch: rice soup with vegetable stock with potatoes, cabbage patties, dried fruit compote.
  • Afternoon snack: boiling rose hip.
  • Dinner: carrot with plums, tea with lemon.

Wednesday

  • Breakfast: fresh coleslaw with sour cream; Tea with milk.
  • Second breakfast: tomato juice.
  • Lunch: vegetarian borscht, boiled chicken in sour cream sauce.
  • Afternoon snack: boiling rose hip.
  • Dinner: buckwheat porridge with milk, stuffed cabbage rolls (vegetables and rice).

Thursday

  • Breakfast: tea with milk, plums with cottage cheese.
  • Second breakfast: fruit juice.
  • Lunch: cold or hot beetroot (optional), vegetable stew.
  • Afternoon snack: boiling rose hip.
  • Dinner: fruit jelly, rice pudding.
Anti-gout menu

Friday

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

Saturday

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

Sunday

  • Breakfast: fresh coleslaw with sour cream, milk tea.
  • Second breakfast: tomato juice.
  • Lunch: vegetarian borscht; boiled meat in sour cream sauce.
  • Afternoon snack: boiling rose hip.
  • Dinner: buckwheat porridge with milk, steamed carrots with vegetable oil.

Gout is not completely curable, but the frequency and intensity of its attacks can be controlled with food. If you follow all the recommendations of the doctor, you can practically forget about the existence of such a disease.

Fasting days for gout

It is well known that diseases are easier to prevent than cure. Therefore, with gout, it is recommended to carry out fasting days. However, this does not mean that you have to starve to death all day. In addition, it is very dangerous because the cessation of food intake into the body provokes a sharp increase in uric acid in the blood. As a result, an acute attack of gout begins. Fasting days should therefore not be "hungry". You can only eat one type of vegetable such as pumpkin, potato or zucchini all day. Such fasting days are similar to having separate meals.

Fasting days against gout

You can also mix different types of vegetables and fruits if the product is difficult to eat. In addition to the days of fasting with vegetables, you can spend days with milk, kefir or cottage cheese. With such a discharge diet, metabolic processes are simplified, which is of particular importance for gout. For such days, you can use a rice or rice apple diet. To do this, boil a small amount of rice (75 g) in milk and take it in small portions throughout the day. You can eat raw or baked apples between main meals. The total number of apples should not exceed 250 grams. Another product for a fasting day is the watermelon. There is even a special "watermelon diet" for fasting days. Watermelon removes sodium urates from your body, so you need to eat it as often as possible.

General recommendations for patients with gout

  1. Avoid injuring the big toe and wearing tight shoes, as gout is very often the result of joint injuries.
  2. During an acute gout attack, hold your leg up without putting any weight on it. The leg should be relaxed and at rest.
  3. In the event of an acute attack of gout, apply a hot water bottle with ice to the affected joint.
  4. If you drink a lot of herbal tea during an attack, it will remove uric acid from the body. During remission periods, use mineral water in sufficient quantities with the addition of lemon juice.
  5. Follow a fasting diet as it is part of gout treatment.
  6. Try to lose weight as it puts undue strain on the affected joints and increases the risk of developing diabetes.
  7. Try to eat the "right fats". With a decrease in the content of purine bases, which are rich in foods of animal origin, it is necessary to include vegetable oils in the diet: corn, olives, sunflower.
  8. Take vitamin and mineral complexes. A balanced diet is essential in any diet. To do this, you need to take a sufficient amount of vitamins and minerals.
  9. During the remission period, you should lead an active lifestyle, often go outside in the fresh air, and do moderate exercise.

Warning! During an exacerbation, standard recommendations about what can and cannot be eaten should be set aside. If an acute gout attack develops, see a doctor immediately. During this period, you should choose a diet for a 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't eat for more than a day or two this way.