To achieve an immediate therapeutic effect, people suffering from a disease such as gout, dieticians prescribe special diet foods. From medical practice there are many cases in which, thanks to a strict diet, if a patient has renal or joint damage, a positive therapeutic result has been obtained. This is explained by the fact that the diet for this disease helps to reduce the production of purines of exogenous origin
Compliance with a strict diet for gout affecting the joints of the legs is by no means determined by strict fasting, neither during its recurrent periodic attacks, nor in the period between them. It is necessary to carefully select those food products, the use of which is vital for the patient, which is an important point in the treatment.
People with gout need to follow a specific diet to stabilize uric acid levels. In any person, during a routine examination, you can accidentally find an increase in the indicators of this parameter. In this case, it is necessary to adhere to the diet regimen in the diet. This approach to preparing the patient's menu leads to a significant decrease in the likelihood of recurrence of attacks of the disease, allows you to prevent the cumbersome deposition of purines, that is, a significant amount of their compounds in organs and tissues.
The fundamental principles of therapeutic nutrition for gout
A patient with gout should eat systematically, dividing the entire daily portion of food into at least 4 meals. This will help stop the blood serum saturation process with purine bases. In no case is it advisable to overeat with gout, otherwise an increase in the patient's body weight is possible, which adversely affects the joints during movement. But hunger shouldn't be allowed either. The body weight of obese people should be reduced gradually, but not more than 2 kg per month.
During the day, a patient with gout needs to consume about 2 liters of water during remission and at least 3 liters when an exacerbation of the disease occurs. It should not be forgotten that the use of mineral water, which contains alkali, favorably promotes the removal of urates from the patient's body.
Forbidden foods for gout
It is very important to choose the right diet for the patient with gout. It is necessary to minimize the amount of those foods that contain more purine bases. These include the following:
- broths made from meat, fish and mushrooms (the purines contained in them are in an easily digestible form);
- offal lungs and brain, liver and kidneys;
- meat-based sauces and canned foods;
- animal fats;
- garden crops of the legume family: beans and peas, beans and lentils, soybeans;
- smoked meats, all kinds of sausages.
There are foods that affect acidity in the body. To avoid a sharp increase in the amount of acid in the tissues, you should also exclude from the diet such foods as:
- spices, mustard, pepper, horseradish;
- vegetable based sauces;
- spinach, fresh herbs, sorrel;
- salted fish and various dishes with its content;
- beverages containing alcohol (especially wine and beer);
- products containing significant quantities of butter and cocoa;
- salty and spicy cheeses.
It is necessary to limit patients' intake of table salt and fat to prevent accumulation of urate in the tissues.
In no case should you eat fried foods for gout.
List of foods allowed for gout
Purine bases are found in small quantities 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 cooking or boiling once every seven days.
Increasing the amount of fluids you drink will help the patient get rid of uric acid compounds. In this case, it is necessary to use only purified or boiled water.
It is imperative to reduce the nutritional level of the food consumed by patients with gout. With concomitant obesity, above all. With this disease, you can include small amounts of tomatoes in your diet. Among the seasonings, it is recommended to use only bay leaf for the preparation of dietary dishes.
Fruits and vegetables are very useful in case of gout, but only in their raw state. Sometimes the patient needs days of fasting. At the same time, it is recommended to drink only fruit and vegetable juices during the day, and the use of ascorbic acid should also be included.
Fasting gout
During exacerbations of this unpleasant disease, some patients independently decide on fasting treatment to cleanse their body of excess purines. But this decision in the diet is completely unjustified. With this practice there is a marked deterioration in the general condition of the patient. During starvation, the body's food intake stops, which makes it impossible to supply energy needs, as a result of which the consumption of its own reserves begins. In this case, the most accessible material is protein compounds. It is for this reason that at the beginning of fasting, the level of uric acid in the blood serum rises 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, urates penetrate the glomeruli of the patient's renal tubules, which contributes to the appearance of an acute form of a disease such as gouty nephropathy.