Gout is a chronic condition. It occurs against the background of metabolic disorders. As a result, an inflammatory process begins in the joints, they swell and constantly hurt. This is due to an increase in the amount of uric acid salts in the body. The kidneys are unable to remove it. Most often, pathology occurs against the background of the use of certain foods that contain a large amount of purines.
General description of pathology
For a long time, gout has been directly linked to overeating. Especially, if a person was fond of fish and meat, did not monitor the amount of alcohol in the diet. Usually, this pathology occurred exclusively in wealthy people who could afford a large amount of protein foods. When the diet was changed, the condition improved, but had to adhere to the strictest diet.
The results of modern research confirm that, indeed, the disease occurs against the background of the consumption of a large number of foods with purines. But we also found out that there is no need to completely abandon them. Compliance with the general principles of a healthy lifestyle is not excluded, that is, physical activity and proper nutrition are needed.
The normal level of uric acid in the body is from 180 to 530 μmol / L. With an increase in these indicators, not only gout appears, but also problems with blood pressure begin, the amount of cholesterol increases, and endocrine disorders begin.
What not to eat with gout
First of all, in the presence of gout, foods rich in purines are reduced, these include:
- insides of beef;
- sardines;
- meat extracts;
- canned food;
- legumes;
- dried cereals;
- pickles and marinades;
- small shrimps;
- meat broths;
- smoked dishes;
- anchovies;
- any dried fruit, except prunes;
- ice cream;
- mackerel.
Beef and lamb are not recommended for consumption, the use of chicken, crustaceans and fish is minimized as much as possible.
Saturated fat also needs to be reduced. They prevent the rapid elimination of puric acid from the body.
What you can eat with gout
With this type of pathology, no more than 2 eggs are allowed throughout the day, but not fried. You can eat rabbit meat, low-calorie fermented milk and dairy products, all without exception, including cheese. From seafood, squid, shrimps are allowed, but only large ones. All fruits and vegetables are allowed, except for raspberries. Allowed:
- nuts;
- vegetable oil;
- seeds;
- no more than 2 times a week boiled meat, low-fat varieties.
It is even permissible to use some sweets, in particular marmalade, marshmallows and preserves, but in small quantities.
Varieties
The main principle of the diet for gout is to limit purine- containing foods and the introduction of dairy products, cereals and an adequate, abundant intake of water. It must be present per day at least 2.5 liters. In the presence of concomitant diseases, mineral water with sodium bicarbonate and alkaline may be recommended.
Basic diet number 6 according to Pevzner. Nutritional adjustments can be made in the direction of weight loss, in the presence of obesity, or taking into account the fact that a person suffers a disease on the legs.
In any case, it is recommended that all dishes be steamed, boiled, fried must be completely excluded from the diet. There are no special requirements for chopping food.
In the presence of concomitant disease – ischemia or arterial hypertension, a low-calorie diet is prescribed with the maximum reduction in foods containing cholesterol, fats, and salt.
Diet for obese gout
Gout is especially difficult for people with increased body weight. Therefore, the diet is designed in such a way that, in parallel with the elimination of the symptoms of the disease, a person can reduce body weight.
It is obesity that aggravates the problem and worsens the symptoms. Diet No. 8 is designed for gradual weight loss, no more than 1 kg over a month. Fasting with gout is unacceptable, since too low-calorie food will only worsen the patient’s condition. The diet includes fermented milk products, fruits as much as possible, their volume can reach 1.5 kg per day, it is recommended to focus on citrus fruits and apples. Vegetables by volume should also be 1.5 kg. At the same time, the amount of baked goods, muffins and sweets is drastically reduced.
Diet for gout during an exacerbation
In no case should fasting and fasting days be confused. On such days, you can consume a certain list of foods, with a complete rejection of fats, proteins and carbohydrates. More often 2 times a week, fasting days are not spent.
If you have gout, you can spend a curd-kefir day, watermelon, fruit and vegetable, for example, on potatoes or beets.
The main thing, on such a day, is to strictly observe the drinking regime. There must be enough water, at least 2.5 liters.
Diet for gout table number 6
The target name of this diet is stabilization of the amount of purines in the body, respectively, the amount of products with their content is reduced. Dairy and fermented milk products are introduced , which help to reduce the amount of purines.
It is recommended to avoid fried foods, especially when it comes to protein foods. Vegetables and fruits can be stewed, baked and even fried. Fish and meat should not be present in the diet more than 2 times a week. It is recommended to do unloading 1 day a week. On this day, you can only eat fruits or vegetables, kefir, milk, and so on. But be sure to drink at least 2.5 liters of clean water a day.
It is recommended to eat 4-6 times throughout the day, in small portions, avoiding hunger. Be sure to drink water between meals on an empty stomach.
Diet number 6 involves the consumption of calories per day no more than 2900 units. Proteins should not exceed 90 g, as well as fats. Carbohydrates are allowed up to 400 g.
Features of the fasting days
As a rule, during the period of exacerbation of gout, diet number 6e is prescribed. In this case, the diet does not differ from table number 6, but the calorie content is reduced to 1950 units. Reduces the amount of acceptable fats and proteins.
Diet for gout menu for a week
Despite the large list of prohibited foods, the diet in the presence of gout can be varied and even tasty. A sample menu for a week can be composed as follows:
Monday
| Breakfast | Whole grain cereal flakes , always sugar-free, you can drink milk | A small portion of fruits or berries, it can be cherries or strawberries, depending on the season, coffee with cheese |
| Lunch | Baked apples | A glass of berries, such as strawberries |
| Dinner | Vegetarian soup, boiled beef, cucumber salad | Vinaigrette, beetroot |
| Afternoon snack | Tomato juice | Fruit smoothie |
| Dinner | Buckwheat porridge, can be in milk, a little marshmallow and oatmeal jelly | Boiled rice and a little boiled beef, yogurt |
Tuesday
| Breakfast | Fresh vegetable salad with sour cream, milk tea | Cottage cheese casserole and rosehip decoction |
| Lunch | Prunes | Fresh melon |
| Dinner | Ukha, boiled pollock | Cabbage soup, boiled potatoes |
| Afternoon snack | A glass of berries, for example, currants | Marmalade |
| Dinner | Vinaigrette, boiled squid, milk tea | Stewed cabbage, carrot cutlet, yogurt |
Wednesday
| Breakfast | Egg omelet, prunes and kefir | Stewed beet salad, a cup of coffee with milk |
| Lunch | Pears | Bananas |
| Dinner | Oat milk soup, zucchini casserole | Milk and rice soup, beetroot stew |
| Afternoon snack | Apples, can be baked | Oranges |
| Dinner | Zucchini cutlets, fruit jelly | Some boiled rice and a salad with fresh vegetables |
Thursday is a fasting day.
Friday
| Breakfast | Boiled eggs, carrot salad, glass of milk | Oatmeal in milk, preferably well boiled, carrot juice |
| Lunch | Fruit smoothie | Fruit jam with biscuit biscuits, must be dried |
| Dinner | Broccoli cream soup, salad with fresh vegetables and cheese | Borscht, necessarily without rich meat broth, a little buckwheat porridge |
| Afternoon snack | Marshmallow, tea | Herbal tea, syrnik |
| Dinner | Carrot zrazy, oatmeal in milk, juice of your choice | Cabbage rolls stuffed with rice and vegetables, tea |
Saturday
| Breakfast | Rye bread, with cheese, coffee | Fresh cabbage salad, 2 soft-boiled eggs, yogurt |
| Lunch | Rosehip decoction, some cheese | Any permitted fruits |
| Dinner | Boiled potatoes and some rabbit meat | Light soup, cottage cheese with sour cream |
| Afternoon snack | Large grapefruit | Freshly squeezed juice, preferably diluted with water |
| Dinner | Carrot puree, fruit jam with a little toasted rye bread | Buckwheat porridge with milk, beetroot zrazy, kefir |
Sunday
| Breakfast | Cottage cheese with sour cream, coffee | Fried zucchini, cheese and milk tea |
| Lunch | Low calorie yogurt | Cheesecakes |
| Dinner | Vegetable soup, squid, but not smoked | Cheese puree soup, mashed potatoes |
| Afternoon snack | Soaked prunes | Grapes or bananas |
| Dinner | A little boiled cod, cucumbers, herbal drink | Fish soufflé, mashed potatoes, tea |
It should always be remembered that this type of pathology does not imply the use of alcoholic beverages, they only aggravate the patient’s condition. If you gain a lot of weight in winter, then reduce the calorie content of the menu by 20%.
Before going to bed, you can drink yogurt, milk or kefir. Decoctions of herbs and rose hips, compote without sugar are also suitable.
In fact, the diet for gout is built on the principles of proper nutrition, the amount of fat is reduced as much as possible, and all unhealthy foods are completely eliminated. If you strictly follow all the recommendations and do not violate the adjusted diet, then you can get rid of the symptoms of gout as quickly as possible.