Many may have heard of a disease such as gout.The inflammatory process disrupts the activity of the musculoskeletal system.The reason is a pathological process in which urates are deposited in all joints.A diet for gout and high uric acid levels helps to significantly improve the patient's condition.
Causes of the disease
If we talk about the causes of this disease, it is important to note the following:
- Inheritance.
- Nutrition.
- A risk group that includes people with obesity, high blood pressure, diabetes, kidney and stomach diseases.
- A person leads a sedentary lifestyle.
- A person drinks alcohol constantly.
Constant consumption of large amounts of protein-containing 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, it is important to note the following:
- The person will feel severe pain in the joints.This most commonly occurs in the morning and evening.
- The joint swells and becomes tender.It's impossible to touch him.
- The skin turns red.
- Increase in temperature and pressure.
- Nausea, loss of appetite.
It should also be noted that gout manifests itself both in the form of attacks and as a chronic disease.Kidney function can also often be disrupted, leading to complications.
What role does nutrition play?
Anyone who has ever come into contact with this disease knows that an attack can occur if the patient eats or drinks something from the list of prohibited ingredients.The disease can be cured if nutritional therapy is prescribed by a leading specialist.The patient must carefully follow all principles and avoid consuming prohibited ingredients.
It is best if a person eats five times a day, but in small portions.He should also drink plenty of purified water and decoctions.
Two groups can be distinguished among the diets that are common during illness.This is a treatment option that is prescribed if the disease worsens.And prevention – most often occurs when the attack no longer exists, but the person still needs to adhere to the principles.In this case, the number of banned products is significantly lower.
Basic principles of dietary nutrition
The main goal of dietary nutrition in this disease is to reduce uric acid compounds in the body of every person.This can be achieved through several methods:
- The number of foods that are classified as animal proteins is limited.
- Components containing a small amount of purine bases are introduced.
- A sufficient amount of fluid is injected.
- The weight decreases.
When we talk about which foods to exclude, these include those that contain a lot of purines.This includes:
- Beef offal.These include liver, kidneys, brain and much more.
- Shrimp.
- Some species of fish.
- Roasted legumes.
- Anchovies.
You also need to reduce the consumption of ingredients that contain an average amount of purines.This may include:
- All products made from fatty meat, poultry.
- Fish products.
- Vegetables.
It must be emphasized that the meat of all young animals contains a large amount of purines.In addition, you should also reduce your intake of saturated fat.They interfere with the normal removal of fluid from the kidneys.You also need to know the list of strictly prohibited in case of illness.This includes:
- All smoked meats, as well as ingredients sold in canned form.
- Frozen meat and fish products.
- Broths.
- Alcohol in any form.
- Legumes and frozen or canned vegetables.
- Cereals, except rice, wheat.
- Any confectionery that is prepared with salt and sugar.
- Salt, spices, marinades, olives, ketchup and other flavor enhancers in dishes.
To ensure later adherence to the nutritional principles, a general table of permitted and prohibited foods is provided.
| Categories | Allowed | Forbidden |
|---|---|---|
| Baked goods | Black or white bread, savory pastries | Shortbread |
| meat dishes | Rabbit, turkey, chicken | Smoked, raw smoked and cooked sausages, sausages, sausage products, meat from young animals, fatty pork, offal (lungs, liver, kidneys), canned food |
| Seafood, fish | Marine cephalopods, crustaceans, shrimps, 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 each form), cottage cheese | Salty and spicy cheese |
| Grain | Everything except legumes | Lentils, beans, soybeans, beans |
| Vegetables | Dill, corn, beets, onions, garlic, potatoes, carrots, 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 |
| Dishes | Grain porridge with milk, vegetarian borscht, potato soups with added grains, salads with fresh and pickled vegetables, vinaigrette, vegetable caviar, vegetable, milk or sour cream sauce | Meat, fish or mushroom broth, sorrel soup and dishes with added legumes and spinach;Sauces based on the above broths, mayonnaise |
| sweets | Marshmallows, jam, preserves, marshmallows, non-chocolate candies, ice cream | Cream cakes, pastries |
| Fats | Any vegetable oil | margarine, lard |
| Drinks | Green tea, tea from fruits and berries, tea with milk and lemon, juice (any, including tomatoes), herbal teas, fruit drinks, compotes from fruits and berries, fresh cucumber juice, alkaline mineral water are 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 | Pepper, mustard, horseradish, hot spices |
What is allowed for the minimum consumption?
As with any diet, there are variations.But you have to remember them and stick with them.You can consume a specific list of ingredients, but per week or month.No more than once a day, preferably every three days, use the following:
- If you are a tea lover and can't live without it, you can add milk to it.You can also add it to the porridge.
- Beef is considered a forbidden item, but you can cook and eat it once a week.This reduces the amount of purine by 50%.
- You can eat asparagus, celery and spinach.But under no circumstances should you increase the number too much.
- Some types of fish can be eaten.Cod or trout are best.
- Cooked poultry, but in small quantities.
- Sometimes you can eat marinades.But that's only possible if you feel good.
- Tomatoes and spring onions.
- A small amount of butter.
- Salo.
In rare cases, if you do not abuse such products, a person can easily afford them.
What can you eat?
After looking at the list of what you can and can't eat sometimes, it's worth moving on to what you can eat.Essentially, it's about creating a diet from the list of permitted foods.The list is very diverse and therefore everyone can choose for themselves what they really want to eat.The main list of permitted ingredients includes:
- Dietary meat.These include turkey, rabbit and, in rare cases, chicken.
- All kinds of lean fish.
- Soups with vegetable broths.You can add already cooked meat there.However, you need to cook it separately, as meat broth is prohibited.
- Pasta, bread and cereal.
- Berries.
- Fermented milk products.
- Desserts such as marshmallows, marshmallows and jam.
- Nuts and prunes.
- Oil.Flaxseed or olive oil are best.
- Vegetables, except legumes.
- Fruit and green teas.
- Herbal decoction.
- Fruit drinks and 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 can be used in absolutely any form and allows the removal of all unnecessary elements from the body.
If gout worsens, it is best to switch to liquid or semi-liquid meals.These can be vegetable purees, jellies, 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 and urolithiasis.These diseases used to be called “royal” because they arose from heavy consumption of fatty foods and alcohol.Nowadays the reasons are known and doctors only prescribe a strict diet.This allows you to prepare really tasty and varied dishes.
During an exacerbation, this will allow you to get some relief and get rid of the disease.There are both serious limitations and some deviations.The duration is only determined by a doctor's prescription.In particular, you can include:
- The amount of food consumed is moderate.
- Foods containing large amounts of purines and salt are limited.
- Meat and fish are limited.
- Consume at least 2 liters of water.
- Under no circumstances should you go hungry.
- Fractional meals take place 5-6 times a day.
At table number 6 you can eat:
- An egg in some form.
- Bread.You can eat rye and wheat products, as well as any desserts made from flour.
- Meat products and fish.You need to choose low-fat varieties that are pre-cooked.You are not allowed to eat more than 150g of meat per day.
- You can't eat 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 legumes, marinades and pickles.
- Grain.You can consume absolutely any kind, but in moderation.
- fruits and berries.The consumption of citrus fruits is recommended.As sweets you can eat jam, honey and milk desserts.
- Drinks These include juices, fruit drinks and clean water.Under no circumstances should you drink tea, carbonated drinks, coffee or alcohol.
Under no circumstances should you eat salty cheese.You should also exclude all dried fruits except prunes.
What about the drinking regime?
Every doctor attaches great importance to the drinking regime, because water in particular helps to accelerate the excretion of purine bases.The total amount of water should be at least 2.5 liters.However, here you need to pay attention to the doctor's instructions.If there are problems with the cardiovascular system, the volume is adjusted.If a person suffers from urolithiasis, it is better to choose mineral water.This causes the urine to become alkaline.In addition, you can add any citrus fruits you like.
What about the weight?
Gout is also very often associated with being overweight.When gout occurs, it is necessary to reduce body weight.Since high-calorie foods always lead to an increase in plasma uric acid levels, consumption should not exceed 30 kcal per 1 kg of body weight.
Weight loss should occur gradually.It is best if it is 1 kg per month.
In no case should you resort to fasting, as 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.
Restricting the consumption of baked goods and sugar causes weight loss.If you have hypertension or ischemia with gout, it is best to eat a diet low in cholesterol.
Common mistakes
Many people, especially those who do not follow the necessary information, encounter errors very often.The most common include:
- drink alcohol.
- Eating foods that contain large amounts of purines.
- Low fluid intake.
- Excessive calorie intake.
- A large amount of fats and proteins.
- Increased consumption of table salt.
- Lack of fruits and vegetables in the human diet.
All this will only cause harm and will not have a positive effect.Before implementing a particular diet, you should definitely consult your doctor.
An example of a menu that can be used during illness
| weekday | Dinner time | Products for consumption |
|---|---|---|
| Monday | On an empty stomach | Rosehip decoction |
| First breakfast | Drink water and prepare a vegetable salad | |
| Second breakfast | Fruit juice without preservatives | |
| Lunch | Vegetable soup with the addition of pre-cooked meat, cabbage cutlets and compote or rosehip decoction | |
| Afternoon snack | Dried fruit compote | |
| Dinner | Carrot cutlets, an egg omelette and fruit tea | |
| For the night | kefir | |
| Tuesday | On an empty stomach | Glass of water |
| First breakfast | Tea with milk, cabbage and carrot salad | |
| Second breakfast | any juice without preservatives | |
| Lunch | Vegetable broth soup.Lean meat with milk sauce | |
| Afternoon snack | Dried fruit compote | |
| Dinner | any porridge with added milk, diet cabbage rolls 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 | Beetroot soup with kefir and stewed cabbage | |
| Afternoon snack | Rosehip decoction | |
| Dinner | any porridge with milk and jelly made from fruits or berries | |
| For the night | kefir | |
| Thursday | On an empty stomach | Rosehip decoction |
| First breakfast | Tea and cabbage salad | |
| Second breakfast | kefir | |
| Lunch | Vegetable broth soup, carrot cutlet | |
| Afternoon snack | grape juice | |
| Dinner | Cabbage schnitzel with sour cream and jelly | |
| For the night | fruit or sour milk | |
| Friday | On an empty stomach | Herbal decoction |
| First breakfast | Tea, boiled egg, cheesecake | |
| Second breakfast | Plum compote | |
| Lunch | Vegetable broth and vegetable stew | |
| Afternoon snack | kefir | |
| Dinner | any porridge with milk and jelly | |
| For the night | sour milk | |
| Saturday | On an empty stomach | Water with lemon |
| First breakfast | Drink tea and eat cheesecake | |
| Second breakfast | Fruit juice without preservatives | |
| Lunch | Vegetable broth soup with potatoes, vegetable cutlets | |
| Afternoon snack | kefir | |
| Dinner | Omelet, stewed carrots and tea | |
| For the night | kefir | |
| Sunday | On an empty stomach | herbal tea |
| First breakfast | Compote, cabbage and beet salad | |
| Second breakfast | Tomato juice | |
| Lunch | Borscht in vegetable broth and meat baked in foil | |
| Afternoon snack | kefir | |
| Dinner | any porridge with milk and stewed cabbage | |
| For the night | sour milk |
Some recipes
Anyone who has been on a diet for gout for a long time is often faced with a monotonous menu.That is why it is best to consider several options at once that are rarely found:
- Apple omelet.You need apples, an egg, milk and butter.Apples are sliced and stewed in a pan with butter.Then milk is poured in, which has previously been beaten with the egg.Everything is placed in the oven until fully cooked.The omelette is sprinkled with powdered sugar and served.
- Rice casserole with beets.You need beets, rice, egg and milk.The rice is cooked and combined with beets.Whisk eggs with milk, add a little salt if necessary.Rice is poured into the liquid mixture and baked in the oven.
- Beef stroganoff made from boiled meat.You will need meat, butter, wheat flour, sour cream, milk and tomato juice.The meat is boiled and cut into small pieces.White sauce is prepared according to the recipe below and poured over the meat.Tomato juice is added there.Let everything cook for 10 minutes and season with sour cream.You can add a little butter and sprinkle with herbs.
Various sauces are in great demand for diets.These include the following:
- Sour cream sauce.To prepare it you need 100 g sour cream, 12 g flour, 12 g butter.The flour is dried in the oven or in a frying 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 brought to the boil, previously dried flour is added there.Then the sauce is mixed well and brought to the 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 butter.Then carefully pour in the broth and stir.They need to cook for 10-15 minutes.
- Berry sauce.Berries 50 g, sugar 15 g, starch, water 100 ml. The berries are pureed and sugar is added.Add water and starch and stir everything over low heat.It needs to be brought to a boil.
Gout patients often come up with their own recipes.This is easy to do if you follow the heat treatment recommendations and select approved products.
Contraindications to a diet for gout
This diet has no special contraindications.Most often this is because it is based on standard principles of healthy eating.The focus is on vegetable and fruit dishes.Complex carbohydrates and a normal amount of milk components are consumed.That's why everyone can stick to it and not go hungry.
What results can you achieve?
If a person suffers from gout, but at the same time follows all dietary regulations, he can easily limit the production of uric acid and remove it from the body in maximum quantities.Thanks to nutrition, many are able to cure the disease without the use of medication.
Thanks to this diet you can reduce the severity and number of attacks.In addition, you must remember that calorie reduction also occurs through physical exercise.This allows you to reduce the weight to the desired level and achieve excellent results.
Gout is a serious disease that brings with it a variety of complications.By adhering to the regimen, you can relieve pain and symptoms for some time.If you want to get rid of the disease, it is better to follow all of the above recommendations and enjoy life without problems.