Diet for gout and high uric acid

The gout diet is based on reducing the amount of purines in the diet, which helps reduce uric acid levels 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 diet for gout

Advantages of nutritional therapy:

• a full-fledged diet high enough in calories allows you to not feel hungry;
• getting rid of harmful foods that contain oxalic acid and purines, reduces the severity of gout symptoms, relieves pain, swelling;
• adherence to a diet reduces the risk of recurrence and exacerbations;
• a healthy diet with a restriction of spicy, fatty, fried foods improves the general condition and the condition of the organism;
• proper food selection reduces the risk of complications, including kidney failure, atherosclerosis, the formation of gouty nodules in the internal organs;
• Dietary dishes are easy to prepare and do not require expensive ingredients.

Diet can help reduce uric acid levels and slow or stop gout.

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

Basic principles of nutrition for gout and high uric acid

The goal of the diet is to limit the intake of purines and intermediates that increase their concentration. Observe the following rules when assembling a child:

1. Food that is eaten daily is divided into 5 meals at regular intervals. Thus, they reduce the load on the digestive system and kidneys, and keep the metabolism in good shape.
2. The chemical content of food is carefully controlled. This helps to stop the deposition of salt in the tissues, helps to get rid of stones and gout.
3. The total caloric content of the diet is reduced to 2700 kcal per day, while the total weight of food should not exceed 3 kg. This allows you to maintain a normal body weight, because obesity contributes to the worsening of gout.
4. The amount of protein is limited to 80 g per day. Proteins of animal origin are being tried to replace them with plant proteins, but they cannot be completely ruled out.
5. The daily rate of fat is 80-90 g. Approximately 25% enters the body with vegetable oils, the rest - in the composition of meals.
6. The patient consumes a standard amount of carbohydrates - 400-450 g per day. They take in cereals, dried fruits and nuts.
7. There are many alkaline products on the menu to neutralize excess acid: vegetables, milk and fermented dairy products, fresh fruits and berries. They will help the body maintain the balance of matter.
8. All the meat in the diet dishes is pre-cooked for 15 minutes, after which the first soup is drained. It helps to get rid of excess purine 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 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. Its excess stimulates the formation of deposits and reduces the rate of urine excretion, which worsens the symptoms of gout.
11. Alcoholic beverages are excluded from the diet. Even their infrequent use impairs kidney function, which increases the risk of exacerbations.
12. If necessary, the diet is supplemented with vitamin and mineral complexes. It is necessary to maintain the required level of vitamins B2, C, PP and potassium, which has a diuretic effect.
13. Once a week, fasting days are held during which the patient eats only fruits, vegetables and cereals poor in purines.

The diet must be combined with a dose of supportive medications, if prescribed by a doctor. Since gout is incurable, a person must adhere to the rules of nutrition throughout life.

What can you eat

The following foods are allowed in the diet:

1. Uncomfortable bakery products, including black and white bread.
2. Vegetables: dill, corn, beets, onions, garlic, potatoes, carrots, cabbage, broccoli, cucumbers, zucchini, eggplant, pumpkin. Limited quantities: tomato, beet, cauliflower, radish, asparagus, rhubarb, celery, paprika, onion feathers, parsley.
3. All fruits and berries except grapes, cranberries, figs and raspberries. Plums are consumed in limited quantities.
4. Lean meat: rabbit, chicken, turkey. They are consumed no more than 3-5 times a week, in quantities of up to 170 g.
5. Lean fish (salmon, salmon, trout), seafood: mussels, shrimp, crab and crab meat, squid, octopus.
6. Eggs - no more than 1 pc. per day.
7. Dairy products: kefir, cottage cheese, sour cream, yoghurts, cream, unsalted cheese, non-fat whole milk (best diluted). Butter can be added to cereals, stews, but it is not used for frying and is not consumed in its pure form.
8. All cereals and grains, except legumes: rice, buckwheat, millet, oatmeal, etc. It is best to cook them in water or diluted milk.
9. Soups based on weak vegetable soup, 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 (tomatoes are used with caution), herbal teas with lemon and honey, decoctions, fruit drinks, compotes, chicory, yeast. Alkaline mineral water is useful.
16. Mild spices and herbs: cinnamon, vanilla, bay leaf, citric acid. Light sauces based on sour cream, vegetable soups, vegetable oils.

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

The following foods are unacceptable in the diet:

1. Sweet pastries.
2. Fatty meat, dishes from young animals (veal, chicken), canned meat and dried meat, 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. Sour, spinach, olives.
8. Spicy and salty cheeses.
9. Decoctions and soups based on meat and offal, fish, mushrooms.
10. Cakes, pastries, cream buns.
11. Peanuts.
12. Animal fats: fat, fat. Margarine.
13. Alcoholic beverages, strong tea, coffee, cocoa.
14. Hot spices and sauces, including mustard, horseradish, mayonnaise, ketchup.

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

Table No. 6 for gout

In medical institutions, diet no. The medical menu takes into account factors such as the chemical composition of foods, their caloric content, the ratio of protein, fat and carbohydrates. This allows you to choose the optimal diet for the patient, without unnecessary calculations every time. Therefore, Table 6 is often used for home treatment of gout: it is universal and has no contraindications.

Diet during exacerbation

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

• complete elimination of meat and fish from the diet;
• frequent days of fasting - up to 4 per week;
• the basis of the diet is 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 (7-8 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 maintain it for a long time, because the body will quickly begin to lack vitamins and nutrients.

7 days to me

Approximate weekly diet for gout treatment:

Eating	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Breakfast	Soft sandwich with jam, vegetable salad with sour cream topping, rosehip decoction	Milk rice porridge with pumpkin, fresh orange	Oatmeal with butter and jam, homemade fruit jellies 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, soft-boiled egg, baked apple stuffed with walnuts	Vegetable salad with cheese and sesame, potato pancakes with sour cream
Lunch	Greek yogurt, 2 biscuits	Fresh strawberries with cream	Cornflakes with skim milk, assorted nuts	Cottage cheese mousse with dried fruit	Cornflakes with yogurt and banana pieces	Ice cream with fruit and berry mousse	Pancakes with jam and pieces of fruit
Dinner	Vegetable soup with egg and croutons, grated beets, carrot and apple salad, banana juice	Vegetable casserole with cheese, steamed chicken cutlets, berry jelly	Salmon vegetable soup, corn porridge, yogurt	Milk noodle soup, vegetable stew, fresh carrots and apples	Broccoli puree soup, zrazy potatoes with sour cream, fresh orange	Cabbage dishes, rice with seafood, milk jelly	Potato soup, vegetable stew with turkey meatballs, banana milkshake
Dinner	Potato croquettes, slicing 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 seasoned with linseed oil, cranberry juice	Grated beets with garlic, oatmeal jelly, fruit salad	Boiled new potatoes with herbs and oil, vegetable salad, dried fruit compote	Zucchini stuffed with vegetables topped with cheese, slices of vegetables with corn oil, fresh banana	Cucumber and tomato salad, broccoli cutlets with sour cream sauce, cheese cake, bran soup
Before sleeping	Yogurt with fresh berries	Biscuits with berry jam, kefir	Rosehip, apple soup	Cottage cheese, pear	Milk souffle with fruit	Kefir, mandarin	Cream cheese with sour cream, compote

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

Characteristics of the day of fasting

The diet for gout excludes complete starvation, because it causes worsening of the disease. On fasting days, it is recommended to follow a mono-diet (watermelon, potatoes, cucumbers, carrots) or prepare salads, slices, stews from different types of vegetables and fruits.

Permitted use of dairy products, cereals in small quantities. Fasting days on rice are popular: it is cooked in milk and eaten with the addition of a small amount of grated apple in small portions.

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

Recipes for gout

The therapeutic diet allows you to eat many famous dishes: cereals, vegetable soups, stews, salads. They do not require expensive products or special cooking skills. In order for the patient not to feel discomfort from boring, monotonous food, you can diversify the menu using original recipes of allowed ingredients.

Light cream soup

Low-calorie, but tasty and satisfying enough lunch dish. You will need the following products to prepare:

• 1 onion;
• 1 carrot;
• 1 bunch of spinach leaves
• 1 slice of white bread
• 2 tspsok of lemon;
• 2 tspiljno oil;
• 1 tspkrema;
• 0, 5 tspSahara.

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

Fresh cheese casserole

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

• 140 g cottage cheese;
• 70 g sour cream;
• 1 egg;
• 3 tbsp. l. semolina;
• 1 tbsp. l. Sahara;
• 0, 5 tspsoda quenched with lemon juice;
• dried fruits, nuts to taste;
• sol.

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

Steamed chicken meatballs with sauce

A low-calorie main dish that can be eaten alone or with a side dish. For cooking you will need:

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

Dip bread in milk. Cook rice without salt, cool. Cut the chicken fillet into medium-sized pieces and place in a blender. Add 1 chopped onion, garlic, bread and herbs, beat a raw egg and chop until smooth. After mixing with rice, it is necessary to add salt and leave in the refrigerator for 20 minutes. Then meatballs are formed and steamed for 6-8 minutes.

Finely chop the remaining onion and carrot. Fry the vegetables in oil for 2-3 minutes, pour over the soup, add 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 pan

Plenty of other dishes, perfect for lunch or dinner. To prepare it, you need to take the following ingredients:

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

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

In a greased baking dish put slices of eggplant in a thick layer, on them - minced meat, and then grated or sliced cheese. Pour over the cream and bake in an oven preheated to 180 ° C for half an hour.

Pumpkin soup puree

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

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

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

Nutritionist reviews

• "Adherence to a gout diet 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 protein, because their patients often lack common products. "
• "The anti-gout diet is effective in lowering uric acid levels in the body. It is recommended that patients observe it throughout their lives to prevent exacerbations and continue the asymptomatic course of the disease. "
• "Diet lowers uric acid levels in the body by about 15%. It is effective in treating gout in combination with supportive medications. "

Disadvantages 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 worsen. The diet is especially unpleasant for lovers of meat and alcoholic beverages.

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