What are the key steps to ease a gout attack? How can foods like salmon impact gout? What are the risk factors for developing gout? Get the answers to these questions and more.

Understanding Gout and Its Causes

Gout is a painful form of crystal arthritis that most commonly affects the big toe, but can also impact other joints in the foot, ankle, and knee. It is caused by the buildup of uric acid crystals in the joints, leading to inflammation and intense pain. While men are three times more likely to develop gout than women, women can also get gout, especially later in life after menopause.

Other risk factors for developing gout include:

• Obesity
• High blood pressure
• Diabetes
• Kidney disease
• Certain medications like diuretics
• Consuming foods high in purines like red meat, organ meat, and seafood
• Excessive alcohol intake, particularly beer and hard liquor

Easing a Gout Attack in 10 Steps

When a gout attack strikes, the affected joint becomes swollen, warm to the touch, and extremely painful. The attacks often occur in the middle of the night, with about 50 percent starting in the big toe. Here are 10 steps to ease a gout attack:

1. Get a Diagnosis

If this is your first gout attack, see a doctor immediately. Gout is often underdiagnosed, but early treatment and pain management can help you recover more quickly.

2. Take the Right Anti-Inflammatory Medications

Your doctor can prescribe the best medication for your needs, whether it’s over-the-counter NSAIDs, prescription steroids, or the anti-inflammatory colchicine.

3. Free the Joint

Avoid any pressure or constraints on the affected joint, as even the slightest touch can be excruciating during a gout flare-up.

4. Rest and Elevate

Stay off the affected joint and keep it elevated as much as possible to reduce inflammation and pain.

5. Apply Ice (if Tolerable)

Applying ice can help, but only if you can do so without causing additional discomfort.

6. Watch Your Diet

Limit foods high in purines, like red meat, organ meat, and seafood, as well as alcohol intake, especially beer and hard liquor.

7. Stay Hydrated

Drinking plenty of water can help flush uric acid crystals out of your system and prevent future attacks.

8. Practice Mindfulness and Meditation

Techniques like meditation, yoga breathing, and guided imagery can help you cope with the pain of a gout flare-up.

9. Build a Support Network

Don’t suffer in silence – let trusted friends and family know about your gout and reach out for support during attacks.

10. See Your Doctor if Attacks Become More Frequent

If you start having more frequent gout attacks, talk to your doctor about escalating treatment, such as taking allopurinol to reduce uric acid production.

The Role of Salmon and Purines in Gout

Salmon is a food that is high in purines, which can contribute to gout. However, the omega-3 fatty acids in salmon may also have anti-inflammatory properties that could help ease gout symptoms. It’s important to strike a balance and not eliminate salmon and other seafood entirely, as they can be part of a healthy diet. The key is to limit high-purine foods and maintain good hydration to manage gout flare-ups.

Updating Gout Treatment Guidelines

In May 2020, the American College of Rheumatology updated its guidelines for gout treatment for the first time since 2012. This update reflects new clinical research that has become available in the past decade, which will impact how gout is diagnosed and managed.

Gout’s Impact and Prevalence

Gout affects around 4% of all adults in the United States, making it a relatively common form of arthritis. While it is three times more prevalent in men, women can also develop gout, especially later in life after menopause. Proper diagnosis, treatment, and lifestyle management are key to preventing and managing gout attacks.

Conclusion

Gout is a painful and often misunderstood condition, but with the right steps, you can ease the discomfort of a gout attack. From getting a proper diagnosis to managing your diet and staying hydrated, these 10 tips can help you get back on your feet and prevent future flare-ups. By working closely with your healthcare provider, you can take control of your gout and live an active, pain-free life.

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

Gout Treatment Recommendations Change Slightly

In May 2020, the American College of Rheumatology (ACR) updated its guideline for gout treatment for the first time since 2012. Affecting about 4 percent of all adults in the United States, according to the Arthritis Foundation, gout is a painful form of crystal arthritis that most commonly attacks the big toe, but can also affect surrounding joints in the foot, ankle, and knee. Men are three times more likely to be affected by gout than women.

The new guideline was published online in Arthritis Care & Research on May 11, 2020.

Why Update the Gout Care Guideline Now?

According to the ACR, the guideline has been updated because new clinical research has become available since 2012 that will impact management and treatment.

RELATED: Rheumatoid Arthritis and Gout: What’s the Difference?

There’s More Scientific Evidence Supporting Earlier Recommendations

“These guidelines provide a stronger level of evidence for many prior and familiar recommendations, including reinforcing a treat-to-target strategy to achieve optimal outcomes for patients with gout. There has been better evidence in the last eight years to support our recommendations with greater certainty,” says John FitzGerald, MD, a rheumatologist at UCLA Medical Center in Los Angeles and a coauthor of the guideline update. The most important changes are outlined below.

Treat-to-Target Protocol Emphasized

Treat-to-target (T2T) is an approach to disease management in which doctor and patient work together to outline goals. “We recommended this in the 2012 guideline but, at the time, this was based on a lot of observational data. Since the 2012 guideline, there have been randomized controlled trials looking at this strategy that have had good results. The 2020 guideline reinforces the T2T recommendation, with more rigorous data to back it up,” says Dr. FitzGerald. In addition, the guideline defines a clear goal for serum urate levels as less than 6 milligrams per deciliter (mg/dL).

Early Diagnosis Is Stressed, Especially for People With Kidney Disease and Other Comorbidities

The guideline urges physicians to treat patients with gout early on, particularly those who have other medical conditions that might make their gout worse, such as extremely high uric acid levels, kidney disease, or gouty kidney stones. “This is important because getting treatment sooner could reduce the risk for long-term damage,” says Daniel Hernandez, MD, the director of medical affairs and Hispanic outreach for CreakyJoints.

RELATED: Is Your Doctor Using Treat-to-Target Protocols?

Stronger Emphasis on Early Use, Proper Dosing With Allopurinol

The drug Zyloprim (allopurinol) was recommended in the 2012 guideline. The new version strongly recommends this drug as the first-line agent and to start it earlier rather than later, especially if patients have comorbidities. Allopurinol is much less expensive, while Uloric (febuxostat) has possible cardiovascular safety concerns. “In order to limit side effects, such as drug rash or a gout flare when starting urate-lowering treatment, it’s important to start any urate-lowering therapy at a low dose and increase to a dose that gets the right urate level, down to target,” says FitzGerald.

Test to Limit the Risk of an Allergic Reaction to Medication

Some people have a genetic marker (HLA-B*5801) that can predict a severe drug rash called allopurinol hypersensitivity syndrome. In the 2012 guideline, Asian groups were recommended to be tested prior to starting allopurinol. Based on newer data, the 2020 guideline has added African American patients to that group.

Use Anti-Inflammatories for 3 to 6 Months When Starting Allopurinol

When starting any urate-lowering therapy, there is a three- to six-month period when gout flares may increase. “The way I describe it to patients is that when you start treating the gout, it can get angry, and you can have increased flares before you have fewer flares,” says FitzGerald.

The new recommendation is to take anti-inflammatory drugs for three to six months; the old recommendation was for six or more months. The risk of gout flares with the initiation of urate-lowering treatment becomes less after each month, so shorter courses of anti-inflammatory prophylaxis are likely sufficient.

“By following the guideline recommendations, starting with the lower dose and using the anti-inflammatory as a preventive, side effects of urate-lowering therapy (including the risk of gout flare) can be lowered. The hope is that by following the recommendations, patients won’t abandon their treatment and will have more successful outcomes,” he says.

No More Patient Blame Game

“For the first time, the ACR has acknowledged that the onset of gout is not the patient’s fault (based on lifestyle and dietary choices) and that there should be no ‘patient-blaming’ for its onset, given its strong genetic determinants,” says Dr. Hernandez.

Atlantic Salmon & Gout | Healthfully

A form of arthritis characterized by intense, sudden pain in the joints, gout was once considered a “rich man’s disease” resulting from a heavy diet and inactivity. Today researchers know that a high level of uric acid crystals in the joints causes gout’s symptoms — redness, swelling, tenderness and acute pain — and that uric acid is created when the body breaks down chemicals called purines 1. Certain seafoods are high in purines, while others, like Atlantic salmon, have nutritional benefits that may outweigh their risk to gout sufferers. Carefully managing your consumption of Atlantic salmon may help reduce your risk of developing gout or experiencing recurring outbreaks.

Is This an Emergency?

If you are experiencing serious medical symptoms, seek emergency treatment immediately.

Atlantic Salmon and Purines

Some fish and shellfish are very high in purines, such as:

• anchovies
• mackerel
• sardines
• scallops
• mussels
• lobster

Gout sufferers should avoid consuming high-purine species whenever possible, but lower-purine fish — such as Atlantic salmon — is suitable for a gout-friendly diet. To reduce the chance of flare-ups, it’s best to eat seafood rarely. A 2004 study in the “New England Journal of Medicine” found that each additional weekly serving of fish or shellfish increased middle-aged men’s risk of developing gout by 7 percent 2.

Suggested Serving

Tuna & Gout

Don’t eliminate heart-healthy Atlantic salmon from your diet completely. The USDA’s dietary guidelines encourage Americans to increase their overall consumption of seafood from the current average of just 3.5 ounces a week. For an active adult on a 2,000 calorie-per-day plan, the USDA recommends eating 6 ounces of lean protein per day. To reduce the chance of gout attacks, limit your consumption of meat, poultry or seafood to 4 to 6 ounces daily.

• Don’t eliminate heart-healthy Atlantic salmon from your diet completely.
• To reduce the chance of gout attacks, limit your consumption of meat, poultry or seafood to 4 to 6 ounces daily.

Nutritional Benefits

Atlantic salmon is an excellent source of omega-3 fatty acids, a polyunsaturated fat that is essential for overall health. Researchers believe omega-3s may help lower blood pressure or high triglycerides, reduce your chance of heart attack and stroke, and slow the progress of age-related conditions like macular generation. A 3.5 ounce serving of salmon contains about 1 gram of omega-3s. In addition, salmon provides a source of lean protein that is low in saturated fat and cholesterol.

• Atlantic salmon is an excellent source of omega-3 fatty acids, a polyunsaturated fat that is essential for overall health.
• In addition, salmon provides a source of lean protein that is low in saturated fat and cholesterol.

Other Concerns

Catfish and Omega 3

Atlantic salmon is relatively low in mercury and PCBs, so it does not pose a health risk to gout sufferers who choose to eat it frequently. The Seafood Watch program of the Monterey Bay Aquarium, however, urges consumers to avoid farmed Atlantic salmon. The methods used to manage and harvest salmon in ocean-based net pens have a deleterious effect on the surrounding marine environment. As an alternative, consumers may choose wild-caught Alaskan or Pacific salmon.

• Atlantic salmon is relatively low in mercury and PCBs, so it does not pose a health risk to gout sufferers who choose to eat it frequently.
• The Seafood Watch program of the Monterey Bay Aquarium, however, urges consumers to avoid farmed Atlantic salmon.

Purine table

Mussels And Gout – How To Discuss

Mussels And Gout

Are clams bad for gout?

Cutting down on seafood during gout attacks can help. Previous studies have suggested that gout sufferers should avoid shellfish, anchovies, sardines, herring, clams, scallops, cod, trout, tuna and haddock. Shrimp, lobster, eel, and crab are safer seafood for gout sufferers.

Do mussels have a lot of purines?

Rich in purines: anchovies, cod, haddock, herring, mackerel, mussels, sardines, scallops, trout. Average purine content: crabs, lobsters, oysters, shrimp. Meat: Although no longer part of a normal diet in the United States, offal, such as liver, sweet bread, and brain, are the most dangerous for people with gout.

Which vegetables are also bad for gout?

Eat lots of vegetables like kailan, kale, squash, peppers, and beets, but limit your intake of moderately purine-rich vegetables like asparagus, spinach, cauliflower, and mushrooms. Eat fruits rich in vitamin C such as oranges, tangerines, papayas, and cherries.

Also, are you wondering which fish is bad for gout?

Goodbye (some) fish Some seafood contains more purines than others. The worst ones for people with gout are anchovies, cod, haddock, herring, mackerel, clams, roe (fish roe), sardines, scallops, and trout. Salmon appears to be an exception and a better seafood choice for gout sufferers, Sandon says.

Can you eat squid if you have gout?

DON’T: Eat Some Seafood Cold-water fish like tuna, salmon, and trout can raise uric acid levels, but the heart benefits of eating them in moderation may outweigh the risk of gout. Mussels, scallops, squid, shrimp, oysters, crabs and lobsters are only allowed occasionally.

Is bacon bad for gout?

Some purine compounds can raise uric acid levels, which then build up in the joints and cause painful gout symptoms. Examples of processed meats that gout patients should avoid include bacon, turkey, goose, veal, game, and offal such as liver, kidney, or sweet bread.

Is peanut butter bad for gout?

Best Foods for the Gout Diet Fresh Fruits and Vegetables. Nuts, peanut butter and cereals. Fat and oil. Vegetables: Vegetables like spinach and asparagus are on the purple list, but studies show they don’t increase the risk of gout or gout.

Is canned tuna bad for gout?

Seafood: Some types of seafood such as anchovies, shellfish, sardines and tuna contain more purines than others. However, the overall health benefits of eating fish may outweigh the risks for people with gout. Moderate portions of fish can be part of a gout diet.

Are blueberries good for gout?

Cherries lower uric acid levels and can help prevent gout attacks. Blueberries, blackberries, and other deeply pigmented berries are also helpful.

Are beans bad for gout?

These are peas, beans, lentils, tofu and green, starchy vegetables. They don’t raise uric acid levels and can even protect you from gout attacks.

Is onion bad for gout?

If you have gout, avoid dishes like sliced ​​liver and liver and onions, as well as other offal like kidneys, hearts, sweet bread, and tripe because they are high in purines.

Are kidney beans bad for gout?

Foods considered moderate purines include: crab, lobster, oysters, and shrimp. Vegetables such as asparagus, spinach, peas, mushrooms, and cauliflower. Red beans, lentils and lima beans.

Is broccoli good for gout?

Study authors place broccoli in the low-purine group: Foods very high in purines contain more than 300mg per 100g. This means broccoli is a great choice for people with gout (and most people looking to eat healthy). Rich in Vitamin C. Vitamin C helps reduce uric acid levels in the body.

Is chicken good for gout?

Turkey and goose have more purines than other foods, so it’s best to avoid them. People with gout should also limit the consumption of games. Chicken and duck are, according to Dr. Zashin, the safest alternatives.

Does oatmeal cause gout?

Oatmeal contains 50 to 150 milligrams of purines per 100 grams of food. This means that oatmeal is in the mid-milligram range for purine-containing foods. While it doesn’t contain as many purines as organic meat, scallops, or fish, it is still high enough to increase the risk of gout when consumed in excess.

Are bananas good for gout?

Bananas are low in purines and high in vitamin C, which makes them great if you have gout. Changing your diet to include more low-purine foods like bananas can reduce the amount of uric acid in your blood and reduce the risk of recurring gout attacks.

Is ibuprofen good for gout?

Take pain medication. Ibuprofen (Motrin) is a typical non-steroidal anti-inflammatory drug (NSAID) used to treat acute pain associated with gout. If you don’t have kidney disease, NSAIDs are the best pain relief medications, Leisen says.

Is pineapple good for gout?

Pineapple contains an enzyme called bromelain, which is known to reduce inflammation and aid digestion. Although no studies have linked bromelain directly to gout, research suggests that bromelain supplements can reduce the inflammatory symptoms of gout.

Are blueberries good for gout?

Cranberry juice or extract helps increase uric acid excretion from the body. Uric acid causes gout. It is a waste product in the blood that gets stuck in the joints and forms painful uric acid crystals. Avoiding certain foods can help reduce uric acid buildup in the first place.

Mussels And Gout

Purine-induced expression of urate oxidase and enzyme activity in Atlantic salmon (Salmo salar). Cloning of urate oxidase liver cDNA from three teleost species and the African lungfish Protopterus annectens

The peroxisomal enzyme urate oxidase plays a pivotal role in the degradation of purines in both prokaryotes and eukaryotes. However, knowledge about the purine-induced expression of the encoding gene is lacking in vertebrates. These are the first published sequences of fish urate oxidase, which were predicted from PCR amplified liver cDNAs of Atlantic salmon (Salmo salar), Atlantic cod (Gadus morhua), Atlantic halibut (Hippoglossus hippoglossus) and African lungfish (Protopterus annectens). Sequence alignment of different vertebrate urate oxidases revealed amino acid substitutions of putative functional importance in the enzyme of chicken and lungfish. In the adult salmon, expression of urate oxidase mRNA predominated in liver, but was also identified in several nonhepatic organs including brain, but not in skeletal muscle and kidney. Juvenile salmon fed diets containing bacterial protein meal (BPM) rich in nucleic acids showed a significant increase in liver urate oxidase enzyme activity, and urea concentrations in plasma, muscle and liver were elevated. Whereas salmon fed the 18% BPM diet showed a nonsignificant increase in liver mRNA levels of urate oxidase compared with the 0% BPM-fed fish, no further increase in mRNA levels was found in fish receiving 36% BPM. The discrepancy between urate oxidase mRNA and enzyme activity was explained by rapid mRNA degradation or alternatively, post-translational control of the activity. Although variable plasma and liver levels of urate were detected, the substrate increased only slightly in 36% BPM-fed fish, indicating that the uricolytic pathway of Atlantic salmon is intimately regulated to handle high dietary purine levels.

Dalmatian Welfare » Feeding

Purine is a type of protein found in certain red meats, some poultry, game, offal and yeast products all of these foods contain very high of levels of Purine. These purines can cause problems for some Dalmatians so are best avoided. There are complete low purine foods available without prescription.   Royal Canin make a food specifically for Dalmatians it is based on egg protein and is very low in Purines.  Other prepared foods available are on prescription only, made by Hills and Royal Canin and are generally only used once a stone forming Dalmatian has been diagnosed and treated by a Vet.

For most Dalmatians that have not been diagnosed as stone forming  there are cheaper alternatives and anecdotally we have had success with lower protein diets such as Chappie, James Wellbeloved (Chicken or Fish) and Pets at home own brand Wainwrights. They do not contain additives and colourings which may make a dalmatian hyperactive.  This applies to dog treats as well see below.

We have a list of foods and their purine content. This indicates which foods are safe to feed a Dalmatian,and which should be avoided. We can provide details of diets specially formulated from these lists that have been successfully fed to stone forming Dalmatians and kept them free of the recurrence of stones and are cheap  to feed although they do require work and, probably freezer space. Please click here to view our Heath page for more information

Dalmatians should always have fresh clean water to drink and have access to outdoors so that they can regularly urinate.

Please get in touch with the website or our central coordinator if you would like more information.

Diet, behaviour and snacks and treats

Many pre-made dog snacks and treats are made from offal and cheap cuts of meats that contain the highest amounts of Purines. We have seen behavioural problems and hyperactivity reduced by changing a dogs diet to a lower purine food free from bright colours. The more simple the food the better it seems to suit Dalmatians. Highly coloured dog treats filled with colouring and additives should be avoided, dogs don’t see in colour so these are purely aimed at attracting humans rather than your dog. Apple, Carrot, Hard Cheese (Cheddar) and hard boiled eggs make great low Purine treats and are great for titbits while training your Dalmatian. There are many recipes for making your own purine free dog treats available online.

PLEASE NOTE THE CHART BELOW IS FOR HUMAN USE WE ARE NOT SUGGESTING THAT ALL OF THE ITEMS LISTED SHOULD BE FED TO DOGS

There are many common human foods that are toxic to all dogs and should be avoided

These include grapes, currants and sultanas, cherries, the stones are toxic to dogs, apricot stones are also toxic. Red, white and Black currants have the same toxin that is contained within grapes so are best avoided. Rhubarb is toxic and so are Apple pips (so avoid the core) and unripened tomatoes can also be toxic. Macadamia nuts, Onions and Garlic, Mushrooms, raw and green Potatoes and artificial sweeteners should not be fed. Oh and of course chocolate!

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 the 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.

Very important – 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 freshly squeezed 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 foods should not be eaten with gout | Health Harmony

Gout is a type of arthritis that causes uric acid crystals to form around the joints. This painful condition is usually associated with the consumption of excessive amounts of certain foods, such as seafood, meat, or alcohol.

A combination of dietary restrictions and medications may help lower uric acid levels and minimize gout symptoms.

A list of foods to eat for gout

A chemical called purines is found in a variety of foods.But their number is different.

Source: https://www.google.ru/imgres

Source: https://www.google.ru/imgres

In the process of digestion, the same uric acid is formed from them, which can accumulate in the body and be deposited on the joints causing gout attacks.

Therefore, people with this diagnosis should adhere to a specific diet and avoid eating foods high in purines.

1. Cauliflower, spinach and asparagus

Although purines from these vegetables do not cause as much harm as from meat, it is better to exclude them or at least limit them in your diet with diagnosed gout.

2. Peas, beans and other legumes

Beans, peas and other legumes with a high purine content. For example, 100 grams of peas can contain 5 to 100 mg of purines.

3. Mushrooms

Mushrooms also have moderately high or high purine counts. Therefore, food for this disease is also excluded.

4. Fish

Fish, including cod, carp, herring, sardines, trout, tuna, haddock, salmon and others, have a very high level of purines.

Although a small portion of these fish should not cause a serious reaction, consuming large amounts of fish regularly can cause a negative reaction.

5. Alcohol

Alcohol causes particularly painful attacks of gout. Moreover, beer is the most dangerous for people with this disease.

A study of 47,000 men over 12 years of age found that those who had a high alcohol intake were significantly more likely to develop gout during their lifetime.

A daily serving of beer increases the risk of developing gout by up to 50 percent. Drinking wine and spirits should be avoided for those who already have this diagnosis.

6. Caffeine

Caffeine acts as a diuretic, reducing the water content in the body. As a result, uric acid crystals can remain in the blood and crystallize in the joints.

Therefore, patients with gout should drink no more than 1 cup of the drink per day.

7. Meat by-products

The organs of animals, as a rule, contain a particularly high amount of purines. Eating such meat can be especially dangerous for people with gout.

The most dangerous beef liver contains 460 mg of purines in each serving. Slightly less in the heart, liver and lungs of other animals, but still high.

8. Fried foods

Foods high in fat may worsen gout symptoms. People with a high body mass index are more likely to suffer from gout attacks than those on a diet that eliminates fatty fried foods.

Regular consumption of fried foods may increase your risk of developing chronic gout.

Avoid prepackaged foods, ready-made foods and foods cooked with a lot of oil.

9. Beef and other meats

All forms of beef have moderate to high purine levels. Moreover, most of all in the tenderloin, the scapula, with ribs.

Red meat such as pork or lamb is also harmful to people with gout.Therefore, it is very important to limit their use.

10. Carbonated and sugary drinks

Carbonated drinks are high in sugar and increase the risk of disease. Studies show that those people who drink soda often are more prone to getting sick.

Many of these drinks contain caffeine, which contributes to dehydration and increases blood uric acid levels.

Attention! The article is for informational purposes only.Be sure to check with your doctor or specialist.

What else to read:

What is gout and what are its causes

How is gout treated and how dangerous it is without treatment

Preventing gout with home remedies

What should be a diet for gout. Do’s and Don’ts

Subscribe to the Harmony of Health channel. Then never miss the latest publications!

Like the article, share the information with your friends on social networks and like it.

Which foods contain purines 🚩 which foods contain a lot of uric acid 🚩 Diets

Why are purines dangerous

When, in the event of impaired renal function, uric acid formed after the natural breakdown of cells and purines begins to accumulate in the body, hyperuricemia occurs. It becomes the cause of metabolic disorders and, if left untreated, can lead to such a dangerous disease as gout, when uric acid crystals formed under the skin, in the joints and kidneys cause unbearable pain to a person.

The level of uric acid must be controlled in order to stop the development of this disease in time by taking measures. Normally, the content of uric acid in the blood of men should be from 3.5 to 7 mg per 100 g of blood, in women – from 2.5 to 5.7 mg. With an increase in this level, you can reduce the amount of purines and, therefore, uric acid by adhering to a certain diet that excludes foods high in purines.

Purine content in food

The daily intake of purine from food should be 600-1000 mg.But at the same time, it should be taken into account which products are their suppliers. It has been found that purines from meat and fish are more dangerous than those from milk, and purines from vegetables have no negative effects at all and do not increase the risk of developing gout.

For gout, eat more cherries, grapes, strawberries and cherries, tofu cheese, lettuce, nuts, and low-fat dairy products.

The highest content of “harmful” purines in brains, anchovies, meat sauces, kidneys and liver, meat broth, veal tongue, sardines, mussels, herring and cocoa.These foods can contain up to 1000 mg of purines in 3 servings of food. Much less, up to 100 mg in 3 servings of the product, is found in pork bacon, ham, veal, beef, lamb, pork, chicken soup, poultry, rabbit meat. The same amount of purines is found in shellfish, lobster, oysters and crabs, cod, halibut, pike, sprats and lentils. Least of all purines are found in asparagus, cauliflower, beans, peas, mushrooms, salmon, oatmeal, spinach, sorrel, tuna, cottage cheese, beer, green tea, cheese and eggs.

To reduce the purine content of soups, cook them in the second broth, draining the first.

Purine content also depends on how the food is processed. It rises during prolonged cooking of meat and fish broths, while almost all purines turn into liquid, and boiled meat and fish contain harmful purines in small amounts.

Fish and Seafood Calorie Table

“Divine fruit” and a symbol of good luck: what to make from persimmon

© GoncharukMaks / Shutterstock / FOTODOM

Fire of Jupiter, wheat of Zeus, God’s pear … This is the name of persimmon, the season of which is now at its peak and will officially end on New Year’s Eve.This fruit has character: if you don’t understand it, then the gastronomic pleasure can completely ruin the viscous tannins.

The most delicious persimmon is of deep orange-red color, translucent and very soft. I always choose it carefully: one awkward movement and it bursts right in my hands. But just for persimmons, this is the norm: only in this case it is not viscous. If the fruit cracks on the way home, it’s best to eat it right away or keep it in the refrigerator for no longer than a day.

There is also a right for a viscous persimmon.To get rid of tannins, leave the fruit to ripen for several days in direct, dim sunlight, in paper or a container with apples, pears or bananas – this is how ethylene is released, which helps to ripen faster. Another way is to put the persimmon in the freezer. But I like it the least – the cell walls are damaged, and the fruit loses its charm.

Since childhood, I adore a special kind of persimmon – kinglet. It is almost always sugar-sweet and crunchy. True, he also has one important subtlety.A ripe fruit has a chocolate-colored flesh. And it should show through even through a dense skin. Now I appreciate the kinglet for two more advantages – it always keeps its shape in dishes and looks appetizing due to the contrast of the skin and pulp.

HLS-fruit for haiku

The homeland of persimmon trees is China: they have been growing there for more than 10 thousand years. True, they began to cultivate much later: from 220 BC. during the Qin and Han dynasties. In Chinese culture, persimmon is a symbol of good luck.

But the fruit became truly national in Japan, where it appeared in the 7th century.Persimmon was often sung in haiku – the famous lyrical three-verses. The most famous poet of this genre – Matsuo Base – wrote:

This old village –

no houses

without persimmon trees.

In the 19th century, the fruit was first brought to Europe, to France. Persimmon appeared in Russia in 1888, when the country ordered seedlings from Italy to grow in Sukhum. And seven years later, 22 varieties were growing in the Tiflis Botanical Garden.

On this topic

Nowadays persimmon is one of the most important healthy lifestyle products.First, one medium fruit weighing 168 g contains half the daily value of vitamin A. This micronutrient is vital for vision, including color perception and adaptation in low light conditions, supports reproductive function, is necessary for a healthy immune system, and also affects growth and cell development.

Secondly, persimmon contains a lot of vitamin C. It strengthens the immune system, is an antioxidant defense of our body and is necessary for the production of the protein “beauty” collagen and neurotransmitters – including the “happiness hormone” serotonin.

The fruit is also useful for the cardiovascular system: it contains potassium and magnesium, which helps to absorb vitamin B6.

In addition, persimmon contains the most important phenolic compounds – powerful antioxidants. They remove free radicals from the body that destroy DNA, bind metals and prevent fat oxidation, which also produces free radicals.

Smoothie, porridge and healthy jam

I like to start the morning with persimmon: coconut yogurt with fruit wedges, smoothies with banana, walnuts and aromatic cinnamon or chia pudding with persimmon puree.For the latter, grind the pulp in a blender to a paste consistency. According to my mood, I add vanilla, cinnamon, nutmeg, a little ginger or freshly squeezed lemon juice to it to balance the taste. By the way, this puree is a natural jam without heat treatment, so all vitamins and minerals remain in it. I like it with pancakes, waffles and toast.

One of my favorite autumn breakfasts is oatmeal with persimmon in almond or coconut milk. Most often I cook it, but sometimes I do it lazily, without cooking – I pour the cereal in the evening, put it in the refrigerator overnight, and in the morning I cut the fruit and add it on top.

Sugar-free quinoa porridge with persimmon

This healthy recipe is used when variety is desired. Unlike all other cereals, only quinoa and amaranth have the “complete” protein, as in animal products, that is, all nine essential amino acids. I recommend soaking the quinoa in cold water overnight to get rid of phytic acid as much as possible – it interferes with the absorption of vitamins and minerals.

© Foxys Forest Manufacture / Shutterstock / FOTODOM

I must sprinkle the porridge with a handful of finely chopped walnuts – a source of essential omega-3 fatty acids for the health of the cardiovascular system.And I love adding natural vanilla seeds – they blend perfectly with all the ingredients to create a cozy taste and aroma.

What you need (for 2 portions)

• White quinoa – 80 g
• Persimmon – 2 pcs.
• Peanut butter – 2 tbsp l.
• Coconut milk, 60% fat – 400 ml
• Filtered water – 100 ml
• Vanilla pod (optional) – ½ pc.
• Walnuts – 30 g