Gout is a serious disease caused by the accumulation of uric acid and its derivatives in the body. This disease is characterized by the destruction of the body's protein metabolism, so it belongs to metabolic diseases. Due to gout, uric acid accumulates in the blood and urate accumulates in the tissues, so the disease manifests itself as an attack of acute recurrent arthritis. Unfortunately, gout cannot be completely cured, but the frequency and duration of attacks can be greatly reduced. Adhering to an anti-gout diet is essential for the treatment and prevention of gout.
Purine metabolism in the body
When we say that the root cause of gout is high levels of uric acid in the blood, we don’t know how and why this happens. To understand this process, let us look at the basics of biochemistry. Therefore, uric acid is the final product of the purine process in the body. When the synthesis and decay of purine nucleotides are disturbed, metabolites will accumulate, especially uric acid.
But where does the purine element come from in the body? Everything is very simple: they enter the interior directly with food, or they can be produced independently by our body cells. The synthesis and decomposition process of purine elements is very complicated. For example, adenine (purine derivative) is decomposed into other elements, then converted into Xatines, and then converted into uric acid. By the way, in humans, just like in primates, it is the end product of a metabolic reaction, and uric acid is excreted from the urine.
It must be pointed out that normal amounts of uric acid will not harm the human body, especially if uric acid cannot be retained in the body. According to permitted specifications, the blood uric acid level in men is 3. 4-7. 0 mg per 100 ml, and in women is 100-2. 4 mg to 2. 4-5. 7 mg.
Purine compounds in food
The main symptoms of gout:
- Unbearable severe pain in the joints, which often develops at night, accompanied by skin redness and joint swelling.
- The acute attack of gouty arthritis should be repeated regularly. However, without proper treatment, these intervals will shorten, and the seizures will become longer and more intense.
- The appearance of hu fish (abnormal thickening of the subcutaneous tissue).
- Attack of renal colic. The deposition of urate causes the development of kidney stones and nephropathy.
Gouty lesions occur in:
- The meta toe joint of the first toe;
- Elbow, knee and ankle joints;
- Finger joints.
The current anti-gout dietary guidelines are similar to healthy eating principles that are good for everyone. The gout diet inhibits synthesis and accelerates the excretion of uric acid in the patient's body.
The presence of this disease in a person requires:
- Rheumatologists keep observing;
- medication during exacerbations and remissions;
- Strictly control the level of uric acid in the blood;
- Change your lifestyle;
- Correct their taste preferences.
Continuous relief can be achieved through a healthy lifestyle. Therefore, you must comply with the following rules:
- Eat the right diet, use foods low in purines, and exclude animal fat, protein and carbohydrates from the diet;
- Reduce any load on the affected joints; However,
- weight control do not lose weight too fast, because this may trigger new gout attacks.
- Fasting is in line with a single diet (only one product a day), so medical fasting is strictly prohibited;
- Only take medication as prescribed by your doctor.
Since uric acid is a product of purine metabolism, it is present in all cells and organs of our body and almost all foods. Large amounts of harmful purines (adenine, guanine, xanthine and hypoxanthine) are found in animal products with high metabolic processes, such as sausages, sausages, sausages, ham, bacon, and highly dividing cells (such as yeast). The purines in cocoa, tea and coffee, such as theophylline, caffeine, and theobromine, are not a threat to gout. They are a source of organic acids that help alkalinize the body and eliminate excess uric acid.
Food not suitable for gout
In order to avoid recurrence of gout attacks, it is necessary to avoid food containing a lot of purines. Therefore, the gout diet first means to exclude the following products from the patient’s diet:
- Various smoked meats;
- Internal organs (tongue, brain, liver, kidney);
- Any kind of sausages, sausages, wieners;
- table salt;
- Legumes (beans, peas, lentils);
- Canned meat;
- Sorrel and spinach;
- Canned fish;
- Salted fish;
- Alcoholic beverages;
- Yeast beverage (beer);
- Salty and spicy cheese;
- Cooking oil
- Seasoning and hot spices (Bay leaf, vinegar, pepper, mustard, horseradish);
- The consumption of fatty meat products is strictly prohibited, especially the meat of young animals and fatty fish;
- Rich in meat, mushroom and fish soup.
Limited gout food
Certain foods are allowed on the gout diet, but their quantity must be strictly limited, especially during acute attacks:
- Pastry products;
- Eggs (up to two eggs per day);
- Low-fat fish species (no more than 1-2 times a week);
- Boiled beef, rabbit, chicken or turkey can be eaten no more than 1-2 times a week;
- strong tea;
- Espresso and cocoa powder;
- Figs, plums and raspberries;
- putting green;
- Carrots and carrots.
Tomatoes have caused some controversy, so there are two opposing views: some experts recommend limiting consumption, while others believe that tomatoes are very useful for gout. Therefore, based on your health, it is best to use personal opinions as a guide. Oatmeal also raises some questions, because its use in boiled form increases uric acid in the body.
What can you eat for gout
For gout, you can eat the following foods. They are considered healthy and can be consumed in unlimited quantities.
Bread and flour products
Any amount of bread (rye, bran, white flour) can be consumed for gout.
Meat and Poultry
You can only eat rabbit meat, beef, and poultry in cooked form 1 to 2 times a week. It is not forbidden to barbecue, but there are no hot and spicy spices. The best option is to steam the meat in a double pot.
Vegetarian soup is the basis of the gout diet. It is recommended to cook soup, cabbage soup, borscht in vegetable soup, and add various grains and vegetables. Also okroshka and beetroot.
Milk and dairy products
Fermented milk products are very useful for gout: curd, yogurt, yogurt. It is also recommended to use milk, dairy products: low-fat cheese, low-fat mozzarella.
You can eat 1-2 eggs (poached, hard-boiled or Ossini) in any cooked form per day.
Lean river fish can be steamed, boiled and grilled. Low-fat fish soup can also help.
Pasta and cereals
For gout, you can eat a variety of cereals and pasta. These foods should not be eaten in large amounts or excessive consumption, because they will cause weight gain, which is unacceptable for this disease.
Vegetables are also the staple food of gout. They can be eaten raw, cooked and roasted in any quantity: potatoes, pumpkins, bell peppers, cabbage, eggplant, zucchini, beets, carrots, cucumbers.
fruits and berries
You can eat any fresh and heat-treated berries and fruits (except raspberries and figs).
You can eat marshmallow, marshmallow, jam, natural honey, jam from candy.
You can: milk tea, evaporated milk without milk, evaporated coffee with milk, vegetables and juice, herbal tea.
Seasonings, condiments and spices
The sauce can be made with vegetable soup, milk and sour cream, cinnamon, citric acid and vanilla.
Food can be cooked with sunflower oil and butter.
Gout diet menu
Diet 6 is a prescription for gout. This diet does not include purines, salt, and fat-derived foods, but allows the use of foods that contain sufficient amounts of vitamins, minerals and iron.
There are #6 normal diet and #6e diet-for people suffering from gout and obesity, their energy values are lower. This diet includes low-calorie foods (limiting the amount of baked goods, grains, fats and digestible carbohydrates).
The diet includes alkaline mineral water and citrus fruits. These fruits can prevent the accumulation of urate crystals in the joints and promote the rapid elimination of uric acid. Food is mainly prepared by steaming or boiling. Vegetables and fruits can be eaten raw or cooked. In the interval between meals, eat a small amount of food 5-6 times a day and drink plenty of water.
The nutrition for acute leg pain should be as follows:
- Vegetables and fruits-1. 5 kg (including broth, salad and main dishes);
- Cheese-400 grams (low-fat variety);
- Kefir-500ml (low fat, natural);
- Milk-1 liter (diluted with water).
As the acute phase subsided, meat and fish products (cutlets, couscous, boiled meat and fish) were added to the gout diet.
Anti-Gout Weekly Menu
- Breakfast: fruit, honey and yogurt (1 plate), tea, milk and bread crumbs.
- Lunch: Tonga vegetable soup, vegetable oil, vegetables or grains and herbs.
- Afternoon snack: carrot or potato steak with low-fat cream.
- Dinner: boiled eggs and cucumber, or a small portion of salad and cabbage.
- Breakfast: Cucumber salad with sour cream.
- The second breakfast: fruit juice.
- Lunch: rice soup with vegetable soup, potatoes, cabbage pie, dried fruit preserves.
- Afternoon snack: rose hip soup.
- Dinner: Carrots and plums go crazy together, lemon tea.
WednesdayBreakfast: fresh cabbage salad and sour cream; milk tea.
- Breakfast: milk tea, plums and cheese.
- The second breakfast: juice.
- Lunch: cold or hot beetroot (optional), stewed vegetables.
- Afternoon snack: rose hip soup.
- Dinner: jelly, milk porridge.
- Breakfast: beet salad and vegetable oil, milk tea.
- The second breakfast: tomato juice.
- Lunch: Soup-vegetable puree with barley, cabbage cutlet, deep-fried with vegetables.
- Afternoon snack: grape juice.
- Dinner: Carrot ribs with sour cream, jelly.
- Breakfast: boiled eggs, milk tea, carrots, vegetable oil stew.
- The second breakfast: dried fruit preserves.
- Lunch: rice soup with potato soup and vegetable soup; fried cabbage patties.
- Afternoon snack: watermelon.
- Dinner: scrambled eggs, stewed carrots, lemon tea.
- Breakfast: fresh cabbage salad with sour cream, milk tea.
- The second breakfast: tomato juice.
- Lunch: Vegetarian borscht; meat boiled in sour cream sauce.
- Afternoon snack: rose hip soup.
- Dinner: Buckwheat porridge with milk, carrot stew and vegetable oil.
Gout cannot be completely cured, but the frequency and intensity of its attacks can be controlled through diet. If you follow all doctors’ recommendations, you can almost forget that the disease exists.
Fasting Day for Gout
As we all know, disease is easier to prevent than prevention. Therefore, for gout, it is recommended to fast for one day. However, this does not mean that you have to go hungry all day. In addition, it is very dangerous, because stopping eating food will cause a sharp increase in uric acid in the blood. As a result, an acute gout attack will begin. Therefore, fasting days should not be "hungry. "Eat only one type of vegetable throughout the day, such as pumpkin, potatoes or zucchini. This fasting day is like eating alone.
If a product is difficult to eat, you can also mix several vegetables and fruits. In addition to fasting days, you can also spend days with milk, kefir or curds. When taking this weight loss diet, the metabolic process is simplified, which is particularly important for gout. In this case, you can use rice or rice apple diet. To do this, boil a small amount of rice (75 g) in milk and take a small amount throughout the day. Between main meals, you can eat raw and roasted apples. The total number of apples should not exceed 250 grams. Another product fasted for a day is watermelon. There is even a special "watermelon diet" on fast days. Watermelon can remove sodium urate from the body, so you need to consume as much as possible.
General advice for patients with gout
- Avoid injuries to your big toe and avoid wearing tight shoes, because gout is a common disease of joint injuries.
- During an acute attack of gout, keep your legs elevated without straining. The legs should relax and rest.
- Add a hot water bottle with ice to the infected joint to prevent gout.
- Drinking a lot of herbal tea during an attack helps remove uric acid from the body. During the remission period, please use enough mineral water and lemon juice.
- Follow an fasting diet as it is part of the treatment of gout.
- Try to lose weight because it puts excessive pressure on diseased joints and increases the risk of diabetes.
- Try to eat the "right fat". As the purine base content of foods rich in animal origin decreases, the diet must include vegetable oils: corn, olives, and sunflowers.
- Take vitamin and mineral complexes. In any diet, a balanced diet is essential. For this, you must take in adequate amounts of vitamins and minerals.
- During the remission period, you should lead an active lifestyle, often walk in the fresh air and engage in moderate exercise.
Attention! During the worsening period, standard recommendations on what you can and cannot eat should be shelved. If an acute attack of gout occurs, seek medical attention immediately. During this period, you should choose a one-day fasting diet that includes one product, or completely exclude all food from the diet and drink only mineral water with lemon. You can eat this way for no more than one to two days.