Diet for gout

A diet for gout is perhaps one of the main measures aimed at quickly relieving pain and normalizing metabolism in the body.

Gout is a systemic disease that results in uric acid metabolism disorder. Gout often recurs, and may worsen despite well-being. Sodium urate salts accumulate in the ligamentous apparatus, joint articulations, cartilaginous membranes, etc. Most often, gout is observed in those people who do not control their food intake, often eat meat, spicy dishes, and drink alcohol. A sedentary lifestyle, emotional shock, and chronic stress can aggravate the predisposition to the disease. Hereditary factors in the transmission of the disease also occur, especially if the lifestyle described above is accepted in the family. Gout begins acutely, most often at night. At first, the pain is localized in the large joint of the toes, in the foot, elbows, and knees. The pain may last for a day, then subside, leaving a feeling of immobility and friction in the joint. Attacks may recur, spreading to other joints, the affected joint is swollen, and redness is noticeable. To alleviate the condition, a diet is prescribed based on reducing the amount of protein consumed to 0.8-1 gram per kg of body weight, which will stop the body from producing uric acid.

[ 1 ], [ 2 ], [ 3 ]

Diet for gout on the feet

Gout is a fairly common pathology of joint articulations, the cause of gout lies in the disruption of normal metabolism in the body, and specifically - when sodium urate (its salt residue) accumulates in the joint bags and ligaments.

A diet for gout on the legs requires the patient to adhere to certain limits of what is allowed in the consumption of products, eat only in moderation and not starve, as fasting produces more uric acid, which provokes pain peaks. Overeating increases the load on the urinary system, which also leads to excessive accumulation of uric acid. A patient with gout is contraindicated to eat meat, fish, meat and fish broths, animal fats, all smoked foods, offal, caviar. You will also have to refrain from eating beans and spices. In addition, a diet for gout on the legs implies a complete refusal to drink alcoholic beverages - beer, wine, etc. The patient is contraindicated: chocolate, strong tea, coffee, cocoa, cakes with cream, raspberries, figs, grapes, spicy and salty cheeses.

[ 4 ]

Diet for gout on hands

A diet for gout on the hands implies stabilization of the percentage of urea in the body, as well as metabolism in general, by excluding from the daily diet food containing many uric bases. At the same time, it is allowed to consume milk, eggs, fruits, vegetables, cheese, it has been established that the percentage of purines in them is very low, in addition, they have a high energy value and perfectly satisfy hunger.

With gout, uric acid is most often deposited in the joint bags of the hands, causing inflammation and severe pain. At the peak of the exacerbation of the disease, the patient is bothered by limited and painful movements. The first thing that can help at such a moment is a strict diet with the exclusion of certain foods.

It is not recommended to consume almost all types of meat, broths except vegetable broths, sauce dressings, jellied meats, smoked meats, packaged soups, fish eggs, fish, canned goods, rich tea, coffee, cocoa, legumes, products with an extended shelf life, herbs, cakes with cream, chocolate, alcohol, figs, grapes, raspberries.

Limit daily consumption of boiled poultry and fish, tomatoes (no more than 3 per day), cauliflower, sorrel, bell peppers, celery, rhubarb and asparagus. You should also limit the amount of green onions and parsley, butter, milk.

The daily menu can include the following products: squid, shrimp, chicken eggs, vegetarian soups, low-fat cottage cheese, cheese, sour cream, various cereals, bread, pasta, nuts, seeds, cabbage, various vegetables, honey, marmalade, marshmallows, apples, citrus fruits, melons, avocado. Kvass, juices, compotes, various vegetable oils.

With strict adherence to dietary nutrition and correct medication, painful spasms during movement in the hands will decrease, and habitual movements will not cause unbearable pain.

[ 5 ]

Diet 6 for gout

Diet 6 for gout is also indicated for the treatment of urinary system diseases, diathesis with high uric acid levels, oxaluria, cystinuria. The diet is aimed at normalizing uric acid production, restoring the normal urine environment (from acidic to alkaline).

The benefits of dietary nutrition are based on reducing the intake of foods rich in purines, oxalic acid and the predominance of foods in the daily menu that can normalize metabolism. Products do not require special preparation, the cooking process is quite simple, but meat and fish products need to be boiled to remove some of the purines from the products into the broth. Then, based on the resulting boiled products, you can prepare various main courses, but remember that meat can be consumed no more than 2-3 times a week, 150 grams each, fish can be eaten more often, but in portions of no more than 170 grams.

You need to eat fractionally, 4-6 times a day, not forgetting to drink enough liquid. Once every seven to ten days, you can arrange fasting days, eating cottage cheese or fruit, you can also kefir. On such days, the patient needs to drink at least 2.5 liters of liquid. Fasting is unacceptable, as it can cause complications of the disease.

The menu of diet 6 for gout should correspond to the standards: daily protein coefficient 80-90 g, daily fat coefficient 80-90 g, daily carbohydrate coefficient 400 g; the number of calories per day 2600-2900 kcal; retinol 0.5 mg, thiamine 1.5 mg, ascorbic acid 150 mg; sodium 4 g, potassium 3.5 g, calcium 0.75 g, etc.

You can eat a little lean fish, dairy products, cereals, eggs, vegetables, fruits, alkaline mineral water, and weak tea.

[ 6 ], [ 7 ], [ 8 ], [ 9 ]

Diet 8 for gout

Diet 8 for gout is prescribed if the patient has obesity of any degree. Obesity, as a result of overeating, creates an additional burden on all body systems and aggravates any current disease. The essence of the diet is to eliminate excess fat in the tissues. The caloric content of the diet is maintained by a higher percentage of proteins and a decrease in the percentage of fats and the virtual exclusion of carbohydrates (120-130 g of proteins, 80 g of fats, 120 g of carbohydrates, calories - up to 2000).

The menu of table No. 8 allows you to eat: a little rye, wheat bread with bran, vegetable soups, 2-3 times a week you can eat a little lean beef, dishes based on chicken, fish - hake, cod. Fish and meat are served stewed, boiled and baked. Cereal dishes and pasta are limited. Fermented milk products - kefir, low-fat cottage cheese. You can eat no more than 1-2 eggs per day. Berries and fruits can be eaten fresh and as compotes, juices. Tea, weak coffee, fruit and vegetable juices are recommended. Completely exclude from the menu: rich pastries, pasta products, various sweets, rice cereal and semolina, sweet fruits, grapes, any fatty or spicy food is also contraindicated.

[ 10 ], [ 11 ], [ 12 ]

Gout Diet Menu

The diet menu for gout excludes food rich in purine. Only by limiting the production of uric acid can the pain syndrome be alleviated. The diet should be followed quite seriously, fractional meals - 4 times a day, fasting is strictly unacceptable - this stimulates the production of uric acid. It is important to note that dietary nutrition is important, as is drug treatment. There are many variations of dietary nutrition, but many patients make up an approximate menu on their own, based on the differences of a particular organism and taking as a basis the products permitted for consumption. Diet No. 6 for gout is the most effective complex in diet therapy for gout, but some nutritional nuances are still better to clarify with the attending physician in order to avoid possible complications. So, let's consider an approximate diet for one day for gout:

• 1st breakfast: vegetable salad, fruit pie with millet, boiled egg.
• 2nd breakfast: rosehip decoction, or berry decoction.
• Lunch: noodles with milk, jelly.
• Afternoon snack: fresh fruit.
• Dinner: cheesecakes, vegetable cabbage rolls, weak tea.

The menu provided is approximate, as a dish for lunch you can prepare vegetable stew or another hot dish. The nature of the dishes may vary, but one rule should remain unchanged - a greater percentage of food should be served in liquid form.

Diet for a week for gout

A diet for a week for gout can be quite varied and tasty, the main thing is not to go beyond the limits and cook dishes only from permitted products. Special cooking skills are not required, it is not difficult to cook special dishes for gout patients, and they are in many ways similar to vegetarian food.

A strict diet for a week for gout is prescribed in the acute period of the disease, in addition, the patient is prescribed strict bed rest, drug treatment prescribed by the doctor. Food should be mostly liquid, fasting is unacceptable, it is also important to drink about two liters of liquid per day. An example of a diet for two days for gout:

First day:

• Before meals: a glass of rosehip decoction.
• 1 breakfast: tea with milk, cabbage salad.
• 2nd breakfast: vegetable juice.
• Lunch: borscht with vegetable broth, a piece of boiled meat with white sauce (no more than 100 g)
• Afternoon snack: a glass of rosehip infusion.
• Dinner: buckwheat with milk, vegetable cabbage rolls.
• Before bed: fruit juice.

Day two:

• Before meals: a glass of rosehip decoction.
• 1 breakfast: tea with milk, beetroot salad dressed with butter or sour cream.
• 2nd breakfast: vegetable juice.
• Lunch: vegetable soup with pearl barley, cabbage schnitzel.
• Afternoon snack: fruit juice.
• Dinner: carrot cutlets, jelly.
• Before bed: watermelon or a glass of yogurt.

The list of dishes can be combined, do not forget that the effect of diet therapy can be achieved and consolidated for a long time only with its full compliance.

[ 13 ]

Recipes for gout

Recipes for gout are not complicated and do not require special preparation or a specific set of products.

Vegetable slices, salads:

• Salad of cucumbers and lettuce. Finely chop the vegetables, add salt, and you can season it with sour cream or low-fat cream.
• Vinaigrette. Cut boiled potatoes, carrots, beets into cubes, add chopped cucumbers, apples, lettuce leaves. Mix all the ingredients, add a little salt and season with sunflower oil.
• Carrot salad with green peas. Grate carrots, add greens and canned peas, season with low-fat sour cream.

Soups:

• Potato soup. First, boil the potatoes until done, then rub through a sieve and dilute with broth to the desired consistency. Then add white sauce, butter and egg. Boil everything together for a few minutes, then serve with herbs and sour cream.
• Milk noodle soup. First, noodles are boiled in water for about 5 minutes, then boiled milk is added and the soup is boiled until the noodles are ready. At the end of cooking, add butter and sugar.

Side dishes, desserts and sauces:

• Oatmeal with milk. Boil milk, add oatmeal, salt and sugar to taste, cook until done. Add a little butter at the end of cooking.
• Omelette. Grind flour in a small amount of milk, then add beaten eggs, the rest of the milk, beat everything again and put in a frying pan in the oven at medium temperature.
• Cheesecakes. Mix cottage cheese with semolina and egg until thick, then form cheesecakes and roll in flour. Fry in butter and serve warm with tea.
• White sauce. Dry the flour in a frying pan until creamy, combine with butter, stirring constantly. Add hot broth to the mixture and cook for 10 minutes.

Diet for exacerbation of gout

A diet for exacerbation of gout is prescribed at the first manifestation of the disease. Exacerbation most often begins at night, as an attack of acute arthritis of the first metatarsophalangeal joint. Signs:

• Rapid development of clinical symptoms, reaching a maximum after 2-6 hours.
• Severe pain in the affected joint capsule.
• Swelling and redness of the affected joint.
• Disappearance of all manifestations of the disease within 5-14 days with restoration of motor activity.

The main principle of treatment during an exacerbation is to prevent the progression of the disease, with the formation of a correct lifestyle for the patient.

• Limit consumption of meat, meat broths, poultry, fish, offal, seafood, beans). The diet should contain a lot of carbohydrates and milk proteins. Liquid is consumed up to 2-3 liters per day.
• Refusal of alcoholic beverages.
• Change of treatment regimen if diuretics are prescribed.

A diet for exacerbation of gout is prescribed for 10-14 days. The emphasis in the menu is on the consumption of liquid food - fermented milk products, jelly, compotes, juices, weak tea, vegetable soups. It is useful to drink alkaline mineral water.

During the period of exacerbation, digestive disorders are observed, so it is important to follow a gentle diet. When the disease subsides, you can eat meat and fish in small quantities (no more than 1-2 times a week and 100-150 grams). You can eat dairy products, vegetables, eggs, cereals, fruits.

[ 14 ], [ 15 ], [ 16 ]

Antipurine diet

The antipurine diet is a menu with products in which the uric acid content is practically minimal. It is prescribed to patients with gout, as well as those with urate nephrolithiasis, hyperuricemia, hyperuricosuria.

The use of the following is completely prohibited:

• Honey, coffee, chocolate, grapes and grape products, broths (except vegetable), smoked meats, offal, legumes, cakes, cream cakes, whole milk, sorrel, turnips, radishes, fish, pork, cauliflower, alcohol.

Limit food intake:

• All boiled and smoked foods, coffee, tomatoes, herbs, plums, lard, butter.

Recommended for use:

• Potatoes, cereals, chicken, rabbit, carrots, beets, cucumbers, pumpkin, sour cream, cottage cheese, kefir, watermelons, lemons, white cabbage, onions, garlic, white bread, eggs, green tea, dill, sausages, cooked sausage, vegetable oil.

The antipurine diet is prescribed for 10-14 days, until the patient's condition improves. Then, depending on the patient's health, more products are gradually introduced into the diet, but according to the basic provisions of the diet. A sharp change in diet can provoke another exacerbation, and in this case, treatment will have to be started over.

[ 17 ]

Diet for gout and arthritis

Diet for gout and arthritis, or as they say "aristocratic diseases" comes down to one thing - limiting the intake of food rich in uric acid. The disease is unpleasant, mainly due to severe pain in the joints, but it is easily treatable, and first of all, thanks to the diet.

Even with the use of the most expensive foreign drugs, recovery will not occur without a diet. With proper dietary nutrition, improvement occurs after a week or two, and under certain treatment conditions, after a year, all restrictions and prohibitions on the use of products can be completely lifted.

At first, you should avoid animal meat, meat and fish soups, offal, sardines, herring, mackerel, and alcohol.

Reduce consumption of beef, sausages, fish, beans, radishes, cauliflower, spinach, cocoa, and coffee.

Do not limit yourself in eating cereals, pasta, dairy products, cheese, eggs, jelly, butter. You can have vegetable soups on vegetable broth, meat and fish are allowed, but only boiled and not more than 1-2 times a week.

If there are no pathologies of the cardiovascular and urinary systems, you can increase your daily fluid intake to 2-2.5 liters per day. Rosehip decoction, berry juices, and linden tea are useful. Of the mineral waters, you can use alkaline waters - Smirnovskaya, Borjomi.

[ 18 ]

Diet for gout and obesity

The diet for gout and obesity is based on reducing the amount of calories in the daily diet due to light and quickly digestible carbohydrates, fats, while increasing the percentage of protein in the daily portion. Due to this, body weight decreases, fat metabolism and water-electrolyte balance are restored.

The daily norm of diet No. 8 contains the following: proteins - 100-110 g, fats - 80-90 g (of which 50% are vegetable), carbohydrates - 120-150 g, kilocalories - 1600-1800. Only in hospital conditions for severe obesity is a diet with an energy value of 1200 kcal prescribed.

You should eat in small portions, 5-6 times a day, in small volumes. You can calculate the weight of a portion using kitchen scales, and the volume of a portion is achieved through vegetables, this gives a feeling of satiety, and also does not create a stressful situation for the body and the diet can be followed for a long period of time. It is better to stew, boil, bake dishes, and it is better to reduce the consumption of fried, chopped dishes

Liquid in diet No. 8 should be regulated in the volume of 1.2-1.5 l. For example - no more than half a bowl of soup, no more than 5-6 glasses of liquid per day, salt - about 5 g, refuse spices and alcohol. You can eat seafood (if there are no contraindications).

If you follow a diet and later include physical activity in your daily routine, you can speed up the recovery process and restore your metabolism, consolidating the positive result.

Of course, following the dietitian's instructions, you can stop acute attacks of gout, but you can cure it completely only in combination with drug therapy. Therefore, when the first signs appear, you should immediately contact a specialist at the clinic to prevent the development of severe systemic changes. Self-medication and ignoring dietary instructions for gout are absolutely contraindicated.

[ 19 ], [ 20 ], [ 21 ]