
Gout has been called "aristocrats' disease for many centuries.He has suffered mainly from the people of the upper layers who are not used to moderation in the diet.It is already reliably known that this disease has no connection with social status, but metabolism plays an important role here.
Improper metabolism and increased levels of uric acid in the blood cause the development of recurrent acute arthritis.No medicine can completely get rid of this disease, but significantly relieve the patient's condition by minimizing exacerbation is a very real task.
Modern medicines help to eliminate excess uric acid, reducing its critical level, but still the main condition in the treatment of this complex disease is adherence to a special diet.It is through eating that the patient can achieve maximum results.
Gout
Uric acid, the main enemy of a gout patient, is formed by purines.The latter is in large quantities in animal foods, especially in oily fish and pork.Therefore, meat and fish are almost completely forbidden.
There are purine substances in some plant foods.In order to minimize the likelihood of relapse, it is necessary to strictly monitor what the patient eats.
- The basic condition is that meals should be regular - 3-5 times a day.This will guarantee the maintenance of the required level of purine substances in the blood, avoiding their excess;
- You can't eat too much.The amount eaten is strictly regulated;
- The reverse process - hunger - should not be allowed;
- If the patient is overweight, every effort should be made to get rid of it.But you need to lose weight gradually with balanced diets.Losing weight can only worsen only the patient's condition.Optimal weight loss-1-2 kg per month;
- It is very important to drink as much liquid as possible during treatment with gout.The norm is 1.5-2 liters a day when the condition is stable and at least 3 liters of water should be drunk when the condition worsens.Water can be replaced by any other permitted liquid;
- The main element of the daily diet is alkaline mineral water.It helps to release the body from urate, which is important.

Gout requires a strict approach to the choice of food;The patient should clearly know what can be eaten and what is strictly forbidden.Only ingredients that do not contain purines or contain them in small quantities are allowed in the diet, which is not able to affect the overall level of this substance in the body.
For their bigger part, these are fruits and vegetables, so after this diet it will not be difficult for a potential vegetarian, but it will be much more difficult for the carnivorous.But as a result, the patient will feel relieved of pain and reduce swelling.
What not to eat if you have gout
It is worth preparing for the fact that this list is not so short.After all, the purines themselves, which are unwanted to the body affected by gout, are found in many foods.
We will have to take it as a fact that we will have to completely abandon the white bread - it contains too much yeast.The latter actively promote the production of uric acid in the body.For the same reason, we remove all cookies from use.
What meat products should you not eat?Complete rejection of sausages, sausages, canned meats - they are literally full of purines.For the same reason, we refuse offal;Fat pork is also absolutely forbidden.
We also remove seafood from the diet of a patient with gout.Fat fish, canned food and caviar are particularly strictly forbidden.
You should not eat spicy and salty varieties of cheese;This type of dairy products will cause more harm than a pleasure of eating it.
We remove all legumes from cereals - lentils, beans, soy, beans.The reason is the same - high Purin content.
From vegetables only mushrooms and sorrel are strictly prohibited.For some time, tomatoes were also on this list for the simple reason that they contained purines.But their content is so insignificant, and the Vitamin complex is so significant that today this vegetable has moved from the list of forbidden on the list of the opposite.
Fruits and fruits also have a not -so -wide forbidden list;It includes only figs, raspberries and grapes.

Sweet lovers will have to refrain from eating too creamy cakes and sweets.
As for fats, you should not experiment with margarine and lard.
It is recommended that you drink a lot of liquids for gout, but not everything is allowed to drink.The choice of drinks should be treated with equal caution.So coffee and strong black tea are prohibited.
And this is not even due to the purines present in them - their content is low.But the diuretic effect of these drinks is an undesirable phenomenon.All alcohol, including beer and wine, is strictly prohibited.
I donate does not like spicy food, so we completely remove pepper, mustard, horseradish and other hot spices from dishes.You should not overdo it with salt.It is better to avoid it as much as possible.It is unacceptable to put Bouillon cubes in dishes.The preservatives and purines they contain are simply out of the charts.
Buldings based on fish, meat and legumes should also be removed from the diet.Remove mayonnaise.
All products from the above list are completely prohibited.They should not be categorically used.At first, it is better to maintain this list at hand so that you can always check the list of prohibited items.
It is possible, but be careful
The above ingredients are completely excluded from use.This list is not very long, the problem is that it includes quite common dishes that are present in the diet of every healthy person every day.A list of products allowed for consumption will then be presented.But there is little compromise between these lists.He absorbed what was acceptable to eat, but little by little.

Among the vegetables, this list was headed by turnip, cauliflower, radishes, asparagus, celery, rhubarb, spinach, peppers, onions and parsley.All this vegetation contains the same malicious purine, a malicious gout companion.But its content is small.But the vitamin content they carry is so great that it covers all potential damage.
You can eat plums as a fruit.As for drinks, the limitations of tomato juice are raised, but not more than a glass.Honey should be consumed with great care.
What can you eat if you have gout?
It is very strictly forbidden when Purin's metabolism is interrupted, but that does not mean that the patient is in a state of half hunger due to constant prohibitions and refusals.Medicinal dishes can be delicious, moderately filling, but at the same time healthy.
Among the cookies, preferences should be given to gray and rye bread;Among the cookies you can eat those who are not made with yeast dough.
Those who are not ready to become a vegetarian even in the name of their own health can exhale, the meat is allowed, and only lean meat.This includes a rabbit, turkey and chicken.But the portions should be very moderate, no more than 170 grams, and you can eat it more often than any other day, the rest will be harmful.
Fish and seafood should be included in the diet, but you need to choose exclusively low -fat species, such as salmon, pink salmon and trout.Among other marine residents, the presence of shrimp, crustaceans and squid is desirable on the patient's plate.But under no circumstances should they be fried, only cooked.The patient should not consume the broth after boiling.
Milk and eggs are also an essential element of the diet.Preference is given to low fat, yogurt, yogurt, unleavened cheese, sour cream and cottage cheese cheese.You cannot cook with whole milk;You have to dilute it with water.It is allowed to use butter, but as a supplement to hot dishes, not as sandwiches.The eggs are also desired, but not more than 1 per day.
A lot of vegetables have been allowed.Features, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products improve metabolic processes.Garlic has proven to be excellent;It soothes inflammation, relieving the patient's condition.In the days of fasting, vegetables become the main helpers, and the potassium contained in many helps to eliminate uric acid.
You do not need to remember anything special with cereals;All types of cereals are allowed for gout, except for legumes.This is a rich set of trace elements that promote the process of regeneration and fiber, allowing you to cleanse the body effectively.There are no special provisions for cereals, how many of what you can eat and when.There is only one condition - do not overdo it.
There is also no much ban on fruits and fruits.All citrus fruits, hard green apples, dates, horma, strawberries, apricots, pears, dried fruits - except for raisins made from forbidden grapes.It is natural that you should use it within reasonable limits without overdoing it.
Among the sweets, it is permissible to consume rose, marmalade, sweet, rose, even candy are allowed, but not chocolate.You can eat ice cream.We must not forget that everything is good in moderation.
You can enter fat in the diet, but they can only be of vegetable origin;Animal fats are completely excluded, they are too heavy.

Authorized drinks are green tea, all kinds of fruit teas, but only with the help of allowed fruits and fruits;Tea with milk and lemon is allowed in the menu.Homemade compotes, fruit drinks made from fresh fruits and fruits, and fresh cucumber juice are useful for gout.You should definitely make a habit of drinking alkaline mineral water every day.
The only spices you can add to the dishes are vanillin, cinnamon, bay leaf and citric acid.
You can eat any seeds and nuts, the only exception is peanuts that contain too many purines.
The daily menu of the patient includes milk porridge, borscht in vegetable broth, fresh vegetable salads and various vegetable dishes.Preference is given to boiled;Frying is hardly allowed.
Gout diet
Compliance with certain nutritional rules is the basis for the patient's well -being.There is no way to do it without it.The daily diet has certain rules of construction that you will have to follow throughout your life because gout is a chronic disease.In order for the nutrition to be as effective as possible, it is better to entrust this problem to a competent doctor who will take into account all the nuances of the disease and the characteristics of the patient's body -other existing diseases.
The daily diet necessarily includes liquid food, the basis of nutrition - vegetable soups, vegetable and fruit salads, compotes, mineral water.Food should be taken at least 5 times a day.
You should drink at least two liters of water a day, this will help to eliminate waste and toxins.There should be a fasting day when all the meat and fish are completely removed.The maximum allowable number of such days is 3. All more impractical and unreasonable.

The basis of the nutrition is a vegetarian mass, a minimum of meat, maximum vegetables and fruits.This diet is especially useful for these overweight patients.They should spend fasting days much more than others.
You should not afford to lose weight too quickly.It is optimal to lose no more than 2 kg per month.Weight loss will have a negative impact on your general condition too quickly and can cause an attack of exacerbation of the disease.
Diet number 6 for gout
Table No. 6 was developed by a doctor;The purpose of this diet is to normalize the metabolism of Purina, to reduce the content of uric acid and salts, which are the product of purine processing.The energy value of this diet is 2700-2800 kcal.This menu is a table balanced in protein content.
Strict adherence to the anti -spur diet will prevent the disease from exacerbating and will significantly reduce the likelihood of relapse.This example is intended for a week, but you can keep it constantly.
The basic principle of the diet is reduced to a strict calculation of all proteins, fats and carbohydrates.So the amount of protein per day should not exceed 70-90 g per day.Preference is given to animal proteins derived from milk and its products.The fat level corresponds to 80-90 g per day.1/4 of this volume is of plant origin.The carbohydrate level is no more than 350-400 g per day.This volume is equal to 80 g of sugar.
The daily intake of salt for diet # 6 is not higher than 7-10 g.Consumption of fluid varies from 1.5-2 liters, while the calories should not exceed 2400-2800.It is equally important to monitor the amount of trace elements consumed.So, potassium is at least 3.5 g, calcium - 0.75 g, thiamine - 1.5 g, retinol - 0.5, ascorbic acid - 150 mg.
Recipes from Menu No. 6
The dishes included in the diet of a patient with gout are not as difficult to prepare as it may seem in the beginning.Many of them can be included in the diet of a healthy person.
Vegetable stew

- Large potatoes - 3;
- Medium carrots - 1 pc.;
- Onion - 1 head;
- Fresh green peas - 1 tbsp;
- Oil - 1 p. L. L.;
- Sour cream - 100 g;
- Salt to taste.
The sliced onion in butter, add the cubes of carrots.Stew ok.Add pre -cooked potatoes, peas and sour cream to the finished frying.Add salt.Cook over medium heat for 1/4 hour.
Cucumber salad
- Fresh cucumber - 2;
- Sour cream for dressing;
- Salt to taste.
Cut the cucumber into half rings and mix well in a glass with sour cream.For variety, you can add any other allowed vegetables - cabbage, tomatoes.
Potato soup
- Potatoes - 3;
- 1/2 raw egg;
- Oil - 1 tsp;
- Flour - 1 tbsp;
- Fresh green;
- Sour cream - 1 tbsp.
Make mashed potatoes;It is best not to mix them, but to go through a fine sieve.Add sauce made from dried flour and 80 g and potato broth.Don't forget to boil the sauce.Then add the egg and butter to the resulting potato mixture with sauce and boil again.
Orphan
- Cottage cheese - 250 g;
- Semolina - 4 TBP.L.;
- An egg.
Mix all the ingredients, get a pretty thick paste.If this does not work, you can add more.Allow the cereals for a while so that the cereals spread and swell slightly.When the dough swells a little, you can bake.Form clean pancakes and roll them into flour.Fry on both sides.It can be eaten warm with sugar or cream cheese.
Potato pancakes
- Large potatoes - 3;
- Egg - 1 pc.;
- Flour - 20 g;
- Sour cream;
- Vegetable oil - tsp
Set the peeled potatoes to the best grater, add the flour and egg to the resulting mixture, mix thoroughly.Slice the dough on the heated pan and fry on both sides for 5 minutes.Serve with sour cream.
Curse

- Milk - 50 ml;
- Cottage cheese - 75 g;
- Egg whites - 2;
- Sour cream;
- Oil;
- Sugar.
Mix the ingredients thoroughly (except for sour cream), place the resulting mass in shape and place it in the oven, heated to 150 degrees.Bake until the top is slightly browned.Before serving, sprinkle with sour cream.
Vegetarian borscht
- Water - 3 l;
- Potatoes - 2;
- Vegetable oil - 2 tbsp;
- Onions - 1 piece;
- Carrots - 100 g;
- Beet - 150 g;
- Cabbage - 100 g;
- Tomato paste - 1 tsp
Add a spoonful of salt to the boiling water and add the potato cubes.After 10 minutes of boiling, add grated cabbage to the pan.At that time, fry the onion in a pan;When a light boil, add grated carrots one by one, then the beets.
Allow the vegetables to cook well and add the pasta.It can be replaced with a glass of tomato juice.When the vegetables are ready, transfer them to the pan.You can add herbs, some black pepper and garlic.You can add sour cream to the finished dish.
Sample Diet Menu No. 6
This is one of the options for how a weekly diet for a patient with gout may look like.
The first day
- Breakfast - porridge with milk with dried fruits (but not raisins), tea with milk
- Second breakfast - cottage cheese cheese pudding.
- Lunch - buckwheat soup, vegetable (zucchini) pancakes, seasoned with sour cream, fruit jelly.
- Afternoon snack - a glass of tomato juice.
- Dinner - fresh white cabbage salad with apple.
Second day
- Breakfast - vegetable croquettes (carrots and rice), sour cream, lemon tea.
- Second breakfast - fresh pear juice.
- Lunch - fresh vegetable stew, pasta with sour cream, green tea.
- Afternoon snack - an apple baked with honey.
- Dinner - beet salad, toast with unsalted cheese.
Day

- Breakfast - Milk porridge with cherries, Roeship compote.
- Second breakfast - sour cream with cottage cheese.
- Lunch - cabbage soup, cheesecakes, tea with milk.
- Afternoon breakfast - strawberry jelly.
- Dinner - potato pancakes with sour cream.
Fourth day
- Breakfast - dill omelette, cheese sandwich, fresh fruit compote.
- Second breakfast - carrot salad with grated apple, seasoned with sour cream.
- Lunch - beet soup, kefir pancakes with sour cream, lemon tea.
- Afternoon breakfast - fresh apple.
- Dinner - rice milk porridge with pumpkin and cinnamon.
Fifth day
- Breakfast - cottage cheese cheese, seasoned with honey, tea with herbs in the field.
- Second breakfast - pear.
- Lunch - soup from vegetable noodles, cereal cutlets, compote.
- Afternoon Breakfast - Apple.
- Dinner - eggplant with cheese and tomato.
Sixth Day
- Breakfast - sweet casserole with honey, tea with milk.
- Second breakfast - banana.
- Lunch - rice soup, zrazy with cabbage, jelly.
- Afternoon breakfast - kefir with rose.
- Dinner - potatoes baked with vegetables.
Day seven
- Breakfast-two hard boiled eggs, cucumber salad.
- Second breakfast - bake with cheese.
- Lunch - Mille Milk with milk, cheese pancakes.
- Afternoon breakfast - fresh fruit.
- Dinner - stewed cabbage, toast with peanut butter.
How to eat during exacerbation
Table No. 6 is very suitable for a patient in remission, but in a situation of exacerbation the nutrition should be radically different.Only in this case will there really be a qualitative change to better and the weight will give way.The basic rule of eating is reduced to the complete rejection of meat and fish dishes - only fruits and vegetables.
What does the menu look like during a period of exacerbation?
Before breakfast - half a glass of warm alkaline mineral water, which can be replaced by the opening of the intent.
- Breakfast - 120 g of milk oatmeal and a glass of milk.A prerequisite is that the mess must be liquid.
- Second breakfast - a glass of fresh apple juice or raw apple.
- Lunch - pureed vegetable soup - 120 g, fruit jelly.
- Afternoon breakfast - a glass of fresh carrot or tomato juice.
- Dinner - 120 g of liquid milk rice porridge, a glass of apple compote.
- Second dinner - a glass of kefir.
- Before you go to bed, you can drink tea with milk and honey.
An important condition is careful control over portion volume;They should be more than modest, approximately half of the living room.After the exacerbation period, you can enter dishes with meat and fish, not only cooks foods, but also fry them.






















