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What can and can not be eaten with gout?

Alexey Portnov, medical expert
Last reviewed: 20.10.2021

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Before you begin to treat gout, you need to decide what you can and can not eat with gout. After all, nutrition has a direct effect on the crystallization of uric acid within the body. For example, purines play a big role in the development of the disease, a large percentage of which are present in animal products. At the same time, alcohol drink lovers are at risk of becoming ill with gout, since alcohol keeps salt crystals in tissues, hindering their excretion.

With gout, you will have to remove most of the animal products from the menu. This fatty fish and meat, canned foods, smoked products and other "harmful". Sometimes a doctor can allow a patient to eat a small piece of meat, about 200 grams, per week. But at the same time to drink broth, which boiled this meat, in any case it is impossible: just in the broth and contains the largest part of purines.

When preparing food salt should be used much less than before. The daily intake of salt for patients with gout is only 1 g.

Animal fats are completely replaced with vegetable fats.

The general characteristics of changes in the principles of nutrition in gout are as follows:

In the diet, the number of proteins and fats of animal origin is limited. Vegetable analogues must be at least 30% of the total.
The list of exceptions includes products containing purines and oxalic acid.
The use of a large amount of liquid is welcome , at least 2 liters per day. This helps to remove uric acid from the body. Recommended: herbal teas, juices from vegetables and fruits, sour-milk products, mineral water.
At a gout it is absolutely impossible to take alcohol - it can affect development of the next attack of disease.
Useful discharge days: they are carried out once in 7-10 days, using dairy products or vegetables. During unloading it is important to remember to drink enough water.
Dry fasting with gout is highly not recommended, as this can cause a build up in the tissues of uric acid. Fasting on the water is possible, but should be agreed with the doctor.

What can and should be eaten with gout?

Cereals and pasta.
All sorts of vegetables and broths from them.
Dietary white meat (chicken, turkey).
Dietary fish, seafood.
Sour-milk products of reduced fat content.
One chicken egg a day.
Any dried fruit, except for dried grapes.
Products of beekeeping.
Various nuts and seeds.
Homemade jam, marshmallow.
Green tea, compote and jelly (unsweetened), juices from fruits and vegetables, mineral water.
Fruits and berries (without raspberries).
Bread.
Vegetable oils.

A sick gout is recommended to eat 5 times a day, in small portions. The diet should be diverse and must contain such products:

apples: even one apple a day can neutralize a large amount of uric acid;
carrots: helps purify the blood;
cherries : rich in antioxidants and help to eliminate the inflammatory process;
banana: contains a large amount of potassium, which is able to thin crystalline uric acid, speeding its excretion from the body.

For those who can not decide what can and can not be eaten with gout, it is recommended to switch to vegetarian food, which automatically excludes from the diet any kinds of meat and fish, as well as animal fats.

What categorically you can not eat with gout?

It is absolutely necessary to refuse such products:

from fatty meat and fish dishes, by-products;
from sausage products;
from mushrooms;
from fat and butter;
from legumes;
from alcoholic beverages;
from salted, canned and smoked products;
from strong coffee, chocolate, grapes, raspberries, butter cakes and pastries;
from hot sauces and spices.

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