What foods should you avoid with gout. How can you manage gout through diet. Which foods are beneficial for gout sufferers. What dietary changes can help prevent gout flare-ups.

Understanding Gout: Causes and Symptoms

Gout is a form of inflammatory arthritis that can cause severe pain in the feet and joints. This condition results from the accumulation of uric acid in the joints, leading to discomfort and inflammation. Uric acid is a byproduct of purine metabolism, compounds found in various foods. While medications are commonly used to treat gout, dietary choices play a crucial role in managing symptoms and preventing flare-ups.

What causes gout?

Gout is primarily caused by the buildup of uric acid in the body. This occurs when the body either produces too much uric acid or fails to excrete it efficiently. Certain factors can increase the risk of developing gout, including:

• Genetics
• Obesity
• High blood pressure
• Kidney problems
• Certain medications
• Diet high in purines

Common symptoms of gout

Gout symptoms can vary from person to person, but some of the most common signs include:

• Intense joint pain, especially in the big toe
• Swelling and redness around affected joints
• Limited range of motion
• Lingering discomfort after the initial attack

Foods to Avoid with Gout: Reducing Purine Intake

Managing gout often involves making dietary changes to reduce purine intake and prevent flare-ups. Here are some foods that individuals with gout should consider limiting or avoiding:

Red Meat, Poultry, and Organ Meats

These protein sources are high in purines and can contribute to increased uric acid levels. To reduce purine intake, consider the following strategies:

• Limit meat serving sizes to 3 ounces per meal
• Consume meat no more than once a day, if at all
• Substitute plant-based proteins for meat and poultry
• Opt for low-purine alternatives like veggie burgers, tofu, and beans

Alcohol: A Potential Gout Trigger

While alcohol itself may not be high in purines, it can exacerbate gout symptoms in several ways:

• Beer contains purines
• Alcohol causes the body to produce more purines and uric acid
• Alcoholic beverages can contribute to weight gain, a risk factor for gout

To minimize the impact of alcohol on gout, consider limiting intake to 1 drink per day for women and 2 drinks per day for men, or avoid it altogether.

Sugar-Sweetened Foods and Beverages

While sugar may not be high in purines, it can contribute to conditions that may worsen gout symptoms:

• Increased body weight
• Higher risk of prediabetes and diabetes
• Empty calories with low nutritional value

To reduce sugar intake, consider replacing sugary snacks and desserts with fresh fruit, and opt for unsweetened versions of cereals, oatmeal, and yogurt.

Gout-Friendly Foods: Building a Healthy Diet

While some foods should be avoided or limited, there are many nutritious options that can help manage gout symptoms and promote overall health:

Fruits: Nature’s Sweet Treat

Fruits are generally low in purines and high in vitamin C, an antioxidant that may help reduce the risk of gout flare-ups. Some excellent fruit choices include:

• Citrus fruits (oranges, lemons, limes)
• Kiwi
• Mango
• Cantaloupe
• Strawberries

Vegetables: Nutrient-Dense and Low in Purines

While some vegetables are high in purines, they generally do not appear to trigger gout flare-ups. Many vegetables are low in purines and can aid in weight control due to their low-calorie content. Vegetables high in vitamin C include:

• Bell peppers
• Radishes
• Tomatoes
• Onions
• Broccoli
• Spinach
• Cauliflower

Dairy: A Protein-Rich Alternative

Dairy products are low in purines and can be an excellent protein source for those managing gout. Consider incorporating the following into your diet:

• Low-fat milk
• Cheese
• Yogurt

Opting for reduced-fat dairy products can help lower saturated fat intake while still providing essential nutrients.

The Role of Coffee in Gout Management

Coffee consumption has been linked to a lower risk of gout, as well as reduced risk of prediabetes and type 2 diabetes. However, it’s important to consume coffee mindfully:

• Limit total daily caffeine intake to under 400 mg (about 4 cups of coffee)
• Avoid consuming caffeine within 6 hours of bedtime to prevent sleep disturbances
• Minimize additions like cream, sugar, or flavored syrups

Research suggests that coffee drinkers may have a lower risk of obesity, as caffeine can boost metabolism.

Whole Grains: A Nutritious Foundation for Gout-Friendly Meals

Whole grains are an excellent addition to a gout-friendly diet. They offer numerous benefits, including:

• High fiber content, which aids in digestion and promotes feelings of fullness
• Complex carbohydrates that provide sustained energy
• Essential vitamins and minerals
• Potential to help with weight management

Consider incorporating the following whole grains into your diet:

• Whole wheat bread and pasta
• Brown rice
• Quinoa
• Oats
• Barley

Hydration: The Overlooked Aspect of Gout Management

Proper hydration is crucial for managing gout symptoms and preventing flare-ups. Adequate fluid intake helps:

• Flush out excess uric acid from the body
• Reduce the risk of kidney stone formation
• Support overall kidney function

Aim to drink at least 8-10 glasses of water per day. You can also include other hydrating beverages such as herbal tea, low-fat milk, and fresh vegetable juices.

Can certain beverages help with gout?

While water should be your primary source of hydration, some beverages may offer additional benefits for gout management:

• Tart cherry juice: Known for its anti-inflammatory properties
• Green tea: Contains antioxidants that may help reduce inflammation
• Lemon water: May help alkalize the body and promote uric acid excretion

The Importance of Portion Control in Gout Management

While focusing on the right foods is essential, portion control plays a crucial role in managing gout symptoms and maintaining a healthy weight. Here are some tips for effective portion control:

• Use smaller plates to create the illusion of larger portions
• Measure serving sizes, especially for high-purine foods
• Fill half your plate with vegetables
• Practice mindful eating by eating slowly and savoring each bite

How does weight management affect gout?

Maintaining a healthy weight is crucial for managing gout symptoms. Excess weight can:

• Increase uric acid production
• Reduce the body’s ability to eliminate uric acid
• Put additional stress on weight-bearing joints

By combining portion control with a balanced, gout-friendly diet and regular exercise, you can work towards achieving and maintaining a healthy weight, which may help reduce the frequency and severity of gout flare-ups.

Supplements and Gout: Potential Benefits and Risks

While a balanced diet should be the primary focus for managing gout, certain supplements may offer additional support. However, it’s crucial to consult with a healthcare professional before adding any supplements to your regimen.

Supplements that may help with gout management

• Vitamin C: May help reduce uric acid levels
• Omega-3 fatty acids: Can help reduce inflammation
• Quercetin: A flavonoid with potential anti-inflammatory properties
• Bromelain: An enzyme found in pineapple that may help reduce inflammation

Supplements to approach with caution

Some supplements may interact with gout medications or exacerbate symptoms. Use caution with:

• Niacin: Can increase uric acid levels
• Iron supplements: May contribute to increased uric acid production
• Vitamin A: Excessive amounts may lead to joint pain

Always inform your healthcare provider about any supplements you’re taking or considering, as they can provide personalized advice based on your specific health needs and medication regimen.

Creating a Gout-Friendly Meal Plan: Practical Tips and Strategies

Developing a meal plan that supports gout management doesn’t have to be complicated. Here are some practical tips to help you create balanced, gout-friendly meals:

Breakfast ideas

• Oatmeal topped with fresh berries and a sprinkle of nuts
• Whole grain toast with avocado and a poached egg
• Greek yogurt parfait with low-fat granola and sliced fruit
• Smoothie made with spinach, banana, and low-fat milk

Lunch options

• Quinoa salad with mixed vegetables and grilled chicken breast
• Lentil soup with whole grain crackers
• Veggie wrap with hummus and a side of fresh fruit
• Tuna salad (made with Greek yogurt instead of mayonnaise) on whole grain bread

Dinner suggestions

• Grilled salmon with roasted vegetables and brown rice
• Vegetarian chili with mixed beans and cornbread
• Stir-fry tofu with colorful vegetables over cauliflower rice
• Baked chicken breast with sweet potato and steamed broccoli

Snack ideas

• Fresh fruit slices with a small handful of unsalted nuts
• Carrot sticks with hummus
• Low-fat cheese with whole grain crackers
• Apple slices with almond butter

Remember to stay hydrated throughout the day and listen to your body’s hunger and fullness cues. By planning your meals in advance and keeping gout-friendly snacks on hand, you can make healthier choices and reduce the likelihood of consuming trigger foods.

Lifestyle Modifications to Complement Your Gout-Friendly Diet

While diet plays a significant role in managing gout, incorporating other lifestyle modifications can enhance your overall health and potentially reduce the frequency and severity of gout flare-ups. Consider the following strategies:

Regular exercise

Engaging in regular physical activity can help manage weight, reduce stress, and improve overall health. Aim for at least 150 minutes of moderate-intensity exercise per week, such as:

• Brisk walking
• Swimming
• Cycling
• Low-impact aerobics

Always consult with your healthcare provider before starting a new exercise regimen, especially if you have joint pain or other health concerns.

Stress management

Chronic stress can potentially trigger gout flare-ups and negatively impact overall health. Incorporate stress-reduction techniques into your daily routine, such as:

• Meditation or mindfulness practices
• Deep breathing exercises
• Yoga or gentle stretching
• Engaging in hobbies or activities you enjoy

Adequate sleep

Getting sufficient quality sleep is crucial for overall health and may help manage gout symptoms. Aim for 7-9 hours of sleep per night and establish a consistent sleep schedule. To improve sleep quality:

• Create a relaxing bedtime routine
• Avoid screens for at least an hour before bed
• Keep your bedroom cool, dark, and quiet
• Limit caffeine and alcohol consumption, especially in the evening

Regular health check-ups

Maintaining regular appointments with your healthcare provider is essential for monitoring your gout and overall health. During these visits:

• Discuss any changes in symptoms or concerns
• Review your medication regimen and discuss any potential adjustments
• Get necessary blood tests to monitor uric acid levels and other relevant markers
• Discuss any challenges you’re facing with your gout management plan

By combining a gout-friendly diet with these lifestyle modifications, you can create a comprehensive approach to managing your gout and improving your overall well-being. Remember that everyone’s experience with gout is unique, so it’s important to work closely with your healthcare team to develop a personalized management plan that works best for you.

Foods to Avoid with Gout

Gout is a type of inflammatory arthritis that can cause pain in the feet and joints. It results from the buildup of uric acid in the joints, which can feel painful if it progresses as reported by MedlinePlus.

Uric acid is a breakdown product of purines, which are compounds that are found in some foods.

Anti-inflammatory and pain medications are common for treating gout, but what you eat can affect symptoms, too. In general, losing extra pounds and avoiding certain high-purine foods may help prevent flare-ups.

Foods to Avoid with Gout

Certain foods can lead to flare-ups of gout due to their high purine content. Other foods can contribute to gout by increasing the risk of weight gain.

The following are some foods that you may want to limit if you have gout or are at risk for it to prevent gout triggers:

1. Red Meat, Poultry and Organ Meat

Red meat, such as beef and pork, and poultry, such as chicken and turkey, are also high in purines.  Organ meats include liver, kidneys, tongue, sweetbreads, p√¢te, and tripe. They are the foods that are highest in purines.

Keeping serving sizes of meat to 3 ounces and having meat only once a day, if at all, can help reduce the amount of purines that you get. You can also substitute plant-based proteins for meat and poultry. Veggie burgers, vegetarian hot dogs, chili with tofu and beans, and peanut butter sandwiches are all lower-purine choices.

2. Alcohol

Alcohol itself is not high in purines, but it can make gout worse. For one thing, beer contains purines. For another, alcohol causes the body to produce more purines and therefore more uric acid. Finally, alcoholic beverages can be high in calories and cause weight gain, which can cause flare ups. It is best to avoid alcohol or limit yourself to 1 (for women) or 2 (for men) drinks a day.

3. Sugar-Sweetened Foods

Sugar does not have many purines, but it may contribute to other conditions that can cause gout or make it worse. People who eat more added sugars tend to have a higher body weight and greater risk for prediabetes and diabetes. 

Sources of added sugars tend to be low in nutrients and high in calories. They can include sugar-sweetened beverages, ice cream, cakes, pies, candy, other desserts, and sugar-sweetened cereal and flavored oatmeal and yogurt. Eating fresh fruit for dessert and snacks, and mixing it into oatmeal, yogurt, and cereal, can help satisfy a sweet tooth without added sugars.
‍

Tips for a Healthy Gout Diet

• Choose plant-based proteins, such as beans, tofu, or lentils, instead of red meat and organ meat.
• Low-fat dairy products, such as yogurt and cheese, are also good protein sources.
• Eating fruit instead of dessert or sugar-sweetened snacks can help reduce sugar consumption and increase vitamin C consumption.
• Most refined grains have whole-grain counterparts, such as whole-grain breads, oatmeal and whole-grain breakfast cereal, whole-grain pasta, and brown rice.
• It is easy to get an extra serving of vegetables by piling them on sandwiches or adding them to soups or stews.
• Caffeine can interfere with sleep, so it is best to avoid consuming caffeinated coffee and other caffeinated beverages within six hours of bedtime.

‍

Foods to Eat When You Have Gout

Certain types of foods can reduce gout symptoms by lowering inflammation, being low in purines, or helping with weight control according to guidelines from the Centers for Disease Control (CDC). 

1. Fruit

Vitamin C is an antioxidant vitamin that helps reduce the risk of gout flare ups. Many fruits are rich in vitamin C, including citrus fruits, kiwi, mango, cantaloupe, and strawberries. Most types of fruit are low in purines as well.

2. Vegetables

Some types of vegetables are high in purines, but they do not appear to cause flare ups. Many other types of vegetables are low in purines. Instead, vegetables can aid in weight control because they are low-calorie. Vegetables that are high in vitamin C include bell peppers, radishes, tomatoes, onions, broccoli, spinach, and cauliflower.

3. Dairy

Dairy products, such as milk, cheese, and yogurt, are low in purines, and they are a good fit for a diet to manage or prevent gout. They are good protein alternatives to meat, and reduced-fat dairy products are lower in saturated fat than full-fat ones.

4. Coffee

Do you depend on a cup of coffee to fully wake you up in the morning? That can be a healthy habit, with a few conditions.

• Total daily caffeine consumption stays under 400 mg, or the amount in a few cups of coffee.
• Your caffeine intake stops at least 6 hours before bed and does not interfere with sleep.
• The coffee does not come with a load of cream, sugar, or sugary syrup.

Coffee is linked to a lower risk for gout as well as prediabetes and type 2 diabetes. And that energy jolt you get? It boost metabolism, and research supports that coffee drinkers have lower risk for obesity.

5. Whole Grains

Like vegetables, whole grains can be high in purines, but, as with vegetables, the benefits of eating whole grains outweigh the possible increase in uric acid.

A study from the NCBI showed that whole grains are linked to lower systemic inflammation, and that can reduce episodes of pain from gout. In addition, people who eat more whole grains compared to refined grains tend to have lower risk for obesity.

Gout and Prediabetes

Prediabetes is a condition with higher-than-normal levels of blood sugar due to insulin resistance. People with gout are more likely to have diabetes, and people with diabetes are more likely to have gout. This may be because people with diabetes tend to have high levels of uric acid, and people with gout tend to have high levels of inflammation that is linked to diabetes.

Prediabetes is a condition that often leads to type 2 diabetes within several years, but making certain lifestyle choices can usually prevent type 2 diabetes. Many of these same choices are good for gout, too.

• Losing weight
• Reducing consumption of red meat
• Limiting consumption of sugar-sweetened beverages and foods
• Including reduced-fat dairy products
• Drinking a moderate amount of coffee

In addition, being overweight and eating a diet high in red meat or sugar-sweetened foods increase risk for prediabetes. Prediabetes usually does not cause symptoms, so recognizing these risk factors may be a clue that it is time to get blood sugar tested. 

Finding out that you have prediabetes as soon as possible gives you a chance to take steps to prevent or delay the onset of type 2 diabetes. If you qualify, Lark Diabetes Prevention Program can help you lose weight gradually and make healthier nutrition choices. These same changes can reduce the severity of gout, too.

Is Cheese Bad for Gout? The Truth About This Dairy Product and Gout — Eating Enlightenment

Let’s talk about gout and cheese, shall we?

If you have gout and want to eat cheese, don’t despair but also don’t get your hopes too high either.

Gout is a type of arthritis that is caused by high levels of uric acid in the blood. Uric acid is a waste product that is created when the body breaks down purines. Purines are found in many foods, including cheese.

So yes, cheese is a dairy product that’s typically associated with gout.

But is this “typical association” really true? Just because cheese is commonly thought to aggravate gout symptoms, doesn’t mean that it is actually bad for everyone who has this condition.

No matter what, you should learn more about 2 most effective supplements for gout, which can help reduce symptoms when used in conjunction with other gout reduction strategies.

In this article, we will discuss gout, what causes it, the symptoms of gout, and as well as provide tips on how to include this dairy product in your diet while still managing your gout symptoms.

What is gout and what are the symptoms?

Gout is a type of arthritis that is caused by high levels of uric acid in the blood. When uric acid crystallizes, it can cause pain and inflammation in the joints.

The symptoms of gout include pain, swelling, and redness in the joints. The most common symptom is intense joint pain that comes on suddenly and can last for days or weeks.

If you have gout, you might also experience:

• Joint stiffness
• Difficulty moving the joint
• Tenderness
• Redness
• Warmth

In some cases, gout can also cause fever and chills. If you experience any of these symptoms, it is important to see a doctor as soon as possible.

What are the causes of gout and how is it diagnosed?

There is no one definitive cause for gout, but certain foods and drinks are known to trigger attacks. Alcohol, red meat, and seafood are some of the most common culprits. For people with gout, it is important to avoid these foods as much as possible, generally speaking.

If you suspect you have gout, please get your symptoms diagnosed by a doctor. In some cases, blood tests may also be ordered to check for high levels of uric acid.

Overall, gout is still a relatively rare condition, affecting about 1-2% of the population. However, it is becoming more common as people are eating more processed foods and drinking more sugary drinks.

How does cheese factor into all of this, and is it really bad for people with gout?

As we mentioned earlier, cheese is a dairy product that is typically associated with gout. This is because some cheeses are high in purines, which are known to trigger gout attacks.

However, we also have to remember that lactose intolerance plays a big role in the perception of gout and cheese.

The majority of people are lactose intolerant, so if these people have cheese then they will show similar symptoms to gout.

This is probably a big reason why cheese is commonly believed to be associated with gout.

However, not all cheeses are created equal.

Some cheeses are actually lower in purines than others and may not trigger an attack.

For example, cottage cheese is a type of cheese that is relatively low in purines and is often recommended for people with gout. On the other hand, goat cheese and blue cheese are higher in purines and should be avoided if possible.

In general, it is best to eat aged cheeses rather than fresh ones. Aged cheeses have had time to break down their purines, making them less likely to trigger an attack.

Furthermore, many cheeses are loaded with sugar and are heavily processed. These cheeses will be the worst for gout.

If you do decide to eat cheese, it is important to do so in moderation. Eating too much cheese can still lead to gout attacks, even if the cheese is low in purines, fresh, and relatively unprocessed.

But wait, is cheese actually good for gout?

In fact, there’s some evidence that low fat cheeses and dairy products actually help with gout!

For example, according to the Arthritis Foundation, low-fat milk won’t only help to reduce uric acid levels and the risk of a gout flare, according to studies, it will also aid in the excretion of uric acid in your urine.

So there you have it!

Cheese is not necessarily bad for people with gout, but it is important to eat it in moderation and choose the right types of cheese.

With a little bit of effort, you can still enjoy this dairy product without having to worry about triggering a gout attack. In fact, if you have gout then evidence suggests you should actually consume the right types of cheeses!

List of cheeses good and bad for gout

Above we listed three criteria which can help you evaluate whether a cheese is good or bad for gout.

1. Low or high in purines
2. Fresh or aged cheese
3. Degree of processing (low fat, low sugar = good)

But we really want to emphasize that you can have low fat dairy products, even if you have gout flares.

In fact, while it’s certainly true that cheeses loaded in sugar and fat will exacerbate gout, the opposite is true too. The low fat cheeses will generally be safe and actually help lower uric acid levels

Fortunately there are also a number of low- or no-fat versions of popular cheeses available, including:

• Cream cheese (Neufchatel)
• Mozzarella
• Parmesan
• Cheddar
• Feta
• American

As for the cheeses and dairy products you should avoid?

• Whole fat milk
• Full fat ice cream
• Goat cheese
• Havarti

Again, contrary to popular opinion, gout sufferers should opt for low-purine and low fat dairy products, such as milk, cheese, and yogurt. Like we said earlier, these types of dairy foods actually decrease uric acid levels and contribute to a healthy diet.

They are an excellent choice for a diet to manage or cure gout because they are low in purines. Reduced-fat dairy items are lower in saturated fat than full-fat counterparts.

Now that we’ve encouraged you to actually eat low fat dairy products if you have gout (and are lactose persistent), let’s talk about what you should actually avoid.

Avoid sweets and sodas

Sweets, treats, and sodas are loaded with sugar. And as we all know, sugar is terrible for gout.

These sugary drinks can lead to weight gain, which is a risk factor for developing gout.

Plus, the high fructose corn syrup in many sodas is also associated with gout attacks.

So if you’re looking to avoid triggering a gout attack, it’s best to steer clear of these sugary beverages.

Limit alcohol consumption

While you don’t have to avoid alcohol altogether, it is important to limit your intake.

Alcohol is a major risk factor for gout, and even moderate drinking can increase the risk of developing this condition.

If you do drink, stick to one or two drinks per day and avoid hard liquor.

And of course, if you’re currently experiencing a gout attack, it’s best to abstain from alcohol entirely until the flare-up has subsided.

Cut back on red meat

Red meat is high in purines, which can increase uric acid levels and trigger a gout attack.

If you love steak and other red meats, simply eat them less often or cut back on the portion size.

There are plenty of other protein-rich foods that are low in purines, such as chicken, fish, tofu, legumes, and eggs. You can also research the best protein supplements for other ways to increase your protein intake, instead of relying on red meat.

These options are all safe for people with gout and can be enjoyed without fear of triggering gout flare ups.

Eat lots of fruits

While fruits do contain sugar, it’s not the processed high fructose corn syrup that can cause gout flare ups.

In fact, fruits are packed with vitamins, minerals, and antioxidants that can actually help reduce the risk of gout.

So load up on fresh or frozen fruits like cherries, blueberries, strawberries, oranges, and grapefruit.

You can also enjoy dried fruits like raisins, apricots, and dates in moderation.

Just be sure to avoid fruit juices as they often contain added sugar, which stimulate uric acid production.

Drink more water

The cause of gout can arise from the buildup of urinated acid. A little water might ease the problem. We’ve all heard the standard 8 cups a day and that’s a good gout diet guideline.

Is peanut butter bad for gout?

The jury is still out on whether or not peanut butter is bad for gout. Some studies suggest that it may actually help protect against gout, while others find that it has no effect.

So far, there is no definitive answer as to whether or not peanut butter is bad for gout. However, if you are concerned about triggering a gout attack, it is best to avoid this food altogether.

There are plenty of other protein-rich foods that are safe for people with gout, such as chicken, fish, tofu, legumes, and eggs. So load up on these instead of peanut butter. And be sure to drink plenty of water to keep your uric acid levels in check.

Is butter bad for gout?

Butter is high in saturated fat, which can increase the risk of gout. Additionally, butter is a dairy product and some people with gout are sensitive to dairy.

If you are concerned about triggering a gout attack, or are at risk of gout, it is best to avoid this food altogether.

There are plenty of other fat-rich foods that are safe for people with gout, such as nuts, olive oil, avocados, and eggs. And again, be sure to drink plenty of water to keep your uric acid levels in check.

Summary

If you’re looking to avoid triggering a gout attack, or simply to minimize gout risk, it’s best to steer clear of sweets and sodas, alcohol, red meat, and butter.

Instead, enjoy plenty of fruits and vegetables, lean protein sources like chicken and fish, and healthy fats like nuts and olive oil. And be sure to drink plenty of water to keep your uric acid levels in check!

You can even research the best supplements and find one that’s great for you too.

Do you have gout? What foods do you avoid to keep your gout in check? Let us know in the comments below!

NUTRITION FOR GOUT. Version 2.0.

NUTRITION FOR GOUT. Version 2.0. | Visual Rheumatology

Views: 5 160

Bychkov I.N.

An important point in the treatment of gout is the diet for this disease. As you know, the disease is not completely curable, but you can significantly increase the periods of remission, following the desired regimen and adhering to the correct menu. Proper nutrition with gout allows the patient to maintain good health for a long time. Diet for gout should primarily be aimed at normalizing the metabolism of purines, reducing the formation of uric acid in the body and alkalizing urine. It is necessary to know that only 30% of purines are formed from food, the remaining 70% are metabolic products of the organism itself.

Diet for gout
Proper diet for gout is just as important as eating the right foods. Meals should be regular and four times a day. The slightest overeating or starvation can provoke an attack. If a patient with gout suffers from excess weight, he needs to gradually get rid of it, but sudden weight loss is unacceptable.

It is important for patients to consume a sufficient amount of fluid – at least 1.5-2 liters of water per day, and during an exacerbation – at least 3 liters. As a liquid, you can use mineral water, compotes, weakly brewed tea or fruit drink. Patients with gout are often advised by doctors to use rosehip decoction. It is recommended to drink in between meals.

If you say in one phrase about a diet for gout, then it will be a vegetable-milk diet. In this case, a hypocaloric option is desirable, since most gout patients are overweight and obese. That is, approximately 20 kcal per kg of body weight, which for a person weighing 75 kg will be approximately 1500-1700 kcal.

Copyright © 2023. All Rights Reserved.

Gout. Gourmets at risk?

Even under Hippocrates, gout was called the disease of aristocrats, or kings. Suffered from this disease, mostly rich people – those who could afford rich fatty foods and strong drinks.

What is gout?

This is a chronic disease in which there is deposition in various tissues of the body of urates – uric acid crystals. Most often, gout manifests itself in the form of recurring attacks of acute arthritis.
The first attack (attack) occurs most often at the age of 40-50, although it can make itself felt at any age. Men are most susceptible to this pathology.
Symptoms often appear at night or in the early hours of the morning. At the same time, patients often point to noisy feasts, weddings, anniversaries on the eve of the onset of symptoms.

What hurts?
Sudden sharp pain in the joint, most often in one metatarsophalangeal joint of the foot. The pain is sometimes so unbearable that the patient cannot walk or moves with great difficulty. On examination, the affected joint is swollen, the skin is red, hot to the touch. Pain in the affected area can be so intense that even in a calm state cause unbearable suffering.
The course of the disease is paroxysmal. With the development of the disease, arthritis of the elbow, ankle, knee, wrist joints, joints of the hands, and joints of the foot occur. Sometimes during an attack of acute gouty arthritis, a pronounced general reaction is also observed: fever, sweating, weakness.

Why don’t we go to the doctor right away?
Despite such an acute and sudden onset, gout arthritis is characterized by a very rapid “fading” of symptoms (even without treatment) within a few days. However, this feature of the disease sometimes plays a cruel joke with a patient who is treated at home on his own and rejoices at the sudden disappearance of symptoms, forgetting about the disease until the next attack. This is fundamentally wrong, because without proper treatment, gout is very variable in its clinical manifestations. With a high level of uric acid, attacks become more frequent, take a long course, are difficult to treat, and tophi (accumulation of urates under the skin) is formed in the area of ​​the affected joints
In a severe course of the disease and in advanced cases, damage to the joints is noted with their persistent and severe deformation and dysfunction, leading to disability.
A very important manifestation of the disease is kidney damage, since urates, with a high level of uric acid in the body, fill their tubules. If treatment is not started on time, kidney failure develops.

Does the age of the patient matter?
The features of the disease in recent decades are its occurrence at a younger age, earlier formation of complications, involvement of the kidneys and the cardiovascular system in the process. In young people, a severe course of the disease is more often observed with multiple lesions of the joints, frequent and prolonged exacerbations, multiple tophi and more pronounced hyperuricemia (increased concentration of uric acid).
Also, a number of researchers note a widespread increase in the number of patients with gouty arthritis among women. An inverse relationship was found between the level of estrogen and the concentration of uric acid. The decrease in blood levels of these hormones during menopause contributes to the appearance of hyperuricemia.

What provokes an attack?
An attack of acute arthritis can be provoked by the use of foods containing a large amount of purines (liver, kidneys, smoked fish, etc.), alcohol (especially strong and beer), physical or psycho-emotional overload, trauma, hypothermia.
Minor trauma to the joint resulting in intra-articular edema. At rest, there is an intense outflow of fluid from the joint, which leads to a rapid local increase in the concentration of uric acid.

Why should I see a doctor?
To:
quickly and safely stop an acute attack,
to prevent the development of relapses,
to prevent the transition of the disease to the chronic stage, accompanied by the formation of tophi, kidney damage and joint deformity.
At the initial stage, to reduce the level of uric acid, proper nutrition is the basis of treatment.

Diet for gout, what should be avoided?

– liver, kidneys, brains and other by-products, ham, sausages, sausages, canned meat, jelly, game (goose, duck)
– smoked fish, salmon, fish roe
– buns, pies, premium bread
– processed cheeses
– soups with meat broths
– butter, lard, margarines
– Butter creams, pastries, cakes
– Salty sauces, mayonnaise
– Beer, strong alcohol pears, plums, cherries, watermelons, melons, cucumbers, onions, oranges, apricots, peaches, lemons and grapes.
Food should contain the required amount of vitamins, especially ascorbic acid, rutin, riboflavin.