Gout diet is an integral part of complex therapy.If pharmacological drugs help relieve pain, then it is possible to avoid a new attack only with a proper and balanced diet. Nutritionists recommend eliminating foods with purines from the diet. These are fatty meats, rich soups, some types of vegetables. The correction of the weekly menu will enable you to achieve stable remission, leading an active lifestyle.
Basic principles of gout diet
Gout is characterized by the accumulation of uric acid crystals in the joints and kidneys. They irritate their structures, causing the development of severe inflammation. In order for the crystals to dissolve naturally and evacuate from the body, an alkaline environment is required. That is, you should eat such products, after which the pH would rise to 6-8. At the same time, it is necessary to limit the intake of purines. The concentration of uric acid increases due to disorders of their metabolism in the body.
After the diagnosis is made, the patient is referred to a dietitian. It develops an approximate menu, taking into account the severity of the course of gout, the degree of damage to the joints and (or) kidneys. The doctor must give recommendations regarding diet:
- you should eat often (5-7 times a day), but in small meals;
- products should be baked, stewed in a little water, steamed;
- in the absence of contraindications, you must drink at least 2, 5 liters of fluid.
In the vast majority of cases, the impetus for the development of gout was the use of fatty foods in combination with alcohol. Not surprisingly, mostly obese men suffer from it. Nutritionists advise them to limit the energy consumption of the daily menu to 2000-2500 kilocalories. This will help you lose weight, reduce stress on sore joints and improve your overall health.
Vegetables perfectly alkalize the body. The diet should be diversified with white cabbage, carrots, zucchini, tomatoes, cucumbers, potatoes. There is still controversy about the use of eggplant in gout. Some nutritionists categorically forbid eating food from them for gout. But most doctors insist on their use. This is a therapist, one of the organizers of the Institute of Nutrition. It was he who developed diet number 6 for gout. Also, the list of allowed products includes:
- almost all berries except raspberries, cranberries, grapes. Especially useful are red, black and white currants, gooseberries, blueberries;
- fruits of sweet and sour varieties with a high fiber content. Nutritionists advise snacking on an apple, pear, orange, a couple of plums or apricots between meals;
- integral pasta;
- cereal porridge - buckwheat, millet, corn, oats, wheat;
- lean meat - turkey, chicken, rabbit, lamb, veal;
- sea and river boiled fish (no soup! );
- eggs, but not more than pieces per day;
- dried whole grain and white bread;
- any fermented dairy products with a low fat content - cottage cheese, unsalted cheeses, varenets, fermented baked milk, kefir, kefir.
The list of sweets for gout sufferers is very scarce. It consists mainly of natural marmalade, apple or other fruit marshmallow, marshmallow. You can sweeten it a little with honey or porridge jam, but only with a doctor's permission.
Patients with gout are strictly forbidden to eat rich meat and fish soups, as well as soups based on them. When cooked, they accumulate a huge amount of purine bases. Consumption of as much as 100 ml of broth will probably cause a new relapse of the disease. What else should be completely removed from the diet:
- offal, fatty and lean red meat - pork, beef, lamb;
- fatty sea and river fish - herring, salmon species, mackerel;
- seafood and red caviar;
- marinades for houses and factories, pickles and other canning;
- spices and sauces - horseradish, mustard, black and allspice, mayonnaise, ketchup;
- cheeses saturated with salt and spices;
- chocolate and other desserts with cocoa, sweet and savory pastries, protein, cream and cream;
- sorrel, spinach.
Nutritionists recommend that you do not eat or significantly limit mushrooms on the daily menu. This also applies to asparagus, celery, radishes, peppers, cauliflower, legumes, pasta.
As mentioned above, daily alcohol consumption is often the cause of gout. Therefore, patients often ask doctors if it is possible to drink a little alcohol from time to time. The answer is always negative - even a glass of beer is extremely harmful for gout, not to mention vodka or cognac. Dry red wine, allowed in small doses for other diseases, is forbidden for gout. 2-3 sips are enough for the next deterioration.
You also can't use coffee, cocoa, jelly, strongly brewed black tea. And what is useful to drink with gout:
- alkaline mineral water with low salt concentration;
- rosehip decoction, chamomile tea;
- juice, fruit drink, homemade berry compote, fruits, vegetables allowed for gout;
- poorly cooked green tea.
Drinking lots of water helps not only cleanse the body of toxic substances. Stimulates the dissolution of uric acid crystals, has a beneficial effect on kidney function. If a patient with gout drinks enough fluids, then doctors, focusing on the test results, reduce the dose of pharmacological drugs.