
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Diet for gout exacerbation
Medical expert of the article
Last reviewed: 04.07.2025

The most important treatment for gout is proper nutrition. It is impossible to get rid of the disease completely, but it is possible to alleviate the general condition. Thus, during an exacerbation of gout, a special diet is used. It will make the periods of remission longer. Following a certain diet is very important, this will help maintain good health.
The essence of the diet
Gout is a metabolic disease. This condition is characterized by an increase in uric acid salt. The main essence of the diet during an exacerbation is to reduce this level. This is achieved by eating special products. It is impossible to cure gout, but it is quite possible to alleviate the patient's condition. To do this, during periods of exacerbation, it is worth eating in a special way.
Joints suffer greatly from gout, because they are where a large amount of salts are deposited. The joints of the fingers and toes are more susceptible to this. In general, the disease affects all joints in its path. In most cases, the disease is chronic. It is not possible to cure it with medication. Therefore, it is worth paying attention to proper nutrition. Eliminating foods that provoke salt deposition and increasing uric acid will alleviate the condition of the victim. This is the purpose of this diet.
Diet for gout during an exacerbation
A special diet is prescribed at the first sign of the disease. Most often, the period of exacerbation is observed at night. The attack is similar to acute arthritis. Clinical symptoms begin to develop rapidly, reaching their peak after 6 hours. Severe pain is felt in the affected joint. Swelling and redness often occur. After 14 days, the attack stops and the person returns to normal life. The main thing during the period of exacerbation is to start a special diet recommended for gout.
The main principle of treatment is to prevent the progression of the disease. To do this, it is necessary to form a correct lifestyle for the patient. It is recommended to limit the consumption of meat products, including broths. Offal, seafood and beans are prohibited. The diet should be enriched with the optimal amount of carbohydrates and milk proteins. Liquid should be consumed in a volume of 2-3 liters.
The diet is prescribed for 10-14 days. Particular emphasis is placed on the consumption of liquid food. It is advisable to give preference to fermented milk products. You should pay attention to weak tea, vegetable soups, juices and compotes. Drinking alkaline mineral water is especially beneficial.
During periods of exacerbation, digestive disorders are often observed. Therefore, a gentle diet should be followed. When the disease begins to recede, a small amount of meat and fish can be added to the diet. It is allowed to eat dairy products, vegetables, eggs and fruits.
Diet menu for gout during exacerbation
The diet for gout during an exacerbation should exclude food that is rich in purine. Limiting the production of uric acid will reduce pain. Therefore, during an exacerbation of gout, it is necessary to follow a certain diet menu. This issue should be taken quite seriously. Meals should be fractional, at least 4 times a day. Starvation is not allowed under any circumstances, this will cause the production of uric acid. Dietary nutrition is very important, as well as treatment with medications.
There are quite a few variations of the menu, based on the lists of permitted and prohibited products, you can make it yourself. The most effective way to get rid of an exacerbation is to start from the menu of diet No. 6. It is worth checking with your doctor about how best to eat. Below is an approximate daily diet.
For breakfast, you should give preference to a vegetable salad. You can dilute everything with a fruit pie with millet. You can eat one boiled egg (remember that you can eat no more than 3 eggs a week). For your second breakfast, drink rosehip infusion. For lunch, you should cook noodles with milk and wash it all down with jelly. Fresh fruit is suitable for an afternoon snack. Dinner: low-fat cheesecakes, vegetable cabbage rolls, and weak tea.
This menu is approximate. It clearly shows what a daily diet can be. Naturally, you can make up a menu yourself, you just need to follow all the recommendations.
Diet recipes
It is not difficult to prepare delicious dishes, you do not need to have special skills for this. Thus, the diet can include a lot of delicious and simple recipes. It is worth starting with vegetable salads.
- Recipe #1. Cucumber salad. You need to take the main ingredient in any quantity, wash it and chop it finely. Then add salt, lettuce leaves and season with low-fat sour cream or cream.
- Recipe #2. Vinaigrette. Boil potatoes, beets and carrots. After the vegetables have cooled, cut them into cubes. Add finely chopped apples, cucumbers and lettuce leaves to the salad. Mix all these ingredients together and season with sunflower oil.
- Recipe #3. Carrot and green pea salad. The carrots should be grated to a mushy consistency. After that, add greens and canned peas. The salad can be dressed with low-fat sour cream.
Salads are good, but you also need to prepare something for the first course. At this stage, we will talk about tasty and simple soups.
- Recipe #1. Potato soup. It is enough to boil the potatoes until done, and then rub them through a sieve. To the desired state, it is diluted with the help of broth. Then white sauce, egg and butter are added to it. All this is boiled for several minutes. The soup must be served with greens and sour cream.
- Recipe #2. Milk soup with vermicelli. You need to boil the vermicelli for no more than 5 minutes, and then add boiled milk to it. Cook the soup until the vermicelli is ready. As soon as everything is ready, add butter and sugar.
There are several simple and delicious recipes for side dishes, sauces and desserts. Anyone can cook them with a minimum set of products.
- Recipe #1. Oatmeal with milk. You need to boil the milk and add oatmeal to it. Then add salt and sugar to taste. Cook everything until fully cooked. At the end of the process, you can add a little butter.
- Recipe #2. Omelette. You need to grind flour in a small amount of milk and add beaten eggs. After that, pour it all onto a baking sheet and cook in the oven.
- Recipe #3. Mix cottage cheese with flour, add an egg. Mix everything until thick, and form cheesecakes. Then roll them in flour and fry them on both sides in a frying pan until golden brown.
- Recipe #4. White sauce. It is necessary to dry the flour a little in a frying pan until it becomes creamy. Then combine it with butter, stirring constantly. Hot broth is added to the resulting mixture and boiled for 10 minutes.
Everyone can cook quickly, easily and deliciously. Gout is not a death sentence. Even this disease allows you to eat really tasty food, without severe restrictions.
[ 4 ]
What can you eat during an exacerbation of gout?
The diet should not only be gentle, but also healthy. So, what can you eat during periods of exacerbation? You should pay attention to vegetarian soups. Borscht, cabbage soup, vegetable and potato soups are suitable. You can easily add cereals to them. You can eat lean meat, this can be chicken, rabbit and turkey. You can diversify the diet with seafood, such as squid and shrimp.
It is allowed to eat fish of low-fat varieties, but not more than 170 grams per day up to 3 times. It is necessary to pay attention to dairy products, these can be fermented milk products, including cottage cheese and dishes from it, it is allowed to eat sour cream. As for milk, it should be present, but only in small quantities.
Eggs up to 3 pieces per week. Pasta and cereals can be consumed in unlimited quantities. Preference should be given to white cabbage, potatoes, carrots, cucumbers and zucchini. They should be eaten in increased quantities. Dried fruits and nuts are allowed as treats. Non-chocolate sweets, marmalade, marshmallows and pastilles are included in the list of permitted products.
Cucumber juice removes excess purine from the body. Just one glass a day is enough. Alkaline mineral waters have a similar effect. It is recommended to eat green apples, gooseberries, any berries except raspberries. Black and white bread, dill and vegetable oil are not prohibited.
What should you not eat during an exacerbation of gout?
There are quite a few forbidden foods. Giving them up can be an unbearable burden for many people, but to ease the condition, following a certain plan is simply necessary. So what will you have to give up and what you can’t eat during an exacerbation.
It is not recommended to eat meat from young animals. The sticky broth prepared from the head, legs, etc. is also subject to "sanctions". In general, almost all broths are prohibited, and not necessarily meat ones. Even mushroom broth should not be consumed. You will have to give up meat broths and smoked foods.
Fatty fish can be harmful during an exacerbation. It is forbidden to eat salted and fried fish, as well as canned fish. Spicy and salty cheeses are included in the prohibited group. This also includes various spices, including pepper, mustard and horseradish. You cannot season food with vinegar and salt.
It is necessary to exclude products that can excite the nervous system. These include strong tea, coffee and cocoa. You should refuse cream cakes, chocolate and pastries. Simply put, all heavy food. This includes pork and pork products. It is unacceptable to consume juices with preservatives, legumes and grape products. Naturally, alcohol is strictly prohibited.
You should limit your consumption of salt, sausages, boiled meat and fish. You should give preference to poultry, salmon, trout and mackerel. You should limit your consumption of pickles, marinades, lard and plums.