Diet for gout and high uric acid: what you can and cannot eat? A competent gout diet is the same element of therapy as drugs, physiotherapy, and therapeutic exercise. The use of prohibited products reduces the effectiveness of the treatment, fills the cells with purines and causes the active production of uric acid. The result is increased discomfort, severe joint pain, increased swelling, and a poor blood count.
When developing a treatment regimen, the doctor reminds the patient how important a diet is for gout and high uric acid levels, what is possible and what is notnot. The table of foods that positively and negatively affect the metabolism of uric acid in the body will help you compose a menu for gout for each day.
Why diet?
The main goal of the gout diet is to control the production and excretion of uric acid. Such a nutritional system helps improve well-being and reduce pain, which in turn reduces disease.
The consequences of not dieting for gout 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
- ;
- disease of all joints and development of erosive arthritis.
It should be noted that this diet does not cure, but only promotes an accelerated release of acid and salts during exacerbation of osteoarthritis. It also significantly reduces body weight, which plays an important role in the recovery of the body after severe drug treatment.
Varieties
Diet 6E is a variety from Table 6. It is prescribed for similar indications in obese patients. The energy value was reduced to 1950-2000 Kcal (protein content to 70 g, fat - 80 g, carbohydrate - to 250 g).
Basically, the consumption of simple carbohydrates (fresh wheat bread, sugar, honey, candy, confectionery and flour products) decreases, and less complex carbohydrates (cereals). Meat consumption is limited to 1 to 2 times per week. Meal in small portions (fractionated) up to 5-6 times a day, an abundant intake of fluids, especially weakly alkaline mineral waters.
Vegetables and fruits are best eaten raw, but can be cooked and boiled. Since the diet is physiologically incomplete, it can be prescribed for a period not exceeding 2 weeks.
Nutritional guidelines for gout
It is important to follow a few guidelines in shaping your daily diet. The diet for gout and high uric acid - what you can and can't, includes the following rules:
- Eat the right fats. When reducing the level of animal fats in the diet, include vegetable oils, especially olive, sunflower, and corn oils.
- Lose weight. Excessive body weight worsens the course of the disease, provokes disruption of kidney function, excludes the possibility of normal excretion of uric acid. If you are overweight, reduce the energy value of the diet.
- Drink a lot. In the absence of edema and normal renal function, abundant fluid intake is recommended. It is important that you drink at least two and a half liters of fluids a day, including plain water with lemon juice, as well as fruit and berry juices, herbal teas, rosehip broth, milk.
- Take a multivitamin. It is especially important to use a sufficient amount of vitamins C, PP and B2 to correct the condition.
- Eat foods that alkalize your urine. These include almost all fresh fruits and berries. Their value in the diet also lies in the high content of potassium, which has a diuretic effect.
- Drink alkaline mineral water. It alkalizes urine, which makes its composition active against uric acid. An alkaline urinary reaction helps dissolve dangerous compounds and reduces the risk of disease progression.
- Cut the alcohol. Alcoholic beverages interfere with kidney function, which precludes the possibility of uric acid excretion by the body. Even their periodic consumption can cause an attack and exacerbation.
- Reduce the salt content. The salt itself contributes to the deposition of uric acid crystals in the joints. Its increased food content reduces the intensity of urinary excretion and causes edema, which eliminates the necessary diuretic effect during exacerbations. Keep salt intake to a minimum.
It is also worth organizing fasting days. Relieve your body of heavy foods once a week. What is good for you are one-day mono diets with foods that are low in purine. In the summer, organize fasting days on watermelons, which perfectly remove uric acid and salts from the body. Use the mono cucumber and apple diets in the spring and fall. The potato is good in winter. All of these foods are high in potassium and fiber which are valuable to you.
Diet for gout during exacerbation
During an exacerbation of gout, a correctly selected diet will help get rid of 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.
Nutrition for gout involves more frequent fasting days (every other day). In case of exacerbation, you can use the following menu for 1 day:
- On an empty stomach: half a glass of preheated alkaline mineral water or a decoction of rosehips (chicory can be used).
- Breakfast: half a portion of oat milk porridge (it should be liquid), a glass of milk.
11 am: 1 glass of apple juice. Instead, you can eat raw apples (1 pc. ). - Lunch: vegetable puree soup (half a portion), milk-based jelly.
5 p. m . : carrot or tomato juice (glass). - Dinner: half a portion of liquid rice porridge, 1 glass of fruit compote (strawberries, pears, apples).
9 p. m . : a glass of kefir. - At night: tea with milk and honey (not desirable for diabetes mellitus) or green tea without sugar - 1 glass.
This menu can be used until symptoms of inflammation of the legs disappear.
What can you eat for gout?
Gout is a complex disease that requires a responsible attitude and respect for the principles of good nutrition. Therefore, it is necessary to understand what you can eat with gout. The product table will help us.
Diet for gout and high uric acid - what you can eat, food table:
| List of foods you can eat: | Usage features: |
| Black or white bread, uncomfortable pastries. | |
| Marshmallow, marmalade, jam, marshmallow, no chocolates, ice cream. | |
| Cereals with milk, vegetarian borscht, potato soups with cereals, salads from fresh and pickled vegetables, dressing, vegetable caviar, sauce with vegetables, milk or sour cream. | Milk must be diluted in this case. |
| Oranges, mandarins, green apples, dates, persimmons, dried fruits (except raisins), strawberries, lemons, apricots, pears. | Of course, you shouldn't eat just fruit and lots of it. Meals 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 beneficial because it helps to eliminate the inflammatory process. In addition, vegetables are actively used on fasting days. Potatoes and cucumbers contain a large amount of potassium, therefore, they increase the excretion of uric acid from the body. |
| All grains except legumes. | Beans are on the list of foods not to eat because they contain uric acid and in high amounts. |
| Marine cephalopods, crustaceans, shrimps, lean fish (salmon, trout), squid. | These foods are very beneficial for gout. The diet provides for boiled fish, and it is advisable to drain the broth. |
| Rabbit, turkey, chicken. | Any meat is eaten 2-3 times a week and no more than 170 g. |
From drinks you can: green tea, fruit and berry tea, milk and lemon tea, juice (any, even tomato), herbal teas, fruit drink, fruit and fruit compotesberries, fresh cucumber juice, alkaline mineral water for goutalso very useful, rosehip broth, chicory.
What shouldn't you eat with gout?
If the patient has leg joint injury, you need to find out what you cannot eat with gout. The fact is that during a diet it is not recommended to consume certain foods (even fruits), since 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 - what not to eat, food table:
| Meat and poultry | smoked sausages, raw smoked and boiled, small sausages, sausages, meat of young animals, fatty pork, offal (lungs, liver, kidneys), preserves |
| Dairy products, eggs | salty and spicy cheeses |
| Seafood, fish | fatty, salted, smoked or fried fish (sardines, sprats, cod), caviar |
| Vegetables | mushrooms, sorrel |
| Cereals | lentils, beans, soybeans, beans |
| Candy | cream cakes, pastries |
| Tableware | meat, fish or mushroom broth, sorrel soup, as well as dishes with the addition of legumes and spinach; sauces made from the above broths, mayonnaise |
| Spices | pepper, mustard, horseradish, hot spices |
| Greases | margarine, lard |
| Fruits, berries | grapes, figs, raspberries |
Drinks should not be consumed: no alcohol, especially beer and wine; coffee, cocoa, strong tea (despite the fact that the presented drinks contain purines, they are not broken down into uric acid, however, they have a strong diuretic effect, which contributes to dehydration).
Sample menu for gout
A therapeutic regimen for gout reduces the risk of recurrence of the disease, relieves pain and normalizes the urinary system. In addition, such a nutritional system helps normalize body weight and is one of the principles of a healthy lifestyle.
Diet for gout and high uric acid - dos and don'ts, sample menu:
First day:
- Before meals: a glass of rosehip broth.
- 1 breakfast: tea with milk, coleslaw.
- 2 breakfast: vegetable juice.
- Lunch: borscht in vegetable broth, a piece of boiled meat with white sauce (not more than 100 gr. )
- Afternoon snack: a glass of rosehip broth.
- Dinner: buckwheat pudding, cabbage rolls with vegetables.
- Before going to bed: fruit juice.
Day two:
- Before meals: a glass of rosehip broth.
- 1 breakfast: tea with milk, beet salad seasoned with butter or sour cream.
- 2 breakfast: vegetable juice.
- Lunch: vegetable barley soup, cabbage schnitzel.
- Afternoon snack: fruit juice.
- Dinner: carrot cutlets, jelly.
- Before bedtime: a watermelon or a glass of yogurt.
The list of dishes can be combined, remember that the effect of diet 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:
1 carrot, 1 head of onion, mushrooms, 2 tablespoons of lemon juice, ½ teaspoon of sugar, 2 tablespoons of sunflower oil, cream 30 g.
Preparation:
Clean and chop the vegetables. Put the cooked carrots and onions in a saucepan with heated oil, put on the fire, simmer for 7-8 minutes. Add the spinach leaves and mix until reduced to a puree. Add the lemon juice, sugar and let boil, put the cream on a plate when ready to serve.
Curd casserole
Products:
3 chicken eggs, 100 g of semolina, 100 g of sugar, 2 packets of cottage cheese, 200 g of low-fat sour cream, dried fruits, salt, soda, quenched with lemon juice.
Preparation:
Mix all the ingredients well, add 0, 5 teaspoon of soda, quenched with lemon juice, raisins. Pour the resulting mass into the prepared baking dish and bake at 180 degrees until a slightly reddish state.
Steamed chicken meatballs with sauce
Products:
Chicken fillet 350 g, 70 g onions, 30 ml of milk, 1 chicken egg, 150 g of boiled rice, 70 g of white bread, pepper. Salt, herbs. For the sauce: 150 g of carrots, 200 ml of chicken broth, 50 g of greens, 70 g of onions, vegetable oil, 50 g of sour cream, 15 g of wheat flour, salt, pepper, green onionsservice
Preparation:
Cut the chicken fillet, put it in a blender, add the onions, raw chicken egg and the bread soaked in milk, pepper, dry dill. Grind carefully. Add cold boiled rice, fine table salt and knead minced meat for meatballs, leave for 20 minutes in the refrigerator. We form meatballs and bake for 6-8 minutes. Sauté the onions and carrots, add the chicken broth, herbs, wheat flour, salt to taste, sour cream. Reheat over low heat. Put the steamed meatballs in the finished sauce and cook for another 5-6 minutes, sprinkle with green onions.
Eggplant and minced meat casserole
Products:
Eggplant, flour, vegetable oil, onion, garlic, minced meat, tomato paste, cheese, cream, black pepper, salt.
Preparation:
Sprinkle the sliced eggplant slices with salt, pepper to taste, roll in flour and brown 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, salt and water (1/2 cup). Simmer for another 2 minutes. Arrange the eggplants, minced meat and grated cheese in layers, pour with 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:
Place the diced pumpkin, washed rice, salt and sugar in a saucepan, add water and cook until tender. Pour the butter with the melted butter, rub everything through a sieve or grind with a blender and pour in the boiled milk. Let the soup boil and fill it with boiled cream.
In order to avoid painful symptoms, at the first warning signs, consult a doctor and strictly follow all the recommendations of your doctor. Including those relating to nutritional adjustments. An experienced nutritionist will help you compose the right menu, which will tell you what you can eat with an increased concentration of uric acid, and what foods should be abandoned forever.