In order to achieve an immediate therapeutic effect, dietitians who suffer from a disease such as gout prescribe special diet foods. In medical practice, there are many cases when, thanks to a strict diet, a positive therapeutic result was achieved in patients with kidney or joint damage. This is explained by the fact that the diet for this disease helps reduce the production of purines of exogenous origin
Adherence to a strict diet for gout, affecting the joints of the legs, is not determined by strict fasting, neither during the recurring periodic attacks, nor in the time between them. It is necessary to carefully select the food products, the use of which is crucial for the patient, which is an important point in treatment.
People with gout have to follow a certain diet to stabilize uric acid levels. In any person, during a routine examination, you can accidentally notice an increase in the indicators of this parameter. In this case, you need to adhere to the diet regimen in the diet. This approach to creating the patient's menu leads to a significant reduction in the likelihood of recurrence of attacks of the disease and allows you to prevent the awkward deposition of purines, namely a significant amount of their compounds in organs and tissues.
The main principles of nutritional therapy for gout
A patient with gout should eat systematically, dividing the entire daily portion into at least 4 meals. This will help stop the process of saturating the blood serum with purine bases. In no case is it recommended to eat too much with gout, otherwise an increase in the patient's body weight is possible, which will negatively affect the joints during movement. But hunger shouldn't be allowed either. The body weight of obese people should be reduced gradually, but not more than 2 kg per month.
During the day, a gout patient must consume around 2 liters of water during remission and at least 3 liters of water during a worsening of the disease. It should be remembered that the use of mineral water, which contains an alkali, favors the removal of urates from the patient's body.
Prohibited foods for gout
A very important point is choosing the right diet for a gout patient. It is necessary to minimize the amount of products that contain numerous purine bases. These include the following:
- Broths made from meat, fish and mushrooms (purines in an easily digestible form);
- offal lungs and brain, liver and kidneys;
- Meat-based sauces and preserves;
- animal fats;
- Garden fruits from the legume family beans and peas, beans and lentils, soybeans;
- smoked meat, all kinds of sausages.
There are foods that affect the acidity in the body. To prevent a sharp increase in the amount of acid in the tissues, you should also exclude the following foods from the diet:
- spices, mustard, pepper, horseradish;
- Vegetable-based sauces;
- spinach, fresh herbs, sorrel;
- salted fish and various dishes with its contents;
- alcoholic beverages (especially wine and beer);
- -products that contain significant amounts of butter and cocoa;
- salty and spicy cheese.
It is necessary to limit the consumption of table salt and fats by patients in order to prevent the accumulation of urate in the tissues.
Under no circumstances should you eat fried foods for gout.
List of foods approved for gout
Purine bases are contained in small amounts in milk, Swiss cheese, chicken eggs, bread, caviar, walnuts and hazelnuts. You can eat millet and carrots, pearl barley, and buckwheat. During the diet, you can eat a small portion of fish or meat prepared by baking or boiling every seven days.
As you increase the amount of fluids you drink, the patient can remove uric acid compounds. In this case, you just need to use purified or boiled water.
It is imperative to reduce the nutritional content of foods that are consumed by patients with gout. Especially if you are obese. With this disease, you can include small amounts of tomatoes in your diet. Of the spices, it is recommended to use only bay leaf for the preparation of diet dishes.
Fruits and vegetables are very useful in gout, but only in raw form. Sometimes the patient needs fasting days. At the same time, it is recommended to drink only fruit and vegetable juices during the day, and the use of ascorbic acid should also be included.
Gout fasting
During the exacerbation of this nasty disease, some patients independently opt for treatment by fasting to cleanse their bodies of excess purines. However, this decision in diet is completely unjustified. With this practice, the general condition of the patient deteriorates sharply. During fasting, food intake into the body stops, making it impossible to meet energy needs, as a result of which the consumption of one's own reserves begins. In this case, protein compounds are the most accessible material. For this reason, at the beginning of the fast, the uric acid level in the blood serum rises rapidly and is deposited in the synovial membrane of diseased joints, as well as in the tissue of the human body. It all ends with the gout getting worse.
The following also happens. The synovia of the joints collects significant deposits of acidic salts. In parallel with this process, urates penetrate the glomeruli of the patient's renal tubules, which contributes to the development of an acute form of a disease such as gouty nephropathy.