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 normalizes the 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 an obligatory part of treatment, because without it drugs are ineffective.

Benefits of a gout diet

The benefits of nutritional therapy:

• a full-fledged diet with a sufficiently high calorie content allows you not to 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 with restriction of spicy, fatty and fried foods improves the general well-being and condition of the body;
• the correct selection of food reduces the risk of complications, including kidney failure, atherosclerosis, the formation of gouty nodes in internal organs;
• diet meals are easy to prepare and do not require expensive ingredients.

Diet can help lower uric acid levels and slow or stop the onset of gout.

Proper nutrition without concomitant therapy can not completely cure a person, but serves as a necessary aid in the fight against pathology and relieves the patient from painful symptoms.

Basics of Nutrition for Gout and High Uric Acid

The goal of food is to limit the intake of purines and intermediates that increase their concentration. When developing a diet, observe the following 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 maintaining the metabolism in good condition.
2. The chemical content of food is carefully controlled. It helps to stop the deposition of salts in the tissues, helps to get rid of stones and gouty tophi.
3. The total calorie 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 contributes to the exacerbation of gout.
4. The amount of protein is limited to 80 g per day. Proteins of animal origin are trying to be replaced by vegetable proteins, but they cannot be completely ruled out.
5. The daily rate of fat is 80 to 90 g. About 25% enter the body with vegetable oils, the rest - in the composition of dishes.
6. The patient consumes a standard amount of carbohydrates - 400-450 g per day. They enter the body with grains, dried fruits, nuts.
7. To neutralize excess acid, the menu includes many alkaline products: vegetables, fermented milk and dairy products, fresh fruits and berries. They will help the body to maintain a balance of substances.
8. All the meat in diet dishes is pre-boiled for 15 minutes, after which the first broth is drained. It helps in removing excess purines from muscle tissue.
9. Fluid consumption is increased to 2-2, 5 liters per day. The diet includes healthy drinks that have a diuretic effect, as well as alkalizing drinks: fruit and berry juices, herbal teas and decoctions, milk, mineral water.
10. The amount of salt is limited to 8-10 g per day. Too much of it promotes deposit formation and lowers the rate of urinary excretion, which makes gout symptoms worse.
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 at the required level the content of vitamins B2, C, PP and potassium, which has a diuretic effect.
13. Once a week, fasting days are organized, during which the patient eats exclusively fruits, vegetables and grains low in purines.

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

What can you eat

The following foods are allowed in the diet:

1. Uncomfortable baked goods including black and white bread.
2. Vegetables: dill, corn, beets, onions, garlic, potatoes, carrots, cabbage, broccoli, cucumbers, zucchini, eggplant, pumpkin. Limited quantities: tomatoes, turnips, cauliflower, radishes, asparagus, rhubarb, celery, peppers, onion feathers, parsley.
3. All fruits and berries except grapes, cranberries, figs and raspberries. Plums are eaten in limited quantities.
4. Lean meat: rabbit, chicken, turkey. Consumed no more than 3 to 5 times per week, serving size up to 170 g.
5. Low-fat fish (salmon, salmon, trout), seafood: mussels, shrimps, crab and crayfish meat, squid, octopus.
6. Eggs - no more than 1 pc. per day.
7. Dairy products: kefir, cottage cheese, sour cream, yogurt, cream, unsalted cheese, whole skim milk (better diluted). Butter can be added to cereals, stews, but is not used for frying and is not consumed in pure form.
8. All grains and cereals, except legumes: rice, buckwheat, millet, oatmeal, etc. It is best to cook them in water or diluted milk.
9. Soups made from weak vegetable broths, potatoes.
10. Pumpkin, sunflower, flax, sesame seeds.
11. Nuts, pine nuts and hazelnuts, almonds, cashews, hazelnuts, pistachios.
12. Dried fruits, except raisins.
13. Vegetable oils: sunflower, olive, corn, flax. They are used not only for frying, but also for seasoning salads, stews and other things.
14. Desserts: marshmallow, marmalade, jam, marshmallow, ice cream. Sweets without chocolate are allowed.
15. Drinks: fruit and vegetable juices (tomatoes should be used with care), lemon and honey herbal teas, decoctions, fruit drinks, compotes, chicory, kvass. Alkaline mineral water is helpful.
16. Spices and sweet herbs: cinnamon, vanillin, bay leaf, citric acid. Light sauces based on sour cream, vegetable broths, vegetable oils.

The diet includes a large amount of liquid and semi-liquid foods, light salads and 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't eat

The following foods are unacceptable in the diet:

1. Sweet pastries.
2. Fatty meats, dishes from young animals (veal, chicken), canned 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, soybeans and other legumes.
6. Mushrooms.
7. Sorrel, spinach, olives.
8. Spicy and salty cheeses.
9. Decoctions and broths based on meat and offal, fish, mushrooms.
10. Cakes, pastries, cream buns.
11. Peanut.
12. Animal fats: lard, lard. Margarine.
13. Alcoholic drinks, strong tea, coffee, cocoa.
14. Hot spices and sauces, including mustard, horseradish, mayonnaise, ketchup.

Eating spicy, fatty, and fried foods can make gout symptoms worse.

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 foods, their calorie content, the ratio of proteins, fats and carbohydrates. This allows you to choose the optimal diet for the patient, without making unnecessary calculations each time. Because of this, Table 6 is often used for home treatment of gout: it is universal and has no contraindications.

Diet during an exacerbation

If the symptoms of gout intensify, it is recommended to change the menu. Rules for developing a diet during an exacerbation:

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

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

7 day menu

Approximate weekly regimen for the treatment of gout:

While eating	Monday	Tuesday	Wednesday	Thusday	Friday	Saturday	Sunday
Breakfast	Bran bread sandwich with jam, vegetable salad with sour cream dressing, rosehip decoction	Rice porridge 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 marmalade, tea	Millet porridge with milk, soft-boiled egg, baked apple stuffed with walnuts	Vegetable salad with cheese and sesame seeds, potato pancakes with sour cream
Breakfast	Greek yogurt, 2 cookies	Fresh strawberries with cream	Skimmed milk cornflakes, assorted nuts	Curd mousse with dried fruits	Yogurt cornflakes and banana pieces	Ice cream with fruit and berry mousse	Pancakes with jam and pieces of fruit
Having dinner	Vegetable broth with egg and croutons, grated beets, carrot and apple salad, banana juice	Vegetable casserole with cheese, steamed chicken cutlets, berry jelly	Vegetable soup with salmon, corn porridge, yogurt	Milk noodle soup, vegetable stew, carrot and fresh apple	Mashed broccoli soup, zrazy potato with sour cream, fresh orange	Cabbage soup, seafood rice, milk jelly	Potato soup, vegetable stew with turkey meatballs, banana milkshake
Having dinner	Potato croquettes, slicing of fresh vegetables, lemon herbal tea	Sour cream dolma, cottage cheese with pieces of fresh fruit, compote	Potato casserole with vegetables and eggs, vegetable salad with linseed oil, lingonberry juice	Grated beets with garlic, oat jelly, fruit salad	Baby potatoes boiled with herbs and oil, vegetable salad, dried fruit compote	Zucchini stuffed with vegetables topped with cheese, vegetable slices in corn oil, fresh banana	Cucumber and tomato salad, broccoli cutlets with sour cream sauce, cheesecakes, bran broth
Before bedtime	Fresh berry yogurt	Berry jam cookies, kefir	Rosehip broth, apple	Curd mass, pear	Fruit milk soufflé	Kefir, tangerine	Cottage cheese with sour cream, compote

The menu items are interchangeable, they can be changed or supplemented to taste. The main thing is not to violate the basic principles of diet.

Characteristics of fasting days

Diet for gout excludes complete starvation, as it provokes an exacerbation of the disease. On fasting days, it is recommended to adhere to a mono diet (watermelon, potato, cucumber, carrot) or to prepare salads, slices, stews from different types of vegetables and fruits.

Allowed the use of dairy products, cereals in small quantities. Days of fasting on rice are popular: it is boiled in milk and eaten with the addition of a small amount of grated apple in small portions.

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

Recipes for gout

The therapeutic diet allows you to eat many familiar dishes: cereals, vegetable soups, stews, salads. They don't require expensive products or special cooking skills. So that the patient does not feel discomfort from boring and monotonous food, you can diversify the menu using original recipes from allowed ingredients.

Light cream soup

Low-calorie dish, but tasty and satisfying enough 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 teaspoons of lemon juice;
• 2 teaspoons of vegetable oil;
• 1 teaspoon of cream;
• 0, 5 teaspoonSahara.

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

Cottage cheese casserole

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

• 140 g of cottage cheese;
• 70 g of sour cream;
• 1 egg;
• 3 tbsp. L. semolina;
• 1 tbsp. L. Sahara;
• 0, 5 teaspoon extinguished soda with lemon juice;
• dried fruits, nuts to taste;
• salt.

Mix cottage cheese with sour cream. Pour salt, sugar, semolina into the resulting mass. Add the finely chopped dried fruits and nuts. Bring to homogeneity, mix with extinguished soda. The mass arranged in a baking dish should be placed in an oven preheated to 180 ° C and bake until golden brown.

Steamed Chicken Meatballs with Sauce

A low calorie main course that can be eaten on its own or with a side. To cook you will need:

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

Soak the bread in milk. Boil the rice without salt, let cool. Cut the chicken fillet into medium sized pieces and place in a blender. Add 1 chopped onion, garlic, bread and herbs, beat in a raw egg and chop until smooth. After mixing with rice, you need to salt and leave in the refrigerator 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, pour in the broth, add flour and sour cream. Heat the sauce over low heat until thickened, add the meatballs and cook for 5 to 6 minutes. Sprinkle with herbs before serving.

Eggplant and minced meat casserole

A hearty main course, perfect for lunch or dinner. To prepare it you need to take the following ingredients:

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

Cut the eggplants into long slices, season with salt, so that they give juice. Dip in flour, fry in oil on both sides until half cooked. Chop the garlic and onion, sauté until golden brown. Add the minced meat, simmer over medium heat for 3 minutes, then the tomato paste. Pour 0, 5 tbsp. water, salt to taste. Cover and cook for another 5 minutes.

Put the eggplant slices in a greased baking dish in a thick layer, on top - minced meat, followed by grated or sliced cheese. Pour the cream and bake in an oven preheated to 180 ° C for half an hour.

Pumpkin puree

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

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

Cut the pumpkin into cubes, put in a saucepan, add the rice, salt and sugar. Pour in 1 liter of water and cook until tender. Pour in the melted butter and pass through a sieve. Return to the heat, add the milk and bring to a boil, then remove from the heat. Arrange the prepared pumpkin soup on plates and season with cream.

Nutritionists opinions

• "Adherence to a gout diet is necessary for patients to live well. Proper nutrition helps relieve pain and swelling and reduces the risk of complications. When developing a menu, it is worth paying attention to protein, as their patients often lack their usual products. "
• "The gout diet is effective in lowering uric acid levels in the body. Patients are recommended to observe it throughout their lives to prevent 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 the treatment of gout when combined with supportive medications. "

Disadvantages of weight loss diets for gout

The main disadvantage of the diet is that the dietary restrictions are quite strict. Even minor violations can provoke an exacerbation of the disease. 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 for with expensive and unusual dairy and vegetable products. In addition, the diet is not suitable for weight loss and is intended only for treatment.