Gout diet is an integral part of complex therapy.If pharmacological drugs help relieve pain, only a proper and balanced diet can prevent further attacks. Nutritionists recommend that foods containing purine be excluded from the diet. These are fatty meats, rich broths, certain types of vegetables. Improving the weekly menu allows you to achieve stable remission, lead an active lifestyle.
Principles of a gouty diet
Gout is characterized by the accumulation of uric acid crystals in the joints and kidneys. They irritate their structure, provoking the development of severe inflammation. An alkaline environment is required for the crystals to dissolve naturally and be emptied from the body. That is, products that would rise to pH 6-8 after being broken down should be eaten. However, the intake of purines should be limited. Due to the unregulated metabolism in the body, the concentration of uric acid increases.
Once the diagnosis is made, the patient is referred to a dietitian. It creates an approximate menu, taking into account the severity of the gout course and the extent of damage to the joints and / or kidneys. Your doctor should make dietary recommendations:
- should be eaten often (5-7 times a day) but in small portions;
- the products must be baked, steamed in a little water, steamed;
- in the absence of contraindications, drink at least 2. 5 liters of fluid.
In the vast majority of cases, the impetus for the development of gout was the use of fatty foods in combination with alcohol. Not surprisingly, mostly obese men suffer from it. Nutritionists recommend that you limit your daily menu energy intake to 2, 000 to 2, 500 kilocalories. It helps you lose weight, reduce stress on sore joints and improve your overall health.
Vegetables perfectly alkalize the body. You need to diversify your diet with white cabbage, carrots, zucchini, tomatoes, cucumbers, potatoes. There are still debates about the gouty use of eggplant. Some nutritionists categorically prohibit them from eating food because of gout. But most doctors insist on using them. This is a therapist, one of the organizers of the Institute of Nutrition. He developed the No. 6 diet for gout. The list of authorized products also includes:
- almost all berries except raspberries, blueberries, grapes. Particularly useful are red, black and white currants, gooseberries, blueberries;
- fruit of sweet and sour varieties with a high acidity. Nutritionists advise eating an apple, pear, orange, a few plums, or apricots between meals;
- wholemeal pasta;
- cereal - buckwheat, millet, corn, oats, wheat;
- lean meats - turkey, chicken, rabbit, lamb, veal;
- sea and river cooked fish (without broth! );
- eggs, but not more than one per day;
- dried whole grains and white bread;
- any low fat fermented dairy product - cottage cheese, unsalted cheeses, varenets, fermented fried milk, kefir, ayran.
For patients with gout, the list of sweets is very rare. It consists principally of marshmallows and marshmallows made from natural jams, apples or other fruits. You can sweeten it lightly with honey or porridge jam, but only with your doctor’s permission.
For patients with gout, rich meat and fish soups and soups based on them are strictly forbidden. During cooking, huge amounts of purine base are accumulated. Consuming another 100 ml of broth is likely to trigger another relapse of the disease. What else needs to be completely eliminated from the diet:
- offal, fatty and lean red meat - pork, beef, lamb;
- oily sea and river fish - herring, salmon species, mackerel;
- seafood and red caviar;
- home-made and factory pickles, pickles and other preserves;
- spices and sauces - horseradish, mustard, black and allspice, mayonnaise, ketchup;
- cheeses saturated with salt and spices;
- chocolate and other desserts with cocoa, sweet and savory cakes, protein, cream and pudding;
- sorrel, spinach.
Nutritionists recommend not eating or significantly restricting mushrooms in your daily menu. This is also true for asparagus, celery, radishes, peppers, cauliflower, legumes, pasta.
As mentioned above, daily alcohol consumption is often the cause of gout. Therefore, patients often ask doctors if it is possible to drink a little alcohol from time to time. The answer is always no - even a glass of beer is extremely harmful to gout, not to mention vodka or cognac. Dry red wine is allowed in small doses for other diseases, for gout. 2-3 sips are enough for the next aggravation.
You should not use coffee, cocoa, jelly or heavily brewed black tea from the drinks. And what to drink with gout:
- alkaline mineral water with low salt concentration;
- rosehip decoction, chamomile tea;
- juice, fruit drink, homemade compote of berries, fruits, vegetables, gout allowed;
- lightly brewed green tea.
Consuming a lot of water not only helps cleanse the body of toxic substances. It stimulates the dissolution of uric acid crystals and has a beneficial effect on kidney function. If the gout patient drinks enough fluids, doctors will often reduce the dose of pharmacological drugs by focusing on the test result.