To obtain an immediate therapeutic effect, people suffering from a disease such as gout, nutritionists prescribe special dietary foods. In medical practice, there are many cases where, thanks to a strict diet, if a patient has kidney or joint damage, a positive therapeutic result has been achieved. This is explained by the fact that the diet for this disease helps to reduce the production of purines of exogenous origin
Adherence to a strict diet for gout that affects the joints of the legs is in no way determined by strict fasting, either during their recurrent periodic attacks, or in between. It is necessary to select precisely those foods whose use is vital for the patient, which is an important point of treatment.
People with gout need to follow a specific diet to help stabilize uric acid levels. In any person, during a routine examination, one can accidentally find an increase in the indicators of this parameter. In that case, you need to follow the diet of the diet. This approach to the preparation of the patient's menu leads to a significant decrease in the likelihood of recurrence of the attacks of the disease, allowing to prevent the uncomfortable deposition of purines, namely a significant amount of its compounds in organs and tissues.
The basic principles of nutritional therapy for gout
A patient with gout should eat systematically, dividing the entire daily portion of food into at least 4 meals. This will help to stop the process of saturating the blood serum 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 negatively affects the joints during movement. But hunger should not be allowed either. The body weight of obese people should be reduced gradually, but not more than 2 kg per month.
Throughout 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 alkalis, favors the removal of urates from the patient's body.
Prohibited foods for gout
A very important point is choosing the right diet for a patient with gout. It is necessary to minimize the quantity of these products that contain numerous purine bases. This includes the following:
- broths made from meat, fish and mushrooms (the purines are in an easily digestible form);
- offal, lungs and brains, liver and kidneys;
- meat sauces and canned foods; animal fats;
- garden crops from the beans and peas, beans and lentils, soybean family;
- Smoked meats, all types of sausages.
There are foods that affect the acidity levels in the body. To avoid a sharp increase in the amount of acid in tissues, you should also exclude foods such as:
- spices, mustard, pepper, horseradish;
- vegetable based sauces;
- spinach, fresh herbs, sorrel;
- salted fish and various dishes with their content;
- alcoholic drinks (especially wine and beer);
- products that contain significant amounts of butter and cocoa;
- savory and spicy cheeses.
It is necessary to restrict the intake of salt and fats by patients in order to prevent the accumulation of urate in the tissues.
Under no circumstances should you eat fried foods for gout.
List of foods allowed for gout
Purine bases are found in small amounts in milk, Swiss cheese, chicken eggs, bread, caviar, nuts and hazelnuts. You can eat corn and carrots, barley and buckwheat. During the diet, you can eat a small portion of fish or meat prepared in the oven or boiling it once every seven days.
Increasing the amount of fluid you drink will help the patient get rid of uric acid compounds. In this case, you only need to use purified or boiled water.
It is imperative to reduce the nutritional level of the food consumed by patients with gout. With concomitant obesity, especially. With this disease, you can include small amounts of tomatoes in your diet. Of the spices, it is recommended to use only bay leaf for the preparation of dietary dishes.
Fruits and vegetables are very useful in the case of gout, but only in the raw form. Sometimes, the patient needs fasting days. 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.
Drop Fast
During the exacerbations of this unpleasant disease, some patients independently decide on fasting treatment to cleanse excess body purines. But, this dietary decision is completely unjustified. With this practice, there is a strong deterioration in the patient's general condition. During starvation, food intake for the body ceases, making it impossible to meet energy needs, starting to consume its own reserves. 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 increases rapidly and is deposited on the synovial membrane of diseased joints, as well as on the tissues of the human body. It all ends with an exacerbation of the gout.
The following also happens. The synovium of the joints accumulates significant deposits of acid salts. Parallel to this process, urates penetrate the glomeruli of the patient's renal tubules, which contributes to the appearance of an acute form of the disease, such as gouty nephropathy.