How does salmon affect gout. What are the dietary guidelines for managing gout. Can certain foods trigger gout attacks. What role does weight play in gout management. How can you prevent gout flare-ups through diet.

The Relationship Between Salmon and Gout

Salmon is often a topic of concern for those managing gout. While it’s a nutritious fish rich in omega-3 fatty acids, it also contains purines, which can potentially raise uric acid levels in the body. However, the impact of salmon on gout may not be as straightforward as once thought.

Is salmon inherently bad for gout sufferers? The answer isn’t a simple yes or no. Moderate consumption of salmon may actually be beneficial for overall health, including gout management. The key lies in understanding your individual triggers and maintaining a balanced diet.

Purine Content in Salmon

Salmon contains moderate levels of purines, which are organic compounds that break down into uric acid in the body. However, it’s important to note that not all purines are created equal. The purines found in fish like salmon may have a different effect on the body compared to those found in red meat or organ meats.

Potential Benefits of Salmon for Gout Patients

Despite its purine content, salmon offers several benefits that may outweigh the potential risks for gout sufferers:

• Anti-inflammatory properties from omega-3 fatty acids
• High-quality protein source
• Rich in vitamins and minerals
• May help with weight management, a key factor in gout control

Understanding Gout and Its Causes

Gout is a form of inflammatory arthritis characterized by sudden, severe attacks of pain, swelling, and redness in joints. It typically affects the big toe but can occur in other joints as well. The root cause of gout is an excess of uric acid in the blood, a condition known as hyperuricemia.

The Role of Uric Acid in Gout

Uric acid is a waste product that results from the breakdown of purines in the body. Normally, uric acid dissolves in the blood and is excreted through urine. However, when there’s too much uric acid in the system, it can form sharp, needle-like crystals in the joints, leading to gout attacks.

Can diet alone cause gout? While diet plays a significant role in gout management, it’s not the sole cause. Genetic factors, certain medical conditions, and lifestyle choices all contribute to the development of gout.

Dietary Guidelines for Managing Gout

A gout-friendly diet focuses on reducing uric acid levels in the body while promoting overall health. Here are some key principles to follow:

1. Limit high-purine foods
2. Increase intake of low-purine foods
3. Stay hydrated
4. Maintain a healthy weight
5. Moderate alcohol consumption

Foods to Limit or Avoid

While it’s not necessary to completely eliminate all high-purine foods, it’s wise to limit intake of:

• Organ meats (liver, kidney, sweetbreads)
• Red meat and game meats
• Certain seafoods (anchovies, sardines, mussels, scallops, trout)
• High-fructose corn syrup
• Alcohol, especially beer and spirits

Foods to Embrace

A gout-friendly diet should include plenty of:

• Fruits and vegetables
• Whole grains
• Low-fat dairy products
• Lean proteins (in moderation)
• Plant-based proteins (beans, lentils, tofu)

The Impact of Weight on Gout Management

Excess body weight is strongly associated with higher uric acid levels and an increased risk of gout attacks. Losing weight can significantly improve gout symptoms and reduce the frequency of flare-ups.

How much weight loss is needed to see improvements in gout symptoms? Research suggests that losing as little as 8 pounds can lead to long-term reductions in uric acid levels and fewer gout attacks in overweight or obese individuals.

Strategies for Healthy Weight Loss

When aiming for weight loss to manage gout, consider these approaches:

• Reduce calorie intake gradually
• Focus on nutrient-dense, low-purine foods
• Incorporate regular physical activity
• Stay hydrated to support kidney function
• Consider consulting a dietitian for personalized advice

The Role of Hydration in Gout Prevention

Proper hydration is crucial for managing gout. Drinking adequate amounts of water helps the kidneys flush out excess uric acid, potentially reducing the risk of crystal formation in the joints.

How much water should you drink to manage gout? While individual needs vary, aim for at least 8-10 glasses of water per day. Increase intake during hot weather or when exercising.

Beverages to Choose and Avoid

When managing gout, be mindful of your beverage choices:

• Best choices: Water, herbal tea, low-fat milk
• Moderate consumption: Coffee, green tea
• Limit or avoid: Alcohol, sugary drinks, high-fructose corn syrup-sweetened beverages

Supplements and Natural Remedies for Gout

While medication is often necessary for gout management, some supplements and natural remedies may offer additional support. However, it’s crucial to consult with a healthcare provider before starting any new supplement regimen.

Vitamin C

Some studies suggest that vitamin C supplementation may help lower uric acid levels. A daily dose of 500mg has shown mild uric acid-lowering effects in some research. However, results are mixed, and more studies are needed to confirm its efficacy in gout management.

Cherry Juice

Cherries and cherry juice have gained popularity as a potential gout remedy. They contain compounds called anthocyanins, which have anti-inflammatory properties. Some research indicates that consuming cherries may lower the risk of gout attacks, especially when combined with uric acid-lowering medication.

Are cherry supplements as effective as whole cherries or cherry juice for gout? More research is needed to determine the most effective form and dosage of cherry products for gout management.

Lifestyle Modifications for Gout Management

Managing gout extends beyond diet and medication. Incorporating certain lifestyle changes can significantly improve symptoms and reduce the frequency of flare-ups.

Regular Exercise

Physical activity plays a crucial role in gout management by helping maintain a healthy weight and improving overall cardiovascular health. Low-impact exercises like swimming, cycling, and yoga are excellent options for gout sufferers.

Stress Management

Stress can potentially trigger gout attacks in some individuals. Implementing stress-reduction techniques such as meditation, deep breathing exercises, or engaging in hobbies can be beneficial.

Adequate Sleep

Getting sufficient quality sleep is important for overall health and may help in managing gout. Aim for 7-9 hours of sleep per night and establish a consistent sleep schedule.

Monitoring and Tracking Gout Symptoms

Keeping a close eye on your gout symptoms and potential triggers can help you better manage the condition and prevent future attacks.

Food Diary

Maintaining a food diary can help identify potential dietary triggers for gout attacks. Record what you eat and drink, along with any symptoms you experience. Over time, patterns may emerge, allowing you to make informed decisions about your diet.

Symptom Tracking

Regularly monitor and record your gout symptoms, including the frequency and severity of attacks, joint pain, and swelling. This information can be valuable for your healthcare provider in assessing the effectiveness of your current treatment plan.

Uric Acid Monitoring

Regular uric acid level checks can help gauge the effectiveness of your gout management strategy. Work with your healthcare provider to determine how often you should have your uric acid levels tested.

By implementing these dietary guidelines, lifestyle modifications, and monitoring strategies, individuals with gout can take proactive steps towards managing their condition and improving their quality of life. Remember, while diet plays a crucial role in gout management, it’s essential to work closely with a healthcare provider to develop a comprehensive treatment plan tailored to your individual needs.

The Gout Diet and Eating to Prevent Gout

Gout causes swelling and inflammation in the joints. It’s a painful form of arthritis caused by too much uric acid in the body.

A Look at How You Get Gout

Uric acid is a normal waste product in the blood that comes from the breakdown of certain foods. It’s processed in the kidneys before being eliminated from the body in urine.

Excess Body Weight and Gout

Being overweight is associated with higher-than-normal uric acid levels. Since this is a major risk factor for gout, losing weight is often the goal of a gout diet.

Dieting and Weight Loss to Prevent Gout

Losing weight may help lower your uric acid levels and reduce your risk of future gout attacks. A 2017 review of studies in the Annals of the Rheumatic Diseases (1) suggested that a weight loss of about eight pounds or more led to long-term reductions in uric acid levels and gout attacks in overweight or obese people.

An Overview of Dietary Approaches to Manage and Prevent Gout

The main principles of a gout diet are usually the same as those of any healthy, balanced diet.

They include:

• If you’re overweight, reduce the number of calories you consume.
• Choose unrefined carbohydrates like fruits, vegetables, and whole grains.
• Limit your intake of sugar-sweetened beverages and foods.
• Limit your intake of organ meats (such as kidney, liver, or sweetbreads).
• Cut back on saturated fats.

Dietary Causes of Gout and Gouty Arthritis

Some people with gout find it helpful to eliminate specific high-purine foods from their diet. (2) Certain high-purine foods may trigger gout attacks in some people.

Most people with gout will still need medication even if they follow a diet for gout.

Dietary changes alone can lower your uric acid levels by up to 15 percent, according to the Institute for Quality and Efficiency in Health Care (2), an independent scientific institute that evaluates the benefits and harms of medical interventions.

It’s not necessary to avoid all high-purine foods if you have gout. Studies have shown that purine-rich vegetables don’t trigger gout. (3) And certain high-purine foods can be a good source of lean protein to incorporate into your diet.

Purine-rich vegetarian foods to include in your diet are:

• Peas
• Beans
• Lentils
• Spinach
• Mushrooms
• Oats
• Cauliflower
• Broccoli

Foods to Avoid to Control or Prevent Gout

The following foods may trigger gout attacks in some people:

• Red meat
• Organ meats
• Certain types of seafood (anchovies, sardines, herring, mackerel, scallops)
• Products containing high-fructose corn syrup

Drinks that can trigger gout include:

• Alcoholic beverages, especially beer, whiskey, gin, vodka, or rum
• Sugary drinks, including sodas, juices, energy drinks
• Coffee and other caffeinated beverages. While some studies show that caffeine can actually protect against gout pain, others find that sudden spikes in caffeine intake can trigger a gout attack.

Dietary Supplements for Gout Management and Prevention

Talk to your doctor about any supplements or vitamins you take or may want to take. Supplements and other remedies may interfere with medication.

Vitamin C supplements (up to 500 mg daily) are sometimes recommended for people with gout. (4)

One study (5) found that taking 500 mg of vitamin C per day had a mild uric-acid–lowering effect. Yet it’s not clear whether vitamin C helps relieve gout symptoms.

A 2013 study in the journal Arthritis and Rheumatism (6) showed that supplementing with 500 mg of vitamin C for eight weeks did not significantly lower uric acid levels in patients with gout.

Cherry Juice for Gout Management?

Cherries and cherry juice are a popular folk remedy for gout, but the scientific evidence to support their supposed benefits is still coming in.

In 2005, the U.S. Food and Drug Administration sent warning letters to several cherry product manufacturers for overselling the health benefits of their products in advertisements. (7)

Nonetheless, there’s reason to believe that cherries may help fight gout. They contain chemical compounds called anthocyanins, which have been shown to help reduce inflammation. (8)

Cherries may also have a beneficial effect on uric acid levels.

One large study of people with recurrent gout found that eating cherries was associated with a lower risk of gout attacks, especially when cherry consumption was combined with taking a common uric acid–lowering drug. (9)

Despite these findings, experts say that more research is needed before any definitive recommendations can be made about cherries or cherry juice for gout.

Gout Cookbooks and Gout-Friendly Eating Plans

Ease a Gout Attack in 10 Steps

Many Risk Factors May Contribute to Gout and Gout Flare-Ups

Women can develop gout too, especially later in life after menopause.

Other risk factors and conditions for developing gout include:

RELATED: Gout Complications and Related Conditions

Your 10-Point Plan: Easing a Gout Attack

During a gout attack, the affected joint becomes swollen, warm to the touch, and appears very red. Even the slightest pressure on the joint can be very painful. The attacks more often occur in the middle of the night; about 50 percent start in the big toe, according to the Alliance for Gout Awareness.

Want to get ahead of the intense pain? Make sure you have a plan:

1. Get a Diagnosis

If this is the first time you have had an attack, see your doctor immediately. “Gout is one of the most underdiagnosed diseases because data on how to treat high uric acid has been lacking. We have better information now. If you are experiencing a flare, you should have an action plan in place, created with your doctor,” says Payam Shakouri, MD, nephrologist with Advanced Kidney Care of Hudson Valley in New York, and medical advisor for gout to CreakyJoints. The sooner you start treatment and pain management, the more quickly you will be back on your feet.

RELATED: Gout Symptoms and Diagnosis

2. Take the Right Anti-Inflammatory Medications

There are three different kinds that are effective: over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, aspirin, or naproxen sodium; prescription steroids; or a prescription anti-inflammatory called colchicine, which influences the way your body reacts to uric acid crystals. “Your doctor will figure out which is the best for your unique needs. NSAIDs, for example, are not appropriate if you have renal disease, and steroids could make your blood sugars worse if you have diabetes,” points out Dr. Fitzgerald.

3. Free the Joint! 

The least pressure on the affected area can be very painful. People report they can’t even bear to be under a bedsheet. Make sure there are no constraints on the joint when it is flaring up.

4. Rest and Elevate

Stay off the affected joint and keep it elevated as much as possible.

RELATED: The Importance of Resting Joints

5. Apply Ice — if You Can Bear It

“Apply ice if you can do so comfortably without creating pain,” says Fitzgerald.

6. Watch Your Diet

You can lower uric acid levels by limiting foods high in purines (like red meat, organ meat, and seafood), and alcohol intake (particularly beer and hard liquor).

7. Stay Hydrated

Drinking water can help flush the uric acid crystals that cause gout out of your system. “A well-hydrated patient should drink enough to urinate every two to three hours,” says Dr. Shakouri.

RELATED: 6 Unusual Signs of Dehydration You Should Know About

8. Practice Mindfulness and Meditation

The good news: A gout attack is self-limited and will clear in time. In the meantime, according to the Arthritis Foundation, meditation, yoga breathing, mindfulness, and guided imagery can help you deal with the pain.

RELATED: Why You Want to Elicit the Relaxation Response If You Have Rheumatoid Arthritis

9. Create a Support Network

Many patients suffer in silence because of the stigma around gout. Let trusted friends and family know that you have this disease, and reach out for support when you are having a flare.

RELATED: 6 Ways to Stop Rheumatoid Arthritis Isolation and Loneliness

10. If You Are Having Repeated Attacks, See Your Doctor

Some patients can go a long time between attacks. In fact, for 62 percent of patients the next attack will be more than a year away, and some won’t have another attack in the next 10 years. However, if you begin to have more frequent attacks, talk to your doctor about escalating treatment. “People think it’s normal to have flares every now and then, but it’s not. The gout can be doing damage to your joints. It means you still have too much uric acid,” says Shakouri. In particular, ask about allpurinol. It won’t help with an acute attack but will help prevent future attacks by reducing uric acid production.

RELATED: Sleep Apnea Increases the Risk for Gout, Research Suggests

What to Eat, What to Avoid

Certain fish dishes are great sources of heart-healthy omega-3 fatty acids, lean protein, and essential vitamins and minerals, including antioxidants in vitamins B₂, B₁₂, and vitamin D. However, eating seafood, including fish, is also a well-recognized risk factor for increased uric acid levels in the blood, which leads to a gout attack. All fish should be eaten in moderation if you have gout (also known as gouty arthritis) or are at risk of gout due to hyperuricemia.   

Purines

Purines are organic chemical substances found in the body and food. You need a healthy supply of purines in your diet, but if you have gout, purines accumulate into excess uric acid in the blood because you can’t efficiently excrete them. Uric acid then builds in joints and causes the pain, redness, and swelling associated with gout.

Some types of seafood and fish, including scallops, sardines, herring, anchovies, haddock, cod, and mackerel, may be better left off the menu altogether. Fish and seafood that are safe to eat should still be cooked with gout-friendly methods to reduce consumption of excess purines.

kali9 / Getty Images

Fish That Are OK to Eat

People with gout can still eat most fresh and canned fish to get a healthy dose of omega-3 fatty acids and other essential nutrients, but they should also consider the total purine content and mercury levels in fish, taking into account their overall dietary habits and purines from other foods. 

Mercury in Fish

Keep an eye on the amount of mercury in your fish choices. Larger fish that have more muscle mass and eat other fish contain higher amounts of mercury. Reducing your exposure means choosing fish with a lower mercury content like canned white tuna like skipjack, yellowfin, tongol, and canned mackerel.

Fish and seafood that are OK to eat when you have gout are those in the low-purine category, meaning they have less than 100 mg of total purines per 100 g serving. Suitable options include Japanese eel, sablefish, and monkfish meat.

Purine Content per 100 g.

These fish varieties can be eaten in many different ways, including fried, grilled, boiled, roasted, or barbequed.  

Omega-3 Fatty Acids and Gout

A relationship has been found between omega-3 polyunsaturated fatty acid (n-3 PUFA) consumption (dietary or supplemental) and risk of gout flare-ups. It is associated with a lower risk of recurrent gout flare-ups. 

Fish to Eat in Moderation

Fish and seafood that are best consumed in moderation include those in the moderate-purine category (with a purine content from 100 mg to 400 mg per 100 g serving). Most fish fit into this range, including carp, halibut, Japanese seabass, and yellow striped flounder.

Purine Content per 100 g.

These fish are typically served boiled, fried, steamed, or baked. 

Fish to Avoid

When you have gout, you want to avoid fish in the high-purine categories (with a purine content of 400 mg or more per 100 g of fish). Studies have shown that fresh anchovies have the total highest purine content at just over 410 mg per 100 g serving. They can be eaten fresh, canned, or cured.

A single anchovy is around 4 grams and a typical 2 ounce weighs around 45 grams. These measurements can, however, vary by species of anchovy. 

Seafood in general, but especially salmon, shrimp, lobster, and sardines, is high in purines and can cause uric acid in the blood to increase. 

Purine Content per 100 g.

The purine content above is approximate and can range between species and with cooking methods.

Cooking Tips

Different cooking methods affect the purine content of your fish dish. For example, researchers have found a significant positive relationship between the risk of hyperuricemia and raw (sashimi and sushi) or roasted fish consumption, but not boiled or fried fish consumption.

Boiling, poaching, or steaming in water can reduce the overall purine content of a fish dish. Other options include using plant-based oils rich in antioxidants to lightly fry, marinate, or flavor seafood. 

People with gout can benefit from the anti-inflammatory properties of the omega-3 fatty acids found in fatty fish like salmon, tuna, sardines, and mackerel, but should still not exceed weekly intake recommendations regardless of their cooking methods.

The U.S. Food and Drug Administration’s weekly intake recommendations are as follows:

• At least 8 ounces of seafood (less for young children) per week based on a 2,000 calorie diet
• Women who are pregnant, trying to conceive, or breastfeeding may consume between 8 and 12 ounces of seafood per week, from lower mercury options

Eating a 3- or 6-ounce serving of these fish two to four times a week is recommended for lowering inflammation and protecting the heart in people with gout.

A Word From Verywell

While people with gout need to be careful about the purine content found in fish, they can still benefit from the rich amount of omega-3 fatty acids and their anti-inflammatory properties by choosing the right varieties and consuming a safe amount. Dietary changes are the easiest way to avoid a gout flare-up and buildup of uric acids, and they can be implemented with careful planning.

People with gout should pick fish varieties with lower levels of total purines and mercury, eat fish and seafood in moderation, and cook these foods with a moist method like boiling, poaching, or steaming.

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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

1. Burger Joanna, Gochfeld Michael. Mercury in canned tuna: white versus light and temporal variation. Environ Res. 2004;96(3):239-249. doi: 10.1016/j.envres.2003.12.001.x

2. Zhang M, Zhang Y, Terkeltaub R, Chen C, Neogi T. Effect of Dietary and Supplemental Omega-3 Polyunsaturated Fatty Acids on Risk of Recurrent Gout Flares. Arthritis Rheumatol. 2019;71(9):1580-1586. doi: 10.1002/art.40896.x.

3. Kaneko K, Aoyagi Y, Fukuuchi T, Inazawa K, Yamaoka N. Total purine and purine base content of common foodstuffs for facilitating nutritional therapy for gout and hyperuricemia. Biol Pharm Bull. 2014;37(5):709-21. doi: 10.1248/bpb.b13-00967

4. Ellington, Anna. Reduction of Purine Content in Commonly Consumed Meat Products Through Rinsing and Cooking. GETD. Published 2005.

5. Cleveland Clinic. High Uric Acid Level. Updated June 5, 2018.

6. Ren Z, Huang C, Momma H, Cui Y, Sugiyama S, Niu K, Nagatomi R. The consumption of fish cooked by different methods was related to the risk of hyperuricemia in Japanese adults: A 3-year follow-up study. Nutr Metab Cardiovasc Dis. 2016 Sep;26(9):778-85. doi: 10.1016/j.numecd.2016.05.009

7. U.S. Food and Drug Administration. Advice about Eating Fish. Published August 31, 2020.

8. The Arthritis Foundation. Best Fish for Arthritis.

Verywell Health is part of the Dotdash publishing family.

How Eating Fish Can Lower the Risk of a Gout Flare

Eating plenty of fish has long been associated with health benefits like a lower risk of heart disease, cancer, and age-related memory problems. Now research suggests that loading up on fish may help people with gout slash their risk of a flare. 

The study, published in the journal Arthritis & Rheumatology, relied on data from the Boston University Online Gout Survey, an internet-based study that ran from 2003 to 2012. In this new analysis, researchers determined that gout patients who ate fatty fish (such as salmon, mackerel, or herring) in the previous 48 hours were 33 percent less likely than those who hadn’t to have a gout attack.

The more fish people ate, the better, as “increases in the number of servings were associated with a [substantially] lower risk of gout flares.”

Although the study authors initially hypothesized that eating omega-3 rich fish or taking an omega-3 supplement would have a protective effect, it turned out that the real thing was best: Supplements did not appear to help. That said, the authors noted that supplements might be beneficial if taken at higher doses. High-dose omega-3 supplements might even have an edge over eating fish, because certain kinds of fish contain purines, natural substances that get converted to uric acid in the body. The build-up of uric acid crystals in the joints is what triggers gout flares.

“Supplements would bypass this obstacle, offering a pharmacological benefit without the gout-inducing features of purines,” they wrote. 

Omega-3 fatty acids are believed to be beneficial for people with gout, as well as for other inflammatory conditions like rheumatoid arthritis, because they inhibit substances that would otherwise cause inflammation in the body.  

Track Your Arthritis Symptoms

Join CreakyJoints’ patient-centered research registry and track symptoms like gout flares. Learn more and sign up here. 

Keep Reading

Will Salmon Cause Gout? | Iupilon

Gout is very painful, so it’s natural for people to wonder if they can still eat certain seafood after being diagnosed with gout. We certainly recommend speaking to your physician about your diet if you have arthritis or gout, as diet can cause issues with your joints.

As a person ages, flare-ups of gout can become more severe, leading to much worse instances. If you are tired of downing painkillers and would like a more natural approach to moderating flare-ups of your gout, read today’s robust discussion on purines, gout, and seafood.

Is Salmon High in Purines?

Salmon is not as high in purines compared to other types of fish. On average, salmon provides 170 mg of purines for every 100 grams. Other fish that are OK to consume in controlled amounts because of their moderate purine content are haddock, halibut, herring roe, Atlantic herring, Matje cured herring, pike-perch, and mackerel. However, keep in mind that their physicians will likely dissuade those with severe gout from eating even these fish.

There might be some debates about whether you should be consuming seafood at all when you have gout, but we have to take into account the gentle balancing act that occurs when we choose to eat food.

All food items can potentially increase compounds that may cause inflammation in the body. The key here is to find food that will provide benefits on top of the small risk that something may happen afterward due to having a chronic condition like gout. Salmon is one of these foods that you can ‘risk’ a little because it provides so much to the body in return.

Purines occur naturally in the food that we eat. These are compounds that are eventually metabolized and transformed into uric acid. Purines are constituted by oxygen and nitrogen.

The uric acid is then filtered and removed by the body through the action of the kidneys. When the body loses its capacity to filter out uric acid and purines, this is the time that the nitrogenous waste begins to gather in the joints, causing extremely painful inflammation. Gout can become so severe that some gout patients require surgery, so you must know how to manage your gout for better general health.

Is It OK to Eat Salmon If You Have Gout?

On the whole, salmon is an exception to the seafood list that should be excluded from a rheumatic or gout-friendly diet. It all boils down to how much purines are found in the food you are consuming in the first place.

The amount of purines in every salmon serving does not compare to the purine content of roe, sardines, scallops, trout, and anchovies. Brined and oiled fish are often high in purines, too. Some people can tolerate these food items because they medicate.

However, there are instances when even the medication doesn’t do much with the flare-ups, and that’s when doctors normally recommend more restrictive measures for a person’s diet. While the complete avoidance of purines is not possible if a person is still eating whole foods, it can be minimized to the bare minimum to reduce flare-ups to the same level.

What about seafood like crabs, shrimps, oysters, and lobsters? These should be avoided completely or eaten only very sparingly as they are hard on a body with arthritis.

These items pack the highest amounts of purines in the list of common food items consumed by people. While some people will find it unfortunate that they can no longer eat what they used to eat when they were younger, you will find that reducing the purine intake, on the whole, will improve the condition of a person with gouty arthritis.  

What Causes Gout?

Gout or gouty arthritis is a condition caused by the accumulation or build-up of uric acid in the body. The symptoms of gout often occur in the feet, especially around the joints. A gouty arthritis person will experience inflammation, swelling, and sharp pains in the various foot joints. The big toe is most affected by this condition.  Whenever gout occurs, the inflammation and pain may occur for as long as ten days. If you’re lucky, most of the warmth and redness will go away after three days. It all depends on your body’s state, the severity of the condition, or if you are taking any medication for it.

Doctors call the bouts “attacks” as in “gout attacks” because in between the said bouts of gout, you won’t have any issues with it. There won’t be any pain or other severe symptoms at all. The treatment of gout is necessary if you don’t want it to get worse over time. The uric acid depositions around the joints won’t just go away by ignoring them. They can cause permanent damage if the uric acid is not controlled properly with diet, exercise, and medication.  

Tophi refers to the lumps that develop on top of affected joints in the foot. The more you get gout attacks, the more tophi your body develops as a reaction to the gout attacks. What’s unfortunate here is that tophi can also easily affect the affected joints’ soft tissues – including the skin. That’s what you have to think about if you think that you can ignore your gout. We recommend having yourself checked out ASAP if you think you have gout.

Which Fish Is Bad for Gout? List Of Foods To Avoid With Gout

Certainly, some foods cause gout, and no one wants to consume these if they want to have a pain-free year. If you want to regulate your purine intake, we recommend avoiding anchovies, carps, halibut, ocean perch, coalfish, pilchard sardines, trout, tuna, etc. These fish have the highest purine content around, and eating a lot of these fish will send your uric acid levels surging.

Can salmon trigger Gout Attacks -Eating Salmon with Gout

 Gout is an inflammatory condition of joints, in which the patient experiences sudden and intense pain, swelling, and redness in the joints. The condition results most commonly from an unhealthy lifestyle and an inadequate diet.

An extremely raised level of uric acid in the body is the main cause of gout. Uric acid is produced from the breakdown of purines.

> Read Testimonials of Successfully Curing Gout at Home

Purine is the naturally occurring substance in the body. It also comes from the ingested food in your daily diet. In the normal process, uric acid is carried to the kidney through the bloodstream.

It is processed in the kidneys and then, flushed out through urine. When uric acid increases in excess amount, due to intake of purine-rich foods or poorly functioning kidneys, it accumulates in the blood, tissues, and synovial fluid and form needle-like crystals.

These crystals are deposited in the joints, most commonly in the joints of the big toe. This makes the joints extremely painful, red, and swollen. It can cause irreversible damage and permanent disability in the joints. So, once you notice the symptoms of gout, you need to immediately seek proper treatment.

Eating Salmon with Gout

Since consumption of high-purine foods is the major contributing factor for gout, you need to avoid such foods. Strictly following the diet especially recommended for the gout sufferers is an important aspect of gout treatment.

Gout diet suggests the consumption of foods low in purines such as low-fat dairy products, green leafy vegetables, and whole grains. The foods rich in purines such as seafood like tuna, shellfish like shrimp, mussels, herring, and sardines, organ meat like liver, kidney, and brain, beef, pork, high-fat milk products as well as vegetables like spinach and asparagus should be avoided by the gout patients.

Salmon is among the fish, which is considered to be suitable for the gout-friendly diet. Salmon offers a number of nutritional benefits as well as contains a low amount of purines. Carefully managing the consumption of salmon may help to minimize the risk of developing gout or prevent recurring outbreaks.

Salmon is an excellent source of omega-3 fatty acids, which is a polyunsaturated fat essential for overall good health. Omega-3 fatty acids help to lower cholesterol and triglycerides levels and reduce the risk of cardiovascular diseases like heart attack and stroke.

They also help to slow down the aging process and prevent age-related conditions like a macular generation. Additionally, salmon is the best source of lean protein, which is low in saturated fat and cholesterol.

Salmon contains a relatively low amount of mercury and PCBs. Therefore, it doesn’t cause any health risk to gout patients, even though they eat it frequently.

Another benefit of eating salmon is joint protection. Our body can convert EPA from salmon fish into three types of closely-related compounds such as series 3 prostaglandins, series 3 thromboxanes, and resolvins that play a major role in preventing inflammation in the joints.

The recent study has discovered that the presence of bioactive peptides in salmon provides support for the joint cartilage.

With extra-ordinary nutritional value due to its rich content of omega-3 fatty acids, salmon is favorite fish among the fish lovers. It can also be enjoyed by the gout sufferers due to its low purines content and anti-inflammatory properties.

Should Gout Patients Eat Salmon?

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Do you love salmon but have gout and are wondering whether or not to keep it in your diet? In this article you’re going to discover exactly that; the pros and cons of having salmon in your gout diet.

Salmon and Gout

Salmon is mostly found in the Atlantic and Pacific oceans as well as inland lakes in North America and Northern Europe. The most commercially fished types are Atlantic, King (Chinook), Chum (Keta), Coho (Silver), Pink (Humpback), and Sockeye (Red).

Salmon (along with tuna) is in the top 3 most frequently consumed seafoods lists in the U.S., U.K., and Australia. So it’s extremely popular. And no wonder, apart from it’s beautiful flavor, it’s jam-packed full of healthy nutrients making it one of the healthiest foods on the planet…

Health Benefits of Salmon

All types of salmon are rich in:

• omega-3 fatty acid (essential fatty acid)
• protein
• B vitamins (1, 2, 3, 5, 6, 9 and 12)
• vitamin D
• selenium

It’s also a good source of:

• potassium
• astaxanthin (antioxidant)
• iodine
• choline

The outcome is that several studies suggest that a regular diet of wild salmon can help to lower the risk of:

• some cancers (e.g. leukemia, colorectal, prostate, breast).
• heart disease and heart attack.
• stroke.
• high blood pressure.
• heart arrhythmia.
• macular degeneration.

And help to:

• improve brain function.
• protect joint cartilage.
• stabilize blood sugar.
• lower stress and anxiety.
• improve bone health.
• improve the immune system.
• improve eye health.
• reduce inflammation
• help protect the body’s cells.

You can see that salmon is packed full of vitamins, minerals, and other nutrients that make it one of the healthiest foods out there.

So why wouldn’t you want to eat it regularly as part of a healthy diet?

Well, if you suffer from gout, you have to balance the undoubted health benefits against any risk that salmon could trigger excruciating gout.

So let’s consider that then…

Salmon: Good or Bad for Gout?

The first thing to consider, of course, is salmon’s purine content. Remember, gout is caused by higher than normal levels of serum uric acid out of which crystals of urate accumulate in the joints and surrounding tissue.

But uric acid is a byproduct of the chemical breakdown of purines that exist in our body’s cells and the cells of foods we consume. The higher the purine content of food, the more uric acid is produced. So we need to avoid foods that have the highest purine concentrations.

So how does salmon rate in the purine / uric acid table?

Purine Content of Salmon

Smoked salmon is rated as a “high” purine food: it contains >200 mg uric acid per 3.5 oz (100 g) food serving. So smoked salmon should be excluded from your gout diet.

But although foods with a high purine content should be avoided, foods with a moderate purine content may be consumed..well…in moderation!

Which is great news for us gout sufferers because cooked and canned salmon are rated as being “moderately high” in purines, i.e. containing 100-200 mg uric acid per 3.5 oz (100 g) serving.

So grilled or baked salmon, for example, may be eaten in moderation, which means limiting your intake to 1 x 3.5 oz (100 g) serving per day.

But there’s more to consider…

Salmon’s Gout-Friendly Nutrients

Another consideration is the ability of certain vitamins, minerals and other nutrients to actually help in the fight against gout. For example…

Omega-3 fatty acids help to reduce inflammation in the joints.

Vitamin B9 (folic acid) can inhibit the xanthine oxidase needed to produce uric acid, and vitamin B5 (pantothenic acid) is an important element in the uric acid excretion process.

Potassium is important for gout sufferers because studies have shown that a potassium deficiency can actually raise uric acid levels in the blood.

Potassium is also alkaline forming, meaning that it can help to move the body towards a more alkaline state which, in turn, can help to prevent urate crystal formation and urate kidney stones.

Selenium helps to regulate excessive immune response and chronic inflammation, which is what occurs when urate crystals form in the joints during a gout flare.

So you can see that some of the nutrients in salmon have the potential to be somewhat beneficial to gout sufferers.

Salmon and Gout: The Verdict

The key is to strike a balance between salmon’s health benefits on the one hand, and its purine content on the other.

On balance, then, as long as you completely avoid smoked salmon and only consume cooked or canned salmon in moderation you’ll get the overall health benefits without raising the risk of a gout flare.

But remember that salmon is only one part of your gout diet…

What you don’t want to be doing is eating one moderate portion of salmon and then thinking you can get away with consuming other moderate to high purine foods on the same day. You can’t. Your total daily purine intake will determine your risk of having a gout flare.

My brand new breakthrough guide “Gout Rescue” gets you relief from your gout in as little as 2 hours and prevents the recurring attacks experts have linked to some potentially fatal health conditions. Click here for the facts. 

So, on the days you have salmon, ensure your other meals contain low-purine foods such as potatoes, tomatoes, other vegetables (especially leafy greens), herbs, pasta, rice, whole grain cereals, peanut butter, eggs, cheese, milk, natural yogurt, and fruit.

[Note: My guide “Gout Rescue” has detailed information on high, moderate, and low purine foods and ingredients, along with tons of daily meal ideas for gout sufferers.]

I’ve had recurring gout most of my adult life but haven’t had a gout attack for 10+ years now. Whether this is your first gout attack, or you’ve had multiple flare-ups, the content on here will, hopefully, set you on the road to being gout-free too.

90,000 Can you eat fish for gout and what kind of fish?

Proper and healthy nutrition is a topic that more and more people are paying attention to, since our health depends to a large extent on it, but when we suffer from some kind of disease and this can alleviate our condition, healthy nutrition and proper diet – more more important. This applies in full force for people who suffer from gout .

People with gout should avoid foods high in purines, natural ingredients that break down into uric acid.When uric acid is too high in a person’s blood, it can build up in joints and cause the bloating, inflammation, and pain that are characteristic of gout.

This disease in most cases is completely treatable, and proper nutrition is of great importance for this, in addition to drugs. First of all, you need to limit the intake of foods that contain purines. We will focus on fish, however.

Types of fish you should avoid if you suffer from gout

Sufferers of gout should avoid seafood such as shrimp, anchovies, herring, mussels, tuna, lobster, trout.They all contain beneficial trace minerals, but they also increase uric acid levels.

Foods that contain 150 to 825 milligrams of purine compounds per 100 grams are considered high purine foods and should therefore be avoided. Canned versions of these foods are also not suitable for gout. Canned sardines contain 480 milligrams of purines per 100 grams, while canned herring contains 378 milligrams.

Fish species that can be eaten by gout sufferers

Species fish , which contain a moderate amount of purine compounds – from 50 to 150 milligrams of purines for every 100 grams – salmon, catfish, tilapia, river flounder, white fish and others.

People who are on a gout diet can include these types of fish in their diet, but only in moderation. In addition, fish should be cooked with the least amount of fat, preferably boiled or baked.

Tips for preparing fish

Always eat fish fresh. Avoid strong condiments or fish sauces that are high in sugar.

It is very important that a person who suffers from gout should eat as little food as possible with a high level of fat. Excess fat can stimulate kidney retention of uric acid, making your condition worse.

Instead of fried fish bread, try grilled or oven baked fish.For low sodium levels, season the fish with herbs, spices, or fresh lemon juice instead of salt or a high potassium seasoning mixture.

In conclusion, many nutritionists and health experts believe that fish should not be eaten more than one or two days a week. However, it is not. Fish is a much healthier food product than beef, lamb and pork.

If you feel like eating fish , you can do it every day, but you need to make sure that this is your only meat intake for the day, as people who suffer from gout should not eat more than 170-180 grams of meat per day to avoid higher blood uric acid levels.

What kind of fish can you eat with gout: names, varieties, how to cook correctly

Gout is a pathology caused by metabolic problems. Uric acid salts are deposited in the joints. Very often, gout is called the “royal disease”.

Description of the disease

Nowadays, gout is not common, according to statistics, 3 people out of every 1000 suffer from it. The most prone to the disease are men over 40 years of age.Women are also prone to the development of pathology, but this occurs after menopause.

Gout can also be attributed to joint diseases. The main reason for its development is the deposition of salts. The disease affects almost all joints, from gout in the joints of the upper extremities to the joints of the lower extremities. This disease often progresses to a chronic stage, which is more difficult to treat.

Recent studies have shown that gout has become significantly “younger”, and the number of patients is increasing every year.

Salt deposition is considered the main cause of gout

Fish on the menu for gout

There are many different methods of treating the disease. Based on the fact that pathology is a consequence of improper metabolism, it is necessary to stabilize this indicator with the help of diets.

One of the important components of such a diet is fish products. What kind of fish can you eat for gout? Doctors note that in this case there is a wide variety of fish that are allowed to be eaten in the presence of a disease.

On the other hand, fish products contain a large amount of purine bases, which will negatively affect the course of the disease. But if we compare fish with meat, then the amount of the latter product is recommended to be significantly reduced. Doctors say that the amount of meat consumed should not exceed 600 grams per week.

What can not be eaten from fish products?

Fish for gout is considered the optimal dietary solution. But if you eat prohibited fish products, then you should expect an exacerbation of the pathological condition in the affected areas.

The diet should contain fish products with a low fat content. You can not eat caviar, mussels, canned food, as this leads to an increase in the content of uric acid salts.

In such conditions, gout begins to worsen.

Low fat fish products should be included in the diet for gout

Most experts recommend giving up the following types of fish:

• herring;

90,079 mackerel;

90,079 eel;

90,079 sturgeon;

• salmon;

90,079 KGS;

• halibut.

The aforementioned types of fish are characterized by a high fat content, which contributes to the deposition of salts.

Many patients often look for an answer to the question: “Is it possible to eat herring in case of exacerbation of gout?” Herring for gout should be completely excluded.

Given the availability of this fish product, doctors strongly recommend excluding it from the diet. Mackerel for gout should also be ruled out for the same reasons.

It is these fish products that have a chemical composition that is in no way able to have a positive effect on gout.

What types of fish are allowed?

Not all types of fish are prohibited for consumption. But, despite the permission, there are some restrictions. The permitted varieties of fish can be eaten two to three times a week. This distribution is very important as it takes time for the body to excrete urea. What kind of fish can you eat for gout?

Not all types of fish are banned.

Among the allowed fish varieties, experts note both sea and river ones, namely:

• pollock;

90,079 bream;

90,079 cod;

90,079 carp;

• mullet;

90,079 pike perch;

• carp;

90,079 pike;

90,079 pollock;

• hake.

In addition to a small amount of fats and purines, the above types of fish contain many useful substances. We are talking about whole vitamin complexes, which have a positive effect on the regulation of metabolic processes, and also strengthen entire organ systems.

For a long time, experts could not determine what kind of fish is possible with an exacerbation of gout. Indeed, in this situation, general recommendations cannot be followed.

First of all, it should be understood that the exacerbation of the disease leads to more serious consequences than the usual form.

In the case of an acute form of pathology, it is better to significantly limit the intake of fish, and if this is not possible, then it is recommended to dwell on such varieties as pollock and cod.

There is an idea among the people that nutrition is prescribed depending on the diseased joint. Most doctors argue that this opinion is erroneous. Given this fact, the answer to the question of what kind of fish can be eaten with gout on the legs will be standard – the one that has little fat in its composition.

What cereals are useful for gout?

It is better to significantly limit the intake of fish in the acute form of pathology

Fish dishes for gout

Fish treats for patients with gouty joints differ in a special way of preparation. Do not eat fried or smoked fish. All meals are best steamed or boiled.

Steamed fish cakes can be included in the diet once a week. You can also cook fish soup or meatballs.In the case of cooking fish soup, you need to monitor the fat content of the dish.

It is also not allowed to cook too thick fish soup, and it is better to leave the amount of salt at a minimum. For making fish soup, you can choose red fish, but it must be dry.

But most often, this dish is prepared from pike, pike perch or asp.

Basic principles of building a diet

Before composing a nutritious diet for gout, it should be remembered that it must be correct.It is recommended to take food regularly, five to six times a day.

And best of all, do it at a strictly defined time. Fasting, or vice versa, overeating is unacceptable. Any of these actions can cause another aggravation of the situation.

The presence of excess weight aggravates the situation, but a sharp decrease in it will also not lead to anything good.

To improve the excretion of salts from the body, it is necessary to consume a sufficient amount of water.Depending on the weight, this figure can be from 1.5 to 2 liters per day. If the pathology has worsened, then 2.5 liters of fluid will be enough.

Drinking liquid, you will have to forget about sweet water, coffee and strong tea. They can be replaced with compote, weak tea, mineral water.

Rosehip decoction has a wonderful effect, which has a positive effect not only on the joints, but also regulates the work of other body systems.

The diet of a gout patient should include foods that are low in fat, salt, and caffeine.Many patients take a long time to get used to an unusual diet, and even longer to a meal regimen.

Before buying products, you need to carefully read their composition. Sometimes, even permitted goods may contain prohibited substances. The patient’s diet is made by a specialist who draws conclusions based on analyzes. After all, each person’s metabolic processes are different.

If an exacerbation of the disease occurs when eating a dish, then such a dish will definitely have to be excluded from the diet.Depending on the individual characteristics of the person, many, even permitted products, can be excluded.

What kind of fish can you eat with gout: names, varieties, how to cook correctly

A balanced diet for gout is the key to successful treatment and good prevention of relapse. The condition of the joints and the well-being of the patient largely depends on the products consumed. Particular attention should be paid to seafood, which is carefully included in the daily diet.It is important to know what kind of fish you can eat with gout, and what kind of fish is prohibited in order to avoid complications.

Fish is undoubtedly a useful and important product in the diet of every person.

It contains a large amount of trace elements important for the body:

• Protein is the basis for the functioning of all tissues and cells;
• amino acids promote growth, improve fat metabolism and blood circulation, prevent atherosclerosis;
• Omega-3 and Omega-6 polyunsaturated fatty acids are involved in the construction of cell membranes, reduce the level of harmful cholesterol;
• phosphorus helps the nervous system, increases mental and physical endurance, is able to strengthen the skeletal system;
• iodine improves the condition of the thyroid gland and endocrine system.

The set of beneficial properties does not negate the fact that fish is on the list of undesirable foods for gout. The disease causes the accumulation of uric acid in the blood, which is poorly excreted by the kidneys.

As a result, the joints suffer, they periodically become inflamed like arthritis, causing painful symptoms.

Due to the importance of seafood for the human body, they are not completely excluded, but significantly limited.

Fish dishes contain a lot of purines, which provoke gouty lesions.Therefore, you need to eat them carefully, choosing the right varieties.

Proper nutrition for gout is an issue that needs special attention

Permitted varieties

Both sea and river fish are equally useful for the human body. But the latter contains fewer nutrients. Nutritionists recommend using both types, but only taking into account the state of health.

It is allowed to eat low-fat varieties of fish for gout 2-3 times a week:

• pike perch;

90,079 carp;

90,079 hake;

90,079 cod;

90,079 pike;

90,079 pollock;

90,079 pollock;

• blue whiting;

90,079 asp;

90,079 perch;

90,079 haddock;

90,079 flounder;

• mullet;
• carp;
• herring.

Can fish oil be used for gout? Occasionally, you can eat fatty species, including salmon, salmon, trout, mackerel, tuna. Concentrated fatty substance in capsules is undesirable, in large quantities it is dangerous for the kidneys.

Fish can be eaten no more than two or three times a week – strictly boiled or paired

The fish menu is allowed only in the period of remission. During an exacerbation of the disease, even the leanest fish is completely banned. In addition, it is important to select fresh, non-frozen food.Spoiled and improperly cooked fish can cause serious health problems.

Before compiling a diet, it is better to ask your doctor if you can eat fish for gouty legs, and which varieties to give preference to.

What fish should not be eaten with gout

Gout is a chronic disease with constant relapses. In most cases, an exacerbation is triggered by food. An inadvertently eaten piece of fish can lead to inflammation and joint pain.

In order not to provoke an inflammatory process, experts recommend abandoning:

• pink salmon;

90,079 tuna;

90,079 trout;

90,079 herring;

90,079 willows;

90,079 mackerel;

90,079 sprats;

90,079 sardines;

90,079 salmon;

90,079 halibut;

90,079 soms;

90,079 eel.

At the same time, canned fish, dried, dried, salted, smoked, pickled fish, caviar, mussels, anchovies should be excluded from the diet. Stable remission sometimes allows you to eat the listed varieties, but subject to proper preparation and constant monitoring of well-being.

This product must be selected with care

How to cook fish for gout

Along with the type of fish, the correct cooking process is very important. The benefits and taste of the dish depend on the processing method.Patients with gout are strictly prohibited from eating a raw product.

It must be subject to heat treatment without fail:

• to boil;
• to stew;
• to bake;
• steamed.

This refers directly to fish fillets in whole or in the form of minced meat. Fish broths and soups are prohibited. Particular attention is paid to salt, which is quite harmful to the joints.The finished dish can be slightly salted at the rate of no more than 5 g per day.

As for the favorite fried fish, it is also better to refuse it. Such a dish is of little use not only for articular pathologies, but also for the body as a whole.

Overcooked vegetable oil increases cholesterol, harms the liver, stomach, pancreas. The best way to cook fish, in which all the nutrients are preserved, is steam boiling.

The recommendation applies not only to gouty people, but also to healthy people.

It is also necessary to strictly adhere to the rules for the preparation of fish dishes

Recipes for delicious fish dishes for gout

A fish day with gout can be diversified by preparing various simple dishes based on the permitted varieties:

Potato balls with fish

Grind pollock fillet in a meat grinder. Drive an egg into the minced meat and salt a little. Boil the peeled potatoes, mash with a fork, mix with an egg and a spoonful of flour. Blind cakes from the resulting mass, put the minced fish in the center.Wrap in any convenient shape. Grease a baking sheet and add the meatballs. Bake for 30-40 minutes. When serving, pour over sour cream.

Boil hake in water, grind into a homogeneous mass. Boil carrots and grate on a fine grater. Mix a tablespoon of cottage cheese (interrupt with a blender) with minced meat and carrots, add salt to taste. Unusual pasta for sandwiches or baskets is ready.

Blue whiting with Polish sauce

Cut the pitted fish fillet into pieces, put in a saucepan and fill with water up to the level of the fish.Season with bay leaves and salt. Boil for 10 minutes after boiling. Prepare the sauce: butter, chopped boiled egg, parsley, a pinch of salt and citric acid, darken in a pan for a couple of minutes. Place the fish on a platter and pour over the Polish sauce.

The listed delicacies can be prepared both with a side dish and as independent dishes. They will appeal to all family members.

Conclusions

Proper nutrition for gout is very important. It helps to cope with painful symptoms and prevent serious complications.The fish menu should be in the diet of every person suffering from joint ailments, but in limited quantities. Fish is not only tasty, but also healthy. The main thing is to observe moderation, not forgetting about drug therapy and a healthy lifestyle.

What kind of fish can you eat with gout: can you eat low-fat varieties

• Rheumatologist of the highest category Oleg Valentinovich
• 29589
• Update date: November 2020

Gout is a chronic disorder resulting in the deposition of uric acid salts in the joints.The disease is characterized by periods of exacerbation, during which unpleasant symptoms appear.

Treatment of gout is carried out not only with medications – special nutrition plays an important role in therapy. The diet is structured in such a way as to exclude the consumption of foods rich in purines.

These substances are found in all seafood, therefore, the question of what kind of fish can be eaten with gout and in what quantities is relevant for patients.

Fish with gout

During the period of exacerbation of gout (1-2 weeks), it is forbidden to eat any meat or fish, as well as salt, which is part of finished products

For a healthy person, fish is a valuable source of nutrients and must be included in the diet.

Consumption of fish has a positive effect on the work of the cardiovascular and nervous systems, improves the condition of bone tissue and joints, and improves the functioning of the digestive system.

It is a valuable source of omega-3 and polyunsaturated fatty acids, therefore the human body needs it.

The gout patient is primarily interested in the presence of purines in a particular product. These substances are responsible for the production of uric acid. A large amount of purines in food leads to an increase in the secretion of this substance, the salts of which are deposited in the joints and cause an inflammatory process.

Fish is not recommended for gout. This is because all varieties contain different amounts of purines. At the same time, all fish for gout can be divided into two groups: prohibited for consumption and permitted.

Any fatty sea fish is forbidden, since the concentration of purines in it is very high.

The permitted varieties are allowed for consumption, but not more often 2-3 times a week, since they also contain purines, but in smaller quantities.

To understand what kind of fish you can eat with gout, you should determine the content of purines in different varieties.

List of permitted fish

Can I eat fish for gout? It depends on the specific variety. Doctors recommend giving up this product during an exacerbation and significantly limiting use during remission.

What is fish good for gout? Any low-fat varieties, river and sea. On the table, gout may be present:

• salmon;

90,079 perch;

90,079 pike;

90,079 pollock;

• mullet;

90,079 flounder;

90,079 roach;

90,079 hake;

• carp;
• tuna.

Occasionally you can add lean herring to your diet. For gout, tuna is useful, but it should not be abused. This type of fish is recommended to be consumed no more than twice a week and in small quantities (200-300 g).

The product must be steamed or baked in the oven. Fried fish for gout is prohibited, but you should not give up fish soup. It can be safely introduced into the diet by arranging a fish day once a week.

List of prohibited types of fish

Dried and dried fish are no different, except for the preparation time, therefore this food product is prohibited in dried form for gout

What kind of fish should not be eaten with gout, the doctor will tell you in more detail.The ban is imposed on all fatty varieties. Gout Denied:

• mackerel;
• sardines;

90,079 sprats;

90,079 trout.

It is necessary to refuse canned fish. Sprat in tomato sauce, sardines in oil, sprats and anchovy are strictly prohibited. These foods are high in purines and can harm the health of the gout.

Any salted fish for gout is prohibited. Salt retains fluid in the body and interferes with the normal excretion of uric acid by the kidneys, so this product should be discarded.Dried, dried, smoked fish is also prohibited.

Is it possible for red fish with gout, depends on its fat content. Doctors recommend abandoning it, despite the fact that it is rich in polyunsaturated fatty acids and valuable micro- and macroelements. Red fish contains a lot of purines. In some varieties, their number exceeds 1000 mg per 100 g, which is contraindicated for gout.

If there is a choice, lean river fish should be preferred for gout. Pike and perch are allowed, but carp or silver carp will have to be abandoned.

Recommendations of doctors

Before introducing a new product into the diet, you should consult your doctor. Fish is very healthy, as it contains many important vitamins and minerals, but it can be harmful to health if consumed incorrectly.

What kind of fish can you eat for gout? It depends on the health condition of the patient. If the disease receded after drug treatment, no exacerbations were observed for six months or more, the diet can be expanded.During this period, doctors are allowed to eat fish, but in compliance with a number of rules:

1. For gout, even when symptoms subside, only low-fat varieties can be consumed.
2. Fish should not become the basis of the diet; it is allowed to eat it no more than three times a week.
3. Gout should choose boiled or baked fish. Steam cutlets and meatballs are also allowed, but you cannot fry them, as this leads to the release of harmful substances, the level of cholesterol and uric acid rises.
4. Saltwater fish is allowed to be eaten from time to time, but not more than 100 g per week. Such an amount will provide the intake of nutrients, but will not harm health. It is important to combine fish with a side dish correctly and avoid joint consumption of foods rich in purines.

If a person decides to introduce this product into the diet, one should protect oneself from exacerbation of gout, which may be caused by the wrong combination of dishes. It is better to eat fish with vegetables or cook fish soup from it, which is cooked in the second broth (the first must be drained, since it is very fatty).

Fatty fish should not be combined with cereals, as this increases the load on the stomach and can lead to a slowdown in the excretion of uric acid salts. When cooking, it is better to refuse spices and use salt to a minimum.

In case of an exacerbation of the disease, fish should never be eaten.

Despite the value of this product, it can be unsafe for gout. Many doctors agree that with gout, fish acts as a source of common vitamins, but practically does not bring benefits to the joints themselves.If a person can refuse a product, the doctor will help you choose a diet in such a way as to ensure that all the necessary substances are supplied to the body.

You can replace fatty fish with squid. This product contains fewer purines and a fairly large amount of essential substances. Shellfish are also allowed for gout, but in small quantities. Fish is good to eat with lemon and fresh herbs. These foods will lower purines and improve kidney function.

Delicious and healthy recipes

Fried fish is contraindicated for gout

Lean fish for gout is allowed 1-3 times a week, depending on the severity of the patient’s arthritis.At the same time, it is important to prepare it correctly and consume it in small quantities (a portion – no more than 250 g).

Fish cannot be combined with oil, so you will have to give up fried fish. It is also undesirable to combine it with potatoes, pasta, cereals. Fish with rice for gout is not contraindicated, but it loads the stomach, so it is better to prefer a vegetable side dish. The fish can be eaten with carrots, green onions and garlic, cabbage, tomatoes.

Ear for gout

It is quite simple to prepare a dietary fish soup, but as a result, the dish will delight you with its rich taste and high nutritional value.According to the rules, it should be prepared from several varieties of fish, but in case of gout, it is better to limit yourself to one low-fat one.

Perch, pike or salmon are suitable for fish soup. The selected fish must be filled with water and cooked over medium heat until boiling. The first broth must be drained, as it is too fatty. Then the fish is washed and boiled again, in new water. When it is ready, it should be removed from the pan, cooled and peeled.

There are two options here: either add the fish pieces to the soup when cooking vegetables, or set aside and add to the plate just before serving.Then you can throw a whole onion into the broth, cut carrots into slices, cook until tender.

Fresh tomato will help to add a spicy taste, but you need to add it to the soup 10 minutes before cooking.

When the fish soup is almost ready, you need to add spices. For gout, fresh herbs are useful, so you can throw dill and parsley, a little garlic. Salt and pepper the soup. After the finished ear has stood for half an hour, it can be poured into plates, additionally decorated with herbs.For gouty, this dish is recommended to be eaten once a week.

Fish baked with vegetables

Another tasty and healthy dish is fish cooked in the oven. You can bake absolutely any fish from the allowed list that suits your taste. It must be cooked in a sleeve without spices.

10 minutes before turning off the oven, the sleeve must be removed so that the fish is covered with a crispy crust. About 10-15 minutes before cooking, you can add tomatoes, sliced ​​zucchini and bell peppers to it.

Before serving, sprinkle everything with lemon juice and garnish with herbs.

Fish cakes

Any fatty sea fish is prohibited, but fish cakes from river fish with gout are allowed

Not all people like river fish, but if you have gout, you can eat it, unlike many varieties of sea fish. If a person does not like baked river fish, you can cook cutlets from it.

To do this, clean the selected product from scales and skin, remove bones and pass through a meat grinder.A little onion, dill and spices are added to the resulting minced meat. The patties should be cooked in a double boiler.

They go well with fresh tomatoes, zucchini, new potatoes. In addition, they are low in calories and will not harm your figure.

Allowed types of fish for gout and recipes

Gout on the legs is a common joint disease caused by salt deposition. When it appears, you should follow a diet. Fish is a very useful product that contains a large amount of vitamins and minerals.Many patients do not want to exclude it from their diet. However, you should know what kind of fish you can eat with gout.

Diet for gout

When gout occurs, you need to follow a special diet, the essence of which is the normalization of purine metabolism. Associated goals of the diet are:

• effect on the mechanisms of production of uric acid;
• acceleration of excretion of urates from the body;
• improvement of the digestive and urinary system;
• change in the alkaline balance of urine.

To achieve these goals, you need to know the principles of nutrition.

Principles of nutrition for gout

Proteins entering the body with food stimulate the production of purines. Therefore, their amount should be dosed so that the body has time to process and remove uric acid.

The optimal regimen is food 5-6 times a day, in small portions. A fasting day is expected every week. It is recommended to eat fruits (no more than 2 types), porridge on water, green tea or fruit drinks without sugar.

The diet is maintained even without exacerbation of gout, but it becomes less rigid. In the acute phase, it is allowed to take no more than 200 mg of purines per day. The number of the latter can be associated not only with the use of salty or protein foods, but also with the correct processing of products.

Patients are often obese. To lose weight, you need to eat, excluding “fast” carbohydrates and animal fats. This is especially true for people suffering from diabetes. Products should not contain harmful compounds.

Approved Products

Vegetarian food is the main condition for a gout diet. The diet should contain fruits, vegetables, berries, nuts. Fresh berries are especially useful in summer. You can also use them after heat treatment in the form of compotes and fruit drinks.

If it is unbearable without meat products, then you can eat turkey, chicken or rabbit meat. Fish dishes can diversify the diet. We recommend steaming or oven cooking.

Prohibited Products

Pickled vegetables and legumes should be removed from the menu.It is also worth removing any salty, fried foods, fatty meats, mushrooms. Undesirable berries include raspberries, cranberries and figs.

Specific products can be seen in the table.

Can I eat fish for gouty arthritis

Some types of fish are a provoking factor in the presence of gout due to the presence of a large amount of purine bases. Less harmful varieties are allowed to be eaten, but in small quantities.

What varieties are allowed for gout

Not all types are allowed for patients with joint diseases.It is allowed to use low-fat species in small quantities. The frequency should not exceed three times a week. You also need to include in the diet not only sea fish, but also river fish. It also contains a large amount of nutrients. Recommended for use:

• bream;

90,079 capelin;

90,079 cod;

90,079 pollock;

• blue whiting;

90,079 pike perch;

• carp;

90,079 carp;

90,079 pike;

• hake.

Steamed and boiled fish is allowed.

The liver is especially useful in pike.

Prohibited varieties

With gout, even a small amount of prohibited varieties can provoke a new exacerbation, as it leads to an increased level of uric acid. The following types are excluded:

• mackerel;
• mackerel;
• herring;
• salmon;
• halibut;

90,079 eel;

90,079 tuna;

90,079 trout;

90,079 KGS;

90,079 salmon;

• anchovies.

Herring for gout is a prohibited food, but it can still be taken during remission if it is medium fat and steamed.

How to use it correctly

Even permitted varieties can be harmful if the rules of preparation are not followed. Steam cutlets can be eaten once a week. A pike or pike perch will do. You can also use red fish, which is low in purines and uric acid.

A single serving is not more than 170 grams.Cook no more than three times a week.

Useful properties of sea and freshwater fish

Freshwater has a large number of positive qualities, like the sea. There are some differences in the composition of both types.

Each of the species has its own unique properties that have a positive effect on the body.

Fish recipes

If you want to eat fish for gout, you need to know how to cook it correctly. Detailed recipes will help with this.

Steamed cod with zucchini

Ingredients: 1 kg of cod, 1 carrot, 3 zucchini, 2 tbsp. l. sunflower oil, dry parsnip, a pinch of salt (optional).

Peel the cod and grate the parsnips on both sides, then place in the refrigerator for half an hour. Dice the carrots and zucchini. Put the vegetables on the bottom of the steamer and place the cod on top.The dish is ready in 25 minutes.

Steamed pike perch

Ingredients: 700 g of pike perch, 2 glasses of vegetable broth, herbs, salt.

Peel the pike perch from the entrails and wash, and then cut into portions. Dry with a napkin and rub with a little salt. Put the prepared product in a double boiler with herbs. Pour the vegetable broth into the steamer as well. The dish is ready in 15 minutes. You need to use it with a side dish.

Steamed carp

Ingredients: carp 1 kg, lemon ¼ pcs., parsley, olive oil, salt (optional).

Chop the parsley and lemon finely. Peel the guts of the carp, sprinkle with olive oil. Put a small amount of parsley and lemon inside. Put in a double boiler, and on top place a few slices of lemon and the remaining parsley. The approximate cooking time is 20 minutes. Boiled rice or potatoes can be served as a side dish.

Pollock in a multicooker

Ingredients: 2 pollock, parsley, dill umbrellas, salt (optional).

Pollock for gout is extremely useful. Peel it from the insides and cut into small pieces. Put on a plate, add a little salt and mix thoroughly. Pour a small amount of boiling water at the bottom of the multicooker, put the parsley and dill umbrellas. Place the fish on top and cook for 25 minutes.

Questions Answered

Is saltwater or freshwater fish healthier for gout?

Both are equally useful. You should proceed from your own preferences and the lack of certain substances in the body.

Why is fish useful only when boiled?

During cooking, half of the purine compounds are released into the broth. This makes the fish healthy and safe.

Why you can only eat fish 3 times a week?

With frequent use, the purine compounds in the product can lead to an exacerbation of the disease.

Conclusion

Fish dishes can be used for gout. This will be able to diversify the diet and ensure the access of nutrients to the body.However, you should not get carried away with this, since non-compliance with the norms can lead to a worsening of the condition.

More details about the disease can be seen in the video.

Nutrition for gout

Gout – is a prominent representative of metabolic disease. Currently, there is an increase in this disease, especially among men. Companions of gout – frequent feasts, picnics, “kebabs”, festivities with an excess of various protein, usually meat, food, abundantly flavored with alcohol.With gout, there is a violation of the exchange of uric acid, it accumulates in the body, which ultimately leads to the development of gouty arthritis, the appearance of uric acid stones in the kidneys. Proper nutrition plays a leading role in the treatment of gout.

With gout exclude all foods rich in purines: legumes, beans, peas, soybeans, sorrel, spinach, tomatoes, offal (kidneys, liver, lungs, brains), crayfish, game, fatty fish, meat of young animals (veal , young lamb, broiler chickens) canned meat and fish, sausages, small sausages, sausages, barbecue, beer, wine, etc.alcoholic drinks, strong tea, coffee; first courses on meat, bone, fish broths, any products, drinks containing fructose, as well as honey. Since an excess of dietary lipids interferes with the excretion of uric acid by the kidneys and provokes an acute attack of gout, foods rich in fats should be excluded. With excess weight, an increase in blood cholesterol, pork fat, butter, sour cream, mayonnaise are excluded, the amount of kcal should be 1500 per day. Mineral waters are also not recommended.

All dairy products are recommended without restrictions (milk, kefir, yoghurt, yogurt, low-fat types of cheese), cereals in water and milk, salads from beets, carrots, cabbage, cucumbers, stewed vegetable stew from the specified vegetables, zucchini, vegetable and milk soups … Potatoes in any form, bakery and flour products without restrictions, if there is no excess weight.

Boiled or drinking soft water up to 2.5 l / day to improve the excretion of uric acid through the kidneys. In this water, you can cook fruit drinks, jelly from lingonberries, cranberries, blueberries, currants.

Egg 2-3 pcs. in Week. Outside of an exacerbation of the disease, boiled lean meat (pork, beef) is allowed 2 times a week, as well as boiled or lightly fried fish 2 times a week.

Take care of yourself and be healthy!

Healthcare Institution “Zhodinskaya Central City Hospital”

Doctors have named the right remedy for the prevention and treatment of gout

Taiwanese scientists have proven that a vegetarian diet reduces the risk of gout and promotes its treatment. From the results of their work, which was published in the journal Clinical Nutrition, it follows that avoiding meat products is one of the most important means of preventing this disease.

The cause of gout is a violation of the metabolism of purine bases, adenine and guanine, which are compounds that make up the RNA and DNA of all living things. In the human body, purines break down to uric acid and in this form are excreted in the urine. When purine metabolism is disturbed, the concentration of uric acid in the blood increases (hyperuricemia) and crystals of its salt (sodium monourate) are deposited in organs and tissues. Salt deposition in the joints is the cause of severe pain in gout. The toes suffer from severe pain first, then the disease affects the knees, ankles.

This disease is more common in industrialized countries and mainly in men at a relatively young age – 40-50 years. But lately, women have also begun to get sick with gout – usually after menopause.

The consequences of this disease can be the most severe – from kidney damage to heart attack.

Disorders of purine metabolism, especially at an early stage of the development of the disease, can be eliminated with medication and an appropriate diet.Vegetarian food is especially helpful in the treatment and prevention of gout, according to a recent study by Taiwanese scientists.

“We were able to show that a vegetarian diet reduces the risk of developing gout and that this effect is not limited to lowering uric acid levels,” says Chin-Long Lin of Fu Jen Catholic University in Taipei, Taiwan.

The nearly 10-year study involved a total of 14,000 patients who were divided into conditional groups – among them were meat eaters, vegetarians and vegans.At the beginning of the experiment, none of them had symptoms of gout, and they had not smoked or drank alcohol for at least two years. In terms of nutrition, about 4,700 volunteers said they did not eat meat or fish.

Within five to nine years after the beginning of the observation, the first 226 patients developed gout — these were those who ate meat products. In the vegetarian group, the risk of gout was 67% lower than in the meat-eaters. The researchers also found that the uric acid levels of vegetarians who ate eggs and dairy products were significantly lower than those of vegans who did not consume any animal products.

An interesting fact was that vegetarians ate more soy products, which are high in purine, instead of meat and fish. However, a plant-based, purine-rich diet did not increase the risk of gout. Thus, the researchers suggest that plant purines are safer than animal purines.

What’s more, soy and other plant-based ingredients appear to suppress inflammation associated with gout, decrease uric acid production and promote its elimination from the body.

For this reason, the paper says, a vegetarian diet may be ideal for treating and preventing gout while preventing comorbidities such as hypertension, diabetes and cardiovascular disease.

Do’s and Don’ts – HealthInfo

Definition

Gout, a painful form of arthritis, occurs when, due to high levels of uric acid in the blood, crystals form and collect around the joints.
Uric acid is produced when a chemical called purine breaks down in the body. Purine is naturally formed in our bodies, but it is also found in food. Uric acid is excreted from the body in the urine.
A special diet for gout will help reduce the level of uric acid in the blood. Diet will not cure, but it will help reduce the risk of recurrence of painful gout attacks and slow the developing joint damage. Medication is required to relieve pain and lower uric acid levels.

Target

A little history

Gout has been associated for centuries with overeating (especially the abuse of meat and fish) and excessive drinking. Gout was considered a disease of wealthy people, those who could afford such a diet. Long before scientists found out the cause of the disease, doctors observed positive changes in their patients while following a strict diet.
For many years, treatment for gout has been largely about eliminating all moderate to high purine foods. This list of foods was quite extensive and the diet was not easy to follow.

Current Understanding

Recent research on gout has provided a clearer understanding of the role of diet in disease control. Certain foods should be avoided, but all foods containing purines should not be ruled out.And some foods, on the contrary, should be included in the diet in order to control the level of uric acid.
Today, the goal of the gout diet is to cover all factors associated with risk reduction and disease control. In addition, the goal of the diet is a healthy weight and a healthy diet, a basic idea that refers to reducing the risk of many diseases.

Diet in detail

The basic principles of a gout diet are generally similar to the rest of the recommendations for a balanced, healthy diet:

• Weight loss.Being overweight increases the risk of developing gout, and therefore losing weight helps to reduce the risk of gout. Some studies suggest that reducing calorie intake and weight loss can lower uric acid levels and reduce gout attacks, even without banning purine-containing foods. Weight loss reduces the overall stress on the joints.
• Complex carbohydrates. Eat more fruits, vegetables, and whole grains that contain complex carbohydrates.Avoid eating foods such as white bread, cakes, candy, sugary drinks, and high fructose corn syrup foods.
• Water. Maintain your water balance by drinking water. It has been noticed that with an increase in water intake, the number of gout attacks decreases. Ideally, you need to consume eight to sixteen glasses of liquid per day, about half of this amount should be water. A glass is an average of 237 milliliters. Talk to your doctor about the right fluid intake for you.
• Fats. Cut back on saturated fat, which is found in red meat, fatty poultry, and high-fat dairy products.
• Proteins. Limit your daily protein intake from lean meats, fish and poultry to 113 – 170 grams. Add protein to your diet with low-fat dairy and low-fat dairy products such as low-fat yogurt or skim milk, which are thought to help lower uric acid levels.

The following recommendations can be made for certain foods and additives:

• Vegetables with a high purine content. Studies show that vegetables high in purine do not reduce the risk of gout or recurrent gout attacks. A healthy diet high in fruits and vegetables can include high purine vegetables such as asparagus, spinach, peas, cauliflower, or mushrooms. You can also eat beans or lentils, which contain moderate amounts of purines and are also a source of protein.
• Meat offal. Meat by-products such as liver, kidney and so-called “sweet meats” with a high purine content, which increase the level of uric acid in the blood, are not recommended.
• Specified seafood. The following types of seafood, which are higher in purine than others, are not recommended: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna.
• Alcohol. It is believed that the absorption of alcohol in the body increases the production of uric acid, alcohol leads to dehydration.Beer, and to some extent spirits, are associated with an increased risk of gout and recurrence. The effect of wine is not yet fully understood.
• Vitamin C. Vitamin C helps to reduce uric acid levels. Check with your doctor if vitamin C 500 mg is suitable for your diet and medication plan.
• Coffee. Some studies have suggested that moderate coffee consumption is associated with a reduced risk of gout, especially when drinking regular caffeinated coffee.Drinking coffee is not always beneficial for other conditions. Therefore, see your doctor and find out your individual dose.
• Cherry. There is evidence that eating cherries is associated with a reduced risk of gout attacks.

Sample Menu

If you are on a gout diet, here’s what you can eat throughout the day.

Breakfast

• Whole grain flakes, no sugar, with skim milk or low fat milk
• 1 cup fresh strawberries
• Coffee
• Water

Lunch

• Pieces of fried chicken breast (60 g) in wholemeal pita bread with mustard
• Green salad dressed with balsamic vinegar and olive oil
• Low fat or low fat milk
• Water

Snack

• 1 a cup of fresh cherries
• Water

Dinner

• Grilled salmon (85-115g)
• Roasted or steamed green beans
• 1/2 cup wholemeal pasta with olive oil and pepper
• Water
• Low fat yoghurt 90 080
• 1 cup fresh melon
• Decaffeinated drink such as herbal tea

Results

A diet for gout can limit the production of uric acid and increase its excretion from the body.While diet is unlikely to help lower blood uric acid levels to cure gout without medication, it can help reduce the number and severity of seizures.

With this diet, by limiting calories and exercising regularly, you can achieve and maintain a healthy weight.

Contraindications

The gout diet is largely based on the same standard healthy eating guidelines, with an emphasis on vegetables, fruits, whole grains, low-fat dairy products, and moderate consumption of lean meats.Therefore, usually there are no contraindications for such a diet.

7 foods that are prohibited for gout

Gout is an ancient disease that causes a lot of trouble for a person. This disease is characterized by metabolic disorders, in which a large amount of uric acid accumulates in the body. Gout attacks lead to terrible suffering. But proper nutrition can save from this.
Although gout is incurable, attacks can be minimized.How? It is enough just to remove some foods from the diet. And the editorial board of “So Simple!” will tell you what not to eat with gout and what foods are strictly prohibited.

Nutrition for gout

As soon as there is a violation of purine metabolism, a person starts gout. The amount of uric acid in the body is simply off scale. This process leads to the accumulation of urates in the periarticular tissues. And the main problem is that the process is not limited only to the joints: urate deposits also occur in internal organs, especially in the kidneys.
To avoid damage to internal organs, the patient must follow the necessary rules. It is necessary to remove from the diet foods that increase the level of uric acid. Let’s find out which foods are on this list.
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Meat products
A person with gout needs to follow a strict diet. And the first thing that should be excluded from the diet is meat products. This is especially true for offal: heart, liver, kidneys. Pork and goose meat are prohibited, it is better to completely exclude them from the diet.

The famous and beloved chicken legs are also famous for their high uric acid content, but chicken breast is much safer in this regard. You cannot remain completely without meat, so you can leave the chicken fillet. Just severely restrict its use.

Fish
There are types of fish that contain a lot of purines and are not at all suitable for a gout diet: herring, trout, sprats and sardines. You will also have to forget about canned fish. It is important to note that fish cannot be completely excluded from the diet, because it contains just a huge amount of nutrients that the body needs.

Vegetables
Vegetables for gout can be consumed in unlimited quantities, but among them there should not be cabbage and sorrel. It is also necessary to exclude radish and horseradish. Spinach is also banned.
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Legumes
Legumes are high in purine and should be kept to a minimum. Although legumes, especially peas, are rich in protein. But one plate of pea soup can cause an attack of gout and a sharp deterioration in the patient’s condition.

Mushrooms
As a result of expert research on the content of purines, porcini mushrooms took 1st place. The product is strongly discouraged for patients with gout. The amount of purine in mushrooms can reach 12.8% of the total weight of the product. Fresh champignons and porcini mushrooms contain 5.5% of the prohibited ingredient. The use of mushroom soups, sauces and broths causes an exacerbation of the disease.

Spices
Spices are a special issue. Some people cannot imagine their life without them.But it is important to know that with gout, spices are strictly prohibited. There are also medicinal tinctures, which contain spices. Such tinctures can aggravate the ailment instead of the desired improvement.
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Alcohol
The main prohibition against gout is alcohol. Any alcohol, no exceptions and indulgences. There is a myth that gout is treated with red wine. But this is a myth! Any alcoholic beverages are contraindicated for a patient with gout. Wine increases the amount of uric acid in the body and causes excruciating attacks of gout in the patient.

Here is a small list of products that are prohibited. After all, it is they who lead to bouts of illness, causing hellish pain and suffering. Yes, gout cannot be cured, but it can be controlled by eating only the right uric acid-lowering foods.

And don’t forget about home remedies for gout to help manage sudden attacks. All you need to do is choose the right products. Follow the rules and stay healthy!

Gout: Symptoms and Signs, Diagnosis, Nutritional Recommendations, Treatment of Exacerbated Gout | Get tested for gout, which doctor diagnoses, uric acid for gout

Gout is a chronic inflammatory joint disease with recurrent bouts of acute pain.The pathology is associated with the deposition of uric acid salts, which crystallize in the tissues and affect the damage to the joints with gout. The disease is typical for elderly patients, most often men suffer from gout. The joints of the fingers, elbows, hands, knees, and feet fall into the affected area.

Risk factors

Among patients who have symptoms of the disease, carriers of certain risk factors stand out. It:

• hereditary predisposition,
• hypertension,
• diabetes,
• abuse of bad habits, alcohol,
• Excessive consumption of unhealthy foods, overeating.

In recent decades, the number of patients suffering from gout has increased. This is due to unhealthy diets, purine-rich foods, and lack of restriction on bad habits. The disease is often referred to as “lifestyle disease”.

Causes of gout

The main cause of the disease is a high level of uric acid in the patient’s blood, which is constant and stable. The crystals formed are deposited in the joints, organs and tissues, which leads to the slow destruction of the joint.A large amount of uric acid is justified by the incorrect functioning of the kidneys, which either cannot cope with increased volumes, or simply cannot fully excrete it.

Symptoms

Gout often affects the joints of the legs, usually the joint of the big toe. The affected joint turns red and swells, and there is a sharp, growing pain in it. In addition, there are a number of accompanying symptoms:

• febrile events,
• chills,
• general malaise.

If the disease is not treated, the acute phase recedes after a few days, but after a while everything resumes. Pain and swelling with gout occurs and disappears spontaneously. Attacks come more often at night. In the absence of treatment, attacks become more frequent, and their duration increases. Arthritis spreads to new, unaffected joints, invading previously healthy areas and tissues. The appearance of the joint can also undergo deformation changes.

Diagnosis of the disease

The diagnosis is made on the basis of clinical and laboratory examinations.Depending on the severity of the symptoms, the specialist may prescribe:

• urine and blood tests,
• Kidney ultrasound,
• X-ray examination,
• synovial fluid microscopy,
• CT scan of the affected area.

With an unclear clinical picture, scintigraphy with technetium pyrophosphate is prescribed, the introduction of which and the subsequent scanning of body tissues allows the localization of the inflammatory process to be determined as reliably as possible.

Treatment of gout

Treatment of the disease is aimed at preventing recurrent seizures, preventing urate deposition and stimulating their resorption and elimination. The most important part of treatment is adherence to a special diet that excludes the use of fatty and fried foods.