Gout diet: what to eat to avoid getting worse

If the following principles are followed, diet will be the most effective:

1. Strictly follow the rules until irreversible changes occur. Food restriction cannot remove the clumps that have formed in the joints and kidneys. The selected menu has a preventive effect and helps prevent salt deposits.
2. The way of eating should take into account the frequency of crises, the level of uric acid, and the severity of the process. In addition to the worsening of the disease, the diet should reduce the protein, fat, and sodium content. Alcohol should be completely eliminated. During the event, strict restrictions were shown: there was very little food, mainly liquid.
3. Weight correction. For obese people, when choosing products, the total calorie content should be lower than the energy consumption level of 300-500 kcal per day. The lifestyle and daily physical exercise level of the patient should be considered.
4. No more than 200 mg of purine base per day. The indicated number is very important to the patient. A large number of uric acid compounds cannot maintain their levels in the body within an acceptable range.

In addition to the above, the drinking regime must also be followed. If there are no contraindications to the cardiovascular system, the patient should consume about 2–2. 5 liters of fluid per day. It is recommended to use bicarbonate mineral water. This will promote the alkalization of the internal environment and reduce the acidity.

getting worse

In the stage of increased blood uric acid content and pathological recurrence, dietary restriction is the most important. The total daily protein should be kept within 70 grams, fat-80 grams, carbohydrates-240 grams, and the calorie content of the diet should be 1950-2000 kcal. Diet-Drink liquids between twice a day. Food temperature is normal, 55-60°C for hot dishes and 15°C for cold dishes. There is no need for targeted hot spares. The consistency of food is preferably liquid or pasty.

Recommend the following foods:

• milk;
• Lactic acid drinks;
• vegetable juice;
• Citrus juice;
• Liquid cereal;
• grated fruit;
• Caviar;
• Tomato sauce.

In the presence of clinical manifestations of the disease, a person should not consume foods that are acceptable in the remission phase. It is necessary to reject any form of solid food, pastries, meat and fish, eggs, sweets, spices, oil. The demand for animal protein can only be met by milk. The restrictions must be observed throughout the attack. On average, this takes 5 to 7 days. After the inflammation of the legs subsided, they gradually returned to their normal diet. The traversal takes 2 to 3 days.

Nutrition relief

Even if you have no serious symptoms, you must follow the gout diet. In this case, the restrictions are not as strict as when it deteriorates. However, it must be strictly observed. The basic requirement is to completely eliminate the meat of young animals, which contains the largest amount of purines. Their concentration can reach 1000 mg per 100 g, which is many times the allowable value. In addition, meat extracts, mackerel, sardines, bovine body (liver, kidney, brain), alcoholic beverages are also strictly prohibited.

Table 6 shows that 100 grams of protein and fat and 450 grams of carbohydrates are consumed every day. The total nutritional value of the daily menu is 3200 kcal. If it does not conflict with the treatment of other diseases, the infusion volume is 1. 5-2 liters.

The list of actions that patients can perform includes:

• Kefir;
• Fresh cabbage and cabbage soup;
• Buckwheat porridge;
• Omelet;
• Rye bread;
• Fruit jam;
• Vegetable oil;
• lemon or orange;
• Mashed potatoes;
• Fish Crisp
• Cereal;
• eggs;
• cheese;
• The amount of meat to be eaten should not exceed 120 grams per day.

In products such as grains, vegetables, honey, nuts and tomatoes, purine bases have the lowest content. They can be eaten almost without restriction. Pork fat, beans, spinach, sorrel, and mushrooms contain 50 to 150 mg of this substance and should be considered when drafting the menu.

Lose weight

It is recommended that patients with supertheory and normal body weight lose weight. The calorie content in the diet must be reduced to 30 calories per kilogram of body weight. It is important to gradually lose weight, not exceeding one kilogram per month. This will ensure an acceptable level of ketone body formation. Because the product obviously lacks nutritional value, its synthesis exceeds the allowable range. A low-calorie diet will eliminate or significantly limit the consumption of baked goods.

Prohibited foods: bread, pies, pizza, cakes, cheesecakes, pastries, sugar, candies, sweet jams, preserves, etc.

The table should be based on the following components:

• Low-fat cheese;
• Kefir;
• Vegetables;
• Fruit.

Weight management is not limited to low-calorie meals. Patients should lead an active lifestyle and perform physical exercises according to personal plans. Otherwise, the dietary restrictions will be too strict, which will reduce people's compliance with treatment.

Sample menu for the week

People with gout should know exactly what is not and what they can eat. It would be better if a person clearly describes their eating habits over a relatively long period of time. Usually, the diet takes a week to develop. The existing scheme can be used for several months, after which a complete set of dishes needs to be replaced or stirred every day. As uric acid levels increase, the weekly diet may look like this/.

Monday

• Breakfast #1: Casserole, coffee with milk.
• Breakfast #2: Baked apples.
• Lunch: vegetable soup, bread, rosehip broth.
• Afternoon snack: jelly.
• Dinner: cabbage rolls, kefir.

Tuesday

• Breakfast #1: Cheese, tea, bread.
• Breakfast #2: Orange.
• Lunch: Lean cabbage soup, bread, herbs.
• Afternoon snack: buckwheat porridge.
• Dinner: Kefir, carrot puree.

Wednesday

• Breakfast #1: Eggs, juice.
• Breakfast #2: Jam, mineral water.
• Lunch: vegetable borscht, rye bread, tea.
• Afternoon snack: milk jelly.
• Dinner: dried fruits, jam.

Thursday

• Breakfast #1: Cucumber salad, rose hips.
• Breakfast #2: Orange pomace.
• Lunch: potato soup, fruit drink.
• Afternoon snack: pear.
• Dinner: scrambled eggs, dried apricots, lemon tea.

Friday

• Breakfast #1: Boiled beets, blueberry juice.
• Breakfast #2: Kefir.
• Lunch: pearl rice soup, tea.
• Afternoon snack: milk, bread.
• Dinner: Carrot patties.

Saturday

• Breakfast #1: rice porridge, coffee.
• Breakfast #2: Watermelon.
• Lunch: soup, milk jelly.
• Afternoon snack: fresh cucumber.
• Dinner: kefir, bread.

Sunday

• Breakfast #1: Boiled eggs with sour cream and tea.
• Breakfast #2: Grapes.
• Lunch: cabbage meatloaf, barley soup, juice.
• Afternoon snack: casserole.
• Dinner: pancakes, yogurt.

The given diet is incomplete. You can add to the patient any component that is allowed in the patient list.

Care should be taken to ensure that the total calorie content of the meal and the purine base content in it does not exceed the established limit.

Cooking method

Dishes can be steamed or baked. This method allows you to ensure the best taste of the product while maintaining its useful properties. Foods processed in this way provide a gentle treatment plan for patients with gastrointestinal characteristics. Cooking is allowed, but if meat or fish is cooked in this way, drain the broth. The fact is that about 50% of the purines contained in animal muscle fibers are transferred to it during processing.

Proper nutrition is one of the main ingredients for treating leg pain. Even if the appropriate medication is chosen, people who do not comply with the necessary conditions of dietary regulations are also prone to develop the disease. Refusal of proper nutrition during exacerbations can lead to increased symptoms and longer recovery time. The patient will get detailed information about what not to eat and what to eat from the attending doctor. Therefore, when the first signs of pathology appear, you should seek the help of professional experts who will be able to choose diet and prescribe treatment.