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Diet for gout

, medical expert
Last reviewed: 22.11.2021
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The diet for gout is perhaps one of the main measures aimed at the speedy removal of pain syndrome and normalization of metabolism in the body.

Gout is a systemic disease that results in impaired uric acid metabolism. Gout often recurs, against the background of well-being, there may be an exacerbation. Salts of sodium urate accumulate in the ligamentous apparatus, articular joints, cartilaginous membranes, etc. Most often gout is observed in those people who do not control food intake, often uses meat, spicy foods, alcohol. To aggravate the predisposition to the disease can be a fixed rhythm of life, emotional shock, chronic stress. An hereditary factor of transmission of the disease also takes place, especially if the lifestyle described above is adopted in the family. Gout begins acutely, most often at night. First, the pain is localized in the large joint of the toes, in the foot, elbows and knees. Pain can last a day, then wane, leaving a feeling of lack of mobility and friction in the joint. Seizures can be repeated, spreading to other joints, the affected articular articulation, markedly redness. To ease the condition, a diet is prescribed, based on reducing the amount of protein consumed to 0.8-1 grams per kg. Body weight, which will stop the production of uric acid by the body.

trusted-source[1], [2], [3], [4]

Diet for gout on the legs

Gout is a fairly common pathology of articular articulations, the cause of gout lies in the violation of normal metabolism in the body, and specifically - when accumulates in articular bags and ligaments urate sodium (its salt residue).

The diet with gout on the legs requires the patient to keep certain limits of the products allowed in use, there is only moderately and not to starve, when fasting, more uric acid is produced, and this provokes peaks of pain. Overeating increases the burden on the urinary system, and this also leads to excessive accumulation of uric acid. Patients with gout are contraindicated for eating meat, fish, broths in meat and fish, animal fats, all smoked, by-products, caviar. Also you will have to refrain from using beans, spices. In addition, the diet with gout on the legs implies a complete refusal to drink alcoholic beverages - beer, wine and other. The patient is contraindicated: chocolate, strong tea, coffee, cocoa, cakes with creams, raspberries, figs, grapes, spicy and salty cheeses.

trusted-source[5], [6], [7]

Diet with gout on the hands

Diet with gout on the hands implies stabilization of the percentage ratio of urea in the body, as well as metabolism in general, by excluding from the daily diet food containing many urine bases. At the same time it is allowed to consume milk, eggs, fruits, vegetables, cheese, it is established that in them the percentage of purines is very low, besides they have high energy value and perfectly satisfy hunger.

With gout, uric acid is most often deposited in articular hand bags, causing inflammation and severe pain. At the peak of the aggravation of the patient's illness, concern is the limited and painful movements. The first thing that can help at such a moment is a strict diet with the exception of certain foods.

Not recommended for consumption are almost all types of meat, broths except broths on vegetables, sauce dressings, jellied, smoked, packaged soups, fish eggs, fish, canned goods, saturated tea, coffee, cocoa, legumes, products of extended shelf life, spicy herbs, cakes with cream, chocolate, alcohol, figs, grapes, raspberries.

Limit daily consumption of boiled poultry and fish, tomatoes (no more than 3 per day), color cabbage, sorrel, bell pepper, celery, rhubarb and asparagus. Also, you should limit the amount of green onions and parsley, butter, milk.

In the menu for each day you can include such products: squid, shrimp, chicken eggs, vegetarian soups, low-fat cottage cheese, cheese, sour cream, various cereals, bread, pasta, nuts, seeds, cabbage, various vegetables, honey, marmalade, marshmallow, apples, citrus fruits, melons, avocados. Kvass, juices, compotes, various vegetable oil.

With strict adherence to dietary nutrition and correct medication, painful spasms in the movement in the hands will decrease, and the usual movements will not cause unbearable pain.

trusted-source[8]

Diet 6 for gout

Diet 6 for gout is also indicated for the treatment of diseases of the urinary system, diathesis with high uric acid, oxaluria, cystinuria. Nutrition is aimed at normalizing the production of uric acid, restoring the normal environment of urine (from acidic to alkaline).

The use of dietary nutrition on the reduction of the intake of foods rich in purines, oxalic acid and the predominance of food in the daily menu, which can normalize the metabolism. Special preparation of the products is not necessary, the preparation process is simple enough, but meat and fish products need to be boiled in order to withdraw some of the purines from the products into broth broth. Further, based on the boiled products, you can prepare a variety of second dishes, but remember that meat can be consumed no more than 2-3 times a week for 150 grams, fish can be eaten more often, but portions of not more than 170 grams.

To eat it is necessary it is divided, on 4-6 times a day, not forgetting to drink thus enough liquid. Once in seven-ten days you can arrange days of unloading, eating cottage cheese or fruit, you can also kefir. On such days the patient needs to drink at least 2.5 liters of fluid. Fasting is unacceptable, as it can cause complication of the disease.

The menu of diet 6 with gout should correspond to the norms: daily protein ratio 80-90 g, fat daily ratio 80-90 g, carbohydrate daily coefficient 400 g; the number of calories per day 2600-2900 kcal; retinol 0.5 mg, thiamine 1.5 mg, ascorbic acid 150 mg; sodium 4 g, potassium 3.5 g, calcium 0.75 g, etc.

You can eat a little lean fish, dairy products, cereals, eggs, vegetables, fruits, alkaline mineral water, soft tea.

trusted-source[9], [10], [11], [12]

Diet 8 for gout

Diet 8 for gout is prescribed if the patient has obesity of any degree. Obesity, as a result of overeating, creates an additional burden on all body systems and aggravates any current disease. The essence of the diet is to eliminate excess fat in the tissues. Caloric content of the diet is maintained due to a greater percentage of proteins and a decrease in the percentage of fats and virtually eliminating carbohydrates (120-130 g of proteins, 80 g of fat, 120 g of carbohydrates, calories - up to 2000).

Menu table № 8 allows you to use: a little rye, wheat bread with bran, soups on vegetables, 2-3 times a week you can eat a little lean beef, dishes based on chicken, fish - hake, cod. Fish and meat are served stewed, boiled and baked. Cereals and pasta are limited. Sour milk products - kefir, low-fat cottage cheese. Eggs can be eaten no more than 1-2 per day. Berries and fruits can be eaten fresh and as compotes, juices. Showed tea, weak coffee, juices from fruits, vegetables. Completely excluded from the menu: baked pastry, pasta, various sweets, rice and semolina, sweet fruit, grapes, any fatty or spicy food is also contraindicated.

trusted-source[13], [14], [15], [16]

Menu diet for gout

The diet menu for gout excludes food rich in purine. Only limiting the production of uric acid can alleviate pain. The diet should be taken seriously enough, the food is divided into fractions - 4 times a day, it is absolutely unacceptable to starve - this stimulates the production of uric acid. It is important to note that dietary nutrition is important, as is treatment with medicines. Variations in dietary nutrition are many, but many patients make an exemplary menu themselves, based on the differences of a particular organism and taking as a basis the products allowed for consumption. Diet № 6 with gout is the most effective complex for diet therapy for gout, but some nuances of nutrition still better clarified by the treating doctor to avoid possible complications. So, consider an approximate diet for one day with a gout:

  • 1-st breakfast: salad from vegetables, fruit pie with foamed, boiled egg.
  • 2 nd breakfast: broth of wild rose, you can brew an arc of berry broth.
  • Lunch: noodles on milk, jelly.
  • Snack: fresh fruit.
  • Supper: cheese cakes, vegetable cabbage rolls, not strong tea.

The resulted menu approximately, as a dish for a dinner it is possible to prepare a vegetable stew or other hot dish. The nature of the dishes can vary, but one rule should be unchanged - a larger percentage of food should be served in a liquid form.

Diet for a week for gout

Diet for a week with gout can be quite diverse and tasty, most importantly - do not go beyond and prepare meals only from the allowed products. Special cooking skills are not required, preparing special dishes for gout patients is easy, and they are in many respects similar to the food of vegetarians.

A strict diet for a week with gout is prescribed in the acute period of the disease, in addition, the patient is prescribed a strict bed rest, medicinal treatment prescribed by the doctor. The food should be mostly liquid, it is unacceptably fasting, it is also important to drink about two liters of liquid per day. An example of dietary nutrition for two days with a gout:

First day:

  • Before eating: a glass of rose hip broth.
  • 1 breakfast: tea with milk, cabbage salad.
  • 2 breakfast: vegetable juice.
  • Lunch: borscht on vegetable broth, a piece of boiled meat with white sauce (no more than 100 gr.)
  • Afternoon snack: a glass of rose hip broth.
  • Dinner: buckwheat with milk, vegetable cabbage rolls.
  • Before going to bed: fruit juice.

Second day:

  • Before eating: a glass of rose hip broth.
  • 1 breakfast: tea with milk, beet salad, seasoned with butter or sour cream.
  • 2 breakfast: vegetable juice.
  • Lunch: vegetable soup with pearl barley, cabbage schnitzel.
  • Snack: fruit juice.
  • Supper: carrot chops, kissel.
  • Before going to bed: watermelon or a glass of curdled milk.

The list of dishes can be combined, do not forget that the effect of diet therapy can be achieved and consolidated for a long time only if it is fully respected.

trusted-source[17]

Recipes for gout

Recipes for gout are not complex and do not require special preparation or a specific set of products.

Vegetables sliced, salads:

  • Salad of cucumbers and lettuce leaves. Vegetables finely chop, salt, you can fill with sour cream or low-fat cream.
  • The vinaigrette. Cut the boiled potatoes, carrots, beets into cubes, add chopped cucumbers, apples, lettuce leaves. Mix all ingredients, add salt and season with sunflower oil.
  • Carrot salad with green peas. Carrots grind with a grater, add greens and canned peas, season with low-fat sour cream.

Soups:

  • Potato soup. First, the potatoes are cooked until ready, then it is wiped through a sieve and diluted with a decoction to the desired state. Then add white sauce, butter and egg. All together boiled for a few minutes, after which it is served to the table with greens and sour cream.
  • Milk Vermicelli Soup. First, the vermicelli is cooked in water for about 5 minutes, then boiled milk is added and the soup is cooked until the vermicelli is ready. At the end of the cooking, add butter and sugar.

Garnishes, desserts and sauces:

  • Oatmeal with milk. Boil the milk, add the oatmeal, salt and sugar to taste, cook until cooked. At the end of the cooking, add a little butter.
  • Omelet. Rub in a small amount of milk flour, then add the beaten eggs, the remnants of milk, once again shake everything and put in a frying pan in the oven at an average temperature.
  • Cheesecakes. Mix cottage cheese with semolina, egg to a thick consistency, then form the syrup and roll in flour. Fry in oil and serve warm for tea.
  • White sauce. Dry the flour in a frying pan to a cream shade, combine with butter, stirring constantly. Add the hot broth to the mixture and boil for 10 minutes.

Diet with exacerbation of gout

Diet with exacerbation of gout is prescribed at the first manifestation of the disease. The aggravation most often begins at night, like an attack of acute arthritis of the first metatarsal-phalanal joint. Symptoms:

  • Rapid development of clinical symptoms, reaches a maximum in 2-6 hours.
  • Strong pain in the affected joint bag.
  • Swelling and redness of the affected joint.
  • Disappearance of all manifestations of the disease after 5-14 days with recovery of motor activity.

The main principle of treatment in the period of exacerbation is the prevention of the progression of the disease, with the formation of the correct lifestyle of the patient.

  • Limitation of the consumption of meat, meat broths, poultry, fish, offal, seafood, beans). In the diet should be a lot of carbohydrates and milk proteins. The liquid is consumed up to 2-3 liters per day.
  • Refusal of alcoholic beverages.
  • Change of treatment regimen if diuretics are prescribed.

Diet with exacerbation of gout is prescribed for 10-14 days. The emphasis on the menu is on the use of liquid food - sour-milk products, kissels, compotes, juices, weak tea, soups from vegetables. It is useful to drink alkaline mineral water.

During the exacerbation of digestive disorders, it is important to maintain a sparing diet. When the disease goes on a decline, you can eat a small amount of meat and fish (not more often 1-2 times a week and 100-150 gr.). You can use dairy products, vegetables, eggs, cereals, fruits.

trusted-source[18], [19], [20], [21]

Antipurin diet

Antipurin diet is a menu with products in which the uric acid content is almost minimal. Assign her with gout, as well as those who have urate nephrolithiasis, hyperuricemia, hyperuricosuria.

Completely prohibited use:

  • Honey, coffee, chocolate, grapes and its products, broths (except vegetable), smoked products, offal, legumes, cakes, cream cakes, whole milk, sorrel, turnip, radish, fish, pork, cauliflower, alcohol.

Limit the intake of food:

  • The whole boiled-smoked coffee, tomatoes, greens, plums, lard, butter.

It is recommended to use:

  • Potatoes, cereals, chicken, rabbit, carrots, beets, cucumbers, pumpkin, sour cream, cottage cheese, kefir, watermelons, lemons, white cabbage, onions, garlic, white bread, eggs, green tea, dill, sausages, boiled sausage, vegetable oil .

Antipurin diet is prescribed for a period of 10-14 days, until the patient's condition is improved. Further, depending on the state of health, little more food is introduced into the diet, but according to the main provisions of the diet. A sharp change in the diet can trigger another aggravation and in this case you will have to start treatment first.

trusted-source[22], [23]

Diet for gout and arthritis

Diet for gout and arthritis, or, as they say "aristocrat disease" is reduced to one - restriction of food intake, rich in uric acid. The disease is unpleasant, mainly due to severe pain in the joints, but easily amenable to treatment, and first of all, thanks to a diet.

Even with the most expensive foreign medicines without a diet, recovery will not come. With proper dietary nutrition, the improvement occurs after a week or two, and under certain conditions of treatment, after a year all restrictions and prohibitions on the use of foods can be abolished altogether.

At first, it is worth to abandon the meat of animals, meat and fish soups, offal, sardines, herring, mackerel, alcohol.

Reduce the use of beef, sausages, fish, beans, radish, cauliflower, spinach, cocoa, coffee.

Do not confine yourself to eating cereals, pasta, dairy products, cheese, eggs, jelly, butter. You can vegetable soups on vegetable broth, meat and fish can be, but only in a cooked form and not more often 1-2 times a week.

If there are no pathologies from the cardiovascular system and the urinary system, you can increase the daily intake of fluid to 2-2.5 liters per day. A decoction of wild rose, juices from berries, lime tea is useful. From mineral waters it is possible alkaline waters - Smirnovsky, Borjomi.

trusted-source[24], [25], [26]

Diet for gout and obesity

The diet for gout and obesity is based on a decrease in the amount of calories in the daily diet due to light and quickly digestible carbohydrates, fats, while increasing the percentage of protein in a daily portion. Due to this, the body weight decreases, fat metabolism and water-electrolyte balance are restored.

The composition of the daily diet of No. 8 contains: proteins - 100-110 g, fats - 80-90 g (of which 50% vegetable), carbohydrates - 120-150 g, kilocalories - 1600-1800. Only in a hospital with a severe degree of obesity, a diet with an energy value of 1200 kcal is prescribed.

To eat should be in divided portions, 5-6 times a day, a small amount. Calculate the weight of the portion can be done with the help of kitchen scales, and the volume of the portion is reached at the expense of vegetables, it gives a feeling of satiety, and also does not create an organism for a stressful situation and the diet can be observed for a long period of time. Dishes are better to stew, cook, bake, and the use of fried, chopped dishes is better cut

Liquid with diet number 8 is regulated in a volume of 1.2-1.5 liters. For example - no more than half a bowl of soup, no more than 5-6 glasses of liquid per day, salt - about 5g, give up spices and alcohol. You can consume seafood (if there are no contraindications).

If you follow a diet, and later include in the daily routine of physical activity, you can accelerate the process of recovery and restore metabolism, fixing a positive result.

Of course, following the prescription of a dietician, you can stop acute attacks of gout, but you can cure completely only when combined with drug therapy. Therefore, when the first signs appear, you should immediately go to a clinic to a specialist to prevent the development of severe systemic changes. It is absolutely counter-indicative to be engaged in a selftreatment and to ignore a prescription of a diet at a gout.

trusted-source[27], [28], [29], [30], [31]

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