
The occurrence of this serious metabolic pathology is associated with the accumulation of uric acid salts (urates) in the body.It is not possible to completely cure the disease, but properly administered therapy allows you to avoid exacerbations and achieve remission for quite a long time.
An essential condition for improving the condition of patients is adherence to the diet.When gout is diagnosed, as is the case with urolithiasis, diet number 6 is prescribed.This allows you to:
- normalize purine metabolism;
- Reduce the amount of uric acid and its salts produced in the body;
- Change the pH of urine toward alkalinization.
Diet rules for arthritis
Compliance with certain nutritional principles can significantly improve the condition of patients.
- You should eat several times a day - from 3 to 5.This helps prevent extreme increases in the maximum concentration of purine bases in the blood.
- You should not consume more food than necessary.
- Fasting is also unacceptable.
- If you are overweight, you need to get rid of it, but not through a strict diet, but gradually.Sudden weight loss can worsen the patient's condition.Weight loss of 1-2 kg within a month is considered within normal limits.
- With gout, an important condition for normalizing the condition is to drink large amounts of fluid: in the remission stage - at least 1.5-2 liters per day, in case of exacerbation of the disease - from 3 liters.You can drink regular or mineral water, tea, fruit drinks, rosehip decoction, compotes.
- For this pathology it is necessary to drink alkaline mineral water: it promotes alkalinization of the blood, due to which urates are eliminated from the body.
Fasting is a forbidden technique
Some patients mistakenly believe that refusing to eat can help clear excess purine bases from the body and alleviate the course of the disease.However, in fact, the result is exactly the opposite: fasting provokes a sharp deterioration in the condition.The reason for this is the peculiarities of human physiology.
When the food supply stops, the body begins to use its own reserves.In this case, protein becomes the most accessible ingredient.In the first days of refusal from food, a sharp increase in the level of uric acid in the blood serum is observed.Its excess starts accumulating in the body tissues, in the membrane of the synovial joint, which rapidly aggravates the disease.
Accumulation of urates in the synovium and glomeruli of the renal tubules can lead to the development of acute gouty nephropathy.
What foods should you not eat if you have arthritis?
Since this disease is caused by a violation of purine metabolism, the diet for gout is aimed primarily at reducing the amount of foods high in purine bases and substances that stimulate the "release" of urates from the blood serum and their subsequent accumulation in tissues and joints.It is also necessary to control the consumption of foods that contribute to changes in the acid-base balance of the body.First, it is planned to sharply limit the amount of some meat and fish products or to abandon them altogether.The restriction applies to:
- Broth: meat, fish;
- meat, especially young animals;
- Internal parts: kidneys, liver, lungs, brain;
- semi-finished meat products;
- smoked meat;
- Sauce;
- animal fat;
- From fish products: salted or fried fish, canned food, caviar;
- Fatty fish in any form (except in the acute stage).
While following a diet for gout, you should also avoid:
- Legumes of all types: green peas, lentils, soybeans, beans, beans;
- Fats of animal origin;
- mushroom broth;
- vegetable sauce;
- Various spices: black pepper, mustard, horseradish;
- salty and spicy flavored cheeses;
- Chocolates, cream cakes, pastries;
- Any product that contains large amounts of cocoa;
- Spinach, sorrel, fresh greens;
- From fruits: figs, grapes, raspberries;
- Alcoholic beverages, especially wine and beer;
- Strong coffee, tea, cocoa.
While following the diet, you should sharply limit the amount of salt consumed.It promotes accumulation of urates in tissues and joints.
authorized product
The best way to eat for gout is a vegetarian diet based on various milk and vegetable soups, fermented milk products and fruit extracts.
- Dietary varieties of meat are recommended for meat diets: turkey, chicken, rabbit.
- Boiled fish, shrimp and squid are allowed.
- Chicken and quail eggs are also recommended for gouty arthritis.
- Porridges based on various cereals, grains and pasta are useful.
- Experts recommend patients suffering from arthritis to eat cheese and dishes made from it regularly.
- You can include low-fat and unsalted types of cheese in your diet.
- Whole milk is not prohibited, but it should be consumed with caution.
- If you follow a diet for arthritis, you can eat almost any type of vegetable: potatoes, zucchini, white cabbage, eggplant, carrots.
- The quantity of some vegetables should be limited.This applies to celery, radishes, peppers, asparagus, cauliflower, parsley and green onions.It is better to avoid them during the period of exacerbation of the disease.
- Fruits are very beneficial in arthritis.It is recommended to include apples, pears, plums, oranges, apricots and various types of berries in your daily diet.
- Eating any type of nuts and seeds is beneficial.
- For those with a sweet tooth, we can recommend marmalades, marshmallows, non-chocolate candies and jams.
- The diet for gout also includes bread – both white and black.
- When choosing oil it is better to give preference to vegetable oil.Olive and flaxseed are especially useful.The quantity of butter should be quite limited.
What can you drink?
It is very important to maintain the correct drinking regimen for arthritis.Experts recommend drinking large amounts of fluids, which is essential to remove uric acid compounds from the body.
While following the diet, you are allowed to drink the following beverages:
- green tea;
- weak black tea with milk or lemon;
- Rose decoction;
- Chicory based drinks;
- decoction of wheat bran;
- Vegetable, berry, fruit juice;
- fruit drinks, compotes;
- Kvass.
Fruit drinks made from cranberries or lingonberries are especially useful for arthritis patients.
It is also advisable to consume cucumber juice, which helps in removing excess purines from the body.You can drink up to 200 ml of freshly squeezed juice per day.
An important thing is to include alkaline mineral water with low mineral content in your diet.
duration of intensity
The recommended diet for the period of exacerbation of gout has some features.The following rules must be followed:
- Completely exclude fatty, salty, fried meat, fish, meat and fish products from the diet.
- Create a menu based mainly on liquid foods: include liquid cereals, fermented milk products, fruit and vegetable juices, weak tea with lemon and milk.
- It is very important to ensure that the patient does not remain hungry.
- Give the patient at least 2 liters of fluids daily.
- Be sure to include alkaline mineral water in your diet.
An approximate diet menu for gout exacerbation is as follows:
- Vegetarian Soup:In addition to vegetables, potatoes, dairy, cereals, cold (beetroot soup, okroshka), fruits.
- Lean meat, fish, poultryAllowed three times a week: 150 grams of meat or 180 grams of boiled fish.Boiled meat products can be used to prepare various dishes: baked, stewed, cutlet-based products.
- Dairy and fermented milk products:Cheese, cheese dishes, low-fat sour cream, cottage cheese, milk (in very limited quantities, with caution).
- CerealYou can make many types of dishes based on these.
- Egg- In the acute stage of arthritis, you are allowed to eat 1 egg per day (you can boil it, cook an omelet).
- Flour products, bread:Baking, rye and wheat bread made from flour and bran of grades 1, 2 is allowed.
- Breakfast:Salads made from vegetables, fruits, vinaigrettes and vegetable caviar are useful during an exacerbation of arthritis.
- Vegetables:It is advisable to include large amounts of fresh vegetables or any cooked vegetables in your diet.
- Fruits and BerriesYou can eat them fresh, make jelly and compote from them.Dry fruits are also very useful.
- Sweet:Diet for gout (even in the acute stage) does not exclude the use of cream, marshmallows, jam, honey and sweets (with the exception of chocolate).
- Drink:Tea (weak) with milk, lemon, rosehip decoction, dried fruits, wheat bran.
At the stage of exacerbation of the disease, fasting days help to stabilize the patient's condition:
- fruit and vegetable.You are allowed to eat up to 1.5-2 kg of non-prohibited vegetables and fruits.
- Yogurt and Kefir.The daily diet includes 500 grams of lean cottage cheese and 0.5 kg of kefir.
- Kefir.You should drink up to 2 liters of kefir per day.
Sample menu for the day
- First breakfast:1 soft-boiled egg + vegetable salad from permitted vegetables + apple and carrot pudding + weak tea.
- Second breakfast:Decoction of rose hips with honey or jam.
- Lunch:Milk soup with vegetable salad + potato cutlets + jelly or boiled meat (fish).
- afternoon snack:Baked or fresh apples.
- dinner:Cabbage rolls with rice and vegetable filling + baked cheesecake + tea (with honey).
- Before sleeping:Decoction of wheat bran.































































