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 hesuffered for 30 years.
In the days of Hippocrates, it was called "the disease of kings". The causes are considered: excessive and indiscriminate consumption of food and alcohol.
What is gout
Gout is a disease 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 attacks, which leads to the formation of tophi. These are nodules that cause the shape of the joints to change. There is a constant development of urolithiasis and renal failure.
Diagnosis is made in the form of collecting synovial fluid and detecting the urates in it. X-rays of the affected joints are also taken. When relieving inflammation, normalizing nutrition and decreasing acid in urine, it can lead to positive results in treatment.
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 on the legs.
The main causes of gout:
- heredity
- ;
- eat foods that contain high amounts of purine;
- low excretion of uric acid from the body;
- catabolism of purine nuclides.
Principles of the gout diet
The development of gout depends on metabolic disorders in the body. For treatment, diet is an effective means. Good nutrition should be monitored daily. The main principle of the gout diet is to reduce blood salts. With excess, the kidneys will not be able to function on their own. Failure to follow the diet can lead to relapses. A pain attack can start at any time. This often happens at night. If you don't follow a diet, the disease can progress and spread to all joints.
Treatment should take place at home. This includes adhering to a balanced diet. This is considered to be a basic and efficient method. The menu is developed by the attending physician, who takes into account the individual characteristics of the patient. Diet is essential for lowering uric acid levels.
Features of the gout diet
Purines should not be included in the composition of foods subjected to a gout diet, 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 permitted foods.
Nutritional therapy can help treat gout symptoms at home.
Eating fatty and spicy foods causes a seizure associated with increased uric acid and severe pain quite quickly. For example, drinking too much coffee with high amounts of purine can trigger a relapse. High risk foods include alcohol, beer, soda, 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 drinking regimen. The amount of fluid drunk per day reaches 2. 5 liters. In the case of urolithiasis, water with alkali and sodium bicarbonate is necessary. It is possible to achieve neutralization of urine with an excess of vegetable and citrus proteins in food.
Diet for gout on the legs
The gout diet should be monitored at all times. Since the treatment is carried out at home, the person suffering from the disease should be willful and not violate the developed menu. Depending 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 diet for gout on the legs does not have very strict restrictions, but should satisfy the sick body and promote a healthy lifestyle.
Diet errors in disease:
- eat foods that contain purine;
- alcohol abuse;
- lack of fluid in the diet;
- large amounts of animal fat;
- excessive consumption of animal protein;
- table salt and pickles;
- low amount of vegetables and fruits in the daily diet.
Foods Allowed and Prohibited in the Gout Diet
While on a gout diet, the patient, in addition to the main treatment, should know what foods are allowed and prohibited. It is impossible to cure this disease or eliminate the symptoms without following the rules of nutrition.
Prohibited products:
- bakery products, namely rich products;
- meat (beef, lamb, pork, sausages);
- seafood (fatty types);
- salted and spicy milk;
- legumes;
- vegetables (sorrel, mushrooms);
- fruits (grapes, raspberries, figs);
- mayonnaise;
- sweets and pastries;
- 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 drip menu may seem dull and tasteless. In fact, it is not.
There is a list of products authorized for consumption without risk to health:
- 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 unsalted);
- no legumes;
- vegetables (potatoes, carrots, onions, garlic, tomatoes);
- fruits (green apples, apricots, mandarins);
- vegetable fats;
- fruit teas, natural juices from approved products.
You can also vary the diet with seeds and nuts:
- nuts;
- cedar;
- almonds;
- hazelnuts;
- pistachios.
Peanuts are rich in purine and should therefore be eliminated from the diet.
It'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. It turned out that the red vegetable is harmless, but on the contrary, it is useful due to the antioxidants and phytoncides. They eliminate the inflammation common to gout. It follows that tomatoes can be eaten with gout in any quantity.
Contraindications for gout
The most popular foods are contraindicated in the gout diet. Due to a chronic pathology, you can and should get used to lean dishes, as they are aimed at relieving symptoms and significantly reducing pain. The diet must be followed at all times. Since a cup of coffee or grapes can cause a pain attack.
In the period of exacerbation of gout, the drug is used with adherence to a diet. Bed rest is also necessary. All this stops the inflammatory processes. When preparing meals for the patient, it is best to keep a table with the permitted and prohibited foods in a prominent place.
Limit the consumption of meat and fish to twice a week. On the recommendation of doctors, the fish should be eaten with gills and scales. These fish byproducts are excellent for removing toxins from the body. In the event of a pain crisis, the use of these products is postponed for a few weeks.
Semi-finished products and canned goods are categorically contraindicated. Diet # 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, due to the addition of various spices and seasonings that can provoke an attack. It will be okay to cook the meat separately and use the broth from the vegetables as a broth. During cooking, the water is drained and changed several times. This reduces the concentration and removes the purines from the composition.
Diet for gout: menu of the week
The disease cannot be cured, especially if the pathology is accompanied by diabetes or obesity. To reduce relapses and exacerbations associated with gout, a special diet is used - table number 6.
The gout diet can be followed all the 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, 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, vegetable compote;
- salad of beets, boiled turkey, cooked pumpkin, compote;
- boiled potatoes with cheese, coleslaw, rosehip tincture.
- kefir.
Tuesday
- cottage cheese pudding with sour cream, green tea with honey;
- bran cookies, chicory drink;
- vegetable noodle soup, steamed chicken cutlets, fruit drink;
- vegetable stew, compote;
- curdled milk.
Wednesday
- squash pancakes, buckwheat porridge with milk, tea;
- green apple;
- vegetable and rice soup, boiled cod, beet salad, carrot juice;
- buckwheat with stew, apple juice, biscuit liver; Wheat broth broth
- .
Thursday
- borscht without meat, milk, croutons;
- toast with cheese, chamomile tea;
- mashed potatoes with meatballs, potato pancakes, pancakes, compote;
- baked zucchini, fruit salad, tea with milk;
- fermented cooked milk.
Friday
- oatmeal porridge, vegetable salad, cherry juice;
- watermelon, lemon, strawberry and pear smoothies, crusty bread;
- mashed potatoes, rabbit stew, coleslaw, tea;
- boiled egg, barley soup, jelly;
- baked apple with cottage cheese, rosehip tea.
Saturday
- wheat porridge, chicory drink;
- gingerbread with kefir;
- boiled chicken with buckwheat, eggplant caviar, tea;
- dietary pilaf, cucumber salad, bread, jelly;
- varenets.
Sunday
- cottage cheese casserole, cottage cheese pancakes, tea; Omelet
- with quail eggs (4 pcs. );
- cheese puree soup, garlic toast, rosehip tea;
- rice with cooked vegetables, beet salad; yogurt
- .
This is an approximate 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: advice from nutritionists
The review of the professor of the Department of Gastroenterology and Dietetics is as follows. If drug therapy is ineffective, gout diet is the primary treatment.
The severity of the process affects nutritional approaches in the treatment of patients, namely:
- frequency of seizures;
- plasma uric acid level;
- patient's body weight.
In the diet, the amount of purine, fat, protein, sodium salts and alcohol should be minimized.
Diet can quickly reduce plasma uric acid and restore normal levels. Effective and healing effect based on natural ingredients.