Gout was scientifically confirmed in 1865. The disease was described by Thomas Sendegum in his book A Treatise on Gout, where he described the signs, symptoms, and attacks of the disease that he experienced for 30 years.
In the time of Hippocrates it was called "the sickness of kings". The causes are taken into account: 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 seizures, which lead to the formation of tophi. These are nodules that lead to a change in the shape of the joint. There is a consistent development of urolithiasis and kidney failure.
Diagnosis is carried out in the form of a collection of synovial fluid and the detection of urates contained in it. X-rays of the affected joints will also be taken. Relieving inflammation, normalizing diet, and lowering urinary acidity can lead to positive treatment outcomes.
The disease manifests itself more often in men after 40 years. Female pathologies are observed in the postmenstrual period. Joint damage occurs throughout the body, but most commonly in the legs.
The main causes of gout:
- inheritance;
- eating with purine in large quantities;
- poor excretion of uric acid from the body;
- purine nuclide catabolism.
Principles of the gout diet
The development of gout depends on metabolic disorders in the body. Diet is an effective way of treatment. A good diet should be monitored daily. The main principle of the gout diet is to reduce blood salts. With an excess, the kidneys cannot work alone. Failure to follow the diet can lead to relapse. An attack of pain can start at any time. This often happens at night. If you do not 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 compiled by the attending physician, taking into account the individual characteristics of the patient. Diet is important in lowering uric acid levels.
Features of the gout diet
Purines should not be included in the composition of foods with gout, they contribute to the accumulation of acids. Purines are found in meat and fatty foods. Therefore, people with gout are advised to eat more vegetarian meals. The recipes do not contain expensive ingredients and the cooking technique is not complicated. However, it is important to combine only approved foods.
Nutritional therapy can help manage gout symptoms at home.
Eating fatty and spicy foods leads to a seizure quickly enough, which is associated with an increase in uric acid and severe pain. For example, drinking too much coffee that is high in purines can trigger a relapse. High-risk foods include alcohol, beer, sodas, and even grapes. They are completely excluded from the sick person's diet.
For the rapid removal of purines from the body, the patient is prescribed a rich drinking regimen. The amount of liquid that is drunk per day reaches 2. 5 liters. With urolithiasis, water with alkali and sodium bicarbonate is needed. It is possible to achieve neutralization of urine with an excess of vegetable proteins and citrus fruits in food.
Diet against gout on the legs
The gout diet should be monitored at all times. Since treatment is carried out at home, the person suffering from the disease must have willpower and not violate the menu that has been developed. Based on the patient's condition, an individual menu with permitted and prohibited products is created. Dishes, despite their simplicity, can be delicious and varied. The diet against gout on the legs is not subject to very strict restrictions, but must satisfy the sick body and promote a healthy lifestyle.
Nutritional errors in diseases:
- Eating foods that contain purine;
- alcohol abuse;
- Lack of fluid in the diet;
- large amounts of animal fats;
- excessive consumption of animal proteins;
- table salt and cucumber;
- small amount of vegetables and fruits in the daily diet.
Permitted and prohibited foods on the gout diet
In the case of a gout diet, the patient must know about permitted and prohibited foods in addition to the main treatment. It is impossible to cure this disease or get rid of symptoms without following the rules of nutrition.
Prohibited products:
- Baked goods, namely rich products;
- meat (beef, lamb, pork, sausages);
- Seafood (types of fat);
- 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.
Watch out!The above-mentioned products must not be consumed or added to the patient's diet!
At first glance, the gout menu may seem boring and tasteless. In fact it is not.
There is a list of products that can be consumed without health risk:
- Baked goods - uncomfortable pastries;
- meat - rabbit and chicken;
- boiled fish meat (low-fat varieties);
- eggs (1 piece per day);
- dairy products (low in fat and not salty);
- no legumes;
- vegetables (potatoes, carrots, onions, garlic, tomatoes);
- fruits (green apples, apricots, mandarins);
- vegetable fats;
- Fruit teas, natural juices made from approved products.
You can also vary your diet with seeds and nuts:
- walnuts;
- cedar;
- almonds;
- hazelnuts;
- pistachios.
Peanuts are rich in purines and should therefore be eliminated from the diet.
That's 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. The red vegetable turned out to be harmless but, on the contrary, useful due to antioxidants and phytoncides. They eliminate the inflammation that is common in gout. From this it follows that tomatoes with gout can be eaten in any amount.
Contraindications for gout
The most popular foods are contraindicated in the gout diet. Due to the chronic pathology, you can and should get used to lean dishes, as it is aimed at relieving symptoms and significantly reducing pain. The diet must be followed at all times. As a cup of coffee or grapes can cause an attack of pain.
In the period of exacerbation of gout, drugs are used while following a diet. Bed rest is also required. All of this stops inflammatory processes. When preparing meals for the patient, it is better to keep the 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 with gills and scales should be eaten. These fish by-products are great for removing toxins from the body. In the event of a pain attack, the use of these products will be postponed for a few weeks.
Semi-finished products and canned food are categorically contraindicated. Diet No. 6 prohibits the use of broths. After all, soups and borscht are prepared on their basis. The fact is that this exception is quite justified, as various spices and seasonings are added that can provoke an attack. It is right to cook the meat separately, using the broth under the vegetables as a broth. During the cooking process, the water is drained and changed several times. This will lower the concentration and flush purines out of the composition.
Diet against gout: menu for the week
The disease cannot be cured, especially if the pathology 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 adhered to at any time, although the menu is designed for a week. The diet is developed by the attending physician.
There may be several options for such a diet that do not differ significantly from each other. The process uses conventional cooking technology.
Monday
- Tea with cranberry syrup, boiled egg, tomato salad, rye bread;
- freshly squeezed apple juice, steamed vegetables;
- beet salad, boiled turkey, steamed pumpkin, compote;
- Boiled potatoes with cheese, salad with cabbage, rose hip tincture.
- kefir.
Tuesday
- Cottage cheese pudding with sour cream, green tea with honey;
- bran biscuits, chicory drink;
- noodle soup with vegetables, steamed chicken schnitzel, fruit drink;
- vegetable stew, compote;
- 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
- Borscht without meat, milk, croutons;
- Toast with cheese, chamomile tea;
- Mashed potatoes with meatballs, potato pancakes, pancakes, compote;
- baked zucchini, fruit salad, milk tea;
- fermented baked milk.
Friday
- porridge, vegetable salad, cherry juice;
- Watermelon, lemon, strawberry and pear smoothies, bread;
- mashed potatoes, rabbit stew, coleslaw, tea;
- boiled egg, barley soup, jelly;
- Oven-baked apple with quark, rose hip tea.
Saturday
- Wheat porridge, chicory drink;
- gingerbread cookies with kefir;
- cooked 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 pieces);
- Cheese puree soup, garlic toast, rose hip tea;
- rice with steamed vegetables, beet salad;
- yogurt.
This is a gross menu with no prohibited foods for people with gout. A balanced and complete diet will allow you to use it for a long time. To have a greater effect, it is necessary to conduct fasting days.
Diet for gout: reviews from nutritionists
The evaluation of the professor of the department of gastroenterology and dietetics is as follows. With the ineffectiveness of drug treatment, diet for gout is the main treatment.
The severity of the process affects the nutritional approaches when treating patients, namely:
- frequency of seizures;
- plasma uric acid level;
- body weight of the patient.
In the diet, the amount of purines, fats, proteins, sodium salts and alcohol should be reduced to a minimum.
Diet can quickly reduce plasma uric acid and restore normal levels. Effective and healing properties based on natural ingredients.