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Mineral water for gout: what kind can I drink?
Last reviewed: 04.07.2025

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One of the key points in the treatment of gout is the issue of high-quality removal of uric and oxalic acid from the patient's body. But the severity of this disease is that modern medicine is not able to completely cure gout. Today, it is only possible to maintain the disease in a state of remission. An effective assistant in this situation is mineral water for gout, which will be discussed in this article.
Names of mineral waters for gout
As a preventive method and to relieve an acute attack of gout, some mineralized drinks can be used. It should be remembered that the mineral water used should have an alkaline pH level.
Names of mineral waters for gout that meet the necessary characteristics:
- Lipetsk.
- Essentuki No. 4.
- Smirnovskaya.
- Jermuk.
- Essentuki No. 17.
- Little rabbit.
- Borjomi.
- Dilijan.
- Lysogorskaya.
- Slavyanovskaya.
- Donat Mg.
- Novoterskaya healing.
- Narzan.
The main goal of such therapy is to remove excess uric acid and prevent the formation of urate crystals in the joints.
Sulfate and sulfide waters, which undoubtedly include such well-known brands as Borjomi, Narzan, Essentuki No. 4 and No. 17, have diuretic and choleretic properties, reduce the concentration of uric acid in the blood, eliminating hyperuricemia, and also reduce inflammation.
When drinking such water, uric acid becomes alkaline, which facilitates its easier removal, and the exchange of protein compounds is stimulated. But one main rule should be remembered. The phrase "the more, the better" does not apply to drinking specialized mineralized water.
Essentuki No. 4 and Essentuki No. 17 are low-mineral medicinal and table waters. Its use for gout is only permissible with the permission of a specialist.
Borjomi is a natural mineral hydrocarbonate-sodium water with natural mineralization. This water helps dissolve urates and uric acid stones no larger than 7 mm. Borjomi mineral water is consumed half an hour before meals in the amount of 150 ml.
Slavyanovskaya - water with sulfate-hydrocarbonate and calcium-sodium characteristics. Its intake shows high efficiency in the prevention of gout or relief of its attacks. Mineral water effectively breaks down urate salts, activates the process of removing their decay products, eliminates inflammation.
The regimen for taking the mineral water "Slavyanskaya" is four times a day in the amount of 4-5 ml per kilogram of weight. The medicinal water should have a temperature of 20-30 degrees. The duration of treatment is four to five weeks.
Magnesium waters, which include mineralized liquid Donat Mg (Donat Mg) activate nucleic acid metabolism, reduce the amount of uric acid substances in the blood. In most cases, it is prescribed to patients with nephrolithiasis, that is, with the presence of sand and stones in the kidneys. But it is no less effective for gout.
Calcium ions present in the liquid help dissolve uric acid, which promotes its more active removal from the body. This element has membrane-protective properties that help activate cell function and reduce tissue inflammation.
The element silicon, which is always present to a greater or lesser extent in all of the above waters, helps to stabilize cell membranes, enhances urination, while simultaneously breaking down uric and oxalic acids, preventing the formation of crystalline forms of urates.
Fluoride ions effectively stop the process of synthesis of uric acid substances, which include uric acid.
Alkaline mineral waters for gout
Drinking alkaline mineral water for gout helps to freely utilize excess uric acid substances, removing them from the sick organism with urine. It is used for high acidity of gastric juice. Such water perfectly alkalizes urine.
With regular but measured intake of alkaline mineral water (low mineralization), metabolic processes are normalized and toxins are removed from the body.
After consultation with a specialist, it can be used to prevent gout.
Alkaline mineral water should be taken for gout with the consent of the attending physician and according to the scheme prescribed by him. In most cases, the dose of one intake is calculated based on the patient's body weight. This formula is simple: 4 ml for each kilogram of the patient's weight.
But this is an average formula, since each organism is individual and during the treatment this starting dosage can be adjusted. The composition of a particular water is also individual, which also makes adjustments to the dosage taken. On average, the permitted daily volumes of such water are from half a liter to a liter. At the same time, doctors recommend drinking it warm.
Alkaline mineral waters for gout can also be used as mineral baths, compresses and applications.
Mineral water for gout and urolithiasis
The disruption of metabolic processes has a particularly strong effect on the functioning of the musculoskeletal and urinary systems of the body. Excessive accumulation of uric acid substances and their deposition in the joint elements force these systems to work at the limit.
In this case, such a patient experiences a violation of the urine outflow, and urate salts and oxalates do not leave the body with it, which, under certain conditions, begin to crystallize. When they accumulate in the joints, an inflammatory process develops, leading to gout. Some of the crystal-like neoplasms accumulate in the kidneys, forming stones in them, which leads to the development and progression of urolithiasis.
Mineral water for gout and urolithiasis is one of the components of almost any treatment protocol for these diseases. Correctly selected mineralized water can help the sick organism to transfer the disease into the remission stage.
Pros:
- Prevention of the formation of stones of any chemical composition.
- Activation of the production of special colloids that help improve the solubility of uric acid salts.
- Improving their elimination from the body.
The intake of mineral water is carried out under constant monitoring by the attending physician, since an independent change in dosage can lead, on the contrary, to an increase in the content and deposition of a number of salts in the body, which can also provoke the formation of stones.
If the patient's body contains a relatively large stone, then when trying to remove it from the body, there is a high probability of blockage of the urinary tract, which is a direct indication for immediate hospitalization and surgical intervention.
Therefore, before taking such water, it is necessary to undergo a full examination of the body using instrumental diagnostics (ultrasound examination of the area of interest, radiography, etc.).
In this case, the type of stone formations must be determined. Mineral water with alkaline characteristics is prescribed only for stone urates, the result of a failure in purine metabolism. Magnesium waters show particularly high results in this case. Such as, for example, Donat Mg.
Mineral waters recommended for gout, as already mentioned above, must necessarily belong to the group of mineral waters with an alkaline pH level, that is, this indicator must be higher than 7.
Mineral water recommended for gout should not only be alkaline, but also hydrocarbonate-sulphate, with a high content of magnesium ions. This combination of elements normalizes metabolism, a special place in which is occupied by protein metabolism. Due to its special properties, it manages to break down uric acids, which are present in excess in the body of a patient with gout, thereby reducing the likelihood of the formation of urate stone neoplasms. We should not forget the fact that this drink has anti-inflammatory and alkalizing properties.
Let's take a closer look at one of them as an example. Mineral water Donat Mg is an alkaline drink and is distinguished by its increased content of such chemical elements as magnesium and silicon.
The duration of a treatment or preventive course is usually four to six weeks. On average, the schedule for taking Donat Mg mineral water looks like this:
- The “medicine” is taken daily, one glass at a time, 30–40 minutes before meals.
- Before taking, the water should be slightly warmed up and drunk warm.
- The first dose is mandatory on an empty stomach before breakfast. The volume drunk is usually larger (200-300 ml) than before lunch (100-150 ml). Before dinner - the standard 200-250 ml.
Mineralized water should be stored at room temperature, in a tightly sealed container. The storage location should not be exposed to direct sunlight.
In addition to the already mentioned mineral waters, doctors have recently been increasingly paying attention to mineralized drinks infused with a mineral called shungite. Shungite is a natural mineral rich in silicon, manganese, magnesium oxide, potassium salts, aluminum, manganese and many other chemical elements and compounds that are so necessary for the normal functioning of the human body.
This product has unique properties:
- Inhibits the growth and reproduction of pathogenic flora.
- Improves metabolism and metabolic processes in the human body.
- Adsorbs toxins and other substances harmful to humans.
- Improves their elimination from the patient's body.
Indications for taking shungite water include, among other things, gout and urolithiasis, as well as a fairly extensive list of other diseases.
Alkaline, sulfate-hydrocarbonate, hydrocarbonate-sodium and calcium-sodium mineral water for gout is one of the elements of any treatment protocol for the disease in question. But which of the listed drinks is more suitable for a given clinical picture can only be decided by a qualified specialist.