What can and cannot be done for gout?

Gout, which occurs due to the accumulation of urate crystals in joints and other tissues, is the result of systemic disturbances in the catabolism of nitrogen-containing purine bases of nucleic acids. Those diagnosed with this disease should know what is allowed and what is not allowed with gout.

First of all, this concerns foods, the consumption of which either promotes or counteracts hyperuricemia – an excessive amount of uric acid in the blood, which is formed during the breakdown of purines.

Read also: Diet for gout

When determining whether certain foods can be eaten with gout, and what foods should never be eaten with gout (for example, red meat, organ meats, and fatty fish), it should be borne in mind that the precipitation of uric acid crystals is facilitated by a shift in the acid-base balance of the body to the acidic side.

Alkaline products containing organic acids help combat the decrease in pH of the blood and all physiological fluids. According to experts from the American National Institute of Health (NIH), a more alkaline internal environment is the most important biochemical condition for leveling the properties of uric acid (C ₅ H ₄ N ₄ O ₃ ), which is weak but poorly soluble in most fluids and is present in the blood as monosodium salt. In addition, organic acids help reduce the synthesis of uric acid by the kidneys.

Another important point is the presence of sodium salts of uric acid or calcium salts of oxalic acid in the urine, i.e. urates or oxalates. This pathology is a frequent companion of metabolic problems, and this imposes additional restrictions on certain products.

So, what foods can and cannot be consumed for gout?

Can you eat chicken if you have gout?

Chicken has a reputation as a dietary product, but this only applies to fats, while its purine content exceeds 122 mg per 100 g of product; from this amount, as a result of digestion, the body will receive up to 170 mg of uric acid. But, answering the question of whether it is possible to eat chicken with gout, one cannot help but take into account that when cooking meat, more than half of the nitrogenous substances remain in the broth. And most nutritionists consider eating 150 g of boiled chicken once every two or three days (outside of an exacerbation of the disease) to be quite acceptable.

By the way, chicken can be replaced with turkey fillet or rabbit meat, which have a lower purine content.

As for the level of purines in food products, it should be noted that the WHO considers the level of purines to be low from 50 to 100 mg per 100 g of product, average from 100 to 150 mg, and anything above 150 mg per 100 g to be high (that is, unacceptable for gout).

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Can you eat eggs if you have gout?

The protein content in one raw egg is on average 5-6 g, and in the same amount of boiled egg - 0.3 g more. And although uric acid is certainly formed in the process of metabolism of egg white, and eggs are considered a highly oxidizing food, but, according to nutritionists, one boiled egg a day 2-3 times a week is quite a "harmless dose" outside the period of exacerbation of gout.

That is, eggs should be limited in the diet, and it is recommended to eat them only boiled (no scrambled eggs!), then your body will receive B vitamins, as well as calcium, phosphorus, zinc, copper, iron and manganese.

Can you eat lard if you have gout?

To the delight of lard lovers, this natural product does not contain proteins: its main components are fats, which chemists call triglycerides.

A 50 g piece provides 450 kcal; contains about 48 mg of cholesterol; almost 20 g of saturated fatty acids; more than 22 g of monounsaturated fatty acids (oleic and palmitoleic); 5 g of polyunsaturated linoleic acid, as well as selenium and zinc.

Since saturated fats increase the proportion of bad cholesterol and decrease the proportion of good, nutritionists exclude lard from the diet for any disease. And they do so with absolute justification. During digestion, triglycerides are broken down to form ketones, and this prevents the kidneys from removing uric acid because it has to remove ketones from the body first.

Can you eat squid if you have gout?

In addition to most types of fish, seafood such as mussels, scallops and shrimp are contraindicated in dietary intake for those with purine metabolism disorders.

As for squid, 100 g of their meat contains 16-18 g of protein, 62 mg of purine bases and 224 mg of phosphorus (which has oxidizing properties). But the fillet of this cephalopod mollusk contains the alkalizing macroelement potassium and polyunsaturated fatty acids. The complex of substances promotes increased diuresis, as a result of which the body is more easily freed from metabolic products, but this is not always acceptable with gout. However, Western nutritionists say that sometimes with gout you can eat a portion of squid, since the moderate amount of purines in their meat cannot increase the risk of exacerbation of the disease.

The question arises whether it is possible to eat crayfish with gout. And the correct answer to it will tell you the indicator of the content of purines (25 mg in 100 g of boiled crayfish meat) and the resulting uric acid (60 mg). In addition, all crustaceans are very strong food oxidizers.

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Can you eat mushrooms if you have gout?

Doctors strongly recommend refraining from eating mushrooms with this pathology. Firstly, because 100 g of fresh mushrooms contain more than 46% proteins. Secondly, they contain oxalic acid oxalate and a significant amount of glutamic acid (42 mg per 100 g). Glutamic acid or glutamate (C ₅ H ₉ NO ₄ ) is an amino acid found in proteins, which is an additional source of nitrogen.

The mushrooms also contain nitrogen-containing urea, which increases the amount of nitrogenous bases in the mushrooms to almost 15%.

And finally, nicotinic acid (vitamin PP), which is broken down in the body into uric acid, is contained in mushrooms in the amount of 3.7-4.5 mg per 100 g. Do you need any more evidence to convince you that you shouldn’t eat mushrooms if you have gout?

Is it possible to eat cheese if you have gout?

During the production of hard cheeses, as a result of fermentation, a lot of glutamate is formed. Therefore, hard cheeses are included in the list of undesirable products for gout.

Some nutritionists recommend tofu cheese as an alternative to animal proteins. But this cheese is made from soybeans, a legume that is extremely rich in plant proteins. 100 g of soy cheese (curd) contains about 30 mg of purines, as well as acidifying elements: phosphorus (up to 97 mg) and calcium (almost 350 mg).

At the same time, urologists note that in the case of reduced glomerular filtration of the kidneys and high urea content in the blood, tofu with its large amount of protein will only increase the load on the kidneys.

Is it possible to eat cottage cheese if you have gout?

Almost no therapeutic diet can do without cottage cheese. 100 g of cottage cheese contains no more than 8 mg of purines (according to some data, it is absent altogether), but a lot of calcium (and we remember that it promotes acidification).

When milk is curdled, its main protein, casein, is released and is therefore better absorbed by the body, although due to the lack of necessary enzymes in humans, this protein is digested much more slowly than other proteins of animal origin. Biochemists have found that it is precisely due to this property that casein amino acids enter the bloodstream gradually, without overloading the kidneys.

A study by the UK Gout Society found that proteins in low-fat dairy products improve the body's ability to remove uric acid.

Is it possible to eat ice cream with gout? Fatty varieties of this dessert are harmful to eat, since fats delay the excretion of uric acid. But doctors have no objections to the reasonable consumption of fruit ice cream with this disease.

Can you eat peas if you have gout?

It is known that 100 g of any legumes, including peas, contain at least 20% protein and, accordingly, a high content of purine bases. Thus, in 100 g of peas their amount is 64 mg, which gives 150 mg of uric acid. In addition, all legumes are rich in cobalt, which activates the synthesis of nucleic acids. So it is better not to eat fresh and canned peas with gout.

Can you eat peas with gout in the form of the beloved pea soup? Our nutritionists are categorically against it, while Western doctors have become more tolerant of legumes in the diet of gout patients. For example, researchers at the American College of Rheumatology claim that moderate consumption of legumes, some vegetables containing purines (spinach, cauliflower, asparagus) and nuts does not increase the risk of gout, since they contain vegetable protein. And the main source of uric acid in the body is animal proteins.

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Can you eat tomatoes if you have gout?

You can eat tomatoes in small quantities when you have gout. They contain a lot of organic acids, and tomatoes – like most vegetables – are considered an alkalizing product. Fresh tomatoes also contain phenyl-containing acids, which help reduce joint inflammation in gout.

On the other hand, tomatoes contain a lot of glutamic acid (more than 240 mg per 100 g), and this acid is the most important participant in purine metabolism, stimulating the formation of monosodium urate salt. For this reason, there is no consensus on whether tomatoes can be eaten with gout. Read more about this in the article - Tomatoes for gout.

Can you eat eggplant if you have gout?

Eggplants are considered triggers (i.e. activating factors) of gout, supposedly due to their high purine content. But there are only 8 mg of nitrogenous substances in 100 g of these vegetables, which causes the formation of 20 mg of uric acid. In the case of eggplants, purines are not to blame, all nightshade vegetables simply contain protective substances (glycoalkaloids) that provoke joint pain in any joint problems.

Among the advantages of eggplant, it is necessary to note the high content of potassium (238 mg in 100 g), that is, it is an alkaline product. In addition to the positive effect on the acid-base balance of the body, this vegetable helps to remove uric acid salts from the body.

You should include eggplants in your diet with caution and not get carried away: this vegetable also contains a sufficient amount of nicotinic acid (vitamin PP), which is converted into the same uric acid during metabolism.

Can you eat sorrel if you have gout?

Sorrel in all versions of anti-gout (as well as anti-oxalate and anti-urate) diets is classified as a strictly prohibited product, since it contains oxalic acid.

In addition to sorrel, this organic acid is present in significant quantities in the chemical composition of spinach, rhubarb, parsley (greens), celery, asparagus, parsnips, and leeks. And despite the fact that all these leafy vegetables contain significant amounts of vitamin K, oxalic acid reduces calcium absorption by forming insoluble salts – oxalates.

Against the background of problems with urine acidity, this aggravates the condition of patients with gout. Read also - Oxalates in urine

Can you eat cabbage if you have gout?

First of all, it should be noted that among vegetable crops, restrictions on the amount of consumption apply only to asparagus, spinach, green peas and cauliflower. And no one doubts that cabbage can and should be consumed with gout. Moreover, this year-round vegetable is an excellent source of vitamin K, which is necessary for blood clotting, normal bowel function, protein synthesis and normalization of energy metabolism.

Can you eat sauerkraut if you have gout? It all depends on the amount and frequency of consumption. Sauerkraut has a record-breaking content of vitamin C, which can reduce uric acid levels. However, again, it has too much NaCl…

Decide for yourself whether broccoli is good for gout, if 100 g of this type of cabbage contains only 21 mg of nitrogenous substances, which, when consumed, give 50 mg of uric acid. Broccoli is rich in vitamin C and B9, potassium (316 mg per 100 g) and fiber. The American Dietetic Association (ADA) defines broccoli as a functional food (that is, providing additional health benefits), because it contains such a biologically active substance as sulforaphane, which has not only antibacterial properties, but also antitumor properties.

So the answer to the question of whether broccoli is good for gout is obvious.

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Can you eat cauliflower if you have gout?

We have singled out this type of cabbage separately for a reason: it is from the “black” list of products for gout. Although 100 g of cauliflower contains only 19 mg of purine compounds (which provide 45 mg of uric acid), which is almost 3.3 times less than in legumes. By the way, the same amount of oatmeal (!) contains twice as many nitrogenous substances (42 mg).

When talking about peas, we already cited the opinion of Western nutritionists regarding the consumption of “purine” vegetables and legumes. So, as the American Journal of Clinical Nutrition writes, if you like cauliflower, there is no reason to completely give up eating it; you just need to know when to stop and not eat this product more than twice a week.

This type of cabbage is a rich source of vitamins C, K and beta-carotene; beta-cryptoxanthin; caffeic, cinnamic and ferulic acids; kaempferol, quercetin and rutin.

The flavonoid rutin (rutoside) is an antioxidant and can reduce the intensity of inflammation, protecting cells from damage by free radicals. But at the same time, it is believed that rutin, if present in a product in significant amounts, can contribute to the formation of uric acid stones in the kidneys. For more than ten years, researchers at the Institute of Functional Biomolecule (Nanjing, China) have been studying the effect of the flavonoids quercetin and rutin on serum uric acid levels.

However, given the presence of 300 mg of potassium (which increases diuresis) in 100 g of cauliflower, listen to your doctor’s advice about whether you can eat cauliflower if you have gout, and be very careful when consuming this product.

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Can you eat cucumbers if you have gout?

Anyone who suffers from gout should know that any diuretic drugs are prohibited for this disease: forced removal of fluid from the body leads to an increase in the concentration of uric acid.

Cucumber, which is 95% water, is a vegetable with a strong diuretic effect (like leaf parsley, dill, arugula, cilantro, chervil, artichokes, pumpkin, watermelon, etc.).

It is for this reason that its use in gout should be strictly "dosed". The same answer can be given to the question - is it possible to eat lightly salted cucumbers with gout. In addition, lightly salted cucumbers contain a lot of salt, which worsens kidney function.

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Can you eat zucchini if you have gout?

With almost zero calorie content of zucchini and a fairly rich vitamin and mineral composition, this vegetable is simply an ideal dietary product. In dietetics, zucchini is valued for its help in the absorption of protein foods, and for its good effect on the functioning of the intestines, and for its ability to remove metabolic products from the body. Therefore, you can eat zucchini with gout.

But it is not recommended to get carried away with zucchini if you have gouty arthritis, as they contain potassium (260 mg per 100 g of product), which means they promote increased formation and excretion of urine.

Can you eat celery if you have gout?

Some nutritionists advise limiting the consumption of celery (root and stalks) in case of gout. Their argument is based on the fact that celery contains too much oxalic acid, as well as potassium (262 mg per 100 g).

Another part of domestic specialists in therapeutic nutrition considers celery useful for those who suffer from kidney diseases, arthritis and gout, as it helps to remove “excess” fluid from the body…

But for some reason none of them mention the moderately alkalizing properties of celery, as well as the presence of a sufficiently high content of folic acid in this vegetable crop. But folic acid (if not combined with the obvious diuretic effect of the product) helps reduce the risk of exacerbation of gout - gout attacks.

Can you eat beets if you have gout?

There are no restrictions on the consumption of beets by patients with gout. Although this root vegetable, along with a large set of organic acids, contains a lot of potassium and enough oxalic acid.

On the other hand, beets contain a considerable amount of such an amino acid as valine. Its main positive quality in gout is the ability to maintain normal nitrogen metabolism.

And betaine contained in beets helps protect liver cells from fatty degeneration, and joints from inflammation and swelling.

Can you eat potatoes if you have gout?

Nutritionists recommend eating potatoes boiled in their skins to alkalize the blood: 100 g of tubers contain more than 400 mg of potassium. However, potassium, as you understand, also determines the diuretic effect of potatoes.

Doctors do not see any threats in this product and give a positive answer to the question of whether it is possible to eat potatoes if you have gout.

Can you eat corn if you have gout?

Corn is such a difficult-to-digest food that its consumption in diets is almost always limited.

In case of gout, this cereal may not be very useful, since corn contains a lot of acidifying phosphorus, diuretic potassium and nicotinic acid (vitamin PP). It is unlikely that their effect is neutralized by vitamins C and B9.

In addition, corn grains contain a significant amount of glutamic acid (information about it was above - in the description of the use of mushrooms for gout).

Can you eat onions if you have gout?

Also, is it possible to eat onions if you have gout?

Both onions and green onions help to increase the pH of blood and urine, and nutritionists can obviously give separate recommendations on the amount of their consumption.

However, among the indisputable benefits of onions, there may be one "but". It's all about salicylates (acetylsalicylic acid compounds), which are contained in moderate quantities in onions, as well as asparagus, lettuce, cauliflower and fresh mushrooms - within 0.5-1.5 mg per 100 g.

In the human body, salicylic acid is transformed, forming, among other substances, aminoacetic acid (glycine), from which purine compounds are synthesized.

Salicylates obtained with food inhibit the secretion of uric acid in the kidneys, which leads to its retention in the body. According to research, when 75 mg of acetylsalicylic acid enters the body within 24 hours, the level of uric acid in the blood of people over 60 years old can increase by almost 6%.

Can you eat garlic if you have gout?

Garlic, like onions, helps to cope with the decrease in pH of physiological fluids in the body. Garlic contains a significant percentage of sulfur, which is involved in regulating the level of uric acid. By the way, in addition to sulfur, mineral cofactors in the biosynthesis of uric acid are iron, copper and molybdenum.

Garlic is also one of the most powerful products for lowering blood cholesterol levels, which is very useful for excess weight and cardiovascular problems.

Can you eat nuts if you have gout?

All nuts contain a sufficient amount of purines: for example, 100 g of walnut kernels contain 15 g of protein, 10 mg of purine bases (processed into 25 mg of uric acid). But at the same time, the same 100 g contain such alkalizing elements as magnesium (on average 234 mg) and potassium (375 mg).

In addition to ω-3 fatty acids, walnuts have in their biochemical arsenal phenolic acids, tannins, flavonoids and quinones (juglone), which are anti-inflammatory and antioxidant phytonutrients.

For gout sufferers, the most harmful nuts are peanuts. But if you remember that peanuts are legumes, then everything falls into place. So, if you have gout, high levels of oxalates in your urine, or kidney stones, you need to limit your nut consumption to a minimum. The optimal amount is 30 g per day, i.e., the intake of purines will not exceed 3.3 mg.

Can you eat seeds if you have gout?

If you have gout, you should not eat sunflower seeds: 100 g of seeds contain 65 mg of purines (or 157 mg of uric acid), according to other sources - 143 mg.

If a gout patient is obese, sunflower seeds are contraindicated: a 100 g portion provides 584 calories. And with oxalate kidney stones, sunflower seeds are strictly contraindicated due to the high content of oxalic and acetylsalicylic acid salts.

Can you eat honey if you have gout? Read the separate article Honey for gout.

Can you eat oatmeal if you have gout?

Since we have moved on to cereals, we will briefly dwell not only on oatmeal, but also clarify the question of whether it is possible to eat buckwheat with gout, and also whether it is possible to eat rice with gout.

Cereal porridges are recommended in almost all therapeutic diets for systemic diseases (which include gout).

It is estimated that 100 g of oatmeal (already cooked porridge) contains no more than 2.6-3 g of protein (porridge made from oat flakes contains more than 12 g); buckwheat - 3-4.5 g; rice (regular white) - less than 2.5 g. That is, with such an insignificant protein content, these products cannot negatively affect the level of uric acid in the blood.

What should be taken into account? That rice causes constipation, and gastroenterologists do not recommend buckwheat porridge for patients with gastritis and stomach ulcers.

Is it possible to eat Doshirak if you have gout?

Fast food, including Doshirak or Mivina noodles, is not recommended for gout (and not only). Look at what is included in this dish, and you will understand why doctors give such advice.

For example, the Doshirak premium dish consists (in addition to noodles) of: palm oil, starch, dry broth with synthetic flavors, flavor enhancer (sodium glutamate), vegetable protein (that is, granulated soy flour), etc.

What fruits and berries can you eat if you have gout?

Fruits and berries are a healthy source of vitamins, antioxidant flavonoids, and microelements. For example, vitamin C helps restore cells damaged by gout, and flavonoids have strong anti-inflammatory properties. The fiber in berries and fruits helps digestion, leaving less uric acid as a by-product of protein metabolism.

But berries and fruits also contain fructose. Why does fruit sugar have a bad reputation? Because it is a monosaccharide with a ketone group, the metabolites of which disrupt nitrogen metabolism in the body, slowing the renal excretion of uric acid, causing its level in the blood and urine to increase. According to some data, fruit sugar increases the risk of gout exacerbation by 74%. And the higher the uric acid content in the blood, the more sensitive a person with gout is to the effects of fructose.

Can you eat cherries if you have gout?

Cherries contain a wide range of organic acids, antioxidant polyphenols and bioflavonoids, which reduce inflammation during gout attacks.

And thanks to the high content of vitamin C, which inhibits the activity of the enzyme xanthine oxidase (a catalyst for the oxidation of purine nitrogen bases into uric acid), cherries counteract hyperuricemia.

Cherry pectins, anthocyanins and ellagic acid are very useful. Read more – Cherries for gout

Can you eat cherries if you have gout?

In very small quantities, as it contains too much fructose: 5.4 g per 100 g of berries.

Can you eat grapes if you have gout?

Today, dietetics has partly recognized grapes as an unsuitable product for gout sufferers. First of all, because of the high caloric content of these berries and the large amount of easily digestible glucose, because, as clinical practice shows, out of ten patients with gout, every eight are obese.

On the side of opponents of grapes for gout is the fact that they have the highest fructose content of all berries: more than 8 g per 100 g. Moreover, ripe grapes contain more fructose than glucose, and during storage the fructose content increases significantly.

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Can you eat blueberries if you have gout?

Blueberries, like all berries with high antioxidant content, help fight joint inflammation. In addition, these berries contain vitamins C and K, anthocyanins, hydroxycinnamic acids, flavonols, and the phenolic phytonutrient resveratrol, which can slow down the death of cartilage cells (chondrocytes) induced by nitric oxide.

But if there are oxalates in the urine (crystals of oxalic acid salts), blueberries are contraindicated.

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Can you eat raspberries if you have gout?

Domestic nutritionists believe that people suffering from gout and kidney diseases may be harmed by eating raspberries due to the large amount of salicylates. (The effect of salicylates on gout was described above when talking about onions).

As for antioxidants, raspberries contain all the important anthocyanins, ellagic and gallic acids, quercetin and kaempferol. That is why in the West, patients with gout are advised to eat raspberries and even drink tea from their leaves.

Can you eat strawberries if you have gout?

This berry is a rich source of vitamin C (more than 50 mg%), potassium (more than 450 mg%) and magnesium (almost 30 mg%).

Magnesium can help reduce gout symptoms, including pain. But be aware of strawberry salicylates (over 1.5 mg per 100 g), which can worsen the condition of some gout sufferers.

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Can you eat gooseberries if you have gout?

Vitamin C, of which gooseberries contain about 42 mg%, cannot compensate for the diuretic effect of potassium, of which these berries contain more than 200 mg%, as well as the presence of high levels of salicylates.

Now let's figure out whether watermelon is good for gout, because it has strong diuretic properties, which is not quite suitable for gout sufferers. However, what is much more important is that watermelon pulp contains alkaline substances, including organic acids, which help normalize the alkaline-acid balance in the body.

Moreover, this largest berry is rich in citrulline, which after eating watermelon is converted into arginine - an alpha-amino acid involved in the urea cycle and the removal of ammonia from the body. So eat watermelon for health!

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Can you eat apricots if you have gout?

Many doctors advise patients with gout to eat foods rich in potassium, which alkalizes urine and blood. In 100 g of fresh apricots, the amount of this element is almost 260 mg, almost at the same level as melon.

Therefore, 5 apricots per day will be enough. But you should not eat dried apricots, as dried fruits have higher concentrations of salicylates due to water loss.

Can you eat bananas if you have gout?

Bananas contain a large amount of potassium: over 350 mg per 100 g of product.

But potassium is balanced by sodium, so nutritionists recommend eating bananas for gout.

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Can you eat lemon if you have gout?

All citrus fruits, including lemon, can and should be consumed with this disease, as these fruits increase the pH of the blood and all fluids in the body. Lemon juice prevents gout attacks by stimulating the formation of calcium carbonate, which can neutralize uric acid.

A good way to use lemon for gout is to squeeze the juice into water and drink it after meals. But if the acidity of the gastric juice is increased, lemon is contraindicated for gout.

What can and cannot be drunk with gout?

When you have gout, you need to drink more water, since only sufficient amounts of fluid consumed helps the body get rid of excess uric acid.

Can vinegar be used for gout?

For gout, it is recommended to use apple cider vinegar, which is rich in potassium, calcium, iron and, of course, organic acids (malic, tartaric, citric).

According to the Journal of Nutrition, drinking apple cider vinegar (two tablespoons twice a day) "breaks down" monosodium urate crystals and prevents them from forming in joints, helping to cleanse the blood of excess uric acid.

To make taking vinegar more pleasant, you can stir it in a glass of water and add a teaspoon of honey (this method is contraindicated for diabetics).

Can you use soy sauce if you have gout?

Firstly, soy sauce is made from soybeans, which contain purines. In addition, soy sauce contains a lot of glutamate – monosodium glutamic acid salt (almost 780 mg per 100 g of product).

Considering this, as well as the large amount of salt in this product, if you have gout, you should avoid soy sauce.

Is it possible to drink vodka if you have gout?

If you have gout, you should not drink vodka or other alcohol, as ethanol is one of the strongest triggers of this disease, and excessive alcohol consumption is one of the main causes of hyperuricemia.

When ethyl alcohol is oxidized, ketone bodies are formed, accelerating the breakdown of purine nucleotides. This leads to an increase in the formation of adenosine monophosphate, a precursor of uric acid. As a result, the process of excretion of uric acid by the kidneys slows down, which causes an increase in its concentration in the blood. Alcohol also increases the content of lactic acid in the blood, which inhibits the excretion of uric acid.

Is beer allowed if you have gout?

Beer is the second worst enemy of gout after vodka. Beer contains brewer's yeast, which is half made up of proteins very similar to animal proteins. That is, beer has plenty of nitrogenous bases, since it contains almost 18% more proteins than beef and three times more than soy.

During fermentation, a large amount of guanosine appears in the composition of this drink - one of the precursors of uric acid. Also, everyone knows the diuretic effect of beer, leading to forced loss of fluid.

Can you drink wine if you have gout?

It is not recommended to drink wine frequently if you have gout, as it contributes to hyperuricemia.

Is it possible to drink milk if you have gout and is it possible to drink kefir if you have gout?

Some nutritionists are categorically against drinking whole milk for gout; others allow patients with gout only milk in porridge cooked with it or as an additive to tea or coffee.

But with milk, the body receives the amino acid cystine, which has antioxidant properties and reduces the intensity of pain in gouty changes in the joints.

So it is healthy to drink low-fat milk and kefir.

Can you drink tea if you have gout?

Tea contains caffeine, which is a xanthine and is a purine base. The main bitter alkaloid of tea, theobromine, also contains nitrogen and is a purine alkaloid.

Studies have shown that green tea polyphenols (epigallocatechin, epicatechin, and gallocatechin) may reduce the risk of developing certain types of arthritis, particularly gout.

Green tea increases blood pH, and Western rheumatologists advise their patients to drink up to four cups of this tea daily.

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Can you drink coffee if you have gout?

According to the latest scientific data, 1,3,7-trimethylxanthine, or caffeine, contained in coffee is a competitive inhibitor of the enzyme xanthine oxidase, which ensures the oxidation of nitrogenous bases into uric acid.

Researchers also suggest that excess iron in the body may contribute to the development of gout, and that chlorogenic (3-caffeoyl-quinic) acid in coffee reduces iron absorption.

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Is chicory safe for gout?

Since 100 g of chicory contains only 6 mg of purines, gout sufferers can brew and drink chicory. However, no more than one cup per day is allowed, since even ground chicory contains a fairly high fructose content.

Is it possible to drink kvass if you have gout?

It is not recommended to drink kvass for gout: yeast is used in its production, and ethanol and lactic acid are formed during the fermentation process. For the same reason, the answer to the question of whether okroshka is allowed for gout is negative.

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Can you drink kombucha if you have gout?

The drink obtained by fermenting kombucha (a colony of microscopic fungi and bacteria) also contains a small amount of ethanol, so it should be consumed with caution in case of gout.

It has been established that kombucha (infusion) contains ascorbic, nicotinic, acetic, lactic, oxalic, gluconic and other acids; protein-splitting protease and nitrogen compounds. In folk medicine, there are no contraindications to the use of kombucha infusion for joint inflammation and gout.

What can be taken and used for gout?

By the way, about contraindications: many people wonder whether it is possible to take aspirin for gout.

Today, Aspirin is not used to treat gout due to the peculiarities of its pharmacokinetics, i.e. biotransformation in the body and the elimination of its products. All the details can be found in the publication - Aspirin for gout.

Can you take Plavix if you have gout?

Plavix (Clopidogrel) is used to prevent blood clots in arteries during myocardial infarction, ischemic stroke and acute coronary syndrome. Its contraindications include lactase deficiency, glucose-galactose malabsorption, acute bleeding and severe liver pathologies. Gout is not on this list, so check with the doctor who prescribed you to take Plavix for details.

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Can Kapsikam ointment be used for gout?

Kapsikam ointment, which contains camphor and dimexide, is intended to relieve pain and inflammation in radiculitis, osteochondrosis and arthritis.

Despite the fact that camphor is a terpene ketone, it should not be used only in cases of individual hypersensitivity, epilepsy and damage and inflammation of the skin in the areas where Kapsikam ointment is applied.

What other ointments can be used for gout, see - Ointment for joint pain.

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Can you take Wobenzym if you have gout?

Wobenzym contains a whole complex of enzymes that have an immunomodulatory, anti-inflammatory, anti-edematous and fibrinolytic effect. One of the components of Wobenzym is the pineapple fruit enzyme bromelain (bromelain), which helps reduce the intensity of symptoms in many diseases, including rheumatoid arthritis and gout.

Rheumatologists believe that if you take this drug regularly, you can avoid gout attacks.

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What can and cannot be done with gout?

Is it possible to steam your feet if you have gout?

Why steam your feet for gout? Thermal procedures can only be used between attacks of the disease and in the form of warm foot baths (before bed, for 20-25 minutes). Too hot water can provoke an exacerbation of gout.

In general, with gout, those joints where uric acid salts are deposited should be kept warm and avoiding hypothermia, since urate crystals form much faster at low temperatures.

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Is it possible to go to a sauna if you have gout?

During bath procedures, a person sweats, that is, loses moisture, and this is unacceptable with an increased concentration of uric acid in the body. Therefore, if you have gout, you should not go to the bathhouse to avoid provoking an attack.

British doctors recommend warm baths with ginger for gout (two tablespoons of dry ground ginger per bath). The duration of this procedure should not exceed 25 minutes, after which it is necessary to thoroughly wash the body with clean water and wipe dry.

Is it possible to sunbathe if you have gout?

Ultraviolet radiation makes the body function in an enhanced mode, i.e. it is possible to sunbathe a little with gout. It is assumed that the excretion of uric acid can be accelerated, however, serious studies on this matter have not been conducted.

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Can you smoke if you have gout?

The answer is simple: absolutely not! And not only because smoking is harmful in general. Remember that tobacco is a nightshade plant (go back to the place where we talked about eggplant).

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Is it possible to play sports if you have gout?

Regular exercise, along with a healthy diet, can help you shed extra pounds and maintain a healthy weight, which in turn can help you control gout.

Serious physical activity is not recommended for this disease due to potential fluid loss and increased uric acid levels in the blood. Some sports exercises, such as running, jumping, and active sports games, are unsafe for the affected joints and can trigger a gout attack.

The most suitable types of sports for gout are swimming and cycling.

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Is it possible to do massage if you have gout?

Experts note that massage for gout should be safe and should be done very carefully.

The goal of any massage is to increase the speed of blood circulation to the affected area and thus reduce inflammation and swelling. In gout, you should lightly knead the superficial soft tissues around the joint and in no case press deeply or touch the joint itself.

Is it possible to take mud baths if you have gout?

Peloidotherapy – treatment with mud – is used for all joint pathologies, but only outside of their exacerbation. Mud baths with sapropel and sulphide peloids are especially useful for patients with gout.

More useful information in the article - Overview of Gout Treatment Methods

When considering dietary approaches to controlling hyperuricemia and gout, it is worth remembering that this pathology is systemic. But, knowing what is possible and what is not with gout, you can reduce the manifestation of symptoms of this disease and improve the quality of life.

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