Gout was scientifically confirmed in 1865. The disease is described by Thomas Sendegam in his book A Treatise on Gout, in which he describes the signs, symptoms and attacks of the disease he has experienced for 30 years.
In the time of Hippocrates, it was called the "disease of kings. "The reasons are considered: excessive and indiscriminate consumption of food and alcohol.
What is gout
Gout is a pathology associated with the deposition of salts in the joints and kidneys and is characterized by severe pain in these areas. The progression of the disease leads to recurrent and increasing seizures, which leads to the formation of tophi. These are nodules that lead to a change in the shape of the joints. There is a consistent development of urolithiasis and renal failure.
Diagnosis is performed in the form of collection of synovial fluid and detection of urate in it. X-rays of the affected joints are also taken. When it relieves inflammation, normalizes nutrition, and reduces acid in the urine, this can lead to positive results in treatment.
The disease is more common in men after the age of 40. Female pathologies are observed in the postmenstrual period. Damage to the joints occurs throughout the body, but most often in the legs.
The main causes of gout:
- heredity;
- eating food with purine in large quantities;
- poor excretion of uric acid from the body;
- purine nuclide catabolism.
Principles of the diet for gout
The development of gout depends on metabolic disorders in the body. For treatment, diet is an effective way. Good nutrition should be monitored every day. The main principle of the diet in gout is the reduction of blood salts. With an excess of it, the kidneys will not be able to work on their own. Failure to follow a diet can lead to relapses. The onset of pain can begin at any time. This often happens at night. If you do not follow a diet, the disease can progress and spread to all joints.
Treatment should be performed at home. Includes following a balanced diet. This is considered a basic and effective method. The menu is compiled by the attending physician, who takes into account the individual characteristics of the patient. Diet is essential for lowering uric acid levels.
Dietary characteristics of gout
Purines should not be included in the diet of gout diets, they contribute to the accumulation of acids. Purines are found in meat and fatty foods. That's why people with gout are advised to eat more vegetarian dishes. Recipes do not include expensive ingredients, and the cooking technique is not complicated. But it is important to combine only permitted foods.
Nutritional therapy can help treat the symptoms of gout at home.
Eating fatty and spicy foods leads to an attack associated with increased uric acid and severe pain fast enough. For example, drinking too much coffee containing large amounts of purine can cause relapse. High-risk foods include alcohol, beer, sodas and even grapes. They are completely excluded from the diet of the sick person.
To quickly remove purines from the body, the patient is prescribed a heavy drinking regimen. The amount of tested fluid per day reaches 2, 5 liters. In case of urolithiasis, water with alkalis and sodium bicarbonate is required. It is possible to achieve neutralization of urine with an excess of plant proteins and citrus fruits in the diet.
Gout diet
The gouty diet should be monitored at all times. As the treatment is carried out at home, the sufferer of the disease must have the will and not violate the developed menu. Based on the patient's condition, an individual menu is created with allowed and forbidden products. The dishes can be delicious and varied despite their simplicity. The diet for gout on the legs does not have very strict restrictions, but it should satisfy the sick body and promote a healthy lifestyle.
Dietary errors in disease:
- eating foods containing purine;
- alcohol abuse;
- lack of fluid in the diet;
- large amounts of animal fat;
- excessive consumption of animal protein;
- salt and pickles;
- scarce amount of vegetables and fruits in the daily diet.
Allowed and forbidden foods on a gout diet
On a gout diet, the patient, in addition to the basic treatment, should know about the permitted and prohibited foods. It is impossible to cure this disease or eliminate the symptoms without following the rules of nutrition.
Prohibited Products:
- bakery products, namely rich products;
- meat (beef, lamb, pork, sausages);
- seafood (fatty species);
- salty and spicy milk;
- legumes;
- vegetables (sorrel, mushrooms);
- fruits (grapes, raspberries, figs);
- mayonnaise;
- sweets and pastries;
- animal fats;
- alcoholic beverages;
- black tea, coffee;
- sauces (mustard, horseradish);
- spices and herbs.
Pay attention!The above products should not be consumed or added to the patient's diet!
At first glance, the gout menu may seem boring and tasteless. In fact, this is not the case.
There is a list of products allowed for consumption without health risks:
- bakery products - uncomfortable cakes;
- meat - rabbit and chicken;
- cooked fish meat (low fat varieties);
- eggs (1 piece per day);
- dairy products (low-fat and unsalted);
- no legumes;
- vegetables (potatoes, carrots, onions, garlic, tomatoes);
- fruits (green apples, apricots, tangerines);
- vegetable fats;
- fruit teas, natural juices from approved products.
You can also diversify your diet with seeds and nuts:
- nuts;
- cedar;
- almonds;
- hazelnuts;
- pistachios.
Peanuts are high in purine and should therefore be eliminated from the diet.
This is interesting!There has been a debate among scientists about the use of tomatoes in a patient's diet. After all, they contain traces of oxalic acid. It turned out that red vegetables are harmless, but on the contrary are useful because of antioxidants and phytoncides. They eliminate the inflammation that is common in gout. It follows that tomatoes can be eaten with gout in any quantity.
Contraindications for gout
Most popular foods have contraindications to a diet for gout. Due to chronic pathology, you can and should get used to lean meals, because they are aimed at relieving symptoms and significantly reducing pain. The diet should be followed at all times. Because a cup of coffee or grapes can cause a bout of pain.
In the period of exacerbation of gout, medications are used in compliance with diet. Bed rest is also needed. All this stops the inflammatory processes. When preparing meals for the patient, it is better to keep a table with allowed and forbidden foods in a prominent place.
Limit meat and fish consumption to twice a week. On the advice of doctors, the fish should be eaten with gills and scales. These fish by-products perfectly remove toxins from the body. In case of an attack of pain, the use of these products is postponed for several weeks.
Semi-finished and canned foods are strongly contraindicated. Diet No. 6 prohibits the use of broths. In the end, soups and borscht are prepared on their basis. The fact is that this exception is completely justified due to the addition of various spices and condiments that can provoke an attack. It will be correct to cook the meat separately and use the broth from under the vegetables as a broth. During the cooking process, the water is drained and changed several times. This reduces the concentration and removes the purines from the composition.
Gout Diet: Menu of the Week
The disease cannot be cured, especially if the pathology is accompanied by diabetes or obesity. To reduce recurrences and exacerbations with gout, a special diet is used - table number 6.
The gouty diet can be followed all the time, even though the menu is for one week. The diet is developed by the attending physician.
There may be several options for such a diet that do not differ much from each other. The process uses conventional cooking technology.
Monday
- tea with cranberry syrup, boiled egg, tomato salad, rye bread;
- freshly squeezed apple juice, stewed vegetables;
- beet salad, boiled turkey, stewed pumpkin, compote;
- boiled potatoes with cheese, salad with cabbage, rosehip tincture.
- kefir.
Tuesday
- cottage cheese pudding with sour cream, green tea with honey;
- biscuits with bran, chicory drink;
- soup with noodles with vegetables, steamed chicken cutlets, fruit drink;
- vegetable stew, compote;
- fermented milk.
Wednesday
- pumpkin pancakes, porridge with buckwheat in milk, tea;
- green apple;
- vegetable and rice soup, boiled cod, beet salad, carrot juice;
- buckwheat with stew, apple juice, biscuit liver;
- decoction of wheat bran.
Thursday
- borsch without meat, milk, croutons;
- toast with cheese, chamomile tea;
- mashed potatoes with meatballs, potato pancakes, pancakes, compote;
- roasted zucchini, fruit salad, milk tea;
- fermented baked milk.
Friday
- oatmeal, vegetable salad, cherry juice;
- watermelons, lemon, strawberry and pear smoothies, crispy bread;
- mashed potatoes, rabbit stew, cabbage salad, tea;
- boiled egg, barley soup, jelly;
- oven-baked apple with cottage cheese, rosehip tea.
Saturday
- wheat porridge, chicory drink;
- gingerbread with kefir;
- boiled chicken with buckwheat, eggplant caviar, tea;
- diet pilaf, cucumber salad, bread, jelly;
- dumpling.
Sunday
- casserole with cottage cheese, pancakes with cottage cheese, tea;
- omelet with quail eggs (4 pcs. );
- cheese puree soup, garlic toast, rosehip tea;
- rice with stewed vegetables, beet salad;
- yogurt.
This is a rough menu without forbidden foods for people with gout. A balanced and complete diet allows you to use it for a long time. In order to achieve a greater effect, it is necessary to spend hungry days.
Diet for gout: reviews from nutritionists
The review of the professor from the Department of Gastroenterology and Dietetics is as follows. If medical treatment is ineffective, diet for gout is the main treatment.
The severity of the process affects nutritional approaches in the treatment of patients, namely:
- frequency of seizures;
- plasma uric acid level;
- body weight of the patient.
In the diet, the amount of purine, fat, protein, sodium salts and alcohol should be reduced to a minimum.
Eating a diet can quickly reduce plasma uric acid and restore normal levels. Effective and healing effect based on natural ingredients.