Salmon bad for gout: Top Foods to Avoid When You Have Gout
Top Foods to Avoid When You Have Gout
If you have gout, do all you can to avoid foods high in purines. Here’s what to watch out for.
By Beth W. OrensteinMedically Reviewed by Samir Dalvi, MD
Reviewed:
Medically Reviewed
Certain foods are problematic for people with gout, and you’ll feel better if you avoid them.Canva
If you live with the painful form of inflammatory arthritis called gout, you may take medication to manage your symptoms and prevent flares. But you can also help yourself avoid gout symptoms by watching what you eat and drink.
According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, gout is caused by too much uric acid in your blood, which for some people can lead to swollen, painful joints. Uric acid is a waste product produced when your body breaks down chemicals called purines, which are found naturally in many foods.
Limiting the foods you eat that are high in purines is one dietary change the American College of Rheumatology (ACR) recommends as part of your gout treatment.
Here are some foods and drinks you should avoid.
Alcohol
The ACR recommends everyone with gout limit the amount of alcohol they drink. The group’s 2020 gout management guidelines cite research that shows people who don’t drink have lower uric acid levels and are less likely to have gout flares than people who do.
According to the Arthritis Foundation, the process of digesting any kind of alcohol raises your uric acid levels. Beer in particular is risky because it also has a high purine content.
Meat
Animal protein is a big source of purines. Researchers who’ve measured the purine content of different foods have found them in every kind of meat they tested. Many low-purine gout diets, like the one described by the Mayo Clinic, have you eat less red meat, including beef, pork, and lamb, and more poultry. You may need to experiment to see which kinds of animal protein you can tolerate, and in what amounts.
People who live with the chronic pain of gout should consider avoiding organ meats, such as kidneys, sweetbreads, and liver, because they are high in purines.
Seafood
Some seafood is higher in purines than others. At the top end are anchovies, herring, mackerel, roe (fish eggs), sardines, tuna, trout, and many kinds of shellfish, including mussels, oysters, scallops, and shrimp.
Talk to your doctor about whether the benefits of eating certain kinds of seafood may outweigh the risks for you. Some, like salmon, contain heart-healthy fats.
A Caution About Vegetables
As good for you as vegetables are in general, some have been found to be high in purines, including asparagus, spinach, cauliflower, and certain mushrooms. But research published in the December 2020 issue of Nutrients found that high-purine vegetables don’t aggravate gout the same way that high-purine animal-based foods do. One further precaution when balancing foods and gout: Many dried beans, peas, and lentils are high in purines, and you may find you need to avoid them.
Fructose and Gout
Fructose is what gives some fruits (and vegetables) their natural sweetness.
And high-fructose corn syrup is used to make thousands of products, from soft drinks to baked goods.
Uric acid is a by-product of your body’s digestion of fructose, so foods and drinks high in fructose can trigger gout symptoms, according to the Arthritis Foundation. But not all sources of fructose are the same.
The ACR says you should limit high-fructose corn syrup. That means cutting out soda and checking the labels on processed food and drinks. As far as whole fruit, researchers have found it to be generally safe for people with gout, possibly because fruit has other nutrients that blunt the effects of uric acid.
Gout Treatment and Diet
Avoiding purine-rich foods is only part of your gout treatment. The ACR also recommends losing weight to help your gout symptoms. Just be sure your weight loss is slow and steady: If you lose weight too rapidly, the amount of uric acid in your body may increase. Overall, the best diet is one based on foods that are low in fat and sugar and high in fiber.
Talk to your doctor about how to create a gout diet that’s right for you.
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Choosing whole grains, vegetables, and fruits — especially cherries — may help gout.Getty Images
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 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. (1)
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 red meats and 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, an independent scientific institute that evaluates the benefits and harms of medical interventions. (2)
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 found that taking 500 mg of vitamin C per day had a mild uric-acid–lowering effect. (5) Yet it’s not clear whether vitamin C helps relieve gout symptoms.
A 2013 study showed that supplementing with 500 mg of vitamin C for eight weeks did not significantly lower uric acid levels in patients with gout. (6)
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 (FDA) 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
- Martin K. The Gout Diet and Cookbook: An Introduction to Low Purine Foods and Meals for People With Gout. 2016.
- Preston C. Gout Diet: The Anti-inflammatory Gout Diet. 2015.
- Shah M. Gout Cookbook: 85 Healthy Homemade and Low Purine Recipes for People With Gout (A Complete Gout Diet Guide and Cookbook). 2016.
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Editorial Sources and Fact-Checking
- Nielsen S, Bartels E, Henriksen M, et al. Weight Loss for Overweight and Obese Individuals With Gout: A Systematic Review of Longitudinal Studies. Annals of the Rheumatic Diseases. October 9, 2017.
- Gout. Institute for Quality and Efficiency in Health Care. May 17, 2018.
- Gout Diet: Dos and Don’ts. Arthritis Foundation.
- Neogi T. Lifestyle Modification and Other Strategies to Reduce the Risk of Gout Flares and Progression of Gout. UpToDate. August 31, 2022.
- Huang HY, Appel L, Choi M, et al. The Effects of Vitamin C Supplementation on Serum Concentrations of Uric Acid: Results of a Randomized Controlled Trial. Arthritis & Rheumatism. June 2005.
- Stamp L, O’Donnell J, Frampton C, et al. Clinically Insignificant Effect of Supplemental Vitamin C on Serum Urate in Patients With Gout: A Pilot Randomized Controlled Trial. Arthritis & Rheumatism. May 30, 2013.
- Cherry Companies Warned by FDA Against Making Health Claims. The Produce News. November 1, 2005.
- Do Cherries Prevent Gout? Arthritis-health.com. February 19, 2020.
- Terkeltaub R. Are Cherries Now Ripe for Use as a Complementary Therapeutic in Gout? Appraisal of the State of Evidence. BMJ Evidence-Based Medicine. December 2013.
Weight Loss for Overweight and Obese Individuals With Gout: A Systematic Review of Longitudinal Studies. Annals of the Rheumatic Diseases. October 9, 2017.
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Allowed types of fish for gout and recipes
Gout on the legs is a common joint disease that occurs due to salt deposits. 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.
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Diet for gout
When gout appears, you need to follow a special diet, the essence of which is the normalization of purine metabolism. The accompanying goals of the diet are:
- influence on the mechanisms of uric acid production;
- acceleration of excretion of urates from the body;
- improvement of the digestive and urinary systems;
- change in the alkaline balance of urine.
To achieve these goals, you need to know the principles of nutrition.
Principles of nutrition for gout
Dietary proteins 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 to eat 5-6 times a day, in small portions.
There is a day off every week. It is recommended to eat fruits (no more than 2 types), porridge on the water, green tea or fruit drinks without sugar.
The diet is maintained beyond the aggravation of gout, but becomes less rigid. In the acute phase, it is allowed to take no more than 200 mg of purines per day. The amount of the latter may 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. The products should not contain harmful compounds.
Allowed products
Vegetarian diet is the main condition for the gout diet. The diet should contain fruits, vegetables, berries, nuts. In the summer, fresh berries are especially useful. You can also use them after heat treatment in the form of compotes and fruit drinks.
If meat products are unbearable, then you can eat turkey, chicken or rabbit meat.
Fish dishes can diversify the diet. It is recommended to cook food by steaming or in the oven.
Prohibited foods
Pickled vegetables and legumes should be removed from the menu. It is also worth removing any salty, fried foods, fatty meats, mushrooms. Of the berries, raspberries, cranberries and figs are undesirable.
Specific products can be seen in the table.
Is it possible to eat fish with 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 in the composition. Less harmful varieties are allowed to eat, but in small quantities.
Which 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 useful substances.
Recommended for consumption:
- bream;
- capelin;
- cod;
- walleye pollock;
- blue whiting;
- zander;
- carp;
- carp;
- pike;
- hake.
Steamed and boiled fish is allowed.
The liver is especially useful for pike.
Prohibited varieties
In gout, even a small amount of prohibited varieties can provoke a new flare-up, as it leads to an increased level of uric acid. The following species are excluded:
- mackerel;
- mackerel;
- herring;
- salmon;
- halibut;
- acne;
- tuna;
- trout;
- som;
- 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 not properly prepared.
Once a week you can eat steam cutlets. Suitable for pike or zander. You can also use red fish, which contains a small amount of purines and uric acid.
A single serving is not more than 170 grams. Cook no more than three times a week.
Useful properties of marine and freshwater fish
Freshwater has a large number of positive qualities, like the sea. There are some differences in the composition of both species.
| Marine fish | Freshwater fish |
| • rich in vitamin D and iodine; • small amounts of fish oil prevent blood clots; • calcium and phosphorus strengthen bones; • trace elements normalize the functioning of the nervous system; • Eating fish twice a week reduces the risk of developing cardiovascular disease. | • contains small amounts of vitamin D and iodine; • contains vitamin B and magnesium, which stabilizes the nervous system; • contains Omega-3 and Omega-6; • vitamin A improves visual acuity; • methionine lowers blood cholesterol levels; • zinc enhances the functioning of the male reproductive organs; • improves the condition of the skin and thyroid gland when consumed.  |
Each species has its own unique properties that have a positive effect on the body.
Recipes for fish dishes
If you want to eat fish for gout, you need to know how to cook it properly. Detailed recipes will help with this.
Cod with steamed zucchini
Ingredients: 1 kg cod, 1 carrot, 3 zucchini, 2 tbsp. l. sunflower oil, dry parsnips, a pinch of salt (optional).
Clean the cod and rub parsnips on both sides, then place in the refrigerator for half an hour. Cut carrots and zucchini into cubes. Put the vegetables on the bottom of the double boiler, and place the cod on top. The dish is ready in 25 minutes.
Steamed zander
Ingredients: 700 g pike perch, 2 cups vegetable broth, herbs, salt.
Peel and wash the zander, then cut into portions. Dry with a paper towel and rub with a little salt. Put the prepared product in a double boiler along with greens. Pour the vegetable broth into the steamer as well.
The dish is ready in 15 minutes. You need to use it along with a side dish.
Steamed carp
Ingredients: 1 kg carp, ¼ lemon, parsley, olive oil, salt (optional).
Finely chop parsley and lemon. Clean the carp from the insides, sprinkle with olive oil. Inside put a small amount of parsley and lemon. Put in a double boiler, and place a few slices of lemon and the remaining parsley on top. Estimated cooking time 20 minutes. You can serve boiled rice or potatoes as a side dish.
Pollock in multicooker
Ingredients: pollock 2 pcs., parsley, dill umbrellas, salt (optional).
Pollock is extremely useful for gout. Clean it from the insides and cut into small pieces. Put in a bowl, add a small amount of salt and mix thoroughly. Pour a small amount of boiling water into the bottom of the multicooker, put parsley and dill umbrellas. Place the fish on top and cook for 25 minutes.
Answers to questions
Is sea or freshwater fish better for gout?
Both types are equally useful.
You should proceed from your own preferences and the lack of certain substances in the body.
Why is fish useful only in boiled form?
During cooking, half of the purine compounds are released into the broth. This makes the fish healthy and safe.
Why can I only eat fish 3 times a week?
If consumed frequently, the purine compounds found in the product may exacerbate the disease.
Conclusion
Fish dishes can be consumed in case of gout. This can diversify the diet and provide access to nutrients in the body. However, you should not get carried away with this, as non-compliance with the norms can lead to a deterioration in the condition.
More information about the disease can be seen in the video.
Is tilapia good for gout?
Since they are finned fish, tilapia is a good choice for gout but we are not big fans of this fish here at Dr.
gourmet. Because most tilapia are farmed and fed soy or corn, they often have higher levels of omega-6 fats.
Likewise, are shrimp high in uric acid? Tip #1: Cut down on seafood
Some seafood, such as shrimp, crab legs, lobster, oysters, clams, and scallops, are rich in purine, which is broken down into uric acid in the body.
Is Galunggong good for gout? Fish oil capsules contain omega-3 fatty acids; these fats can help relieve some of the symptoms of gout, as well as many other heart and blood disorders.
Second, is chicken high in uric acid?
One of the most important purines to watch out for is hypoxanthine. Chicken is mostly a moderate purine food. But the amount of purines in certain cuts ranges from low to very high.
Cuts, safe for gout.
| Purines in chicken | ||
|---|---|---|
| CHICKEN CUTS (100g) | TOTAL PURINE | RANGE |
| Chest, skinless | 141. 2 mg | Moderate |
| Liver | <300 mg | High |
• January 29, 2022
In addition to the above, is there a lot of uric acid in salmon?
Some seafood contains more purines than others. The worst for people with gout are anchovies, cod, haddock, herring, mackerel, mussels, caviar (fish roe), sardines, scallops and trout. “Salmon seems to be the exception and the best seafood choice for gout sufferers,” Sandon says.
Contents
Can I have chicken with gout?
Summary. Chicken is a lean, healthy type of protein. This can help you lose weight and keep it off. But it contains purines, which are harmful to gout patients.
Is salmon good for gout?
Some seafood contains more purines than others. The worst for people with gout are anchovies, cod, haddock, herring, mackerel, mussels, caviar (fish roe), sardines, scallops and trout.
“Salmon seems to be the exception and the best seafood choice for gout sufferers,” Sandon says.
High uric acid chicken?
All chicken cuts fall into this category, although some other poultry—such as goose, partridge, and duck—contain 100 to 1,000 milligrams of purine compounds per 3-ounce serving and should be avoided.
Does pork cause gout?
Does pork cause gout? Pork itself does not cause gout. However, a diet high in purines may increase the risk of developing gout. 6 Gout occurs when the body produces more uric acid than it can remove, resulting in crystals in the joints and tissues.
Does tuna cause gout?
Fish, such as tuna, are high in purines, which can trigger a gout attack. People without gout should also limit their intake of tuna, as it contains high levels of sodium and moderate to high amounts of mercury. Too much is bad for you.
Is it possible to eat potatoes with gout?
Lots of starchy carbohydrates
These can be rice, potatoes, pasta, bread, couscous, quinoa, barley or oats and should be included in every meal.
These foods contain only small amounts of purines, so they, along with fruits and vegetables, should form the basis of your diet.
Is pork good for gout?
Pork Nutrition
Loin tenderloins such as pork loin, filleted pork chop and filleted pork roast are excellent sources of lean protein. These cuts can be part of a healthy gout diet. Lean protein is also a good choice for people looking to lose or maintain weight for gout-related health reasons.
What kills uric acid in the body?
Nutritionists usually advise us to drink plenty of water to remove excess uric acid from the body, and to eat plenty of fresh fruits and vegetables.
Is it possible to eat noodles with gout?
Optional: Cereals and grains (rice porridge, noodles, pasta, rice, crackers, white bread), vegetables (other than those mentioned above), potatoes, taro, yams, fruits, fruit juices, eggs, fatty or low fat dairy products.
5. Avoid alcohol.
Is there a lot of uric acid in canned tuna?
Tuna and other cold water fish are considered healthy but are relatively high in purines, which can be problematic for gout. Purines are chemical compounds that break down to form uric acid, a substance that causes gout attacks in susceptible people.
Do eggs cause gout?
Researchers did not find a significant association between the risk of gout and consumption of the following foods: eggs.
Can I eat turkey if I have gout?
Purine compounds can increase the level of uric acid, which then accumulates in the joints and causes the painful symptoms of gout. Examples of meats that gout patients should avoid are bacon, turkey, goose, veal, venison, and organ meats such as liver, kidney, or sweetbread. Instead, meat lovers should try chicken and duck.
Is there a lot of uric acid in pork?
Since pork is moderately high in purines, eating too much or too often can increase uric acid levels, making gout symptoms worse.
Fatty cuts of pork and pork cooked with high-fat butter, cheese, or creamy sauces can exacerbate inflammation by increasing the amount of saturated fat in your diet.
Are potatoes good for gout?
Purine digestion can cause your body to produce uric acid as a by-product, making gout worse. Foods that may be preferred for gout include fruits and vegetables such as potatoes, peas, mushrooms, legumes such as lentils, beans, soybeans, all nuts and seeds, and dairy products.
Is bacon good for gout?
Purine compounds can increase the level of uric acid, which then accumulates in the joints and causes the painful symptoms of gout. Examples of meats that gout patients should avoid are bacon, turkey, goose, veal, venison, and organ meats such as liver, kidney, or sweetbread.
What kind of meat can be used for gout?
Red meat does not have as many purines as organ meats, but there are enough of them, so it is wise to eat beef, venison and bison only occasionally to lower uric acid levels.
Your safest bet is white meats like pork and chicken.
Is chicken good for gout?
Potatoes, rice, bread and pasta. Eggs (in moderation) Meats like fish, chicken, and red meat are good to eat in moderation (4 to 6 ounces per day). Vegetables: You may see vegetables like spinach and asparagus on the high purine list, but studies show they do not increase the risk of gout or gout attacks.
What is the best bread for gout?
Although whole grain bread contains more purines than white bread, if you are on a low calorie weight loss diet, whole grain bread may be the best bread for gout because it has a higher nutritional value than white bread. There is some evidence that vitamin C may help lower uric acid levels.
Is cheese good for gout?
Dairy products such as milk, cheese, and yogurt are low in purines and are well suited to a diet to treat or prevent gout. They are a good protein alternative to meat, and low-fat dairy products are lower in saturated fat than full-fat ones.