Many people may have heard about such a disease as gout.As a result of the inflammatory process, it disrupts the activity of the musculoskeletal system.The reason is a pathological process during which urates are deposited in all joints.A diet high in gout and uric acid will significantly improve the patient's condition.
Causes of the disease
If we talk about the causes of this disease, then the following should be noted:
- inheritance.
- feeding.
- A risk group that includes people with overweight, hypertension, diabetes, kidney and stomach diseases.
- Man leads a lifeless lifestyle.
- A person constantly drinks alcohol.
The constant consumption of large amounts of protein 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, then the following should be noted:
- A person will feel severe pain in the joints.Most often it happens in the morning and at night.
- The joint is swollen and tender.It cannot be touched.
- The skin becomes red.
- Increase in temperature and pressure.
- Nausea, loss of appetite.
It can also be noted that gout appears both in the form of attacks and in the form of a chronic disease.Also, kidney function can be disturbed very often, which will lead to complications.
What role does nutrition play?
Anyone who has ever experienced this disease knows that if the patient eats or drinks something from the list of prohibited ingredients, an attack may begin.The disease can be cured when nutritional therapy is prescribed by a leading specialist.The patient must follow all the principles and avoid the consumption of prohibited ingredients.
It is better when a person eats 5 times a day, but with small portions.He should also drink a lot of purified water and decoction.
Among the diets that are common during illness, two groups can be mentioned.This is a therapeutic option that is prescribed during an exacerbation of the disease.And prevention - most often happens when the attack is no longer there, but the person must still follow the principles.It is in this case that the number of prohibited products is much smaller.
Basic principles of dietary nutrition
The main goal of dietary nutrition for this disease is to reduce uric acid compounds in the body of each person.This can be achieved in several ways:
- The number of foods classified as animal protein is limited.
- Components containing small amounts of purine bases are included.
- Administer a sufficient volume of liquid.
- Weight is falling.
If we talk about which foods should be excluded, then they include those that contain a large amount of purines.This includes:
- Cow offal.This includes the liver, kidneys, brain and many others.
- shrimps.
- Some species of fish.
- Roasted legumes.
- Anchovies.
You should also reduce the consumption of ingredients that contain an average amount of purines.This may include:
- Any product made from fatty meat, poultry.
- fish products.
- vegetables.
It should be emphasized that the meat of all young animals has a large amount of purines.In addition, you should also reduce your intake of saturated fat.They prevent the normal removal of fluid from the kidneys.You should also know the list that is strictly prohibited in case of illness.This includes:
- Any smoked meat, as well as ingredients sold as canned food.
- Frozen meat and fish products.
- broths.
- Alcohol in any form.
- Legumes, as well as frozen or canned vegetables.
- Cereals, except rice, wheat.
- Any confectionery made using salt and sugar.
- Salt, spices, marinades, olives, ketchup and other flavor enhancers in dishes.
A general table of permitted and prohibited foods is provided for further reference to the principles of nutrition.
| categories | is allowed | is prohibited |
|---|---|---|
| bakery products | Black or white bread, savory cakes | Butter cookies |
| meat dishes | Rabbit, turkey, chicken | Smoked, raw smoked and cooked sausages, sausages, sausages, meat of young animals, fatty pork, offal (lungs, liver, kidneys), canned food |
| Seafood, fish | Marine cephalopods, crustaceans, shrimps, lean fish (salmon, trout), squid | Oily, 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 any form), cottage cheese. | Salty and spicy cheese |
| grain | Everything except legumes | Lentils, beans, soybeans, beans |
| vegetables | Dill, corn, beets, onions, garlic, potatoes, carrots, white cabbage, cucumbers, zucchini, eggplant, tomatoes, pumpkin (helps to improve metabolism) | mushroom, sour |
| Fruits, berries | Orange, tangerine, green apple, date, persimmon, dried fruit (except raisins), strawberry, lemon, apricot, pear | Grapes, figs, raspberries |
| dishes | Cereal porridge with milk, vegetarian borsch, 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, sour soup, as well as dishes with the addition of legumes and spinach;Sauces, mayonnaise based on the aforementioned broths |
| Sweets | Marshmallows, marmalade, jam, marshmallows, non-chocolate sweets, ice cream | Cream cakes, cakes |
| fats | Any vegetable oil | Margarine, lard |
| drinks | Green tea, tea from fruits and berries, tea with milk and lemon, juice (any, even tomato), herbal infusions, fruit drinks, fruit and berry compotes, fresh cucumber juice, alkaline mineral water are also very useful for gout, rose infusion, chicory. | any alcohol, especially beer and wine;Coffee, cocoa, strong tea |
| Spices | Vanillin, cinnamon, bay leaf, citric acid | Pepper, mustard, hot, spicy spices |
What is the minimum allowed consumption?
As with any diet, there are deviations.But you have to remember them and follow them.You can consume a specific list of ingredients, but weekly or monthly.No more than once a day, but preferably once every three days, use the following:
- If you are a tea lover and cannot live without it, you can add milk.You can also add it to porridge.
- Beef is considered a forbidden item, but you can cook and eat it once a week.This will reduce the amount of purines by 50%.
- You can eat asparagus, celery, spinach.But in no case should you increase the amount too much.
- You can eat some types of fish.Cod or trout are best.
- Boiled poultry, but in small quantities.
- Sometimes you can eat several marinades.But this can be done only if you feel good.
- Tomatoes and green onions.
- A small amount of butter.
- lard.
If you do not abuse such products, then a person can easily acquire them in rare cases.
what can you eat
Take a look at the list of what you can eat sometimes and what you can't, it's worth switching to what you can.The essence of the matter is to make a diet from the list of allowed foods.The list is quite varied and therefore everyone can choose for himself what he really wants to eat.The main list of allowed ingredients includes:
- Dietary meat.This includes turkey, rabbit and, in rare cases, chicken.
- All kinds of lean fish.
- Soups with vegetable broths.You can add already cooked meat there.But you have to cook it separately, because meat broth is prohibited.
- Pasta, bread and cereals.
- Berries.
- Fermented milk products.
- Desserts such as marshmallows, marshmallows and marmalade.
- Nuts and plums.
- oil.Flax or olive oil is best.
- Vegetables, except legumes.
- fruit and green tea.
- Herbal decoction.
- Fruit drinks as well as juices.There should be no preservatives.
- Herbs such as basil, dill, parsley.
Cabbage is one of the most ideal ingredients for patients suffering from this disease.It is used in absolutely any form and allows you to remove all unnecessary elements from the body.
If the gout worsens, it is better to switch to liquid or semi-liquid food.It can be vegetable puree, jelly, porridge, soups.You should remember that this diet is not for gout, but is the principle of proper functioning of each organism.
Table number 6: What is it?
Diet is very often prescribed for gout and urolithiasis.Previously, these diseases were called "kingdom" because they were caused by high consumption of fatty foods and alcohol.Today, the reasons are known, and that's why doctors only prescribe a strict diet.Within it, you can prepare really tasty and diverse dishes.
During an exacerbation, it allows you to bring some relief and get rid of the disease.There are both serious limitations and some deviations.Duration is determined only by doctor's prescription.In particular, you can include the following:
- The amount of food consumed is moderate.
- Foods that contain large amounts of purines and salt are limited.
- Meat and fish are limited.
- Drink at least 2 liters of water.
- Under no circumstances should you starve.
- Fractional feeding is done 5-6 times a day.
At the 6th table you can eat the following:
- One egg in any form.
- Bread.You can eat rye and wheat products, as well as any dessert made from flour.
- Meat products and fish.You should choose lean varieties that are pre-cooked.You can eat no more than 150 g of meat per day.
- You can't eat broths.
- dairy products.You can eat cottage cheese and fermented milk products.It should be in the diet every day.
- vegetables.The only deviation is the exclusion of legumes, marinades and pickles.
- grain.You can eat absolutely any type, but in moderation.
- fruits and berries.Eating citrus fruits is encouraged.For sweets, you can eat marmalade, honey and milk desserts.
- Beverages This includes juices, fruit drinks, pure 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?
All doctors attach great importance to the drinking regime, because it is water that helps to accelerate the elimination of purine bases.The total amount of water should be at least 2.5 liters.But here you should pay attention to the doctor's instructions.If you have problems with the cardiovascular system, then the volume is adjusted.If a person has urolithiasis, then it is better to choose mineral waters.This will make the urine alkaline.In addition, you can add any citrus fruit.
What about the weight?
Gout is also very often accompanied by obesity.It is when gout occurs that it is necessary to reduce body weight.Since high-calorie foods always cause an increase in plasma uric acid levels, consumption should not exceed 30 kcal per 1 kg of body weight.
Weight loss should be gradual.It is better when it is 1 kg per month.
In no case should you resort to fasting, because it will only complicate the disease.It is better to use diets such as kefir, cottage cheese, dairy products, vegetables and fruits.
Weight loss will occur as a result of limiting the consumption of baked goods and sugar.If you have hypertension or ischemia with gout, it is best to eat a low-cholesterol diet.
Common mistakes
Many people, especially those who do not protect the necessary information, very often face mistakes.The most common among them are the following:
- drinking alcohol.
- Eating foods that contain large amounts of purines.
- Low fluid intake.
- Excess calorie intake.
- A large amount of fats and proteins.
- Increasing consumption of table salt.
- Lack of fruits and vegetables in the human diet.
All this will only cause harm and will not bring any positive effect.In any case, it is better to consult a doctor before implementing a specific diet.
An example of a menu that can be used during illness
| day of the week | feeding time | Products for consumption |
|---|---|---|
| Monday | on an empty stomach | Rose decoction |
| first breakfast | Drink water and prepare vegetable salad | |
| Second breakfast | Fruit juice without preservatives | |
| dinner | Vegetable soup with the addition of pre-cooked meat, cabbage cutlet, compote or rose decoration | |
| Afternoon snack | Dry fruit compote | |
| Dinner | Carrot cutlet, one egg omelet and fruit tea | |
| for the night | Kefir | |
| Tuesday | on an empty stomach | a glass of water |
| first breakfast | Tea with milk, cabbage and carrot salad | |
| Second breakfast | Any juice without preservatives | |
| dinner | Vegetable broth soup.Lean meat with milk sauce | |
| Afternoon snack | Dry fruit compote | |
| Dinner | Any porridge with added milk, dietary cabbage rolls with rice | |
| for the night | Kefir | |
| Wednesday | on an empty stomach | Dry fruit compote |
| first breakfast | Juice, prunes, cheesecakes with honey | |
| Second breakfast | Fruit juice without preservatives | |
| dinner | Beet soup with kefir and stewed cabbage | |
| Afternoon snack | Rose decoction | |
| Dinner | Any porridge made from fruits and berries with milk and jelly | |
| for the night | Kefir | |
| Thursday | on an empty stomach | Rose decoction |
| first breakfast | Tea and cabbage salad | |
| Second breakfast | Kefir | |
| dinner | Vegetable broth soup, carrot cutlet | |
| Afternoon snack | grape juice | |
| Dinner | Cabbage schnitzel with sour cream and jelly | |
| for the night | Fruit or curd milk | |
| Friday | on an empty stomach | Herbal decoction |
| first breakfast | Tea, boiled eggs, cheesecakes | |
| Second breakfast | Plum compote | |
| dinner | Vegetable broth soup and vegetable stew | |
| Afternoon snack | Kefir | |
| Dinner | Any porridge with milk and jelly | |
| for the night | Curd milk | |
| Saturday | on an empty stomach | Water with lemon |
| first breakfast | Tea and eat cheesecakes | |
| Second breakfast | Fruit juice without preservatives | |
| dinner | Vegetable broth soup with potatoes, vegetable cutlet | |
| Afternoon snack | Kefir | |
| Dinner | Omelet, stewed carrots and tea | |
| for the night | Kefir | |
| Sunday | on an empty stomach | Herbal infusion |
| first breakfast | Compote, cabbage and beetroot salad | |
| Second breakfast | tomato juice | |
| dinner | Borh in vegetable broth and meat baked in foil | |
| Afternoon snack | Kefir | |
| Dinner | Any porridge with milk and stewed cabbage | |
| for the night | Curd milk |
A few recipes
Those who have been on a gout diet for a long time are very often faced with a monotonous menu.Therefore, it is better to consider several options at once, which rarely occur:
- Apple omelette.You will need apples, eggs, milk and butter.Cut the apple into slices and stew it in a pan with butter.After that, they pour milk, which was previously whipped with eggs.Place everything in the oven until fully cooked.Sprinkle the omelette with powdered sugar and serve.
- Rice casserole with beets.You will need beets, rice, eggs and milk.Boiled rice and mixed beets.Beat eggs with milk, you can add a little salt.Rice is poured into the liquid mixture and baked in the oven.
- Beef stroganoff from boiled meat.You will need meat, butter, wheat flour, sour cream, milk and tomato juice.The meat is boiled and finely chopped.White sauce is prepared according to the recipe below and poured over the meat.Tomato juice is added there.Boil everything for 10 minutes and season with sour cream.You can add a little butter and sprinkle with herbs.
During the diet, there is a great demand for various sauces.Among them, the following can be mentioned:
- Sour cream sauce.For preparation, you will need 100 g of sour cream, 12 g of flour, 12 g of butter.Flour is dried in an oven or pan.It should be yellow.Milk is boiled and a quarter is added to the flour.After that, this liquid is poured into boiled milk and mixed with butter.
- Milk sauce.You need 100 ml of milk, 10 g of wheat flour.Half of the sour cream is boiled, and flour, which has been dried before, is added there.After that, mix the sauce well and bring to a boil.It is better to squeeze it so that no lumps remain.
- white sauceVegetable broth 100g, wheat flour 10g and butter 5g.Flour is dried in a pan and ground with butter.After that, carefully pour the broth and mix.You need to cook for 10-15 minutes.
- Berry sauce.Berries 50 g Sugar 15 g Starch Water 100 ml.The grains are boiled and sugar is added.Add water and starch and mix everything over low heat.It is necessary to bring to a boil.
Often, patients with gout prepare their own recipes.It is very easy to do if you follow the recommendations on heat treatment and the selection of approved products.
Contraindications during diet for gout
This diet has no special contraindications.Most often, this is due to the fact that it is based on standard principles regarding a healthy diet.Emphasis is placed on vegetable and fruit dishes.Complex carbohydrates are consumed, as well as normal amounts of milk components.That is why everyone can follow him and not suffer from hunger.
What results can you get?
If a person suffers from gout, but at the same time meets all dietary requirements, then he can easily limit the production of uric acid and remove it from the body in the maximum amount.Thanks to the diet, many people can cure the disease without the use of drugs.
Thanks to this diet, you can reduce the severity and number of attacks.In addition, you should remember that calorie restriction is also done with physical exercise.This will allow you to lose weight to the desired level and achieve excellent results.
Gout is a serious disease with many complications.Adherence to the regimen allows you to reduce pain and symptoms for some time.If you want to get rid of the disease, then it is better to follow all the above recommendations and enjoy life without any problems.