A complete description of the gout diet

Gout has been called “the disease of aristocrats” for centuries.It mainly affected people from the upper classes, unaccustomed to a moderate diet.We now know with certainty that this disease has no link with social status, but metabolism plays an important role here.

Improper metabolism and increased levels of uric acid in the blood provoke the development of acute recurrent arthritis.No medication can completely get rid of this disease, but significantly alleviating the patient's condition by minimizing exacerbations is a very real task.

Modern drugs help to eliminate excess uric acid, thereby reducing its critical level, but the main condition for the treatment of this complex disease remains compliance with a special diet.It is through nutrition that the patient can achieve optimal results.

Nutrition for gout

Uric acid, the main enemy of gout patients, is formed from purines.The latter is found in large quantities in animal feed, particularly in fatty fish and pork.Meat and fish are therefore almost completely prohibited.

Some plant foods contain purine substances.To minimize the risk 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 you have to lose weight gradually, thanks to a balanced diet.Losing pounds 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 fluid as possible during gout treatment.The norm is 1.5-2 liters per day when the condition is stable, and at least 3 liters of water should be drunk when the condition deteriorates.Water can be replaced by any other authorized liquid;
6. Alkaline mineral water is an essential part of the daily diet.This helps rid the body of urates, which is important.

Gout requires a strict approach to food selection;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 overall level of this substance in the body.

For the most part, these are fruits and vegetables, so following this diet will not be difficult for a potential vegetarian, but it will be much more difficult for a meat eater.But as a result, the patient will experience pain relief and a decrease in swelling.

What not to eat if you have gout

It is worth being prepared for the fact that this list is not that short.After all, purines that are undesirable for an organism with gout are found in many foods.

We will have to accept as a fact that we will have to completely abandon white bread - it contains too much yeast.These actively promote the production of uric acid in the body.For the same reason, we are removing all bakery products from use.

What meat products should you not eat?Complete rejection of sausages, sausages, canned meats - they are literally full of purines.For the same reason, we refuse offal;fatty pork is also absolutely prohibited.

We also remove seafood from a gout patient’s diet.Oily fish, canned food and caviar are especially strictly prohibited.

You should not eat spicy and salty varieties of cheese;this type of dairy product will cause more harm than pleasure from eating it.

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

Among vegetables, only mushrooms and sorrel are strictly prohibited.Until recently, tomatoes were also on this list for the simple reason that they contain purines.But their content is so insignificant, and the vitamin complex is so important that today this vegetable has moved from the prohibited list to the reverse list.

Fruits and berries also have a not-so-broad list of prohibited items;it only includes figs, raspberries and grapes.

Sweet lovers should refrain from eating cakes and pastries that are too creamy.

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

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

And it's not even because of the purines they contain - 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 foods, so we completely remove pepper, mustard, horseradish and other hot spices from dishes.You should not overuse salt.It's best to avoid it as much as possible.It is unacceptable to put broth cubes in dishes.The preservatives and purines they contain are simply out of this world.

Broths made from fish, meat and legumes should also be removed from the diet.Remove the mayonnaise.

All products in the list above are completely prohibited.They should not be used categorically.Firstly, it is best to keep this list handy so that you can always consult 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 that are present daily in the diet of any healthy person.Next, a list of products authorized for consumption will be presented.But there is a small compromise between these lists.He absorbed what was acceptable to eat, but little by little.

Among vegetables, this list was dominated by turnips, cauliflower, radishes, asparagus, celery, rhubarb, spinach, peppers, onions and parsley.All this vegetation contains this same malevolent purine, the malevolent companion of gout.But its content is restricted.But their vitamin content is so great that it masks any potential damage.

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?

Many things are strictly prohibited when purine metabolism is disturbed, but this does not mean that the patient is half-starved due to constant prohibitions and refusals.Healing dishes can be tasty, moderately hearty, but at the same time healthy.

Among the bakery products, preference should be given to gray bread and rye bread;among the baked goods you can eat those that are not made from yeast dough.

Those who are not ready to become vegetarians, even for the sake of their own health, can expire, meat is allowed, but only lean meat.This includes rabbit, turkey and chicken.But the portions should be very moderate, no more than 170 grams, and you can eat it more often than every other day, the rest will be harmful.

Fish and seafood should 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, shellfish and squid is desirable on 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 part of the diet.Preference is given to skimmed milk, kefir, yogurt, unleavened cheese, sour cream and cottage cheese.You can't cook with whole milk;you need to dilute it with water.It is allowed to use butter, but as an additive to hot dishes and not as sandwiches.Eggs are also desirable, but no more than one per day.

Many vegetables are allowed.Melons, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products improve metabolic processes.The garlic turned out great;it calms the inflammation, relieving the patient’s condition.During fasting days, vegetables become the main auxiliaries, and the potassium contained in many of them helps to eliminate uric acid.

There is nothing to remember especially with cereals;for gout, all types of cereals are allowed, except legumes.This is a rich set of microelements that promote the regeneration process and fibers, which help effectively cleanse the body.There are no specific regulations regarding what grains, how much you can eat and when.There is only one condition: don’t overdo it.

There are also no major bans 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 completely natural that you use it within reason, without overdoing it.

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

You can introduce fats into the diet, but they can only be of plant origin;animal fats are completely excluded, they are too heavy.

Permitted drinks are green tea, all kinds of fruit teas, but only from permitted fruits and berries;tea with milk and lemon is allowed on the menu.Homemade compotes, fruit drinks made from fresh berries and fruits, and fresh cucumber juice are useful for gout.You absolutely must get into the habit of drinking alkaline mineral water every day.

The only spices that 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 being peanuts, which contain too many purines.

The patient's daily menu necessarily includes milk porridge, borscht with vegetable broth, fresh vegetable salads and various vegetable dishes.Preference is given to boiled;frying is almost not allowed.

Gout diet

Compliance with certain nutritional rules is the basis of the patient's well-being.There is no way to do without it.The daily diet has certain 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 this issue 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 basis 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 flush out waste and toxins.There must be a fast day during which all meat and fish are completely removed.The maximum number of these days allowed is 3. A greater number is impractical and unreasonable.

The basis of the diet is a vegetarian table, a minimum of meat, a maximum of vegetables and fruits.This diet is especially useful for overweight patients.They should fast much more often than others.

You should not allow yourself to lose weight too quickly.It is optimal not to lose more than 2 kg per month.Losing weight too quickly will negatively affect your general condition and can provoke an attack of exacerbation of the disease.

Diet number 6 for gout

Table no. 6 was drawn up 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 protein content.

Strict adherence to the antipurine diet will prevent exacerbation of the disease and significantly reduce the risk of relapse.This example is designed for one week, but you can stick to it constantly.

The basic principle of the diet comes down to a strict calculation of all proteins, fats and carbohydrates.So, the amount of protein per day should not exceed 70 to 90 g per day.Preference is given to animal proteins obtained from milk and its products.The fat rate corresponds to 80-90 g per day.1/4 of this volume is of plant origin.The level of carbohydrates does not exceed 350-400 g per day.This volume is equal to 80 g of sugar.

The daily salt intake for diet No. 6 does not exceed 7-10 g.Fluid consumption ranges from 1.5 to 2 liters, while calories should not exceed 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

Dishes included in the diet of a gout patient are not as difficult to prepare as it seems at first glance.Many of them could well 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.L.;
• Sour cream – 100 g;
• Salt to taste.

Brown the chopped onion in the oil, add the diced carrots.Simmer well.Add pre-cooked potatoes, peas and sour cream to the finished frying.Salt.Leave to simmer over medium heat for 1/4 hour.

Cucumber salad

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

Cut the cucumber into half rings and mix well in a cup with sour cream.For more 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 best not to crush them, but to pass them through a fine sieve.Add the sauce made from oven-dried flour and 80 gr.and potato broth.Make sure to bring the sauce to a boil.Then add the egg and butter to the resulting potato mixture with the sauce and boil again.

Syrniki

• Cottage cheese – 250 gr.;
• Semolina – 4 tbsp.L.;
• Egg.

Mix all the ingredients, you get a fairly thick paste.If that doesn't work, you can add more semolina.Leave for a while so that the cereals disperse and swell slightly.When the dough rises a little, you can put it in the oven.Form neat pancakes and roll them in flour.Fry on both sides.Can be eaten warm with sugar or cream cheese.

Potato pancakes

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

Grate the peeled potatoes on the finest grater, add flour and egg to the resulting mixture, mix well.Pour the batter into the heated pan and fry on both sides for 5 minutes.Serve with sour cream.

Curd casserole

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

Mix the ingredients thoroughly (except sour cream), put the resulting mass in a mold and put it in the oven heated to 150 degrees.Bake until the top is lightly browned.Before serving, sprinkle with sour cream.

Vegetarian borscht

• Water – 3 liters;
• Potatoes – 2 pieces;
• Vegetable oil – 2 tablespoons;
• Onion – 1 piece;
• Carrots – 100 g;
• Beet – 150 g;
• Cabbage – 100 g;
• Tomato paste – 1 tbsp.

Add a spoonful of salt to the boiling water and add the diced potatoes.After 10 minutes of boiling, add the shredded cabbage to the pan.At this time, brown the onion in a pan;when it is slightly simmering, add the grated carrots one by one, 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.

Example menu for diet #6

This is one of the options for determining what a weekly diet might look like for a gout patient.

First day

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

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 – apple baked with honey.
• Dinner – beet salad, toast with unsalted cheese.

Third day

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

Day four

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

Fifth day

• Breakfast - cottage cheese seasoned with honey, tea with field herbs.
• Second breakfast – pear.
• Lunch – vegetable noodle soup, cereal cutlets, compote.
• Afternoon snack – apple.
• Dinner – eggplant with cheese and tomatoes.

Day six

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

Day seven

• Breakfast – two boiled eggs, cucumber salad.
• Second breakfast – cheese toasts.
• Lunch – millet porridge with milk, pancakes with cheese.
• Afternoon snack – fresh fruit.
• Dinner – stewed cabbage, toast with peanut butter.

How to eat during an exacerbation

Table No. 6 is suitable for a patient in remission, but in an exacerbation situation, nutrition must be radically different.Only in this case will there actually be a qualitative change for the better and the aggravation will subside.The fundamental rule of nutrition comes down to a 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 with 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 – vegetable puree – 120 g, fruit jelly.
• Afternoon snack – a glass of fresh carrot or tomato juice.
• Dinner – 120 g of liquid rice porridge, a glass of applesauce.
• 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 portion volume;they should be more than modest, about half of the daily portion.After the period of exacerbation has passed, you can introduce meat and fish dishes, not only boil the food, but also fry it.