Eating for gout

Nutritionist with fruit salad

Diet for gout and high uric acid: what you can and can't eat? Competent diet for gout is the same element of therapy as drugs, physiotherapy and therapeutic exercises. The use of prohibited products reduces the effectiveness of therapy, fills the cells with purines and provokes the active production of uric acid. The result is increased discomfort, severe joint pain, increased swelling and poor blood counts.

When developing a treatment regimen, the doctor reminds the patient how important diet is for gout and high uric acid levels, what is possible and what is not. The table of foods that positively and negatively affect the metabolism of uric acid in the body will help you compile a menu for gout for each day.

Why diet?

The main point of the gout diet is to control the production and excretion of uric acid. Such a food system helps to improve well-being and reduce pain, as a result of which the disease recedes.

The consequences of not following a gout diet include:

  • kidney disease (gouty nephritis);
  • development of renal failure;
  • arterial hypertension and damage to the cardiovascular system;
  • damage to other internal organs with the formation of gouty nodes (heart, lungs, brain) in them;
  • atherosclerosis;
  • damage to all joints and the development of erosive arthritis.

It should be noted that this diet does not cure, but only promotes accelerated excretion of acid and salts during the exacerbation of osteoarthritis. It also significantly reduces body weight, which plays an important role in the body's recovery after heavy drug therapy.

Varieties

Diet 6E is a variety of Table 6. It is prescribed for similar indications in obese patients. The energy value is reduced to 1950-2000 Kcal (protein content at 70 g, fat - 80 g, carbohydrates - at 250 g).

In general, the consumption of simple carbohydrates (fresh wheat bread, sugar, honey, pastries, confectionery and flour products) also reduces less complex carbohydrates (cereals). Meat intake is limited to 1-2 times a week. Eating small portions (partially) up to 5-6 times a day, plenty of fluids, especially weakly alkaline mineral waters.

Vegetables and fruits are best eaten raw, but can be baked and cooked. As the diet is physiologically incomplete, it can be prescribed for a period not longer than 2 weeks.

Gout Nutrition Guidelines

It's important to follow a few guidelines for shaping your daily diet. Gout and high uric acid diet - what you can and can't do includes the following rules:

  1. Eat the right fats. When reducing the level of animal fats in the diet, include vegetable oils, especially olive, sunflower, corn oils.
  2. Lose weight. Being overweight aggravates the course of the disease, provokes impaired renal function, excludes the possibility of normal excretion of uric acid. If you are overweight, reduce the energy value of the diet.
  3. Drink a lot. In the absence of edema and normal renal function, abundant fluid intake is recommended. It is important for you to drink at least two and a half liters of fluids a day, including plain water with the addition of lemon juice, as well as fruit and forest juices, herbal teas, rosehip decoction and milk.
  4. Take a multivitamin. It is especially important to use enough vitamins C, PP and B2 to correct the condition.
  5. Eat foods that alkalize your urine. They include almost all fresh fruits and berries. Their value in the diet lies in the high content of potassium, which has a diuretic effect.
  6. Drink alkaline mineral water. It alkalizes the urine, which makes its composition active against uric acid. An alkaline reaction to urine helps dissolve dangerous compounds and reduces the risk of disease progression.
  7. Turn off alcohol. Alcohol impairs kidney function, which eliminates the possibility of excretion of uric acid from the body. Even their periodic intake can provoke an attack and exacerbation.
  8. Reduce the salt content. The salt itself helps the deposition of uric acid crystals in the joints. Its increased content in food reduces the intensity of urine output and causes edema, which eliminates the diuretic effect required during exacerbations. Minimize salt intake.

It's also worth organizing hungry days. Free your body from heavy food once a week. What is good for you are one-day monodiet foods low in purines. In summer, organize hungry days of watermelons, which perfectly remove uric acid and salts from the body. Use mono diets with cucumbers and apples in spring and autumn. Potatoes are good in winter. All of these foods are rich in potassium and fiber, which are valuable to you.

Diet for gout during exacerbation

During the exacerbation of gout, a properly selected diet will help get rid of the unpleasant painful symptoms and restore the mobility that a person loses during the development of inflammation. Meat and fish products can be completely excluded from the menu.

Eating gout includes more frequent days of fasting (every other day). In case of exacerbation, you can use the following menu for 1 day:

  1. On an empty stomach: half a glass of pre-warmed alkaline mineral water or rosehip decoction (chicory can be used).
  2. Breakfast: half a portion of oatmeal (it should be liquid), a glass of milk.
    11 hours: 1 glass of apple juice. Instead, you can eat raw apples (1 pc. ).
  3. Lunch: vegetable puree soup (half a serving), milk-based jelly. 17: 00: Carrot or tomato juice (glass).
  4. Dinner: half a portion of liquid milk rice porridge, 1 cup of fruit compote (strawberries, pears, apples).
    21: 00: a glass of kefir.
  5. At night: tea with milk and honey (not desirable in diabetes) or green tea without sugar - 1 cup.

This menu can be used until the symptoms of inflammation in the legs disappear.

What can you eat with gout?

Gout is a complex disease that requires a responsible attitude and adherence to the principles of good nutrition. Therefore, you need to know what you can eat for gout. The product table will help us with this.

Diet for gout and high uric acid content - what you can eat, dining table:

List of foods you can eat: Usage characteristics:
Black or white bread, uncomfortable pastries.
Marshmallows, jam, jam, breadcrumbs, non-chocolates, ice cream.
Cereals with milk, vegetarian borscht, potato soups with added cereals, salads of fresh and pickled vegetables, vinaigrette, vegetable caviar, vegetable, milk or sour cream sauce. In this case, the milk must be diluted.
Oranges, tangerines, green apples, dates, persimmons, dried fruits (excluding raisins), strawberries, lemons, apricots, pears. Of course, you should not eat only fruit in large quantities. Nutrition should be complete and varied.
Dill, corn, beets, onions, garlic, potatoes, carrots, cabbage, cucumbers, zucchini, eggplant, tomatoes, pumpkin (helps improve metabolism). Garlic is the most useful as it helps to eliminate the inflammatory process. In addition, vegetables are actively used during fasting. Potatoes and cucumbers have a large amount of potassium, which is why they increase the excretion of uric acid from the body.
All cereals except legumes. Beans are on the list of foods that should not be eaten because they contain uric acid in large quantities.
Sea cephalopods, crustaceans, shrimp, lean fish (salmon, trout), squid. These foods are very good for gout. The diet provides for boiled fish and it is recommended to drain the broth.
Rabbit, turkey, chicken. Each meat is consumed 2-3 times a week and not more than 170 g.

From drinks you can: green tea, tea from fruits and berries, tea with milk and lemon, juice (any, even tomatoes), herbal teas, fruit drinks, compotes from fruits and berries, juice of fresh cucumbers, alkaline mineralwater for gout very useful, rosehip broth, chicory.

What not to eat for gout?

If the patient has a lesion in the joints of the legs, you need to understand what you can not eat with gout. The fact is that while following a diet, some foods (even fruits) are not recommended to be consumed because they contain a certain amount of purines. It is impossible to cure or at least eliminate the symptoms without proper nutrition.

Diet for gout and high uric acid content - what not to eat, food table:

Meat and Poultry smoked, raw smoked and cooked sausages, small sausages, sausages, meat of young animals, fatty pork, offal (lungs, liver, kidneys), canned food
Dairy products, eggs salty and spicy cheeses
Seafood, fish oily, salted, smoked or fried fish (sardines, sprats, cod), caviar
Vegetables mushrooms, sorrel
Cereals lentils, beans, soybeans, beans
Sweets cream cakes, pastries
Dishes meat, fish or mushroom broth, sour soup, as well as dishes with the addition of legumes and spinach; sauces based on the above broths, mayonnaise
Spices pepper, mustard, horseradish, hot spices
Fat margarine, lard
Fruits, fruits grapes, figs, raspberries

Drinks should not be consumed: alcohol, especially beer and wine; coffee, cocoa, strong tea (despite the fact that the presented drinks contain purines, they are not broken down to uric acid, but have a strong diuretic effect, which contributes to dehydration).

Sample Gout Menu

Therapeutic diet for gout reduces the risk of recurrence of the disease, relieves pain and normalizes the urinary system. In addition, such a diet contributes to the normalization of body weight and is one of the principles of a healthy lifestyle.

Diet for gout and high uric acid content - do it and not, sample menu:

First day:

  • Before meals: a glass of rosehip broth.
  • 1 breakfast: tea with milk, cabbage salad.
  • Breakfast 2: vegetable juice.
  • Lunch: borsch with vegetable broth, a piece of boiled meat with white sauce (not more than 100 g)
  • Afternoon snack: a glass of rosehip broth.
  • Dinner: buckwheat with milk, vegetable rolls.
  • Before bed: fruit juice.

Second day:

  • Before meals: a glass of rosehip broth.
  • 1 breakfast: tea with milk, beet salad, dressed with butter or sour cream.
  • Breakfast 2: vegetable juice.
  • Lunch: vegetable soup with barley, cabbage schnitzel.
  • Afternoon snack: fruit juice.
  • Dinner: carrot cutlets, jelly.
  • Before bed: watermelon or a glass of yogurt.

The list of dishes can be combined, remember that the effect of dietary therapy can be achieved and consolidated for a long time, only if it is fully observed.

Recipes for gout

Gout recipes are very easy to prepare and do not require any special preparation or specific set of foods. Anyone can repeat them at home.

Light soup puree

Required products:

Puree soup for gout

1 carrot, 1 onion, mushrooms, 2 tablespoons lemon juice, ½ teaspoon sugar, 2 tablespoons sunflower oil, 30 g cream

Preparation:

Peel and chop the vegetables. Put the boiled carrots and onions in a pan with heated oil, put on fire, simmer for 7-8 minutes. Add the spinach leaves and mix until puree. Add lemon juice, sugar and bring to a boil, put cream on a plate when serving.

Cottage cheese casserole

Products:

3 chicken eggs, 100 g semolina, 100 g sugar, 2 packs of cottage cheese, 200 g low-fat sour cream, dried fruit, salt, soda, quenched with lemon juice.

Preparation:

Mix all ingredients well, add 0, 5 teaspoon of baking soda, quenched with lemon juice, raisins. The resulting mass is poured into the prepared baking dish and baked in the oven at 180 degrees until slightly ruddy.

Steamed chicken meatballs with sauce

Products:

Chicken fillet 350 g, 70 g onion, 30 ml milk, 1 chicken egg, 150 g boiled rice, 70 g white bread, black pepper. Salt, herbs. For the sauce: 150 g carrots, 200 ml chicken broth, 50 g vegetables, 70 g onions, vegetable oil, 50 g sour cream, 15 g wheat flour, salt, pepper, green onions to serve.

Preparation:

Cut the chicken fillet, put it in a blender, add onion, raw chicken egg and bread soaked in milk, black pepper, dried dill. Grind thoroughly. Add boiled cold rice, fine salt and knead the minced meatballs, leave for 20 minutes in the refrigerator. Form meatballs and cook for a few 6-8 minutes. Saute onions and carrots, add chicken broth, herbs, wheat flour, salt to taste, sour cream. Heat over low heat. Put the stewed meatballs in the prepared sauce and cook for another 5-6 minutes, sprinkle with green onions.

Eggplant and minced casserole

Eggplant casserole and minced meat

Products:

Eggplant, flour, vegetable oil, onion, garlic, minced meat, tomato paste, cheese, cream, pepper, salt.

Preparation:

Sprinkle the sliced ​​eggplant together with salt, pepper to taste, roll in flour and fry a little in vegetable oil on both sides. Add the garlic and onion until golden brown, add the minced meat and simmer for 3 minutes. Add tomato paste, pepper and salt and water (1/2 cup) Simmer for another 2 minutes. Put the aubergines, minced meat and grated cheese in layers, pour cream and bake for half an hour in a preheated oven, temperature - 180˚C.

Pumpkin puree soup

Products:

Water - 1 liter, pumpkin (pre-peel) - 500 g, butter - 2 tbsp. l. , rice - 2 tbsp. l. , milk - 2 tbsp, sugar - 1 tbsp. l. , salt - on the tip of a knife.

Preparation:

Put the diced pumpkin, washed rice, salt and sugar in a saucepan, add water and cook until soft. Pour butter with melted butter, rub everything through a sieve or grind with a blender and pour boiled milk. Bring the soup to a boil and fill with boiled cream.

To avoid painful symptoms, seek medical attention at the first warning sign and strictly follow all your doctor's recommendations. Including those related to dietary adjustments. An experienced nutritionist will help you compile the right menu, which will tell you what you can eat with an increased concentration of uric acid and which foods should be abandoned forever.

04.10.2020