Many may have heard of such a disease as gout.It alters the activity of the musculoskeletal system as a result of the inflammatory process.The reason is a pathological process in which urates are deposited in all joints.A diet for gout and high uric acid will help to significantly improve the patient's condition.
Causes of the disease
If we talk about the causes of this disease, it is worth noting the following:
- Inheritance.
- Nutrition.
- A risk group that includes people with excess weight, hypertension, diabetes, kidney and stomach diseases.
- A person leads a sedentary lifestyle.
- A person drinks alcohol constantly.
Constant consumption of large amounts of protein foods of animal origin can also lead to the development of this disease.
What are the symptoms?
If we talk about the symptoms of manifestation, it is worth noting the following:
- The person will feel severe pain in the joints.Most often this occurs in the morning and evening.
- The joint becomes swollen and tender.It is impossible to touch it.
- The skin turns red.
- Increase in temperature and pressure.
- Nausea, loss of appetite.
It can also be seen that gout manifests itself both in the form of attacks and as a chronic disease.In addition, very often kidney function can be impaired, which will lead to complications.
What role does nutrition play?
Anyone who has encountered this disease knows that if the patient eats or drinks something from the list of prohibited ingredients, an attack may begin.The disease can be cured when a leading specialist prescribes nutritional therapy.The patient must carefully follow all principles and avoid consuming prohibited ingredients.
It is best for a person to eat 5 times a day, but in small portions.You should also drink a lot of purified water and decoctions.
Among the common diets during illness, two groups can be highlighted.This is a therapeutic option that is prescribed during an exacerbation of the disease.And prevention most often occurs when the attack is no longer present, but the person must still comply with the principles.It is in this case that the number of prohibited products is much smaller.
Basic principles of dietary nutrition.
The main objective of dietary nutrition for this disease is to reduce uric acid compounds in the body of each person.This can be achieved through several methods:
- The number of foods that are classified as animal proteins is limited.
- Components containing a small amount of purine bases are introduced.
- A sufficient volume of liquid is injected.
- The weight decreases.
If we talk about what foods should be excluded, then those that contain a large amount of purines are included.These include:
- Veal entrails.This includes the liver, kidneys, brain and much more.
- Shrimp.
- Some types of fish.
- Roasted legumes.
- Anchovies.
It is also necessary to reduce the consumption of those ingredients that contain a medium amount of purines.This may include:
- Any product made from fatty meats, poultry.
- Fishing products.
- Vegetables.
It should be noted that the meat of all young animals has a large amount of purines.Additionally, you should also reduce your intake of saturated fats.They will interfere with the normal removal of fluid from the kidneys.It is also necessary to know the list of strictly prohibited in case of illness.These include:
- Any smoked meat, as well as those ingredients that are sold in canned form.
- Frozen meat and fish products.
- Broths.
- Alcohol in any form.
- Legumes, as well as frozen or canned vegetables.
- Cereals, except rice, wheat.
- Any sweet that is prepared with salt and sugar.
- Salt, seasonings, marinades, olives, ketchup and other flavor enhancers in dishes.
A general table of permitted and prohibited foods is provided for subsequent compliance with nutritional principles.
| Categories | Permitted | forbidden |
|---|---|---|
| bakery products | White or black bread, salty pastries | butter cakes |
| meat dishes | rabbit, turkey, chicken | Smoked sausages, raw and cooked, sausages, sausages, meat of young animals, fatty pork meats, offal (lungs, liver, kidneys), preserves |
| seafood, fish | Marine cephalopods, crustaceans, shrimp, lean fish (salmon, trout), squid | Fatty, salted, smoked or fried fish (sardines, sprats, cod), caviar |
| milk products | Skimmed milk, kefir, unsalted cheese, yogurt, sour cream, eggs (this product is allowed, but can only be eaten once a day, 1 piece in any form), cottage cheese | Salty and spicy cheeses |
| cereals | Everything but legumes | Lentils, beans, soybeans, beans |
| Vegetables | Dill, corn, beets, onion, garlic, potatoes, carrots, white cabbage, cucumbers, zucchini, eggplants, tomatoes, pumpkin (helps improve metabolism) | Mushrooms, sorrel |
| fruits, berries | Oranges, tangerines, green apples, dates, persimmons, dried fruits (except raisins), strawberries, lemons, apricots, pears. | Grapes, figs, raspberries. |
| dishes | Cereal porridge with milk, vegetarian borscht, potato soups with added cereals, salads with fresh and pickled vegetables, vinaigrette, vegetable caviar, vegetable sauce, milk or sour cream | Meat, fish or mushroom broth, sorrel soup, as well as dishes with legumes and spinach;sauces based on the previous broths, mayonnaise |
| sweets | Marshmallows, jams, jams, marshmallows, non-chocolate candies, ice cream | Cream pies, pastries |
| Fats | Any vegetable oil | margarine, butter |
| Drinks | Green tea, fruit and berry tea, milk and lemon tea, juice (any, including tomato), herbal infusions, fruit drinks, fruit and berry compotes, fresh cucumber juice, alkaline mineral water, rosehip and chicory infusion are also very useful for gout. | Any alcohol, especially beer and wine;coffee, cocoa, strong tea |
| spices | Vanillin, cinnamon, bay leaf, citric acid. | Pepper, mustard, horseradish, hot spices. |
What is allowed as minimum consumption?
As with any diet, there are deviations here.But you need to remember them and stick to them.You can consume a specific list of ingredients, but per week or per month.No more than once a day, but preferably once every three days, use the following:
- If you are a tea lover and can't live without it, you can add milk to it.You can also add it to porridge.
- Beef is considered a prohibited item, but once a week you can boil it and eat it.This will reduce the amount of purines by 50%.
- You can eat asparagus, celery, spinach.But in no case should you increase the number too much.
- You can eat some types of fish.The best is cod or trout.
- Boiled poultry, but in small quantities.
- Sometimes you can eat some marinades.But this can only be done if you feel good.
- Tomatoes and green onions.
- A small amount of butter.
- Saló
If such products are not abused, a person can easily afford them in exceptional cases.
What can you eat?
Having looked at the list of what you can sometimes eat and what you can't, it's worth moving on to what you can.The essence of the matter is to draw up a diet based on the list of permitted foods.The list is quite varied and therefore everyone can choose for themselves what they really want to eat.The main list of permitted ingredients includes:
- Diet meat.This includes turkey, rabbit, and, rarely, chicken.
- All types of lean fish.
- Soups with vegetable broths.You can add already boiled meat there.But it is necessary to cook it separately, because meat broth is prohibited.
- Pasta, bread and cereals.
- Berries.
- Fermented dairy products.
- Desserts such as marshmallows, marshmallows and jam.
- Walnuts and prunes.
- Oil.The best is linseed or olive oil.
- Vegetables, except legumes.
- Fruit and green teas.
- Herbal decoctions.
- Fruit drinks, as well as juices.There should be no preservatives.
- Herbs such as basil, dill, parsley.
One of the most ideal ingredients for patients suffering from this disease is cabbage.It is used in absolutely any form and allows you to remove all unnecessary elements from the body.
If gout worsens, it is best to switch to liquid or semi-liquid foods.These can be vegetable purees, jellies, porridge, soups.It must be remembered that this is not even a diet for gout, but rather a principle for the correct functioning of each organism.
Table number 6: what is it?
Most often, a diet is prescribed for gout and urolithiasis.Previously, these diseases were called "real" because they arose from excessive consumption of fatty foods and alcohol.Today the reasons are known and therefore doctors only prescribe a strict diet.Within its framework you can prepare really tasty and varied dishes.
During an exacerbation, it allows you to provide some relief and get rid of the disease.There are serious restrictions and some deviations.The duration is determined solely by medical prescription.In particular, it may include the following:
- The amount of food consumed is moderate.
- Foods that contain large amounts of purines and salt are limited.
- Meat and fish are limited.
- Consume at least 2 liters of water.
- Under no circumstances should you go hungry.
- Fractional meals are taken 5-6 times a day.
At table number 6 you can eat the following:
- An egg in any shape.
- Bread. You can eat rye and wheat products, as well as any desserts made from flour.
- Meat and fish products.You should choose low-fat varieties that are pre-boiled.You can't eat more than 150 g of meat per day.
- You can't eat any broth.
- Milk products.You can eat cottage cheese and fermented milk products.It must be present in the diet every day.
- Vegetables.The only exception is the exclusion of legumes, marinades and pickles.
- Cereals.You can consume absolutely any type, but in moderation.
- Fruits and berries.The consumption of citrus fruits is recommended.As for sweets, you can eat jam, honey and dairy desserts.
- Beverages This includes juices, fruit drinks and clean water.Under no circumstances should you drink tea, carbonated drinks, coffee or alcohol.
Under no circumstances should you eat salty cheeses.You should also exclude all dried fruits, except prunes.
What about the drinking regimen?
Every doctor attaches great importance to the drinking regimen, because it is water that helps to accelerate the elimination of purine bases.The total amount of water must be at least 2.5 liters.But here it is necessary to pay attention to the doctor's instructions.If you have problems with the cardiovascular system, the volume is adjusted.If a person has urolithiasis, it is better to choose mineral waters.This will alkalize the urine.Additionally, you can add any citrus fruit.
What about the weight?
Gout is also often accompanied by obesity.It is when gout appears that it is necessary to reduce body weight.Since high-calorie foods always cause an increase in plasma uric acid levels, consumption should not exceed 30 kcal per 1 kg of weight.
Weight loss should occur gradually.It is best that it be 1 kg per month.
In no case should you resort to fasting, because this will only complicate the situation with the disease.It is best to use diets such as kefir, cottage cheese, dairy products, vegetables and fruits.
Weight loss will occur as a result of limiting the consumption of baked goods and sugar.If you have hypertension or ischemia with gout, it is best to follow a low cholesterol diet.
Common mistakes
Many people, especially those who do not follow the necessary information, often encounter errors.Among the most common are the following:
- Drink alcohol.
- Consume foods that contain large amounts of purines.
- Little fluid intake.
- Excess calorie intake.
- Large amount of fat and protein.
- Increased consumption of table salt.
- Lack of fruits and vegetables in the human diet.
All this will only harm and will not bring any positive effects.In any case, before implementing a certain diet, it is best to consult with your doctor.
An example of a menu that can be used when you are sick.
| Day of the week | lunchtime | Consumer products |
|---|---|---|
| Monday | On an empty stomach | rosehip decoction |
| First breakfast | drink water and make a vegetable salad | |
| Second breakfast | fruit juice without preservatives | |
| Lunch | vegetable soup with the addition of pre-boiled meat, cabbage cutlets and compote or rosehip decoction | |
| snack | dried fruit compote | |
| dinner | carrot cutlets, one egg omelette and fruit tea | |
| at night | kefir | |
| Tuesday | On an empty stomach | glass of water |
| First breakfast | milk tea, cabbage and carrot salad | |
| Second breakfast | any juice without preservatives | |
| Lunch | vegetable broth soup.Lean meat with milk sauce | |
| snack | dried fruit compote | |
| dinner | any porridge with added milk, diet cabbage rolls with rice | |
| at night | kefir | |
| Wednesday | On an empty stomach | dried fruit compote |
| First breakfast | juice, prunes, honey cheesecakes | |
| Second breakfast | fruit juice without preservatives | |
| Lunch | Beetroot soup with kefir and stewed cabbage | |
| snack | rosehip decoction | |
| dinner | any porridge with milk and gelatin made from fruits or berries | |
| at night | kefir | |
| Thursday | On an empty stomach | rosehip decoction |
| First breakfast | tea and cabbage salad | |
| Second breakfast | kefir | |
| Lunch | vegetable broth soup, carrot cutlet | |
| snack | grape juice | |
| dinner | Cabbage schnitzel with sour cream and gelatin | |
| at night | fruit or curdled milk | |
| Friday | On an empty stomach | herbal decoction |
| First breakfast | tea, boiled egg, cheesecakes | |
| Second breakfast | prunes compote | |
| Lunch | vegetable broth soup and vegetable stew | |
| snack | kefir | |
| dinner | any porridge with milk and gelatin | |
| at night | curdled milk | |
| Saturday | On an empty stomach | water with lemon |
| First breakfast | tea and eat cheesecakes | |
| Second breakfast | fruit juice without preservatives | |
| Lunch | vegetable broth soup with potatoes, vegetable cutlets | |
| snack | kefir | |
| dinner | omelet, stewed carrots and tea | |
| at night | kefir | |
| Sunday | On an empty stomach | herbal infusion |
| First breakfast | compote, cabbage and beet salad | |
| Second breakfast | tomato juice | |
| Lunch | borscht in vegetable broth and meat baked in foil | |
| snack | kefir | |
| dinner | any porridge with milk and stewed cabbage | |
| at night | curdled milk |
Some recipes
Those who have been on a gout diet for a long time are often faced with a monotonous menu.That is why it is better to consider several options at once, which are rarely found:
- Apple omelet.You will need apples, an egg, milk and butter.The apples are cut into slices and cooked in a pan with butter.After this, the milk, previously beaten with the egg, is poured.Put everything in the oven until completely cooked.The tortilla is sprinkled with powdered sugar and served.
- Rice casserole with beets.You will need beets, rice, egg and milk.The rice is boiled and combined with the beets.Beat the eggs with the milk, you can add a little salt.Rice is poured into the liquid mixture and baked in the oven.
- Beef stroganoff made with boiled meat.You will need meat, butter, wheat flour, sour cream, milk and tomato juice.The meat is boiled and cut into small pieces.The white sauce is prepared according to the recipe below and poured over the meat.Tomato juice is added there.Cook everything at a boil for 10 minutes and season with sour cream.You can add a little butter and sprinkle with herbs.
Various sauces are in great demand when dieting.Among them the following can be noted:
- Sour cream sauce.To prepare you will need 100 g of sour cream, 12 g of flour, 12 g of butter.The flour is dried in the oven or in a pan.It should be yellow.Boil the milk and add a quarter of it to the flour.After that, this liquid is poured into boiling milk and seasoned with butter.
- Milk sauce.You need 100 ml of milk, 10 g of wheat flour.Half of the sour cream is boiled and previously dried flour is added.After that, the sauce is mixed well and brought to a boil.It is better to strain so that there are no lumps.
- White sauce.Vegetable broth 100 g, wheat flour 10 g and butter 5 g.The flour is dried in a pan and ground with butter.After this, carefully pour in the broth and stir.You need to cook for 10-15 minutes.
- Red fruit sauce.Berries 50 g, sugar 15 g, starch, water 100 ml.The berries are pureed and sugar is added.Add water and starch and mix everything over low heat.It is necessary to bring to a boil.
Often, gout patients make their own cooking recipes.This is very easy to do if you follow heat treatment recommendations and selection of approved products.
Contraindications of the diet for gout.
This diet has no particular contraindications.In most cases, this is due to the fact that it is based on standard principles, such as those of a healthy diet.Emphasis is placed on fruit and vegetable dishes.Complex carbohydrates are consumed, as well as a normal amount of dairy components.That's why everyone can do it and not go hungry.
What results can you get?
If a person suffers from gout, but at the same time meets all dietary requirements, he can easily limit the production of uric acid and remove it from the body in maximum quantities.It is thanks to diet that many can cure the disease without the use of medications.
Thanks to this diet you will be able to reduce the severity and number of attacks.In addition, it must be remembered that calorie restriction also occurs through physical exercise.This will allow you to reduce weight to the desired level and achieve excellent results.
Gout is a serious disease that has a large number of complications.Compliance with the regimen allows you to reduce pain and symptoms for some time.If you want to get rid of the disease, it is better to follow all the above recommendations and enjoy life without problems.