Gout is a chronic disease based on metabolic (purine) disorders. With this disease, uric acid salts (urates) accumulate in the body. An excess of these salts disrupts the normal functioning of the kidneys and joints.
Treatment of this disease is complex and an important part is diet. The main goal of the diet for gout is to reduce the daily energy value of food and reduce the intake of exogenous purines into the body.
If you have
gout
, you should regularly
undergo preventive treatment
.
General rules. Duration of the diet.
General nutrition rules for gout:
- Eat food in small portions. Overeating should not be allowed.
- The daily diet should include hot dishes, semi-liquid foods, fresh vegetable salads, and seasonal fruits.
- The number of meals per day should be no more than 4.
- Complete abstinence from alcohol
- You can’t arrange “fasting” days in the form of a head
The diet must be followed constantly; the slightest errors in the diet will contribute to the accumulation of purines in the body and deterioration of joint and kidney function.
Different types of peppers and their properties
Daily consumption of bell pepper in any form will have a beneficial effect on the rate of improvement in the well-being of a patient with gouty arthritis. Hot peppers (for example, hot cayenne chili) should not be eaten too often, and if used, then in small quantities.
Sweet types can be consumed constantly. Depending on their color, the medicinal properties of the fruits vary.
The red vegetable gets its color thanks to lycopene, a carotenoid pigment. The latter has an antioxidant effect, it protects cells from pathological destruction and cleanses them of toxic substances. Among other things, such fruits are recommended for people suffering from cancer. 100 grams of red vegetable contains about 130 mg of vitamin C, which is four times the daily requirement. This is precisely what explains the beneficial effect of fruits on the body’s protective characteristics and on the functioning of the immune system.
Red bell pepper strengthens the walls of blood vessels, thins the blood, normalizes blood pressure, minimizes the risk of blood clots, improves vision, activates the digestive system, and improves brain activity. The product adds energy and normalizes blood circulation in the extremities.
The yellow type of bell pepper contains a large amount of vitamin C, five times the daily value. As a result of its regular use, cellular aging slows down, heart rhythm normalizes, metabolism accelerates and cholesterol is eliminated faster, the risk of heart attack and stroke decreases, blood flow and the functioning of the musculoskeletal system improves.
Nutrition for acute gout
Exacerbation of gout is accompanied by a number of unpleasant symptoms:
One of the signs of an exacerbation of gout is attacks of acute arthritis. Such attacks develop suddenly. Two to three days before the attack, chills, low-grade fever, dyspeptic disorders, and general irritability may appear. During an attack, the metatarsophalangeal joint of the first toe is most often affected. Pain appears and quickly increases, the joint swells, the skin over it turns red, and the temperature in the joint area rises. The pain intensifies from any touch, even from touching the sore joint to the blanket. After a few days, the symptoms of arthritis gradually subside, mobility is restored and the patient feels practically healthy until the next attack.
During the period of exacerbation of the disease, you need to switch to an almost vegetarian diet. It is necessary to completely exclude all meat and fish from the diet. You can eat liquid milk porridges, vegetable soups, fruits and berries. Maintain drinking regime. You need to drink about 1.5 liters of water per day. You can drink alkaline mineral water.
What dishes can you prepare?
Seafood can be used to prepare very tasty and healthy dietary dishes that are allowed to be eaten with gout outside the acute stage.
Dietary squid with vegetables
Squid carcasses are kept in boiling water for some time, after which the skin and cartilage are easily separated. The tail part is also cut off. Later it can be finely chopped and mixed with a glass of vegetable mixture. The resulting filling is tightly stuffed into the cavity of the carcass and steamed for half an hour.
Recipes with mussels
You can make light and healthy dietary salads from mussels. The cooking recipe is as follows:
- Mussels are boiled in water.
- Several small potatoes are baked in foil, then peeled and crumbled into cubes.
- A stalk of celery and a small bunch of green onions are finely chopped.
- Lettuce leaves are torn into small pieces by hand.
- The apple is peeled and cut into cubes.
- All ingredients are mixed, seasoned with lemon juice and olive oil.
You can prepare another salad from mussels. It will require the following products:
- mussels – 1 kg;
- garlic – 2 cloves;
- water – 50 ml;
- olive oil – 2 tablespoons;
- parsley - a small bunch.
The mussel shells are thoroughly cleaned. Pour olive oil into a shallow pan, add chopped garlic and lightly fry. Next, put the mussels in a pan and mix with oil, add water. Keep the shellfish on medium heat under a closed lid for 2 minutes, then open the pan and simmer for another 6 - 7 minutes. The mussel shells should open. The finished shellfish are removed from the broth and sprinkled with parsley. You can serve them with toast.
Fish with vegetables
Salmon fish are cleaned and slightly salted. Sprinkle lemon juice inside and add a few sprigs of thyme. Place foil on the bottom of the baking dish, grease it with olive oil, and then lay out diced vegetables - zucchini, onions, carrots, bell peppers. The fish is placed on top. Cover the edges with foil and bake the dish for 20 - 25 minutes.
Boiled scallops
You can quickly cook frozen scallops in the following way:
- Place the undefrosted product in boiling water and cook for 7 - 8 minutes.
- While the scallops are boiling, whisk 100 ml of olive oil, fresh juice of 1 lemon, 3 tablespoons of granulated sugar and salt on the tip of a knife in a deep bowl.
- The cooked scallops are drained in a colander and then placed in the prepared sauce.
- The dish with the dish is covered with film or a tight lid and marinated in the refrigerator for an hour.
As a side dish, you can serve boiled cereal or mashed potatoes. It is recommended to sprinkle the finished scallops with herbs.
Nutrition for chronic gout
Outside of an exacerbation of the disease, it is necessary to follow a diet low in purines. It is useful to include dishes with plenty of vegetables in your diet. You can eat fruits and berries. Only vegetarian soups can be prepared.
It is mandatory to take fluids on an empty stomach and between meals. The best way to prepare food is by boiling and stewing. Meat, poultry and fish must be pre-boiled and the first broth drained, as it contains a large amount of purines. Meat and fish dishes can be consumed no more than two to three times a week.
Fasting days are held once a week. Fasting days activate the removal of metabolic products. On these days, you are allowed to eat one type of food. It can be low-fat kefir, cottage cheese, apples, watermelon. On fasting days you need to drink at least two and a half liters of water, but only if there are no contraindications from the urinary and cardiovascular systems.
Can I eat seafood?
Seafood is low in calories and is a source of vitamins and minerals. However, most of them increase uric acid. Therefore, it is better to dilute the diet with shrimp, mussels or scallops after consultation with your doctor.
Omega-3 in fish makes it a desirable guest for this disease.
If the disease is not in the acute stage, you can eat low-fat fish, crayfish, squid and boiled shrimp. Omega-3 acids help reduce inflammation and relieve pain. It is better not to use the broth after boiling squid, since all the purines remain in the broth. If desired, you can steam the dish, sometimes bake it.
Shrimp are a storehouse of vitamins, phosphorus and carotenoid - an element that helps repair cartilage damage. Crayfish contain a lot of chitin, which reduces tumors and improves regeneration processes in joints. It is better to eat such arthropods with cartilage - it helps strengthen bones. Any sea reptiles are a source of iodine, which eliminates inflammatory processes. But crab sticks, despite their availability, are best left on the counter. Often they do not contain a single useful element; they are simply cheap and accessible food.
Comments from nutritionists. Pros and cons of the diet.
Treatment of gout at the Gorny sanatorium necessarily includes dietary nutrition. Patients receive recommendations on how to eat properly if they have gout at home, which helps avoid exacerbations and complications.
“The right choice of a sanatorium is a significant step towards maintaining and increasing health. “Gorny” is a resort complex that combines the experience and knowledge of Russian and Soviet balneology. The presence of modern medical equipment and innovative installations, the professionalism of the staff and love for their work will serve as the key to extending longevity,” - head doctor of the sanatorium Alexander Olegovich Karaulov.
Contraindications for use
Despite the long list of positive characteristics, the vegetable under discussion, like all others, has contraindications for consumption. You should not eat it if you have the following conditions, so as not to cause harm to your health:
- allergy;
- gastritis and ulcers;
- hypotension because the product lowers blood pressure;
- liver and kidney diseases;
- too high excitability of the nervous system;
- colitis;
- epilepsy;
- cardiac ischemia;
- duodenal ulcer.
Authorized Products
It is recommended to include most vegetables in the diet: white cabbage, carrots, zucchini, tomatoes, eggplant, cucumbers. Potatoes are especially useful. Fruits - plums, pears, apples, apricots, oranges and various berries.
It is recommended to cook various cereals with diluted milk and whole grain pasta. Meat in small quantities can include turkey, rabbit, and chicken. Soups are only allowed to be made vegetarian. The diet should include low-fat milk, fermented milk drinks, cottage cheese and dishes made from it, low-fat sour cream, and unsalted cheese.
It is allowed to eat chicken eggs (one per day) and boiled fish, white (dried) and black bread. Fats include vegetable oils (olive, flaxseed). Sweets included in the diet include marshmallows, marshmallows, marmalade, and non-chocolate candies. Be sure to include cucumber juice, lingonberry juice, and weakly mineralized alkaline mineral waters in your diet. Drink - decoction of rose hips, chicory, wheat bran, green tea, compotes, juices of vegetables, fruits, berries.
Table of permitted products
| Proteins, g | Fats, g | Carbohydrates, g | Calories, kcal | |
Vegetables and greens | ||||
| eggplant | 1,2 | 0,1 | 4,5 | 24 |
| zucchini | 0,6 | 0,3 | 4,6 | 24 |
| potato | 2,0 | 0,4 | 18,1 | 80 |
| carrot | 1,3 | 0,1 | 6,9 | 32 |
| cucumbers | 0,8 | 0,1 | 2,8 | 15 |
| tomatoes | 0,6 | 0,2 | 4,2 | 20 |
Fruits | ||||
| apricots | 0,9 | 0,1 | 10,8 | 41 |
| oranges | 0,9 | 0,2 | 8,1 | 36 |
| pears | 0,4 | 0,3 | 10,9 | 42 |
| plums | 0,8 | 0,3 | 9,6 | 42 |
| apples | 0,4 | 0,4 | 9,8 | 47 |
Nuts and dried fruits | ||||
| prunes | 2,3 | 0,7 | 57,5 | 231 |
Bakery products | ||||
| wheat bread | 8,1 | 1,0 | 48,8 | 242 |
| bran bread | 7,5 | 1,3 | 45,2 | 227 |
Confectionery | ||||
| jam | 0,3 | 0,2 | 63,0 | 263 |
| marshmallows | 0,8 | 0,0 | 78,5 | 304 |
| paste | 0,5 | 0,0 | 80,8 | 310 |
Raw materials and seasonings | ||||
| honey | 0,8 | 0,0 | 81,5 | 329 |
Dairy | ||||
| milk | 3,2 | 3,6 | 4,8 | 64 |
| kefir 2.5% | 2,8 | 2,5 | 3,9 | 50 |
| Ryazhenka 2.5% | 2,9 | 2,5 | 4,2 | 54 |
| curdled milk | 2,9 | 2,5 | 4,1 | 53 |
| acidophilus | 2,8 | 3,2 | 3,8 | 57 |
| yogurt | 4,3 | 2,0 | 6,2 | 60 |
Cheeses and cottage cheese | ||||
| sulguni cheese | 20,0 | 24,0 | 0,0 | 290 |
| cottage cheese 0.6% (low fat) | 18,0 | 0,6 | 1,8 | 88 |
Meat products | ||||
| rabbit | 21,0 | 8,0 | 0,0 | 156 |
Bird | ||||
| chicken | 16,0 | 14,0 | 0,0 | 190 |
| turkey | 19,2 | 0,7 | 0,0 | 84 |
Eggs | ||||
| chicken eggs | 12,7 | 10,9 | 0,7 | 157 |
Oils and fats | ||||
| butter | 0,5 | 82,5 | 0,8 | 748 |
| linseed oil | 0,0 | 99,8 | 0,0 | 898 |
| olive oil | 0,0 | 99,8 | 0,0 | 898 |
Non-alcoholic drinks | ||||
| green tea | 0,0 | 0,0 | 0,0 | — |
Juices and compotes | ||||
| juice | 0,3 | 0,1 | 9,2 | 40 |
| cucumber juice | 0,8 | 0,1 | 2,5 | 14 |
| * data is per 100 g of product | ||||
Fully or partially limited products
The diet limits the consumption of red meat (beef, lamb, pork) and strictly excludes the intake of animal by-products (beef tongue, pork liver kidneys, heart), as well as fatty varieties of sea fish and seafood (herring, mackerel, salmon, salmon, shrimp, mussels ), caviar and canned fish. It is not allowed to include any smoked, salted or pickled foods, animal (pork, beef, lamb) or cooking fat or butter in the diet. Soups and broths containing meat, fish and legumes are excluded.
Products rich in vegetable proteins (peas, beans, lentils, soybeans, beans), hot and spicy seasonings and spices (horseradish, mustard pepper), as well as products containing oxalic acid (sorrel, spinach, gelatin-containing dishes, bread kvass) are completely excluded , cocoa, coffee, jelly, chocolate, rhubarb). The ban includes cakes, cream pies, salty and spicy cheeses and a number of berries - raspberries, grapes, cranberries, figs.
The consumption of foods rich in carbohydrates in the diet is limited: pasta, fresh bread. It is undesirable to eat peppers, radishes, asparagus, and celery. Drinks include strong tea and black coffee. Drinking alcohol-containing drinks, especially red wines, beer and cognac, is prohibited. Limit consumption of salt, sweetened juices and soft drinks.
Table of prohibited products
| Proteins, g | Fats, g | Carbohydrates, g | Calories, kcal | |
Vegetables and greens | ||||
| beans | 6,0 | 0,1 | 8,5 | 57 |
| peas | 6,0 | 0,0 | 9,0 | 60 |
| cauliflower | 2,5 | 0,3 | 5,4 | 30 |
| chickpeas | 19,0 | 6,0 | 61,0 | 364 |
| rhubarb | 0,7 | 0,1 | 2,5 | 13 |
| radish | 1,2 | 0,1 | 3,4 | 19 |
| soybeans | 34,9 | 17,3 | 17,3 | 381 |
| asparagus | 1,9 | 0,1 | 3,1 | 20 |
| beans | 7,8 | 0,5 | 21,5 | 123 |
| horseradish | 3,2 | 0,4 | 10,5 | 56 |
| lentils | 24,0 | 1,5 | 42,7 | 284 |
| sorrel | 1,5 | 0,3 | 2,9 | 19 |
Fruits | ||||
| figs | 0,7 | 0,2 | 13,7 | 49 |
Berries | ||||
| cranberry | 0,5 | 0,0 | 6,8 | 26 |
| raspberries | 0,8 | 0,5 | 8,3 | 46 |
Flour and pasta | ||||
| pasta | 10,4 | 1,1 | 69,7 | 337 |
Chocolate | ||||
| chocolate | 5,4 | 35,3 | 56,5 | 544 |
Raw materials and seasonings | ||||
| mustard | 5,7 | 6,4 | 22,0 | 162 |
| mayonnaise | 2,4 | 67,0 | 3,9 | 627 |
Meat products | ||||
| pork | 16,0 | 21,6 | 0,0 | 259 |
| pork liver | 18,8 | 3,6 | 0,0 | 108 |
| pork kidneys | 13,0 | 3,1 | 0,0 | 80 |
| salo | 2,4 | 89,0 | 0,0 | 797 |
| beef | 18,9 | 19,4 | 0,0 | 187 |
| beef liver | 17,4 | 3,1 | 0,0 | 98 |
| beef brains | 9,5 | 9,5 | 0,0 | 124 |
| mutton | 15,6 | 16,3 | 0,0 | 209 |
| bacon | 23,0 | 45,0 | 0,0 | 500 |
Sausages | ||||
| smoked sausage | 28,2 | 27,5 | 0,0 | 360 |
Fish and seafood | ||||
| pink salmon | 20,5 | 6,5 | 0,0 | 142 |
| Red caviar | 32,0 | 15,0 | 0,0 | 263 |
| squid | 21,2 | 2,8 | 2,0 | 122 |
| shrimps | 22,0 | 1,0 | 0,0 | 97 |
| salmon | 19,8 | 6,3 | 0,0 | 142 |
| mussels | 9,1 | 1,5 | 0,0 | 50 |
| herring | 16,3 | 10,7 | — | 161 |
| salmon | 21,6 | 6,0 | — | 140 |
| mackerel | 18,0 | 13,2 | 0,0 | 191 |
| sprats | 17,4 | 32,4 | 0,4 | 363 |
Oils and fats | ||||
| animal fat | 0,0 | 99,7 | 0,0 | 897 |
| cooking fat | 0,0 | 99,7 | 0,0 | 897 |
Alcoholic drinks | ||||
| red dessert wine | 0,5 | 0,0 | 20,0 | 172 |
| vodka | 0,0 | 0,0 | 0,1 | 235 |
| cognac | 0,0 | 0,0 | 0,1 | 239 |
| liquor | 0,3 | 1,1 | 17,2 | 242 |
| beer | 0,3 | 0,0 | 4,6 | 42 |
Non-alcoholic drinks | ||||
| coffee | 0,2 | 0,0 | 0,3 | 2 |
| black tea | 20,0 | 5,1 | 6,9 | 152 |
| * data is per 100 g of product | ||||
