
Gout has been called the “disease of the aristocrats” for many centuries.This particularly affected people in the upper classes who were not used to a moderate diet.It is now known for certain that this disease has no connection with social status, but metabolism plays an important role here.
Impaired metabolism and increased uric acid levels in the blood lead to the development of recurrent acute arthritis.No drug can completely eliminate this disease, but significantly alleviating the patient's condition by minimizing exacerbations is a very real task.
Modern drugs help eliminate excess uric acid and reduce its critical level.However, the most important condition in the treatment of this complex disease is still adherence to a special diet.Diet allows the patient to achieve maximum results.
Diet for gout
Uric acid, the main enemy of a gout patient, is formed from purines.The latter is found in large quantities in animal foods, especially fatty fish and pork.Therefore, meat and fish are almost completely banned.
Some plant foods contain purines.To minimize the likelihood of relapse, it is necessary to strictly monitor the patient's diet.
- The main condition is that meals are regular - 3-5 times a day.This ensures that the required content of purine substances in the blood is maintained and their excess is avoided.
- You can't eat too much.The amount consumed is strictly regulated;
- The reverse process – starvation – should not be allowed;
- If the patient is overweight, every effort must be made to get rid of it.However, you need to lose weight gradually with the help of a balanced diet.Too rapid weight loss can only worsen the patient's condition.Optimal weight loss – 1-2 kg per month;
- During gout treatment, it is very important to drink as much fluid as possible.The norm is 1.5-2 liters per day if the condition is stable, and at least 3 liters of water should be drunk if the condition worsens.Water can be replaced with any other permitted liquid;
- An essential part of the daily diet is alkaline mineral water.It helps rid the body of uric acid, which is important.

Gout requires a strict approach to food choices;The patient must know exactly what is allowed to be eaten and what is strictly forbidden.Only ingredients that contain no or only small amounts of purines can be included in the diet, which has no influence on the overall level of this substance in the body.
In most cases, these are fruits and vegetables, so following this diet will not be difficult for a potential vegetarian, but much more difficult for a meat eater.However, as a result, the patient feels relief in pain and a reduction in swelling.
What not to eat if you have gout
It is worth preparing for the fact that this list is not so short.After all, many foods contain exactly those purines that are undesirable for an organism affected by gout.
We will have to accept it as a fact that we have to give up white bread completely - it contains too much yeast.The latter actively promote the production of uric acid in the body.For the same reason, we are removing all baked goods from our range.
Which meat products should you not eat?Completely avoid sausages, sausage products, canned meat - they are literally full of purines.We reject offal for the same reason;Fatty pork is also absolutely forbidden.
We also eliminate seafood from the diet of a gout patient.Oily fish, canned food and caviar in particular are strictly forbidden.
You should not eat spicy and salty cheeses;Eating this type of dairy product does more harm than good.
We remove all legumes from grains – lentils, beans, soybeans, beans.The reason is the same – high purine content.
Of the vegetables, only mushrooms and sorrel are strictly forbidden.Until recently, tomatoes were also on this list for the simple reason that they contain purines.However, their content is so insignificant and the vitamin complex is so significant that today this vegetable has moved from the prohibited list to the opposite list.
There is also a not so extensive ban list for fruits and berries;it only contains figs, raspberries and grapes.

Sweet lovers must avoid eating cakes and pastries that are too creamy.
As for fats, you should not experiment with margarine and lard.
If you have gout, it is recommended to drink plenty of fluids, but not all of it should be drunk.The choice of drinks is just as careful.Therefore, coffee and strong black tea are prohibited.
And that's not even due to the purines it contains - their content is low.However, the diuretic effect of these drinks is an undesirable phenomenon.All alcohol, including beer and wine, is strictly prohibited.
Gout doesn't like spicy food, so we completely avoid pepper, mustard, horseradish and other hot spices from the dishes.You shouldn't use too much salt.It is better to avoid it as much as possible.It is unacceptable to put bouillon cubes in bowls.The preservatives and purines it contains are simply unsurpassed.
Broths based on fish, meat and legumes should also be eliminated from the diet.Remove mayonnaise.
All products from the list above are completely banned.They should not be used categorically.It is better to have this list handy initially so that you can check the list of prohibited items at any time.
It's possible, but be careful
The above ingredients are completely excluded from use.This list is not very long, the problem is that it contains quite common dishes that appear in the diet of a healthy person every day.Next, a list of products permitted for consumption is presented.However, there is a slight trade-off between these lists.He incorporated what was acceptable for food, but little by little.

When it comes to vegetables, beets, cauliflower, radishes, asparagus, celery, rhubarb, spinach, peppers, onions and parsley topped this list.All this vegetation contains the same evil purine - the evil companion of gout.But its content is small.However, the vitamin content it contains is so high that it masks any potential damage.
You can eat plums as fruit.As for drinks, restrictions on tomato juice have been lifted, but no more than one glass.Honey should be consumed with great caution.
What can you eat if you have gout?
Many things are strictly forbidden if purine metabolism is disturbed.However, this does not mean that the patient is in a half-starved state due to constant prohibitions and refusals.Medicinal dishes can be tasty, moderately filling, but at the same time healthy.
When it comes to baked goods, preference should be given to gray and rye bread;Among the baked goods, you can also eat those that are not made from yeast dough.
Anyone who is not prepared to become a vegetarian, even for health reasons, can breathe a sigh of relief, meat is allowed, but only lean meat.These include rabbit, turkey and chicken.However, the portions should be very moderate, no more than 170 grams, and you can eat it more often than every other day, the rest is harmful.
Fish and seafood must be included in the diet, but you should choose only low-fat species, for example salmon, pink salmon and trout.Among other marine life, the presence of shrimps, crustaceans and squids on the patient's plate is desirable.But in no case should they be fried, only boiled.The patient should not consume the broth after it has boiled.
Milk and eggs are also an essential part of the diet.Low-fat milk, kefir, yogurt, unleavened cheese, sour cream and cottage cheese are preferred.You can't cook with whole milk;You need to dilute it with water.The use of butter is permitted, but as an addition to hot dishes and not as sandwiches.Eggs are also desirable, but no more than 1 per day.
Several types of vegetables are allowed.Melons, corn, beets, garlic, potatoes, carrots, white cabbage, cucumbers, onions, tomatoes - all these products improve metabolic processes.Garlic has proven to be excellent;It relieves inflammation and alleviates the patient's condition.On fasting days, vegetables are the main helper and the potassium contained in many of them helps in the excretion of uric acid.
Especially with muesli, you don't have to remember anything;For gout, all grains except legumes are allowed.This is a rich set of microelements that promote the regeneration process, as well as fiber, which enables efficient cleansing of the body.There are no special regulations for grains as to how much and when you can eat them.There is only one condition: do not overdo it.
There is also no big ban on berries and fruits.All citrus fruits, hard green apples, dates, persimmons, strawberries, apricots, pears, dried fruits - except raisins, which are made from forbidden grapes.It is natural that you use it within reasonable limits without overdoing it.
Among sweets, the consumption of marshmallows, jam, marmalade, marshmallows is allowed, even candies are allowed, but not chocolate.You can eat ice cream.We should not forget that everything is good in moderation.
You can include fats in your diet, but they must only be of plant origin;Animal fats are completely excluded, they are too heavy.

Permitted drinks are green tea, all types of fruit teas, but only with permitted fruits and berries;Tea with milk and lemon are allowed on the menu.Homemade compotes, fruit drinks made from fresh berries and fruits, and fresh cucumber juice are helpful for gout.Be sure to make it a habit to drink alkaline mineral water every day.
The only spices you can add to dishes are vanillin, cinnamon, bay leaf and citric acid.
You can eat all kinds of seeds and nuts, except peanuts, which contain too much purine.
The patient's daily menu must include milk porridge, borscht in vegetable broth, fresh vegetable salads and various vegetable dishes.Cooked is preferred;Frying is almost not allowed.
Diet for gout
Compliance with certain nutritional rules is the basis of the patient's well-being.There is no way to do without it.The daily diet is subject to certain nutritional rules that you must follow throughout your life, as gout is a chronic disease.In order for the diet to be as effective as possible, it is better to entrust this problem to a competent doctor who will take into account all the nuances of the disease and the characteristics of the patient's body - other existing complaints.
The daily diet necessarily includes liquid food, the basis of the diet – vegetable soups, vegetable and fruit salads, compotes, mineral water.Food should be consumed at least 5 times a day.
You should drink at least two liters of water every day, which will help eliminate waste products and toxins.There must be a fasting day during which all meat and fish are completely removed.The maximum permitted number of such days is 3. More is inconvenient and unreasonable.

The basis of the diet is a vegetarian table, a minimum of meat, a maximum of vegetables and fruit.This diet is particularly useful for patients who are overweight.You should spend fasting days much more often than others.
You shouldn't allow yourself to lose weight too quickly.It is optimal not to lose more than 2 kg per month.Losing weight too quickly has a negative impact on your general condition and can lead to an exacerbation of the disease.
Diet number 6 for gout
Table No. 6 was developed by a doctor;The purpose of this diet is to normalize purine metabolism and reduce the content of uric acid and salts, which are a product of purine processing.The energy value of this diet is 2700-2800 kcal.This menu is a table with balanced protein content.
Strict adherence to the antipurine diet prevents exacerbation of the disease and significantly reduces the likelihood of relapse.This example is intended for a week, but you can also keep it up permanently.
The basic principle of the diet is based on a strict calculation of all proteins, fats and carbohydrates.Therefore, the amount of protein per day should not exceed 70-90 g per day.Animal proteins obtained from milk and milk products are preferred.The fat content corresponds to 80-90 g per day.1/4 of this amount is of plant origin.The carbohydrate content is no more than 350-400 g per day.This volume corresponds to 80 g of sugar.
Daily salt intake for diet No. 6 is no more than 7-10 g.Fluid consumption is between 1.5 and 2 liters, while the amount of calories should not exceed 2400-2800.It is equally important to monitor the amount of microelements absorbed.So, potassium is at least 3.5 g, calcium – 0.75 g, thiamine – 1.5 g, retinol – 0.5, ascorbic acid – 150 mg.
Recipes from menu number 6
The dishes included in the diet of a gout patient are not as difficult to prepare as it might seem at first.Many of them can certainly be included in the diet of a healthy person.
Vegetable stew

- Large potatoes – 3 pcs.;
- Medium carrots – 1 pc.;
- Onion – 1 head;
- Fresh green peas – 1 tbsp;
- Butter – 1 tbsp.l.;
- sour cream – 100 g;
- Salt to taste.
Fry chopped onions in oil, add diced carrots.Braise well.Add pre-cooked potatoes, peas and sour cream to the finished roast.Add salt.Simmer over medium heat for 1/4 hour.
Cucumber salad
- Fresh cucumber – 2 pcs.;
- sour cream for dressing;
- Salt to taste.
Cut the cucumber into half rings and mix well in a cup with the sour cream.For variety, you can add any other permissible vegetables – cabbage, tomatoes.
Potato soup
- Potatoes – 3 pcs.;
- 1/2 raw egg;
- Butter – 1 tsp;
- Flour – 1 tbsp;
- Fresh greens;
- Sour cream – 1 tbsp.
Make mashed potatoes from potatoes;It's best not to mash them, but rather to pass them through a fine sieve.Add sauce made from oven-dried flour and 80 g.and potato broth.Make sure you cook the sauce.Then add the egg and butter to the resulting potato mixture with sauce and bring to the boil again.
Syrniki
- Cottage cheese – 250 gr.;
- Semolina – 4 tbsp.l.;
- Egg.
Mix all the ingredients together to form a fairly thick paste.If that doesn't work, you can add more semolina.Leave for a while so that the grain is distributed and swells slightly.When the dough swells a little, you can bake.Form neat pancakes and roll them in flour.Fry on both sides.Can be eaten warm with sugar or cream cheese.
Potato pancakes
- Large potatoes – 3 pcs.;
- Egg – 1 pc.;
- Flour – 20g;
- Sour cream;
- Vegetable oil – tsp.
Grate the peeled potatoes on the finest grater, add flour and egg to the resulting mixture and mix thoroughly.Pour the dough into the heated pan and fry for 5 minutes on both sides.Serve with sour cream.
Curd casserole

- milk – 50 ml;
- cottage cheese – 75 g;
- Egg white – 2 pcs.;
- Sour cream;
- Butter;
- Sugar.
Mix the ingredients (except sour cream) thoroughly, pour the resulting mass into a mold and place in the oven preheated to 150 degrees.Bake until the top is lightly browned.Sprinkle with sour cream before serving.
Vegetarian borscht
- water – 3 liters;
- Potatoes – 2 pcs.;
- vegetable oil – 2 tbsp;
- Onion – 1 piece;
- Carrots – 100g;
- Beetroot – 150g;
- Cabbage – 100g;
- Tomato paste – 1 tsp.
Add a spoonful of salt to boiling water and add diced potatoes.After 10 minutes of cooking, add the shredded cabbage to the pan.At this point, fry the onion in a pan;When it simmers gently, add the grated carrots one at a time and then the beets.
Let the vegetables cook well and add the pasta.It can be replaced with a glass of tomato juice.When the vegetables are ready, add them to the pan.You can add herbs, a little pepper and garlic.You can add sour cream to the finished dish.
Sample menu for diet number 6
This is one of the ways a weekly diet could look like for a patient with gout.
Day one
- Breakfast – porridge with milk with dried fruits (but no raisins), tea with milk
- Second breakfast – cottage cheese pudding.
- Lunch – soup with buckwheat, vegetable pancakes (zucchini) seasoned with sour cream, fruit jelly.
- Afternoon snack – a glass of tomato juice.
- Dinner – fresh white cabbage salad with apple.
Day two
- Breakfast – vegetable croquettes (carrots and rice), sour cream, tea with lemon.
- Second breakfast – fresh pear juice.
- Lunch – fresh vegetable stew, pasta casserole with sour cream, green tea.
- Afternoon snack – apple baked with honey.
- Dinner – beet salad, toast with unsalted cheese.
Day three

- Breakfast – milk porridge with cherries, rosehip compote.
- Second breakfast – sour cream with cottage cheese.
- Lunch – cabbage soup, cheesecake, tea with milk.
- Afternoon snack – strawberry jelly.
- Dinner – potato pancakes with sour cream.
Day four
- Breakfast – omelet with dill, cheese sandwich, fresh fruit compote.
- Second breakfast - carrot salad with grated apple, seasoned with sour cream.
- Lunch – beetroot soup, kefir pancakes with sour cream, tea with lemon.
- Afternoon snack – fresh apple.
- Dinner – rice milk porridge with pumpkin and cinnamon.
Day five
- Breakfast - cottage cheese seasoned with honey, tea with field herbs.
- Second breakfast – pear.
- Lunch – vegetable noodle soup, cereal cutlets, compote.
- Afternoon snack – apple.
- Dinner – eggplant with cheese and tomato.
Day six
- Breakfast – millet casserole with honey, tea with milk.
- Second breakfast – banana.
- Lunch – rice soup, zrazy with cabbage, jelly.
- Afternoon snack – kefir with marshmallows.
- Dinner – baked potatoes with vegetables.
Day seven
- Breakfast – two hard-boiled eggs, cucumber salad.
- Second breakfast – toast with cheese.
- Lunch – millet porridge with milk, pancakes with cheese.
- Afternoon snack – fresh fruit.
- Dinner – stewed cabbage, toast with peanut butter.
How to eat during an exacerbation
Table number 6 is well suited for a patient in remission, but in an exacerbation situation the diet should be radically different.Only then will there really be a qualitative change for the better and the deterioration will subside.The basic rule of nutrition is to completely avoid meat and fish dishes - only fruit and vegetables.
What does the menu look like during an exacerbation phase?
Before breakfast – half a glass of warm alkaline mineral water, which can be replaced with rosehip decoction.
- Breakfast – 120 g of milk oatmeal and a glass of milk.The prerequisite is that the porridge is liquid.
- Second breakfast – a glass of fresh apple juice or a raw apple.
- Lunch – pureed vegetable soup – 120g, fruit jelly.
- Afternoon snack – a glass of fresh carrot or tomato juice.
- Dinner – 120 g liquid rice pudding, a glass of apple compote.
- Second dinner - a glass of kefir.
- Before going to bed, you can drink tea with milk and honey.
An important requirement is careful control of portion volume;They should be more than modest, about half the daily portion.After the period of exacerbation has subsided, you can introduce dishes with meat and fish, not only boil foods, but also fry them.
























