gout diet

Gout is a rheumatic disease caused by the deposition of urate in the joints. The clinical manifestations of the disease are pain, deformation of the affected joints, functional impairment, and the formation of characteristic nodules (tophus).If left untreated, the disease progresses over time and salt deposits in the form of microcrystals begin to accumulate in internal organs. Most commonly, the kidneys are affected, leading to the development of pyelonephritis, renal failure, and other complications. Diagnosis is made based on symptoms and confirmed by aspiration and X-rays of the affected joints. Treatment includes medication, special diet, and physical therapy.

Basic principles of diet

The attending physician will individually prepare a rough menu for each patient, taking into account the form and severity of the disease, the presence of accompanying lesions, the patient's age and physical characteristics.The goal of the diet is to minimize uric acid levels in the body, thereby improving the patient's overall health and quality of life. Food should not contain purine, which will be converted into uric acid after entering the body.It is recommended to add more fresh fruits and vegetables to the diet. The recipe is simple, the main thing is to prepare it correctly and not to use ingredients from the list of banned foods.Therapeutic nutrition helps patients quickly improve their overall health, relieve uncomfortable symptoms, and even extend the duration of remission at home. Eating disorders, eating spicy and greasy foods, drinking alcohol (especially wine and beer), and coffee can quickly increase uric acid levels in the body, leading to recurrence of the disease. Therefore, you need to follow the diet constantly. During remission and especially exacerbations, proper nutrition will help avoid many serious complications.The patient should always have before his eyes a table of the foods allowed to be eaten, as well as recipes for preparing various dishes. This will help create the best menu based on each patient's personal food preferences and taking into account his physical characteristics.Not only is it important to use the right products, but it is also important to follow a certain diet. You should eat often, but in smaller amounts more often (small meals). Fasting and overeating are unacceptable as they can trigger the onset of disease. If you are overweight, you need to get rid of it. But this should be done gradually; sudden weight loss can have negative health consequences, especially if the patient is no longer young.We should not forget about drinking habits. You need to drink at least one and a half liters of fluid per day (up to three liters during an exacerbation). In addition to water, candied fruit, mineral water, light tea, fruit juice drinks, rose hip soup, etc. are also allowed to be consumed. It is best not to drink it with meals, but between meals.

Disable product

You need to follow this diet throughout your life, not just during exacerbations. The diet should be as balanced as possible. Dairy products and vegetables are allowed. It is important to drink enough fluids as this speeds up the removal of excess uric acid from the body.With the help of diet, you can not only reduce the symptoms of the disease and reduce the frequency of exacerbations, but also normalize your weight and reduce the load on the affected joints. The main rule is to exclude purine-rich foods from the diet.These include:

• cakes and pastries;
• canned food;
• legumes;
• bake;
• internal organs;
• Processed meat products (sausages, frankfurters, etc. );
• fatty fish;
• chocolate;
• Spicy, salty, smoked, pickled foods;
• fast food;
• mushroom;
• Any alcohol, especially wine and beer;
• Cocoa, strong black tea, coffee.

If metabolic disorders occur against the background of diabetes or atherosclerosis, then it is necessary to carefully monitor the total caloric content of food, the amount of fatty foods, cholesterol and sugar levels.

Authorized products

The gout diet is based on the principles of healthy eating, so it is not difficult to follow. The main thing is to adapt to changes in diet. Then everything will be easier. Prohibited foods should be completely excluded.Allowed products include:

• dietary meats (rabbit, chicken, turkey);
• Eggs (a small amount);
• fermented dairy products;
• Vegetable oils (linseed and olive oil are the best choices);
• seafood;
• pasta, cereals;
• low-fat fish varieties;
• Fresh fruits and vegetables not included in the banned food list;
• Jam, fudge, marshmallows;
• Candy without chocolate;
• Dried fruits (except raisins);
• Honey.

It is necessary to clearly understand that you must eat according to the above recommendations for the rest of your life. Violating dietary habits and consuming prohibited foods can quickly worsen the condition.

Gout Diet: Table 6

Unfortunately, it is impossible to completely cure the disease, especially when its course is complicated by diabetes or obesity. However, by following the Sixth Diet, you can quickly alleviate exacerbations and reduce the frequency of disease recurrence.Nutritional characteristics of this diet:

• It is necessary to completely exclude purine- and oxalate-rich foods from the menu;
• It is necessary to limit the intake of salt; in particularly severe cases, the product is completely excluded from the diet;
• Milk, vegetables and other alkaline foods must be on the table;
• If there are no contraindications (kidney disease, heart disease and some other diseases), then you need to significantly increase fluid consumption, thus promoting the rapid elimination of urate from the body;
• It is necessary to minimize the content of refractory fats and animal proteins;
• If the patient is obese, the carbohydrate content of the diet needs to be reduced.

Classic standard menu signed by the attending physician. There may be a variety of food options. Food should be prepared as usual and food should be at room temperature. It is recommended to cook fish and meat. Broth and mushroom soups need to be drained because they contain high amounts of purines.When such eating habits are followed, nutrition is normalized, purine metabolism in the body is gradually stabilized, and urate content is reduced. Additionally, over time, patients shed obesity, which also has a positive impact on health and improves quality of life. Joint pain disappears and inflammation is reduced, thereby reducing the likelihood of future disease recurrence.

important!No need to self-treat. The formulation of the diet should be carried out by experts. The Sixth Diet, although effective, may not be suitable for all patients. Much depends on the age of the patient, the duration of the disease, and the presence of concomitant conditions. For example, if a person suffers from obesity in addition to gout, he may be prescribed Diet No. 8, which imposes stricter restrictions.

What to eat during a gout attack in men and women

If this condition worsens, Diet No. 6 must be followed for at least two weeks. Liquid food should be given priority. It is necessary to limit the consumption of fatty meat, fish and poultry as much as possible.The menu focuses on liquid porridge, vegetable soups and fermented dairy products. Meals are piecemeal. Long breaks between meals, overeating, or fasting can increase the likelihood of a disease attack. You can drink preserves, jelly, mineral water, juice, and light tea.

drinking habits

How much and what kind of water should you drink if you have gout? Total fluid intake should be at least 2 liters per day.If the patient has complications from urolithiasis, it is recommended to drink alkaline mineral water or water with added potassium bicarbonate. You can turn to citrus fruits to increase your alkaline balance and introduce plenty of plant protein (in addition to animal protein) into your diet.Often, alcohol consumption is one of the main causes of disease. Therefore, you should avoid alcoholic beverages completely. Even dry red wine, which is allowed in small doses to treat other diseases, is prohibited for gout. Sometimes, just a few sips of alcohol are enough to cause a recurrence of the disease. Cocoa, coffee and strong black tea are also completely banned. In addition to removing toxins from the body, drinking more water can improve kidney function and stimulate the dissolution and elimination of uric acid crystals. Not only does this improve patient health and well-being, it can also reduce the dosage of certain medications.

Sample menu of the week

on Monday

• For breakfast, you can boil an omelette, bake or steam it, and have 150 grams of vegetable salad and a few slices of bread.
• For lunch, you can make vegetable soup and eat some low-fat boiled or steamed fish.
• For dinner, prepare a vegetable stew with eggplant and zucchini and a piece of bread.

Tuesday

• For breakfast, prepare oatmeal and dried or fresh fruit.
• For lunch, serve pilaf with slices of lean chicken, no need to fry.
• For dinner, stew vegetables with potatoes and low-fat cheese and bake in the oven. You can also eat a piece of bread.

Wednesday

• Breakfast: egg white omelet, carrots and fruits, light milk tea.
• Lunch: Rice soup, cauliflower stewed in milk, candied dried fruits.
• Dinner: Pasta with sugar and cheese, gazpacho, kefir.

Thursday

• For breakfast, they prepare a cheese salad with cucumbers, scallions and unsalted cheese, topped with nut butter. You can have a piece of bread. Cleanse everything with rosehip soup.
• For lunch, you can cook fish soup, make a salad with beets and sour cream, eat 2 potatoes with skins and drink preserves.
• For dinner they had rice porridge with milk. As a drink, chicory is added to milk.

Friday

• Breakfast: Cheesecake or cottage cheese cooked in the oven with sour cream, fruit.
• Lunch: Vegetable sauce, durum pasta, seafood.
• Dinner: buckwheat porridge and lean fish, baked in the oven.

Saturday

• For breakfast, they boiled wheat porridge with water and ate dried fruits.
• Prepare vegetable soup for lunch. You can also eat a piece of bread and some pumpkin seeds.
• Dinner, stewed vegetables, boiled eggs, seafood.

Sunday

• Breakfast: natural yogurt, cheese sandwich, light tea.
• Lunch: vegetable and barley soup, potato chips with sour cream.
• Dinner: A piece of lean meat, fresh vegetable salad, buckwheat porridge.