Gout has been called "the disease of the nobility" for centuries. Especially those of the upper strata who are not accustomed to moderation in eating sick with it. It is now known that the disease is not related to social status, but metabolism plays an important role here.
Improper metabolism and increased uric acid levels in the blood are the cause of the development of recurrent acute arthritis. There is no cure that can get rid of this disease to the end, but it is a very real task to significantly reduce the patient's condition, reducing cases of exacerbation.
Modern medicine encourages the elimination of excess uric acid, lowering its critical level, but still the main condition in the treatment of this complex disease is adherence to a special diet. Through nutrition, patients can get maximum results.
Nutrition for gout
Uric acid, the main enemy of gout patients, is formed from purines. The latter is found in animal feed in large quantities, especially in fatty fish and pork. Therefore, meat and fish are almost strictly prohibited.
There are also purines in some plant foods. To minimize the possibility of relapse, you must closely monitor what the patient is eating.
- The main condition is that food should be normal - 3-5 times a day. This will ensure the preservation of the level of purines needed in the blood, preventing its excess;
- You should not eat too much. The amount consumed is strictly controlled;
- Inverted process is not allowed - hunger;
- If the patient is overweight, every effort should be made to get rid of it. But you need to lose weight gradually, with the help of a balanced diet. Losing kilograms too quickly can only worsen the patient's condition. Optimal weight loss - 1-2 kg per month;
- It is very important to drink as much fluid as possible during gout treatment. Normally it is 1. 5-2 liters a day if the condition is stable, and at least 3 liters of water should be drunk in a worsening condition. Water can be replaced with other approved liquids;
- Alkaline mineral water is a mandatory element in the daily diet. This helps remove the body from urination, which is important.
Gout implies a strict approach to food choices, patients must know clearly what to eat and what is under strict prohibition. Only substances that do not contain purines or contain them in small amounts are allowed in the diet, which can not affect the overall level of this substance in the body.
A large number of fruits and vegetables, so following this diet will not be difficult for potential vegetarians, will be more difficult for meat eaters. But as a result, the patient will feel relieved because the pain, swelling is reduced.
What not to eat for gout
Needs to be completed because this list is not very small. However, purines that are highly undesirable by gout-affected organisms are found in many foods.
We must accept the fact that white bread should be completely abandoned - there is too much yeast in it. The latter actively contributes to the production of uric acid in the body. For the same reason, we remove all fuel from use.
What should not be eaten from meat products? Complete rejection of sausages, wieners, sausages, canned meats - they are really abundant in purines. For the same reason, we reject from the inside out, fatty pork is also strictly prohibited.
We also remove seafood from the diet of gout patients. Under very strict restrictions, fatty fish, canned food, caviar.
You can not eat spicy and salty cheese, this type of dairy product will be more harmful than the pleasure of eating it.
Remove all legumes from cereals - lentils, beans, soybeans, beans. The reason is the same - high purine content.
Of the vegetables, only mushrooms and red beans are strictly forbidden. Until recently, tomatoes were also included in this list as they contained purines. But its content is very small, and the vitamin complex is so noticeable that to this day this vegetable has shifted from the forbidden list to the opposite list.
Fruits and berries also have a not-so-prohibited list, only figs, raspberries and grapes.
Sweet lovers should refrain from overly creamy cakes and pastries.
For fats, do not experiment with margarine and smoked meats.
Drinking plenty of fluids is recommended for gout, but not everyone is allowed to drink. The choice of drinks should be served with care. Therefore, strong coffee and black tea are prohibited.
And not because of the purines in it - the content is small. But the diuretic effect of this drink is an undesirable phenomenon. All alcohol is strictly prohibited, including beer and wine.
Gout does not like spicy foods, so we remove peppers, mustard, carrots and other hot spices from the dishes. Salt should not be excessive. It is better to reject it as much as possible. Can not put bouillon cubes into the plate. The preservatives and purines found in it are not on the list.
Broths based on fish, meat, legumes should also be excluded from the diet. Remove the mayonnaise.
All products from the above list are strictly prohibited. They cannot be used categorically. For the first time, it is best to keep this list close so that you can always check the list of prohibited items.
You can, but be careful
The above materials are not included in the usage. This list is not too long, the problem is that it includes dishes that are commonly found in the diet of every healthy person every day. Next, a list of products allowed to be used will be presented. But there is a small compromise between these lists. He absorbs what is allowed to be eaten, but little by little.
Carrots, cauliflower, carrots, asparagus, celery, rhubarb, spinach, peppers, onions and parsley top the list of vegetables. All of these plants contain the same harmful purines - the evil gout partner. But the content is small. But the vitamin composition they carry is so great that it can protect against all possible dangers.
Plums can be eaten from fruits. From the drink, the restriction of tomato juice has been removed, but no more than a glass. Honey should be used with caution.
What you can eat for gout
Many are strictly prohibited for violating purine metabolism, but this does not mean that the patient is in a state of semi-starvation due to persistent inhibition and rejection. Healing dishes can be tasty, quite satisfying, but healthy.
From bread products, preference should be given to gray bread and rye, from baked goods you can eat foods not made on yeast dough.
Those who are not ready to be vegetarian, even for personal health, can breathe, meat is allowed, but only lean. These include rabbits, turkeys, chickens. But the portion must be very moderate, no more than 170 grams, and allowed to eat it more often than daily, the rest will be dangerous.
Fish and seafood must be included in the diet, but only low-fat species should be selected, such as salmon, pink salmon, trout. Other marine life on the patient's plate, the presence of shrimp, crustaceans, squid is highly desirable. But can not be fried, just boiled. After boiling, the patient should not use the broth.
Milk and eggs must also be in the diet. Preference is given to low-fat milk, kefir, yogurt, fresh cheese, sour cream and cottage cheese. Do not cook with full milk, make sure it is diluted with water. The use of butter is allowed, but in addition to hot dishes, and not as a sandwich. Eggs are also desirable, but not more than 1 a day.
From vegetables, a small amount is allowed. Melons, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products enhance metabolic processes. Garlic has been well proven, calms inflammation, relieves the patient's condition. During the day of fasting, vegetables are the main helper, and the potassium found in them produces a lot of uric acid.
With cereals, you do not have to remember anything, with gout, all kinds of cereals are allowed, except legumes. This is a group of rich microelements that contribute to the regrowth process, and fiber, which allows you to cleanse the body efficiently. There are no special rules for cereals, what and when you can eat. There is only one condition - not an exaggeration.
There are no major restrictions on berries and fruits. All citrus fruits, apples from hard green varieties, dates, persimmon, strawberries, apricots, pears, dried fruits - except raisins, made from forbidden grapes. It is advisable if it is eaten within reasonable limits, without overdosing.
From sweets, marshmallows, marmalade, preserves, marshmallows are acceptable, even sweets are allowed, but not chocolate. You can eat ice cream. We must not forget that everything is good in moderation.
Fats can be added to the diet, but can only come from vegetables, animal fats are completely excluded, too heavy.
Green tea, all types of fruit tea are allowed from drinks, but only with the use of fruits and berries allowed, tea with milk and lemon is allowed on the menu. Homemade compote, fruit drinks from fresh berries and fruits, fresh cucumber juice are useful for gout. Be sure to make it a habit to drink alkaline mineral water every day.
Of these spices, only vanillin, cinnamon, bay leaf and citric acid can be used in the dish.
You can eat seeds and nuts of all kinds, the only exception is peanuts, they contain too much purine.
The patient's daily menu should include milk porridge, borscht with vegetable soup, fresh vegetable salads, and a variety of vegetable dishes. Boil is preferred, frying is almost not allowed.
Diet for gout
Adhering to certain dietary rules is the foundation of a patient's well-being. You can't do it without it. The daily diet has certain building rules that must be followed throughout your life, as gout is a chronic disease. In order for nutrition to be as effective as possible, it is better to leave this problem to a competent doctor who will consider all the nuances of the disease and the characteristics of the patient's body - other diseases that exist.
The daily diet should include liquid foods, the basics of which are vegetable soups, vegetable and fruit salads, compote, mineral water. Food should be taken at least 5 times a day.
Drink at least two liters of water a day, this will allow you to remove toxins and poisons. There must be a day of fasting, when all the meat and fish are completely removed. The maximum number of days allowed is 3. A large number are impractical and absurd.
The basis of the diet is the vegetarian table, minimum meat, vegetables and maximum fruit. This diet is very useful for patients who are overweight. They should spend their fasting days more often than others.
Do not lose weight too fast. It is optimal to lose no more than 2 kg per month. Losing weight too quickly will have a negative impact on the general condition and can trigger a worsening of the disease.
Diet number 6 for gout
Table number 6 is made by the doctor, the purpose of this diet, to normalize the exchange of purines, to reduce the content of uric acid and salt, which is a product of purine processing. The energy value of this diet is 2700-2800 kcal. This menu is a table with a balanced protein content.
Adhering to a strict anti-purine diet will prevent the worsening of the disease and reduce the likelihood of relapse. This example is designed for a week, but you can adhere to it all the time.
The basic principles of diet depend on the strict calculation of all proteins, fats, carbohydrates. So, the amount of protein per day should not exceed 70-90 g per day. Preference is given to animal proteins derived from milk and dairy products. Fat levels correspond to 80-90 g per day. 1/4 of this volume comes from plants. Carbohydrate levels are not more than 350-400 g per day. This volume is equal to 80 g of sugar.
The daily salt requirement for diet number 6 is not higher than 7-10 g. The fluid consumed ranges from 1. 5 to 5-2 liters, while the calories should not exceed 2400-2800. It is equally important to monitor the amount of micronutrients consumed. So, potassium is not less than 3, 5 g, calcium - 0, 75 g, thiamine - 1, 5 g, retinol - 0, 5, ascorbic acid - 150 mg.
Recipe from menu number 6
Foods included in the diet of patients with gout are not as difficult to prepare as they seem at first. Many of them may be included in the diet of healthy people.
- Large potatoes - 3 seeds. ;
- Simple radish - 1 pc. ;
- Onion radish. - 1 head;
- Fresh green beans - 1 tbsp;
- Butter - 1 tbsp. l. ;
- Sour cream - 100 g;
- Salt to taste.
Slice the chopped onion in the oil, add the diced carrots. Insert well. Add the pre-boiled potatoes, peas and sour cream to the prepared roast. Salt. Boil for 1/4 hour over medium heat.
- Fresh cucumber - 2 seeds. ;
- Sour cream for dressing;
- Salt to taste.
Cut the cucumber into half rings and mix well with the sour cream in a cup. For a change, you can add other vegetables allowed there - cabbage, tomatoes.
- Potatoes - 3 seeds. ;
- 1/2 raw egg;
- Butter - 1 tsp;
- Flour - 1 tbsp;
- Fresh green;
- Sour cream - 1 tbsp
Make mashed potatoes from potatoes, it is better not to overheat, but put through a fine sieve. Add sauce made from oven dry flour and 80 gr. and potato gravy. Be sure to boil the sauce. Then, add the eggs and butter to the resulting potato mixture with the sauce and boil again.
- Cottage cheese - 250 gr. ;
- Manka - 4 tbsp. l. ;
Mix all ingredients to make a fairly thick slurry. If this does not work, you can still add semolina. Leave for a while, until the broth spreads and swells slightly. When the dough is slightly swollen, you can bake it. Form a neat pancake and roll it into flour. Fry on both sides. Can be eaten warm with sugar or cream cheese.
- Large potatoes - 3 seeds. ;
- Eggs - 1 pc. ;
- Flour - 20 g;
- Sour cream;
- Rust oil- teaspoon
Grate the peeled potatoes on the best grater, add the flour and eggs to the mixture, stirring well. Spread the dough on a preheated pan with a spoon, fry on both sides for 5 minutes. Serve with sour cream.
- Milk - 50 ml;
- Cottage cheese - 75 g;
- Egg white - 2 seeds. ;
- Sour cream;
Mix the ingredients (except sour cream) thoroughly, put the resulting mass in a mold and place in a preheated oven to 150 degrees. Bake until the top is slightly browned. Drizzle with sour cream before serving.
- Air - 3 l;
- Potatoes - 2 seeds. ;
- Rust oil- 2 tbsp;
- Onion radish. - 1 PC. ;
- Radish - 100 g;
- Bit - 150 g;
- Cabbage - 100 g;
- Tomato paste - 1 tsp
Add a tablespoon of salt to boiling water and add the diced potatoes. After boiling for 10 minutes, put the chopped cabbage in a saucepan. At this point, fry the onions in a pan, when slightly hot, add the grated carrots to it, and then the beets.
Spread well and add pasta. It can be replaced with a glass of tomato juice. When the vegetables are ready, transfer to a saucepan. You can add the ingredients, a little pepper and garlic. You can add sour cream to the finished dish.
Sample menu for diet number 6
This is a variation of how the weekly diet of gout patients.
- Breakfast - porridge with milk with dried fruit (but not with raisins), tea with milk
- Second breakfast - cottage cheese pudding.
- Lunch - soup with buckwheat, vegetable pancakes (zucchini) seasoned with sour cream, fruit jelly.
- Afternoon snack - a glass of tomato juice.
- Dinner - fresh white cabbage salad with an apple.
- Breakfast - vegetable croquet (carrots and rice), sour cream, tea with lemon.
- Second breakfast - fresh pears.
- Lunch - fresh vegetable stew, pasta casserole with sour cream, green tea.
- Afternoon snack - honey baked apples.
- Dinner - beet salad, toast with salt-free feta cheese.
- Breakfast - milk porridge with cherries, rosehip compote.
- Second breakfast - sour cream with cottage cheese.
- Lunch - cabbage soup, cheesecake, tea with milk.
- Afternoon snack - strawberry jelly.
- Dinner - pancakes with sour cream.
- Breakfast - omelet with dill, sandwich with cheese, fresh fruit compote.
- Second breakfast - carrot salad with grated apples, seasoned with sour cream.
- Lunch - beet soup, kefir pancakes with sour cream, tea with lemon.
- Afternoon snack - fresh apples.
- Dinner - milk rice porridge with pumpkin and cinnamon.
- Breakfast - cottage cheese seasoned with honey, tea on the farm.
- Second breakfast - pear.
- Lunch - vegetable noodles, cereal pieces, compote.
- Afternoon snack - apples.
- Dinner - eggplant with cheese and tomatoes.
- Breakfast - millet casserole with honey, tea with milk.
- Second breakfast - bananas.
- Lunch - rice soup, zrazy with cabbage, jelly.
- Lunch snack - kefir with marshmallows.
- Dinner - baked potatoes with vegetables.
- Breakfast - two boiled eggs, cucumber salad.
- Second breakfast - toast with cheese.
- Lunch - millet porridge with milk, pancakes with cheese.
- Afternoon snack - fresh fruit.
- Dinner - boiled cabbage, toast with peanut butter.
How to eat during exacerbations
Table 6 is very suitable for patients who are in the process of remission, but in deteriorating conditions, diet should be radically different. Only in this case will there be a qualitative shift for the better and the decline will subside. The basic rules of nutrition are reduced to complete rejection of meat and fish dishes - only fruits and vegetables.
What is the menu during exacerbation
Before breakfast - half a glass of warm alkaline mineral water, you can replace it with rosehip broth.
- Breakfast - 120 g of milk oat flour and a glass of milk. Prerequisite, porridge must be liquid.
- Second breakfast - a glass of fresh apple juice or raw apple.
- Lunch - pure vegetable soup - 120 g, fruit jelly.
- Afternoon snack - a glass of fresh carrot or tomato juice.
- Dinner - 120 g of liquid milk porridge, a glass of apple compote.
- Second dinner - a glass of kefir.
- Before going to bed, you can drink tea with milk and honey.
An important condition is careful control of the portion size, it must be more modest than about half the daily portion. Once the period of excitement has passed, you can include a dish with meat and fish, not only boiling the food, but also frying it.