Diet for gout and high uric acid

The diet for gout is based on minimizing the amount of purines in the diet, which helps reduce the level of uric acid in the body and normalize metabolism. The basis of the diet consists of vegetables, fruits, berries, cereals, dairy products. The amount of meat and other protein foods should be limited. Diet is considered a mandatory part of treatment, because without it, drugs are ineffective.

Benefits of a Gout Diet

The benefits of nutritional therapy:

• a complete diet with a sufficiently high calorie content allows you to not feel hungry.
• getting rid of harmful foods containing oxalic acid and purines, reduces the severity of gout symptoms, relieves pain, swelling.
• Adherence to a diet reduces the risk of relapses and exacerbations.
• a healthy diet by limiting spicy, fatty, fried foods improves overall well-being and body condition.
• Choosing the right food reduces the risk of complications, including kidney failure, atherosclerosis, the formation of gout in the internal organs.
• Dietary meals are easy to prepare and do not require expensive ingredients.

Taking a diet can help lower uric acid levels and slow down or stop the onset of gout.

Proper nutrition without simultaneous treatment can not completely cure a person, but it serves as an essential aid in the fight against pathology and relieves the patient from painful symptoms.

Basic nutrition principles for gout and high uric acid

The goal of the diet is to limit the intake of purines and intermediates that increase their concentration. When designing a diet, follow these rules:

1. The food consumed per day is divided into 5 meals at regular intervals. Thus, they reduce the load on the digestive system and kidneys, while keeping the metabolism in good condition.
2. The chemical content of food is carefully controlled. This helps to stop the deposition of salts in the tissues, helps to get rid of stones and urinary stones.
3. The total caloric content of the diet is reduced to 2700 kcal per day, while the total weight of the food should not exceed 3 kg. This allows you to maintain a normal body weight, as obesity helps to exacerbate gout.
4. The amount of protein is limited to 80 g per day. Animal proteins try to replace plant proteins, but can not be completely ruled out.
5. The daily rate of fat is 80-90 gr. About 25% enters the body with vegetable oils, the rest - in the composition of dishes.
6. The patient consumes a typical amount of carbohydrates - 400-450 g per day. They enter the body with cereals, dried fruits, nuts.
7. To eliminate excess acid, the menu includes many alkaline products: vegetables, milk and fermented dairy products, fresh fruits and berries. They will help the body maintain a balance of substances.
8. All the meat in the diet dishes is pre-cooked for 15 minutes, after which the first broth is drained. Helps get rid of excess purines in muscle tissue.
9. Fluid intake increases to 2-2, 5 liters per day. The diet includes healthy drinks that have a diuretic effect, as well as alkaline drinks: fruit and berry juices, infusions and infusions of herbs, milk, mineral water.
10. The amount of salt is limited to 8-10 g per day. Excess promotes the formation of deposits and reduces the rate of urinary excretion, which exacerbates the symptoms of gout.
11. Alcoholic beverages are excluded from the diet. Even their infrequent use disrupts kidney function, which increases the risk of exacerbations.
12. If necessary, the diet is supplemented with vitamin and mineral complexes. It is imperative to maintain the required level of content of vitamins B2, C, PP and potassium, which has a diuretic effect.
13. Once a week there are fasting days, during which the patient eats only fruits, vegetables and cereals poor in purines.

The diet should be combined with a dose of supportive medication, if prescribed by a doctor. Since gout is incurable, a person must follow the rules of nutrition throughout his life.

What you can eat

The following foods are allowed in the diet:

1. Uncomfortable bakery products, including black and white bread.
2. Vegetables: dill, corn, beetroot, onions, garlic, potatoes, carrots, cabbage, broccoli, cucumbers, zucchini, eggplant, pumpkin. Limited quantities: tomatoes, turnips, cauliflower, radish, asparagus, rhubarb, celery, peppers, onion wings, parsley.
3. All fruits and berries except grapes, cranberries, figs and raspberries. Plums are consumed in limited quantities.
4. Lean meat: rabbit, chicken, turkey. Consumed no more than 3-5 times a week, portion size up to 170 gr.
5. Low fat fish (salmon, salmon, trout), seafood: mussels, shrimp, crab and crayfish, squid, octopus.
6. Eggs - not more than 1 pc. per day.
7. Dairy products: kefir, cottage cheese, sour cream, yogurt, sour cream, unsalted cheese, whole milk with low fat (better diluted). Butter can be added to cereals, cooked, but it is not used for frying and is not consumed in pure form.
8. All cereals and grains, except legumes: rice, buckwheat, millet, oats, etc. It is better to cook them in water or diluted milk.
9. Soups based on weak vegetable broths, potatoes.
10. Pumpkin, sunflower, flax, sesame.
11. Walnuts, pine nuts and hazelnuts, almonds, cashews, hazelnuts, pistachios.
12. Dried fruits, except raisins.
13. Vegetable oils: sunflower, olive, corn, flaxseed. They are used not only for frying, but also for dressing salads, stews and other things.
14. Desserts: marshmallow, jam, jam, marshmallow, ice cream. Chocolate-free candies are allowed.
15. Drinks: fruit and vegetable juices (tomato is used with caution), herbal decoctions with lemon and honey, decoctions, fruit drinks, compotes, chicory, kvass. Alkaline mineral water is useful.
16. Mild spices and herbs: cinnamon, vanillin, laurel, citric acid. Light sauces based on cream, vegetable broths, vegetable oils.

The diet includes a large amount of liquid and semi-liquid food, light salads, vegetarian products. They not only help reduce the concentration of purine substances, but also reduce the load on the gastrointestinal tract and kidneys.

What you can not eat

The following foods are unacceptable in the diet:

1. Sweet pastries.
2. Fatty meats, dishes of young animals (beef, chicken), canned meat and smoked meats, sausages, sausages, small sausages and other semi-finished products.
3. By-products.
4. Salted, canned, smoked or fried fatty fish, caviar.
5. Peas, beans, lentils, soy and other legumes.
6. Mushrooms.
7. Sour, spinach, olives.
8. Spicy and savory cheeses.
9. Decoctions and broths based on meat and by-products, fish, mushrooms.
10. Cakes, pastries, cream buns.
11. Peanut.
12. Animal fats: lard, lard. Margarine.
13. Alcoholic beverages, strong tea, coffee, cocoa.
14. Hot spices and sauces, such as mustard, horseradish, mayonnaise, ketchup.

Consumption of spicy, fatty and fried foods can worsen the symptoms of gout.

Table number 6 for gout

In medical institutions, diet No. 6 is used to treat the disease. The medical menu takes into account factors such as the chemical composition of food, their calorie content, the ratio of protein, fat and carbohydrates. This allows you to choose the optimal diet for the patient, without making unnecessary calculations every time. Because of this, Table 6 is often used to treat gout at home: it is universal and has no contraindications.

Diet during the exacerbation

If the symptoms of gout intensify, it is recommended to change the menu. Rules for dieting during an outbreak:

• complete elimination of meat and fish from the diet.
• Frequent fasting days - up to 4 per week.
• The basis of the diet is fresh fruits and vegetables.
• make sure you drink plenty of alkaline mineral water and other alkaline drinks.
• All foods are served in liquid or semi-liquid form.
• meals are frequent (7-8 times a day), with equal breaks between meals.

The diet is stopped after the pain and swelling in the legs are eliminated. It is not recommended to keep it for a long time, as the body will quickly begin to lack vitamins and nutrients.

7-day menu

Approximate weekly diet for the treatment of gout:

He eats	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
breakfast	Bread sandwich with bran with jam, vegetable salad with cream dressing, decoction of roses	Milk rice porridge with pumpkin, fresh orange	Oatmeal with butter and jam, homemade fruit jelly with pieces of pulp, herbal tea	Buckwheat porridge with milk, grated apple and carrot salad	Oatmeal with grated apple, berry jam, tea	Millet porridge with milk, boiled egg, baked apple stuffed with nuts	Vegetable salad with cheese and sesame, potato pancakes with sour cream
Lunch	Greek yogurt, 2 cookies	Fresh strawberries with cream	Cornflakes with skim milk, various nuts	Mousse curd with dried fruits	Cornflakes with pieces of yogurt and banana	Ice cream with fruit and berry mousse	Pancakes with jam and pieces of fruit
Dinner	Vegetable broth with egg and croutons, grated beetroot, carrot and apple salad, banana juice	Vegetable casserole with cheese, steamed cutlets, berry jelly	Salmon vegetable soup, corn porridge, yogurt	Milk noodle soup, vegetable stew, carrot and apple fresh	Soup with broccoli puree, zrazy potato with sour cream, fresh orange	Cabbage soup, rice with seafood, milk jelly	Potato soup, vegetable stew with turkey meatballs, banana milkshake
Dinner	Potato croquettes, slices of fresh vegetables, herbal tea with lemon	Dolma with sour cream, cottage cheese with pieces of fresh fruit, compote	Potato casserole with vegetables and eggs, vegetable salad coated with linseed oil, berry juice	Grated beets with garlic, oatmeal, fruit salad	Boiled young potatoes with herbs and oil, vegetable salad, dried fruit compote	Zucchini stuffed with vegetables with cheese, vegetable slices with corn oil, fresh banana	Cucumber and tomato salad, broccoli broccoli with cream sauce, cheese cakes, bran broth
Before bedtime	Yogurt with fresh berries	Cookies with berry jam, kefir	Rose broth, apple	Curd mass, pear	Milk souffle with fruit	Kefir, tangerine	Cottage cheese with sour cream, compote

Menu items are interchangeable, can be changed or supplemented preferably. The main thing is not to violate the basic principles of nutrition.

Characteristics of the days of fasting

The diet for gout excludes complete starvation, as it causes an exacerbation of the disease. On fasting days, it is recommended to follow a single diet (watermelon, potato, cucumber, carrot) or to prepare salads, slices, cooked from various vegetables and fruits.

The use of dairy products, cereals in small quantities is allowed. Fasting days in rice are popular: it is boiled in milk and eaten by adding a small amount of grated apple in small portions.

A diet with fermented milk will help you get rid of excess uric acid quickly: use only cottage cheese (400 g) and kefir (0. 5 l) during the day.

Prescriptions for gout

The therapeutic diet allows you to eat many well-known dishes: cereals, vegetable soups, stews, salads. They do not require expensive products or special cooking skills. In order not to disturb the patient from the boring, monotonous food, you can differentiate the menu using original recipes from permitted ingredients.

Light cream soup

Low calorie, but delicious and quite filling dish for lunch. To prepare it you will need the following products:

• 1 onion;
• 1 carrot;
• 1 bunch of spinach leaves
• 1 slice of white bread
• 2 lemon zest;
• 2 tablespoons oil?
• 1 teaspoon?
• 0, 5 kutSahara.

Cut the bread into small cubes, dry in a dry pan. Peel the onions and carrots, finely chop them. Pour oil into a deep saucepan, heat, add the vegetables and simmer for 6-7 minutes. Add the spinach leaves and puree them with a blender. Bring the mixture to a boil, add the lemon juice and sugar. Remove from the heat, spread on plates. Add a little sour cream and white bread toast to each serving.

Casserole with cottage cheese

The dish is used as a dessert or snack. To prepare it you will need:

• 140 g cottage cheese;
• 70 g sour cream;
• 1 egg;
• 3 tbsp large. semolina;
• 1 tbsp large. Sahara;
• 0, 5 stalks quenched with lemon juice;
• dried fruits, nuts for taste.
• salt.

Mix the cottage cheese with sour cream. Add salt, sugar, semolina to the resulting mass. Add chopped dried fruits, nuts. Bring to homogeneity, mix with baking soda. The mass that is spread in a pan should be placed in an oven preheated to 180 ° C and baked until golden brown.

Steamed chicken meatballs with sauce

A main dish with few calories that can be consumed alone or with an accompaniment. For cooking you will need:

• 350 g chicken fillet;
• 2 onions;
• 1 carrot;
• 1 clove of garlic;
• 1 egg;
• 1 tbsp rice?
• 70 grams of white bread.
• 200 ml of vegetable broth.
• 50 g sour cream;
• 2 tbsp large. milk;
• 0, 5 tbsp. Large. flour;
• green onions, parsley, dill to taste.
• vegetable oil for frying;
• salt.

Soak the bread in milk. Boil rice without salt, cool. Cut the chicken fillet into medium-sized pieces and put it in the blender. Add 1 chopped onion, garlic, bread and spices, beat in a raw egg and chop until smooth. After mixing with rice, you have to salt it and leave it in the fridge for 20 minutes. Then the meatballs are formed, steamed for 6-8 minutes.

Finely chop the remaining onion and carrot. Fry the vegetables in oil for 2-3 minutes, add the broth, add the flour and sour cream. Heat the sauce over low heat until thickened, add the meatballs and cook for 5-6 minutes. Sprinkle with herbs before serving.

Eggplant and minced meat

A rich side dish, ideal for lunch or dinner. To prepare it, you need to get the following ingredients:

• 300 grams of minced meat;
• 2 large eggplants;
• 1 onion;
• 1 clove of garlic;
• 3 tbsp large. tomato paste?
• 2 tbsp large. flour;
• 120 grams of hard cheese.
• 50 ml cream?
• vegetable oil?
• salt.

Cut the aubergines into long slices, salt them to make juice. Dip in flour, fry in oil on both sides until half cooked. Finely chop the garlic and onion, sauté until golden brown. Add the minced meat, simmer over medium heat for 3 minutes and then the tomato paste. Pour in 0. 5 tbsp water, salt to taste. Cover and cook for another 5 minutes.

Put the eggplant slices in an oiled pan in a thick layer, on top - minced meat, followed by grated or chopped cheese. Pour over with cream and bake in a preheated oven at 180 ° C for half an hour.

Pumpkin puree

The traditional first meal of the day. For cooking, you need to get the following products:

• 0, 5 kg of pumpkin, peeled, film and seeds.
• 2 tbsp large. butter;
• 2 tbsp large. rice;
• 1 tbsp l sugar;
• 250 ml of milk?
• cream to taste;
• salt.

Cut the pumpkin into cubes, put it in a saucepan, add the rice, salt and sugar. Add 1 liter of water and cook until soft. Add the melted butter and grate through a colander. Return to the heat, add the milk and bring to a boil and then remove from the heat. Place the prepared pumpkin soup on plates and season the cream with salt and pepper.

Nutritionist reviews

• "Adherence to a diet for gout is essential for patients to live a full life. Proper nutrition helps relieve pain and swelling and reduces the risk of complications. When compiling a menu, it is worth paying attention to proteins, as their patients are often deprived of their usual products.
• "The gout diet is effective in reducing uric acid levels in the body. "Patients are advised to adhere to it throughout their lives to avoid exacerbations and to continue the asymptomatic course of the disease. "
• "The diet reduces the level of uric acid in the body by about 15%. It is effective in treating gout when combined with supportive medications. »

Disadvantages of the diet for gout

The main disadvantage of the diet is that the restrictions on food are quite strict. Even minor violations can cause the disease to flare up. The diet is especially unpleasant for lovers of meat and alcoholic beverages.

Another disadvantage of the diet is the lack of animal protein, which must be compensated with expensive and unusual dairy and vegetable products. In addition, the diet is not suitable for weight loss and is intended exclusively for treatment.