Gout was scientifically confirmed in 1865. The disease was described by Thomas Sendegum in his book A Treatise on Gout, in which he describes the signs, symptoms and attacks of the disease which he lived for 30 years.
In the time of Hippocrates it was called "the disease of kings". The causes 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 convulsions, which lead 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.
Diagnostics is carried out in the form of collection of synovial fluid and detection of urates contained in it. X-rays of the affected joints are also done. When inflammation is relieved, nutrition is normalized and acid in urine is lowered, it can lead to positive results in treatment.
The disease occurs more often in men after 40 years. Female pathologies are observed in the postmenstrual period. Joint damage occurs throughout the body, but most often on the legs.
The main causes of gout:
- inheritance;
- eating food with purines in large quantities;
- poor excretion of uric acid from the body;
- catabolism of purine nuclides.
Principles of the gout diet
The development of gout depends on metabolic disorders in the body. For treatment, diet is an effective way. Good nutrition should be monitored daily. The main principle of the gout diet is to reduce the salts in the blood. With an excess of it, the kidneys will not be able to function on their own. Failure to follow a diet can lead to relapses. A pain attack can begin at any time. This often happens at night. If you don't follow a diet, the disease can progress and spread to all joints.
The treatment should be done at home. It includes adhering to 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.
Characteristics of the gout diet
Purines should not be included in the composition of foods in a gout diet, they contribute to the accumulation of acids. Purines are found in meat and fatty foods. Therefore, people with gout are advised to have more vegetarian meals. The recipes don't include expensive ingredients, and the cooking technique isn't complicated. But it is important to combine only permitted foods.
Nutrition therapy can help treat gout symptoms at home.
Eating fatty and spicy foods leads to an attack associated with increased uric acid and severe pain fairly quickly. For example, drinking too much coffee containing high amounts of purines can trigger a relapse. High-risk foods include alcohol, beer, soft drinks, and even grapes. They are completely excluded from the diet of the sick person.
For the rapid removal of purines from the body, the patient is prescribed an abundant diet. The amount of liquid drunk per day reaches 2, 5 liters. In case of urolithiasis, water with alkali and sodium bicarbonate is needed. Urine neutralization can be achieved with an excess of vegetable and citrus proteins in food.
Diet for gout on the legs
The gout diet should be monitored constantly. Since the treatment is carried out at home, the person suffering from the disease must have willpower and not violate the developed menu. Based on the patient's condition, an individual menu is created with allowed and prohibited products. Dishes can be delicious and varied despite their simplicity. The diet for gout on the legs does not have very strict restrictions, but it must satisfy the sick body and promote a healthy lifestyle.
Dietary errors in the disease:
- eating foods containing purines;
- alcohol abuse;
- lack of fluids in the diet;
- large amounts of animal fats;
- excessive consumption of animal proteins;
- table salt and pickles;
- a low amount of fruit and vegetables in the daily diet.
Allowed and prohibited foods in the diet for gout
In a diet for gout, a patient, in addition to the main treatment, must know the allowed and prohibited foods. It is impossible to cure this ailment or eliminate the symptoms without following the rules of nutrition.
Prohibited products:
- baked goods, i. e. rich products;
- meat (beef, lamb, pork, sausages);
- seafood (fatty types);
- salty and spicy milk;
- legumes;
- vegetables (sorrel, mushrooms);
- fruit (grapes, raspberries, figs);
- mayonnaise;
- sweets and pastries;
- animal fats;
- alcoholic beverages;
- black tea, coffee;
- sauces (mustard, horseradish);
- spices and herbs.
Be careful!The above products must not be consumed or added to the patient's food!
At first glance, the gout menu may seem boring and tasteless. Indeed, this is not the case.
There is a list of products allowed for consumption without health risks:
- baked goods - uncomfortable pastries;
- meat - rabbit and chicken;
- boiled fish meat (low-fat variety);
- eggs (1 piece per day);
- dairy products (low-fat and unsalted);
- not legumes;
- vegetables (potatoes, carrots, onions, garlic, tomatoes);
- fruit (green apples, apricots, mandarins);
- vegetable fats;
- fruit tea, natural juices from approved products.
You can also vary your diet with seeds and nuts:
- nuts;
- cedar;
- almonds;
- hazelnuts;
- pistachios.
Peanuts are rich in purines and should therefore be eliminated from the diet.
This is interesting!There has been a debate among scientists about the use of tomatoes in the patient's diet. After all, they contain traces of oxalic acid. It turned out that the red vegetable is harmless, but on the contrary it is useful due to antioxidants and phytoncides. They eliminate the inflammation that is common with gout. It follows that tomatoes can be eaten with gout in any quantity.
Contraindications for gout
The most popular foods are contraindicated in the diet for gout. Due to chronic pathology, you can and should get used to lean dishes, because they are aimed at relieving symptoms and significantly reducing pain. The diet must always be followed. Because a cup of coffee or grapes can cause a pain attack.
In the period of exacerbation of gout, drugs are used with adherence to a diet. Bed rest is also required. All this stops the inflammatory processes. When preparing meals for the patient, it is best to keep a table with permitted and prohibited foods in a conspicuous place.
Limit your consumption of meat and fish to twice a week. On the recommendation of doctors, fish should be eaten with gills and scales. These fish by-products are excellent for removing toxins from the body. In the event of a pain attack, the use of these products is postponed for a couple of weeks.
Semi-finished products and canned foods are categorically contraindicated. Diet No. 6 prohibits the use of broths. After all, soups and borscht are prepared on the basis. The fact is that this exception is quite justified, due to the addition of various spices and seasonings that can provoke an attack. It will be correct to cook the meat separately, and to use the broth under the vegetables as a broth. During the cooking process, the water is drained and changed several times. This reduces the concentration and removes purines from the composition.
Diet for gout: menu of the week
The disease cannot be cured, especially if the disease proceeds with diabetes or obesity. To reduce relapses and exacerbations with gout, a special diet is used - table number 6.
The diet for gout can always be followed, even if the menu is designed for a week. The diet is developed by the attending physician.
There may be several options for such a diet, which do not differ much from each other. The process uses conventional cooking technology.
Monday
- tea with cranberry syrup, hard-boiled egg, tomato salad, rye bread;
- freshly squeezed apple juice, stewed vegetables;
- beet salad, boiled turkey, stewed pumpkin, compote;
- boiled potatoes with cheese, cabbage salad, rosehip tincture.
- kefir.
Tuesday
- cottage cheese pudding with sour cream, green tea with honey;
- bran biscuits, chicory drink;
- noodles soup with vegetables, steamed chicken cutlets, fruit drink;
- vegetable stew, compote;
- curdled milk.
Wednesday
- pumpkin pancakes, porridge with buckwheat in milk, tea;
- green apple;
- vegetable and rice soup, boiled cod, beetroot salad, carrot juice;
- buckwheat with stew, apple juice, biscuit liver;
- wheat bran broth.
Thursday
- borscht without meat, milk, croutons;
- toast with cheese, chamomile;
- mashed potatoes with meatballs, potato pancakes, pancakes, compote;
- baked zucchini, fruit salad, milk tea;
- fermented cooked milk.
Friday
- oatmeal porridge, vegetable salad, cherry juice;
- watermelon, lemon, strawberry and pear smoothies, crusty bread;
- mashed potatoes, stewed rabbit, cabbage salad, tea;
- hard-boiled egg, barley soup, jelly;
- 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;
- varenets.
Sunday
- casserole with cottage cheese, pancakes with cottage cheese, tea;
- omelette with quail eggs (4 pcs. );
- cheese puree soup, garlic toast, rosehip tea;
- rice with stewed vegetables, beet salad;
- yogurt.
This is a rough menu with no prohibited foods for people with gout. A balanced and complete diet allows you to use it for a long time. To achieve greater effect, it is necessary to carry out fasting days.
Diet for gout: reviews of nutritionists
The review by the professor of the Department of Gastroenterology and Dietetics is as follows. If drug treatment is ineffective, the gout diet is the main treatment.
The severity of the process affects nutritional approaches in the treatment of patients, namely:
- seizure frequency;
- level of uric acid in plasma;
- the patient's body weight.
In the diet, the amount of purines, fats, proteins, sodium salts and alcohol should be minimized.
A diet will rapidly reduce plasma uric acid and restore normal levels. Effective and healing effect based on natural ingredients.