Gout was scientifically confirmed in 1865. The disease was described by Thomas Sendegum in his book A Treatise on Gout, in which he described the signs, symptoms and attacks of the disease he experienced for 30 years.
In the time of Hippocrates, it was called "disease of kings". The causes are considered: excessive and indiscriminate consumption of food and alcoholic beverages.
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 growing crises, which leads to the formation of tophi. They are nodules that cause a change in the shape of the joints. There is a consistent development of urolithiasis and kidney failure.
The diagnosis is made in the form of collection of synovial fluid and detection of urates in it. X-rays of the affected joints are also taken. By relieving inflammation, normalizing nutrition, as well as decreasing acid in the urine, can lead to positive treatment results.
The disease manifests itself more frequently in men after 40 years. Female pathologies are observed in the post-menstrual period. Joint damage occurs throughout the body, but more often in the legs.
The main causes of gout:
- heredity;
- eating foods with purines in large quantities;
- poor excretion of uric acid from the body;
- purine nuclide catabolism.
Principles of gout diet
The development of gout depends on metabolic disorders in the body. For treatment, the diet is an effective way. Good nutrition should be monitored daily. The basic principle of the gout diet is to reduce salts in the blood. In excess, the kidneys will not be able to function on their own. Failure to follow the diet can lead to relapse. An attack of pain can begin at any time. This usually happens at night. If you don't follow a diet, the disease can progress and spread to all joints.
Treatment should be done at home. It includes adherence to a balanced diet. This is considered a basic and effective method. The menu is prepared by the attending physician, who takes into account the patient's individual characteristics. The diet is essential to reduce uric acid levels.
Characteristics of the diet for gout
Purines should not be included in the composition of foods in a gout diet, as they contribute to the accumulation of acids. Purines are found in meat and fatty foods. Therefore, people with gout are advised to consume more vegetarian meals. The recipes do not include expensive ingredients and the cooking technique is not complicated. But it is important to combine only allowed foods.
Nutritional therapy can help treat gout symptoms at home.
Eating fatty and spicy foods leads to an attack associated with an increase in uric acid and severe pain quickly enough. For example, drinking too much coffee with large amounts of purines can cause a relapse. High-risk foods include alcohol, beer, soft drinks and even grapes. They are completely excluded from the patient's diet.
For the rapid removal of purines from the body, the patient is prescribed an abundant intake regime. The amount of liquids consumed per day reaches 2. 5 liters. In the case of urolithiasis, water with alkali and sodium bicarbonate is required. It is possible to neutralize the urine with excess vegetable proteins and citrus fruits in the food.
Diet for gout in the legs
The gout diet should be monitored constantly. As the treatment is done at home, the bearer of the disease must have willpower and not violate the developed menu. Based on the patient's condition, an individual menu is created with permitted and prohibited products. The dishes can be delicious and varied, despite their simplicity. The leg drop diet does not have very strict restrictions, but it should satisfy the sick body and promote a healthy lifestyle.
Diet errors in the disease:
- eat foods that contain purine;
- alcohol abuse;
- lack of fluids in the diet;
- large amounts of animal fats;
- excessive consumption of animal proteins;
- table salt and pickles;
- a small amount of vegetables and fruits in the daily diet.
Foods allowed and prohibited in the gout diet
In a gout diet, the patient, in addition to the main treatment, needs to know about the permitted and prohibited foods. It is impossible to cure this disease or eliminate symptoms without following the rules of nutrition.
Prohibited products:
- bakery products, namely rich products;
- meat (beef, lamb, pork, sausages);
- seafood (fatty types);
- salty and spicy milk;
- legumes;
- vegetables (sorrel, mushrooms);
- fruits (grapes, raspberries, figs);
- mayonnaise;
- sweets and confectionery; 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 food!
At first glance, the drop-down menu can seem dull and in bad taste. In fact, this is not the case.
There is a list of products allowed for consumption without risk to health:
- bakery products - uncomfortable pies;
- meat - rabbit and chicken;
- Cooked fish meat (low-fat varieties);
- eggs (1 piece per day);
- dairy products (low in fat and not salty);
- not legumes;
- vegetables (potatoes, carrots, onions, garlic, tomatoes);
- fruits (green apples, apricots, tangerines);
- vegetable fats;
- fruit teas, natural juices from approved products.
You can also vary the diet with seeds and nuts:
- nuts;
- almonds;
- hazelnuts;
- pistachio.
Peanuts are rich in purines and should therefore be eliminated from the diet.
This is interesting!There was a debate among scientists about the use of tomatoes in the patient's diet. After all, they contain traces of oxalic acid. The red vegetable was found to be harmless, but on the contrary it is useful due to antioxidants and phytonides. They eliminate the common inflammation in gout. It is concluded that tomatoes can be consumed with gout in any quantity.
Contraindications for gout
The most popular foods are contraindicated in the gout diet. Due to chronic pathology, you can and should get used to lean dishes, as they aim to relieve symptoms and significantly reduce pain. The diet must be followed at all times. Since a cup of coffee or grapes can cause an attack of pain.
In the period of exacerbation of gout, medication is used with adherence to the diet. Bed rest is also necessary. All of 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 visible place.
Limit meat and fish consumption to twice a week. At the recommendation of doctors, the fish should be eaten with gills and scales. These fish by-products are excellent at removing toxins from the body. In case of a pain crisis, the use of these products is postponed for a few 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 of them. The fact is that this exception is quite justified, due to the addition of various spices and seasonings that can cause an attack. It will be correct to cook the meat separately and use the vegetable broth as a broth. During the cooking process, the water is drained and changed several times. This reduces the concentration and eliminates the purines from the composition.
Diet for gout: menu of the week
The disease cannot be cured, especially if the condition progresses along with diabetes or obesity. To reduce relapses and exacerbations with gout, a special diet is used - table number 6.
The gout diet can be followed at all times, although the menu is planned for a week. The diet is developed by the attending physician.
There may be several options for this diet, which 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, cooked vegetables;
- Beet salad, cooked turkey, cooked pumpkin, jam;
- Baked potatoes with cheese, salad with cabbage, rosehip tincture.
- kefir.
Tuesday
- curd pudding with sour cream, green tea with honey;
- Bran biscuits, chicory drink;
- noodle soup with vegetables, steamed chicken cutlets, fruit juice;
- vegetable stew, jam;
- curdled 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;
- wheat bran broth.
Thursday
- meatless borscht, milk, croutons;
- toast with cheese, chamomile tea;
- mashed potatoes with meatballs, potato pancakes, pancakes, jam;
- roasted zucchini, fruit salad, tea with milk;
- cooked fermented milk.
Friday
- oatmeal, vegetable salad, cherry juice;
- watermelon, lemon, strawberry and pear smoothies, crispy bread;
- mashed potatoes, rabbit stew, coleslaw, tea;
- boiled egg, barley soup, jam;
- baked apple with cottage cheese, rosehip tea.
Saturday
- wheat porridge, chicory drink;
- honey bread with kefir;
- Chicken cooked with buckwheat, eggplant caviar, tea;
- dietary pilaf, cucumber salad, bread, jam;
- varenets.
Sunday
- casserole with cottage cheese, pancakes with cottage cheese, tea; omelette
- with quail eggs (4 pieces);
- mashed cheese soup, garlic toast, rosehip tea;
- rice with cooked vegetables, beet salad;
- yogurt.
This is a basic 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 a greater effect, it is necessary to perform fasting days.
Diet for gout: evaluations of nutritionists
The professor's review of the Department of Gastroenterology and Dietetics is as follows. If drug treatment is ineffective, the diet for gout is the main treatment.
The severity of the process affects nutritional approaches in treating patients, namely:
- frequency of crises; plasma uric acid level
- ;
- patient's body weight.
In the diet, the amount of purines, fats, proteins, sodium salts and alcohol should be kept to a minimum.
Eating a diet quickly reduces plasma uric acid and restores normal levels. Effective and healing effect based on natural ingredients.