Many may have heard of such a disease as gout.It disrupts 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 increased uric acid will help significantly improve the patient's condition.
Causes of the disease
If we talk about the causes of this disease, the following should be noted:
- Heredity.
- Eating.
- A risk group that includes people with overweight, hypertension, diabetes, kidney and stomach diseases.
- A person leads a sedentary lifestyle.
- A person constantly drinks alcohol.
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, then the following should be noted:
- One will feel severe pain in the joints.Most often this happens in the morning and evening.
- The joint becomes swollen and tender.It's impossible to touch it.
- The skin becomes red.
- Increase in temperature and pressure.
- Nausea, loss of appetite.
It can also be noted that gout manifests itself both in the form of attacks and as a chronic disease.Also, very often, kidney function can be impaired, which will lead to complications.
What role does nutrition play?
Anyone who has ever encountered this disease knows that if the patient eats or drinks something from the list of prohibited ingredients, an attack can begin.The disease can be cured by prescribing nutritional therapy from a leading specialist.The patient must carefully observe all principles and avoid consumption of prohibited ingredients.
It is best for a person to eat 5 times a day, but in small portions.In addition, he should drink a lot of purified water and decoctions.
Among the diets that are common during illness, two groups can be noted.This is a therapeutic option that is prescribed during an exacerbation of the disease.And prevention - most often happens when the attack is no longer present, but the person still needs to adhere to the principles.It is in this case that the number of prohibited products is much smaller.
Basic principles of dietary nutrition
The main goal of dietary nutrition in this disease is to reduce the compounds of uric acid in the body of each person.This can be achieved through several methods:
- The number of foods that are classified as animal protein is limited.
- Components that contain a small amount of purine bases are introduced.
- A sufficient volume of fluid is injected.
- Weight decreases.
If we talk about which foods should be excluded, then they include those that contain a large number of purines.These include:
- Veal offal.This includes the liver, kidneys, brain and many others.
- Shrimp.
- Some types of fish.
- Roasted pulses.
- Anchovy.
You should also reduce the consumption of those ingredients that contain an average number of purines.This may include:
- All products made from fatty meat, poultry.
- Fish products.
- vegetables.
It should be emphasized that the meat of all young animals has a huge amount of purines.You should also reduce your intake of saturated fat.They will prevent the normal removal of fluid from the kidneys.You should also know the list that is strictly prohibited in case of illness.These include:
- Any smoked meats, 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.
- All confectionery made with salt and sugar.
- Salt, spices, marinades, olives, ketchup and other flavor enhancers in dishes.
A general table of permitted and prohibited foods is given for subsequent compliance with the principles of nutrition.
| Categories | Allowed | Forbidden |
|---|---|---|
| Bread products | Black or white bread, salty pastries | Butter sweets |
| Meat dishes | Rabbit, turkey, chicken | Smoked, raw-smoked and cooked sausages, sausages, sausages, meat from young animals, fatty pork, offal (lungs, liver, kidneys), canned goods |
| Seafood, fish | Marine cephalopods, crustaceans, shrimp, lean fish (salmon, trout), squid | Fatty, salted, smoked or fried fish (sardines, sprats, cod), caviar |
| Dairy products | Low-fat milk, kefir, unsalted cheese, yogurt, sour cream, eggs (this product is allowed, but you can eat it only once a day, 1 piece in any form), cottage cheese | Salty and spicy cheeses |
| Cereals | Everything except legumes | Lentils, beans, soybeans, beans |
| vegetables | Dill, corn, beets, onions, garlic, potatoes, carrots, white cabbage, cucumbers, zucchini, eggplant, 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 |
| Vessels | Cereal porridge with milk, vegetarian borscht, potato soups with the addition of cereals, salads with fresh and pickled vegetables, vinaigrette, vegetable caviar, vegetable, milk or cream sauce | Meat, fish or mushroom broth, sorrel soup, as well as dishes with the addition of legumes and spinach;sauces based on the above broths, mayonnaise |
| Sweets | Marshmallows, marmalade, jam, marshmallows, non-chocolate candies, ice cream | Cream cakes, sweets |
| fats | Any vegetable oil | Margarine, wt |
| Drinks | Green tea, fruit and berry tea, tea with milk and lemon, juice (any, even tomato), herbal decoctions, fruit drinks, fruit and fruit compotes, fresh cucumber juice, alkaline mineral water is also very useful for gout, rosehip infusion, chicory | Any alcohol, especially beer and wine;coffee, cocoa, strong tea |
| Spices | Vanillin, cinnamon, bay leaf, citric acid | Black pepper, mustard, horseradish, hot spices |
What is allowed for minimum consumption?
As with any diet, there are deviations.But you must remember them and stick to them.You can consume a certain list of ingredients, but on a weekly or monthly basis.No more than once a day, but preferably once every three days, use the following:
- If you are a tea lover and cannot do without it, then you can add milk to it.You can also add it to porridge.
- Beef is considered a forbidden item, but once a week you can cook 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.Cod or trout are best.
- Boiled poultry, but in small quantities.
- Sometimes you can eat some pickles.But this can only be done if you feel good.
- Tomatoes and green onions.
- A small amount of oil.
- Salo.
If you do not abuse such products, then one can easily afford them on rare occasions.
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 the compilation of a diet from the list of permitted foods.The list is quite varied and therefore everyone can choose for himself what he really wants to eat.The main list of permitted ingredients includes:
- Dietary meat.This includes turkey, rabbit, and rarely chicken.
- All types of lean fish.
- Soups with vegetable broths.There you can add already cooked meat.But you have to cook it separately, because meat broth is prohibited.
- Pasta, bread and cereals.
- Forest fruits.
- Fermented dairy products.
- Desserts such as marshmallows, marshmallows and marmalade.
- Nuts and prunes.
- Oil.Flaxseed or olive oil is best.
- Vegetables, excluding legumes.
- Fruit and green teas.
- Herbal potions.
- 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 the gout worsens, it is best to switch to liquid or semi-liquid meals.These can be vegetable purees, jelly, porridges, soups.You must remember that this is not even a diet for gout, but a principle for the proper functioning of any organism.
Table number 6: what is it?
Very often, a diet is prescribed for gout, as well as urolithiasis.Previously, these diseases were called "royal" because they arose from heavy consumption of fatty foods and alcohol.Nowadays, the causes are known, and therefore doctors only prescribe a strict diet.Within it you can prepare really tasty and varied dishes.
During an exacerbation, it allows you to bring some relief and get rid of the disease.There are both serious limitations and some deviations.The duration is determined only by a doctor's prescription.In particular, you can 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.
- In no case should you starve.
- Small meals are carried out 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 flour desserts.
- Meat products and fish.You should choose low-fat varieties that are pre-cooked.You can eat no more than 150 g of meat per day.
- You cannot eat any broths.
- Dairy products.You can eat cottage cheese and fermented milk products.It should be present in the diet every day.
- vegetables.The only deviation is the exclusion of pulses, pickles and pickles.
- Cereals.You can consume absolutely any kind, but in moderation.
- Fruits and berries.Eating citrus fruits is encouraged.For sweets, you can eat marmalade, honey and milk desserts.
- Drinks This includes juices, fruit drinks, plain water.In no case do not drink tea, carbonated drinks, coffee and alcohol.
In no case should you eat salty cheeses.You should also exclude all dried fruits, except for prunes.
What about the drinking regime?
Every doctor attaches great importance to the drinking regime, because water helps to accelerate the elimination of purine bases.The total amount of water should be at least 2.5 liters.But here you should pay attention to the doctor's instructions.If you have problems with the cardiovascular system, then the volume is adjusted.If a person has urolithiasis, then it is better to choose mineral waters.This will alkalize the urine.You can also add any citrus fruits.
What about the weight?
Gout is also very often accompanied by obesity.It is at the onset of gout that it is necessary to reduce body weight.Since high-calorie foods always lead to an increase in plasma levels of uric acid, consumption should not exceed 30 kcal per 1 kg of weight.
Weight loss should be gradual.It is best when it is 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 eat a low-cholesterol diet.
Common mistakes
Many people, especially those who do not follow the necessary information, very often encounter errors.Among the most common are the following:
- Drinking alcohol.
- Eating foods that contain large amounts of purines.
- Low fluid intake.
- Excess calorie intake.
- A 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 lead to a positive effect.In any case, before implementing a certain diet, it is best to consult your doctor.
An example of a menu that can be used in case of illness
| Day of the week | Meal time | Products for consumption |
|---|---|---|
| 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-cooked meat, cabbage cutlets, as well as rosehip compote or decoction | |
| Afternoon breakfast | dried fruit compote | |
| Dinner | carrot cutlets, one egg omelet and fruit tea | |
| For the night | kefir | |
| Tuesday | On an empty stomach | a 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 | |
| Afternoon breakfast | dried fruit compote | |
| Dinner | any porridge with added milk, dietary cabbage salad with rice | |
| For the night | kefir | |
| Wednesday | On an empty stomach | dried fruit compote |
| First breakfast | juice, prunes, cheesecake with honey | |
| Second breakfast | fruit juice without preservatives | |
| Lunch | Beet soup with kefir and stewed cabbage | |
| Afternoon breakfast | rosehip decoction | |
| Dinner | any porridge with milk and fruit or fruit jelly | |
| For the night | kefir | |
| Thursday | On an empty stomach | rosehip decoction |
| First breakfast | tea and coleslaw | |
| Second breakfast | kefir | |
| Lunch | vegetable broth soup, carrot cutlet | |
| Afternoon breakfast | grape juice | |
| Dinner | cabbage schnitzel with cream and jelly | |
| For the night | fruit or yogurt | |
| Friday | On an empty stomach | herbal decoction |
| First breakfast | tea, boiled egg, cheesecake | |
| Second breakfast | prune compote | |
| Lunch | vegetable broth soup and vegetable stew | |
| Afternoon breakfast | kefir | |
| Dinner | any porridge with milk and jelly | |
| For the night | fermented milk | |
| Saturday | On an empty stomach | lemon water |
| First breakfast | tea and eat cheesecakes | |
| Second breakfast | fruit juice without preservatives | |
| Lunch | vegetable broth soup with potatoes, vegetable cutlets | |
| Afternoon breakfast | kefir | |
| Dinner | omelette, stewed carrots and tea | |
| For the 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 | |
| Afternoon breakfast | kefir | |
| Dinner | any porridge with milk and stewed cabbage | |
| For the night | fermented milk |
Some recipes
Those who have been on a diet for gout for a long time are very often faced with a monotonous menu.Therefore, it is best to look at several options at once, which can rarely be found:
- Apple omelette.You will need apples, egg, milk and butter.Apples are cut into slices and stewed in a pan with butter.Then pour the milk, which has been previously beaten with the egg.Everything is put in the oven until fully cooked.The omelet is sprinkled with powdered sugar and served.
- Rice Casserole with Beetroot.You will need beetroot, rice, egg and milk.The rice is boiled and combined with the beets.Beat the eggs with the fresh milk, you can add a little salt.Pour the rice into the liquid mixture and bake in the oven.
- Beef stroganoff made from boiled meat.You will need meat, butter, wheat flour, cream, milk and tomato juice.The meat is boiled and cut into small pieces.Make a white sauce according to the recipe described below and pour over the meat.The tomato juice is added there.Boil everything for 10 minutes and season with sour cream.You can add a little oil and sprinkle with herbs.
Different sauces are in great demand during a diet.Among them, the following can be noted:
- Sour cream sauce.For preparation, you will need 100 g of sour cream, 12 g of flour, 12 g of butter.The flour is dried in an oven or in a pan.It should be yellow.The milk is boiled and a quarter is added to the flour.This liquid is then 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, flour that has been dried in advance is added.The sauce is then mixed well and brought to a boil.It is better to strain it 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 the butter.Then carefully pour the broth and mix.You need to cook for 10-15 minutes.
- Berry sauce.Fruits 50 g, sugar 15 g, starch, water 100 ml.The fruits 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 come up with their own cooking recipes.This becomes very easy if you follow the recommendations for heat treatment and the selection of approved products.
Contraindications for gout diet
This diet has no particular contraindications.Most often, this is due to the fact that it is based on standard principles, such as for healthy eating.The emphasis is on vegetable and fruit dishes.Complex carbohydrates are accepted, as well as a normal amount of dairy ingredients.That is why everyone can stick to it and not suffer from hunger.
What results can you get?
If a person suffers from gout, but at the same time complies with all dietary requirements, then he can easily limit the production of uric acid and remove it from the body in maximum quantities.Thanks to the diet, many can cure the disease without the use of drugs.
Thanks to this diet, you can reduce the severity and number of attacks.You should also remember that calorie restriction is also done through exercise.This will allow you to reduce the weight to the desired level and achieve excellent results.
Gout is a serious disease that has a huge number of complications.Following the regimen allows you to reduce pain and symptoms for some time.If you want to get rid of the disease, then it is better to follow all the above recommendations and enjoy life without any problems.