Meals for gout

Dietary food for gout

Gout is a disease characterized by a disorder of metabolism. Along with it, uric acid salts are deposited in the joints. Gout is a fairly rare disease - there are three cases per thousand people. The disease affects men over the age of forty, manifested in women during menopause. Gout affects all joints, from the joints of the hands to the joints of the feet.

The main symptom of gout is inflammation of the joint. The onset of the disease occurs early in the morning or at night, with pronounced intense pain in the affected area. The temperature in the joint area rises, the skin begins to redden and shine.

Therapeutic nutrition, which aims to reduce the level of uric acid compounds in the body, plays an important role in the treatment of gout. Gouty arthritis disrupts purine metabolism, leading to inflammation of the joints and the development of various types of urolithiasis (e. g. , uraturia). Diet number 6 developed by the professor is used to normalize this exchange.

Nutritional characteristics for men

If purines enter the body in large quantities, the production of uric acid increases, its excretion by the kidneys slows down. As a result, the level of uric acid in the blood increases and its crystals - urates - begin to be deposited in the tissues of the joints. The richest in purines are meat and fish products, smoked meat, strong tea, coffee and cocoa.

Men get gout almost 10 times more often than women. In addition, members of the stronger sex experience the manifestations of this disease earlier. If it manifests itself in women, usually after the age of 50, then men experience the first attack of gout in the age range of 30 to 40 years.

This gender difference is primarily related to nutrition. Men consume larger amounts of food, in addition, they consume lots of meat products and hot spices, often washing them with alcohol. All this leads to a significant increase in the level of uric acid in the blood, which is constantly maintained. A gout attack usually occurs suddenly and too much nutrition, hypothermia or cold can provoke it.

Gout can affect any joint, but in most cases the big toe is injured. The lesion is usually unilateral and the first metatarsophalangeal joint on one leg is inflamed. The course of the disease, especially in the early stages, is usually paroxysmal. The duration of the attack varies from a few hours to a week. When goiter becomes chronic, the pain can be constant.

Table 6 is recommended during remission in the absence of severe symptoms. In the days of the attack is indicated 6E diet, which is also useful for obese patients. This should last for a few days before the pain persists. At the end of the attack, go back to the 6th diet.

Fundamental rules

The gout hypopuric diet is based on alkalization, ie the diet includes alkaline foods - vegetables and dairy products. If there are no contraindications, it is recommended to drink more water - daily fluid intake should be on average 2. 5 liters.

Prohibited foods include products that contain oxylic acid - especially large amounts of spinach and venison. The amount of salt is limited to 10 g per day, reducing the consumption of proteins and fats. If you are overweight, it is advisable to reduce the amount of carbohydrate foods.

Meat and fish should be cooked first, and then cooked from it in pans, fries or rolls. Harmful substances are transferred to the broth during cooking, so do not use it to prepare the first dishes. Soups and borscht are made only by adding cereal, pasta or milk to the vegetable broth.

The classic system of therapeutic nutrition includes fractional nutrition, you should eat at least four times a day. So the load on the digestive tract and excretory organs will be optimal. At the same time, the caloric content of diet No. 6 is 2500-2700 kcal, diet No. 6e - 1900-1950 kcal.

With the right menu, the diet will be balanced and perfect, while reducing the consumption of purine-containing foods will not lead to negative consequences.

It is desirable to cook or boil food for a couple, bake in the oven. It is best to exclude fried foods altogether, especially during the hectic period. The temperature of the finished products does not matter - you can enjoy hot and cold, but warm dishes are best absorbed.

Diet number 6 is usually recommended until prolonged remission occurs. This period may be different for each patient - one or two months will be enough to restore health, and the rest will take several years.

Permitted and Prohibited Products

The list of products is designed so that a person can get enough fats, proteins, carbohydrates, as well as vitamins and minerals. The daily norm of proteins according to the 6th diet is 80-90 g, fat - 80-90 g, carbohydrates - from 350 to 400 g.

The need for protein is mainly met by dairy products, about 25% of fats are found in vegetable oils, and most of the carbohydrates are obtained from fruits and sugars. When diet number 6 is observed, the body receives approximately 150 mg of vitamin C, 1. 5 mg of thiamine, 3. 5 g of potassium, 0. 75 g of calcium, and 0. 5 mg of retinol per day.

Table of foods allowed for gout:

Product group Varieties
Flour products, bread Rye, wheat and bran bread
First dishes, cereals, sauces Soups with the addition of cereals, vegetables, vermicelli, milk; Cereal milk porridge; Sauces on milk, sour cream, tomato juice or vegetables; Stewed vegetable mixes and purees, fresh vegetable salads, vinaigrette
Meat, poultry Lean pork and veal, rabbit, chicken, turkey
Fish Peak, breed perch, asparagus, cod, rabbit, bream, as well as all seafood - shrimp, squid, mussels, octopus
Milk products When buying, you should pay attention to the fat content of the product: kefir - 1-2%, cottage cheese - 3%, sour cream - 10-15%.
Cheese Brinza, mozzarella, sulguni, ricotta, as well as unsalted soft cottage cheese
eggs Chicken (1 piece per day) or quail egg (not more than 4 pieces per day) can be boiled, baked, stewed
Cereals Everything except oatmeal and whole grains
Vegetables Potatoes, corn, beets, onions, garlic, cabbage, eggplant, tomatoes, pumpkin and zucchini
Planting Dill and parsley
Butter All kinds of vegetables and cream
Ხილი Citrus fruits, strawberries, pears, green apples, persimmons, apricots, dates, cherries, blueberries - fresh, baked and dried
nut All species except peanuts, but not more than 30 g / day
Spices Cinnamon, vanilla, bay leaf, citric acid, vinegar
Drink Kisses, compotes, fruit and berry extracts, fruit drinks, green and slightly boiled black tea, milk fruit cocktails and smoothies, vegetable and fruit juices (diluted in water), chicory drinks, alkaline mineral water, quasi.
ᲢKbili Marmalade, caramel, honey, jam, marshmallows, marmalade, jams and preserves, protein-based bezings, marshmallows

It should be noted that meat and fish should not be eaten often - 2-3 times a week is enough. In addition, one serving should not contain more than 150 grams of meat and 160 grams of fish. We must also remember that the broth in which these products are boiled should not be consumed. The same goes for seafood soup.

If whole milk is used, then it is better to pre-dilute it with water. It is advisable to add butter to ready meals and do not use it fresh. Potatoes and cucumbers are especially useful among vegetables because they contain potassium. This element helps to expel uric acid from the body naturally.

Animal fats are recommended to be replaced with vegetable fats as much as possible so as not to clutter the digestive tract and kidneys. Many approved foods have the ability to remove excess urate and reduce inflammation.

Some vegetables and fruits can be consumed, but in limited quantities. These include radish, turnip, cauliflower, green onions, peppers, asparagus, radish, celery and plums. It is also impossible to abuse legumes, mushrooms, pickles, marinades and sausages.

Previously, doctors forbade eating tomatoes because of their oxylic acid content. Today this vegetable is rightly considered to be one of the most beneficial for gout on the feet. The percentage of acid in tomatoes is negligible, but it contains vitamins, minerals and organic acids.

Ripe tomatoes are a source of vitamin C (it contains almost as much as citrus fruits), B.OneAnd b2, PP, K and carotene, as well as potassium, phosphorus and iron. Thanks to this composition, the immune system is strengthened, metabolic processes are normalized and the intensity of inflammation during attacks is reduced.

Tip: Tomatoes bring maximum benefits after heat treatment and in combination with vegetable fats.

Prohibited products

If you eliminate harmful or purine-rich foods from your diet, it will affect your well-being almost immediately. Reduce the frequency and intensity of gout attacks, normalize the work of the urinary and cardiovascular systems.

So, the following are excluded from the daily menu:

Product group Varieties
Flour products Butter cookies, cakes, pastries, eclairs
First courses and sauces Meat, fish, mushroom broth; Sour, pea, lentil and bean soup, mayonnaise and sauces
Meat, poultry All kinds of sausages, young lamb, veal and mutton, fatty pork, by-products, stewed
Fish Fatty fish - sardines, herring, anchovies, tuna, mackerel, trout, salmon and fish roe
Cheese Spicy and salty cheese
Vegetables Acidic
Ხილი Grapes, raspberries, figs, viburnum
Fat Margarine, greasy
Spices Mustard, hot pepper
Drink Strong tea, coffee, cocoa, alcohol of any strength

It should be noted that the purines contained in alcoholic beverages do not dissolve when taken as a uric acid. However, they can inhibit the synthesis of the hormone vasopressin, which maintains normal fluid levels. Its active production stimulates kidney function, due to which excess uric acid is excreted quickly.

After drinking an alcoholic beverage, the production of vasopressin decreases and the person experiences dehydration. The volume decreases and the viscosity of the circulating blood increases, leading to an increase in uric acid levels.

In addition, the amount of moisture in the cartilage tissue decreases to a critical level, causing it to lose firmness and elasticity. The cartilage is dry and cracked, it can not withstand normal loads. As a result, the joint becomes even more inflamed and sore.

Note: Rheumatologists consider vodka relatively safe as it does not contain purines. However, you can drink it in very small quantities - no more than 50 grams.

Lent days

Diet number 6 provides for 1 day of unloading per week. On this day is observed monodiet, consisting only of vegetables and fruits, or dairy products. You should eat just as much as possible, avoid strong feelings of hunger, and drink the same amount of water and drink.

The size of one portion is about 150 gr. For example, one day you can eat about 400 grams of cottage cheese and drink ½ liter of kefir. Another option is 1 - 1, 5 kg of apples or oranges. If you plan to eat vegetables, then you should choose only one variety (except radish and sour). Vegetables are used boiled, stewed, baked or raw, as well as in the form of juice.

Mineral water can be bought in any supermarket today, its drinking is useful for people with pathologies of the endocrine system and metabolic disorders.

Some people do not like vegetables and dairy products. In this case, you can eat rice and apples throughout the day. Rice (75 g) should be boiled in milk diluted in water and eaten in small portions throughout the day. Apples can be eaten fresh or cooked in compote, but without the addition of sugar. It is allowed to eat no more than 3 apples a day.

Hint: Fasting is strictly forbidden because it causes a sharp increase in the concentration of uric acid in the blood.

How to eat during a gout attack

If an attack has started, a strict diet is needed, but not for more than 3 days. For this period, first of all, it is necessary to exclude meat and fish. With a long course of gout attack, fasting days should be done 2-3 times a week.

The full menu for one day might look like this:

  • 1 Breakfast - half a cup of rose infusion, decoction of chicory or alkaline mineral water;
  • 2 Breakfast - ორ A portion of rice or semolina porridge, a glass of milk;
  • Food (1-2 hours after the 2nd breakfast) - a glass of strawberry jelly or a few pieces of fresh strawberries;
  • Lunch - ½ portion of ground vegetable soup, a glass of apple compote;
  • Afternoon snack - a glass of carrot juice or tomato juice;
  • Dinner - a glass of bifilin, fermented baked milk or kefir;
  • Before bedtime - lightly brewed black or green tea with the addition of milk and honey.

When the attack is over, you need to gradually expand your diet and include cooked meats in your diet. For better assimilation it is advisable to put it in a meat grinder or make steamed cutlets, meatballs and meat products.

Seven-day menu diet number 6

The proper nutrition recommended for gout sufferers is varied. In addition, all the recipes are very simple, and the diet dishes are delicious and satisfying. Everyone can choose from the allowed products what he likes the most.

Monday

  • For breakfast: cheesecakes with honey, chamomile tea.
  • For lunch: rice soup with potatoes, buckwheat with boiled chicken, a slice of black bread.
  • For lunch: a casserole of apple and carrot fruit, one cup of rose hips.
  • For dinner: baked eggplant, boiled veal, compote.
  • At bedtime: a glass of fermented baked milk.

Tuesday

  • For breakfast: scrambled eggs from 3-4 quail eggs, milk sausage, fresh cucumber salad, chicory drink.
  • For lunch: milk soup pasta, potato pancakes with sour cream, green tea.
  • For lunch: wheat bread toasts, jam, a glass of mineral alkaline water.
  • For dinner: steamed cod, a mixture of stewed vegetables with carrots and zucchini, bran bread.
  • Before bedtime: cottage cheese milk.
Milk soup for gout

Milk soup with vermicelli is low in calories but an excellent source of protein and complex carbohydrates. In addition, this dish contains potassium, iodine, manganese, iron, copper, calcium, B, C and D vitamins.

Wednesday

  • For breakfast: boiled eggs, rice porridge with milk, sandwich with white bread and cheese.
  • For lunch: mashed potatoes with boiled turkey, cherry jelly.
  • For lunch: cottage cheese with nuts and grated plums, a glass of milk.
  • For dinner: stuffed peppers with sour cream sauce.
  • Before bedtime: a glass of kefir.

Thursday

  • For breakfast: salad of grated apples and carrots, white bread toast with marmalade, weak tea.
  • For lunch: low-fat sour cream with sour cream, beef cutlet with millet porridge, black bread.
  • For lunch: cottage cheese paste made from ground cottage cheese with the addition of vanillin, butter and sugar. To prepare it, you need 200 grams of cottage cheese, 15-20 grams of butter, 2, 5 tablespoons of sugar and a pinch of vanilla. You can add sour cream or fruit to the finished paste.
  • Dinner: Baked potatoes with cheese. Such a pot is prepared simply - the potatoes are cut into thin plates and placed in a small form with salts. Salt, pour vegetable oil and top with grated cheese. Cover the form with foil and bake in the oven for half an hour. Remove the foil 5-10 minutes before cooking.
  • Before bed: chamomile tea.

Friday

  • For breakfast: sandwiches with doctor sausage, pear jelly.
  • For lunch: beetroot soup, sour cream optional, vermicelli with chicken balls.
  • For lunch: carrot cutlet, tea.
  • For dinner: soft-boiled chicken eggs, baked zucchini, orange juice.
  • Before bed: apples.

Saturday

  • For breakfast: buckwheat with diluted milk, cottage cheese with vermicelli, rose broth.
  • For lunch: boiled potatoes with beef heart, tea with lemon.
  • For lunch: a glass of carrot juice.
  • Dinner: barley soup and vegetables, cheese sandwiches, compote.
  • Before bedtime: Decoction of wheat bran.

Sunday

  • For breakfast: potato pancakes with sour cream, a glass of milk.
  • For lunch: baked lean pork with stewed cabbage, fruit jelly.
  • For lunch: cottage cheese pudding.
  • For dinner: baked pumpkin with honey.
  • Before bed: blueberry juice.
Cottage cheese pudding for gout

Cottage cheese pudding is a delicious, easy-to-digest food rich in animal protein.

Reminder: Do not forget that one of the days should be unloading.

This is a sample of a 7 day diet recommended for gout sufferers. However, such a diet will also be beneficial for a healthy person: fractional nutrition, at least animal fats and a significant amount of vegetables and fruits have a positive effect on the gastrointestinal tract and also help to normalize body weight.

Thanks to diet number 6, uric acid is excreted from the body in a timely manner, thus preventing inflammation of the joints. Consumption of foods with or without low purine content significantly increases the effectiveness of drug therapy.

As the urinary reaction moves to the alkaline side, the breakdown of stones (stones) in the kidneys is accelerated and facilitated and they leave the body painlessly. Proper nutrition significantly reduces or eliminates pain and allows you to achieve stable remission. Ი Be healthy!