In order to achieve an immediate therapeutic effect, people suffering from a disease such as gout, nutritionists prescribe a special diet food. From medical practice there are many cases when, thanks to a strict diet, if the patient has damage to the kidneys or joints, a positive therapeutic result is achieved. This is explained by the fact that the diet for this disease helps to reduce the production of purines of exogenous origin
Adherence to a strict diet for gout affecting the joints of the legs is not determined at all by strict fasting, neither during its periodic attacks, nor in the period between them. It is necessary to choose precisely those foods whose use is vital for the patient, which is an important point in treatment.
People with gout need to eat in a specific way to help stabilize uric acid levels. In each person, during a routine examination, you may accidentally find an increase in the performance of this parameter. In this case, you must adhere to the diet in the diet. This approach to the preparation of the patient's menu leads to a significant reduction in the likelihood of recurrence of attacks of the disease, allows to prevent the cumbersome deposition of purines, namely a significant amount of their compounds in organs and tissues.
The basic principles of nutritional therapy for gout
A gout patient should eat regularly, dividing the entire daily portion of food into at least 4 meals. This will help stop the process of saturating the blood serum with purine bases. In any case, it is not recommended to overeat with gout, otherwise it is possible to increase the patient's body weight, which adversely affects the joints during movement. But starvation should also not be allowed. The weight of obese people should be gradually reduced, but not more than 2 kg per month.
Throughout the day, the gout patient should consume about 2 liters of water during remission and at least 3 liters when the disease worsens. It should not be forgotten that the use of mineral water, which contains alkalis, favors the removal of urate from the patient's body.
Prohibited foods for gout
It is very important to choose the right diet for a gout patient. It is necessary to minimize the amount of these products, which contain multiple purine bases. These include the following:
- broths made from meat, fish and mushrooms (the purines in them are easily digestible);
- offal lungs and brains, liver and kidneys;
- meat-based sauces and canned foods;
- animal fats;
- garden crops of legumes beans and peas, beans and lentils, soybeans;
- smoked meats, 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 from the diet such foods as:
- spices, mustard, black pepper, horseradish;
- vegetable-based sauces;
- spinach, fresh herbs, sorrel;
- salted fish and various dishes with its contents;
- beverages containing alcohol (especially wine and beer);
- products containing significant amounts of butter and cocoa;
- salty and spicy cheeses.
Under no circumstances should you eat fried foods for gout.
List of allowed foods for gout
Purine bases are found 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 roasting or cooking once every seven days.
Increasing the amount of fluid you drink will help the patient get rid of uric acid compounds. In this case, you should use only purified or boiled water.
It is imperative to reduce the nutritional level of food consumed by patients with gout. In concomitant obesity, especially. 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 dietary dishes.
Fruits and vegetables are very useful in the case of gout, but only raw. Sometimes the patient needs hungry 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 be included.
Gout on an empty stomach
During exacerbations of this unpleasant disease, some patients decide on their own by fasting to cleanse their body of excess purines. But this decision in the diet is completely unjustified. With this practice there is a sharp deterioration in the general condition of the patient. During fasting, the intake of food in the body stops, which makes it impossible to provide energy needs, as a result of which begins the consumption of its own reserves. In this case, the most available material is the protein compounds. For this reason, at the beginning of fasting, the level of uric acid in the blood serum increases rapidly and is deposited in the synovial membrane of diseased joints, as well as in the tissues of the human body. It all ends with an exacerbation of gout.
The following also happens. The synovium of the joints accumulates significant deposits of acid salts. In parallel with this process, urate penetrates the glomeruli of the patient's renal tubules, which contributes to the appearance of an acute form of the disease such as gouty nephropathy.