Diet for high uric acid in the blood: therapeutic nutrition, menu. Diet for gout and high uric acid: products and menu Diet for removing uric acid for gout

Gout is a disease in which a metabolic disorder occurs with the deposition of urate in the joints. The kidneys do not have time to remove their excess, which causes an increase in the level of uric acid in the blood. Its salts, deposited in the tissues of the body, cause pain and even deformation of the joints. Untimely removal of uric acid can provoke renal failure. One of the causes of the disease is a hereditary factor, which cannot be influenced. But more often the disease occurs due to proper nutrition and excess weight.

Nutrition for gout should be well balanced. During the treatment period, it is forbidden to follow low-calorie diets and fast. This causes aggravation and increases uric acid levels. You need to eat often, and portions should be small. Fasting days on vegetables, fruits and dairy products are shown. It is useful to drink juices from celery and carrots. They help you get out faster uric acid from the body and speed up metabolism. Often, for gout, an infusion of birch buds or flax seed and a decoction of cranberries are prescribed.

A diet for high uric acid is based on the following rules:

1. Limit protein consumption - meat, fish, legumes. For example, the well-known diet No. 6, recommended for gout, is built on this principle. The meat must be boiled in water so that the purines remain in it. The daily intake of substances and selection features are in the article.

2. Dairy products should make up no more than 50% of the total diet.

4. You can’t eat pickled and smoked products, as well as fried foods that retain fluid in the body.

5. A diet with high uric acid excludes dishes with a large amount of purines.

6. Limit salt.

If a person does not have a tendency to edema, heart and kidney diseases, but is identified increased acidity urine, then you should increase the amount of water to 2 liters per day. It is better if it is mineral. This will help remove uric acid from the body. Try to drink the bulk of the liquid in the first half of the day. In addition to water, for gout, the use of fermented milk products, freshly squeezed juices from fruits and vegetables is recommended. Rosehip decoction is also useful, as well as special herbal infusions.

If you have gout and a constantly high level of uric acid, you should avoid liquids containing alcohol, in particular dry wines and beer. As for alcoholic drinks, you are allowed to drink a little vodka. Drinking alcohol in combination with fatty foods greatly increases the level of uric acid in the blood.

If an increase in uric acid is recorded along with diabetes mellitus Type 2 and obesity, then it is necessary to rearrange the diet so that it is aimed at weight loss. Losing weight should not be drastic - it is ideal if you lose 1-1.5 kilograms per week.

Permitted and prohibited products

The first list will contain what needs to be completely excluded from the diet:

1. fatty meat;

2. meat broths and offal;

3. smoked meats;

4. canned food, sausages, semi-finished products;

5. whole milk;

6. cauliflower;

7. eggplants;

8. turnips and radishes;

9. grapes and raisins;

10. honey, chocolate, cream and biscuits;

11. beans, peas and soybeans;

12. sorrel and lettuce;

13. seeds and nuts;

14. cognac, wine and beer.

These products are included in the diet to remove uric acid a little bit:

• tomatoes - no more than 2 pieces per day;
• green onions and parsley;
• butter;
• salo;
• coffee;
• vodka and gin.

The diet for gout and high uric acid must include the following foods:

1. pasta;

3. boiled chicken, rabbit, turkey;

4. eggs – no more than 3 pieces per day;

6. pumpkin, dill, beets, onions, cucumbers, garlic, carrots, white cabbage;

7. lemons and apples;

9. kefir, sour cream and cottage cheese;

10. vegetable oil, in particular olive;

11. green tea.

The third list contains foods with low amounts of purines. It is used when gout is detected in a patient with diabetes. By including them in your daily diet, you can remove uric acid from the body and get rid of salt deposits.

Diet during a crisis

Gout is a chronic disease prone to exacerbation. If uric acid is high, drink more water. It will remove salts and toxins from the kidneys. When dehydrated, the level of uric acid in the body increases sharply. But if swelling appears, then fluid intake is reduced to 1-1.5 liters per day. It is necessary to eat more cucumbers and watermelons, which contain structured water. It washes out urates better than usual. Watermelon has diuretic properties and helps prevent swelling.

During an exacerbation of gout, eliminate salt completely or reduce its consumption to 5 g per day. Salt food after cooking. During a crisis, the best nutrition is a balanced diet based on proteins, herbal ingredients and fermented milk products. You need to eat a little at a time, dividing your daily intake into small portions. The diet of patients should be dominated by raw food. Later, they begin to gradually include vegetarian soups, grated steamed vegetables, and lean meats. Fats should be exclusively vegetable. In a boiled egg, it is the yolk that is healthier, as it is enriched with microelements and is easily digestible.

The prevention diet should be low-fat. It is useful to spend fasting days on kefir and vegetables or fruits, and drink freshly squeezed juices. People prone to obesity should monitor their weight fluctuations. We can't let him sharp increase, but losing weight quickly with gout is also contraindicated. The most optimal rate of weight loss for people whose salt deposition is combined with obesity is 2-4 kg per month. This can be achieved thanks to the principles separate power supply and regular exercise.

But in particularly advanced cases, the concentration of uric acid is reduced in a hospital setting by taking antibiotics. After the course of treatment, it will be necessary to normalize the intestinal microflora with a diet containing an increased amount of products with bifidobacteria and lactobacilli; vitamin and mineral complexes will also help.

Weekly diet

You should select recipes in advance that include foods low in purines.

The weekly menu looks like this:

1. On Monday, dried bread, smeared with orange jam, and weak coffee are suitable for breakfast. You can have a snack before lunch with yogurt. The main meal includes cabbage soup, fried potatoes and weakly brewed tea. As an afternoon snack - a cup of milk with crackers. For dinner - scrambled eggs, stewed zucchini with carrots and a glass of kefir.

2. The special diet menu for Tuesday includes cheesecakes and tea with lemon for breakfast. A banana is allowed as a snack. For lunch, the recipe for cabbage rolls without meat, potato soup and oatmeal jelly are suitable. A great afternoon snack is a fruit salad. In the evening, eat a sandwich with cheese, vinaigrette and compote.

3. Wednesday. For breakfast - dried fruits, cottage cheese seasoned with sour cream, and rosehip tea. Snack – apple. Lunch – barley porridge, chicken breast, milk soup and currant juice. For an afternoon snack - toasted bread with apricot jam and fermented baked milk. For the evening - vegetable stew and compote.

4. Thursday. For the morning, an omelet with herbs, a piece of black bread and a glass of orange juice will do. Snack between breakfast and lunch - nuts. The main meal will consist of rice casserole, okroshka and jelly. Before dinner, you can eat some fruit by making a salad from it. In the evening, baked potatoes with vegetables and green tea are suitable.

5. Friday. For breakfast, the diet offers a soft-boiled egg, pancake with cottage cheese and tea with milk. As a snack - an orange. For lunch you can eat noodle soup, potato casserole and compote. Afternoon snack – fruit mousse. Dinner – carrot cutlets with sour cream, fermented baked milk.

6. Saturday. For breakfast - oatmeal with raisins and fresh carrots. Snack – baked apple with cottage cheese. Lunch – boiled fish fillet, soup with buckwheat, mashed potatoes and Herb tea. Cottage cheese seasoned with honey is used as an afternoon snack. For dinner - vegetable salad, cheese and compote.

7. Sunday. For breakfast - pancakes made from dark flour, jam and tea with milk. You can snack on grapefruit. The main meal is borscht in vegetable broth, potato meatballs with sour cream, tea with lemon. An afternoon snack is fruit, for example, pears, and dinner is dumplings stuffed with cottage cheese and jelly.

This menu is reminiscent of the well-known diet No. 6, which is also recommended for gout on the legs. In between meals, you need to drink water, for example, carbonated alkaline water. Before going to bed, eat yogurt without sweet additives or drink a glass of kefir.

Increased levels of uric acid (UA) in the blood, or hyperuricemia, is a condition fraught with the development of various diseases, dangerous for human life and health. There are a lot of methods aimed at reducing this substance, from traditional medicine to infusion therapy or even hemodialysis.

At the same time, regardless of which method the doctor recommends to use, it is very important that patients adhere to proper nutrition, specifically designed to correct hyperuricemia. A diet with elevated uric acid in the blood has clear restrictions on a certain number of products, which allows you to quickly and effectively bring the concentration of the substance to normal indicators.

What are the risks of leveling up?

Uric acid is a residual product of the breakdown of purine bases, which are part of every cell in the body. Purines are natural substances and can appear in the human body in two ways - from the outside, during food intake, and from the inside - by destroying cellular structures. With adequate metabolism capable of maintaining balance, uric acid acts as a natural antioxidant that binds free radicals released during various processes in the body.

Normally, the substance in the blood serum should not leave the range of 120-420 µmol/l (the limits vary depending on age and gender differences). As long as the concentration of MK does not exceed the above levels, the substance does not pose a threat to the body. But if its level increases, and even more significantly, the metabolite can lead to serious diseases, usually accompanied by dangerous complications.

The most common pathologies, which are often caused by an increase in the concentration of uric acid, are gout or gouty arthritis and urolithiasis. Urates - sodium salts of uric acid - accumulate in the body and cause damage to various organs. In gout, the main target is the joints, mainly thumbs legs

The disease is accompanied by severe pain attacks, during which it is almost impossible for a person to take a step. Urolithiasis also at certain stages (passage of a stone through the urinary tract or blockage of the ducts) causes an acute pain syndrome called renal colic.

Diseases that develop against the background of increased levels of uric acid in the blood

If, upon examination of the patient, it is discovered that uric acid in the blood is elevated, then in any case he will be prescribed a special diet aimed at reducing the concentration of the metabolite. If there is a tendency to accumulate large amounts of UA, a person must adhere to dietary restrictions on an ongoing basis in order to reduce the risks of an increase in this indicator.

The diet for uric acid in the blood consists of a series certain rules, which include drinking regime, as well as recommendations on the frequency of meals and its volume. Usually, with high UA in the blood, patients are prescribed diet No. 6, which is one of 15 therapeutic measures, developed by nutritionist Mikhail Pevzner back in Soviet times.

Diet, or table No. 6, is usually recommended for patients suffering from gout or urolithiasis, as it is an effective way to reduce the concentration of the substance. For obese people with stage 2-3 obesity, diet No. 6e is prescribed, which includes a small amount of calories in order to further reduce the patients’ weight. The basic nutritional rules for increasing blood pressure include the following.

Limiting protein foods

To prevent the accumulation of substance crystals and urate deposits, the first step is to reduce the consumption of protein products, that is, the amount of meat, fish, eggs, legumes and others in the diet is minimized. There is a special table that indicates the protein content of each type of product.

This is very convenient, and the patient can independently create his own menu, based on its data. The approximate protein intake is determined at the rate of 1 gram per kilogram of human body weight. However, with this diet it should be gained not through meat and fish, but through the introduction of fermented milk products into the diet.

Consumption of the latter also needs to be dosed so as not to oversaturate the body with excessive amounts of purines. Ideally, dairy products should provide about half of your daily protein intake. Lean meat or fish are allowed to be eaten no more than three times a week in small portions of 100-150 grams.

Important! When following table No. 6e, it is necessary to ensure that the body receives a sufficient amount of nutrients, despite all existing restrictions.

Minimum animal fats

The second essential point of nutrition is to minimize the consumption of animal fats, replacing them entirely with plant-based ones. The latter ensure acceleration and easier passage of metabolic processes, so people suffering from obesity, atherosclerosis and hypertension should not neglect this rule.

Alcohol ban

Patients with hyperuricemia should permanently avoid drinking drinks containing alcohol, such as wine and beer. Even one glass of wine drunk during a hearty lunch consisting of fatty dishes leads to an increase in sUA levels. Some experts sometimes allow up to 100 grams of vodka to be consumed, but it is extremely rare, and if possible it is better not to do this, since alcohol is very harmful for this condition.

Sufficient drinking regime

Dehydration is also one of the factors that increases the concentration of uric acid, so all doctors strongly recommend drinking enough fluids. As a rule, its daily volume should be at least 2 liters; if it turns out more, then even better.

It is recommended to drink the bulk of the liquid in the first half of the day or before afternoon tea. To make it easier to comply with these requirements, do not a large number of water can be replaced with herbal infusions or teas - drinking them is much tastier. Diuretic drinks (teas or decoctions) can also improve fluid circulation in the body.

Accounting for concomitant diseases

In addition to creating a menu for hyperuricemia, you should definitely take into account accompanying illnesses. So, in case of obesity, you need to pay attention not only to the quality composition of products, but also to the number of calories, so that the patient does not gain weight, but, on the contrary, is able to lose a few extra pounds. It must be remembered that losing weight quickly in this condition is also not recommended - this can cause an even greater jump in the indicator.

Hunger strikes are strictly prohibited; they also cause a significant increase in MK. At the same time, one fasting day is simply necessary for such patients - you cannot completely refuse food, but you should create a light menu that includes vegetables and dairy products.

In case of kidney disease, nutrition is based on special dietary principles, which include strict control of fluid and salt intake. If the kidneys cannot cope with their function, then edema appears.

The same thing can happen with increased salt intake. All metabolic processes slow down, and uric acid is poorly excreted from the body. Therefore, salt should be consumed no more than 8 grams per day, and liquid should be strictly monitored by the patient’s condition.

Cooking Features

Meals should consist of boiled, stewed or steamed foods. Fried food is strictly prohibited! Broths left over from cooking meat or fish cannot be used for food, as they contain a large amount of purines.

Important! All foods containing many purine bases must be excluded from the diet. This also includes foods containing oxalic acid, one of the “provocateurs” of the accumulation of uric acid.

During exacerbation of hyperuricemia

With a sharp jump in urinary function levels, the diet becomes even stricter, and in the first few days the patient can only drink water in small portions, and is also allowed to eat watermelons. Dishes containing salt and animal products are completely excluded. All other cooked food can be seasoned with a small amount of vegetable oil.

What foods can be eaten with hyperuricemia is a question that immediately arises in patients who are prescribed treatment that includes a diet to reduce uric acid. As mentioned above, a menu with a high content of the substance should consist of lean meats and fish, boiled or steamed, and fermented milk products.

You are allowed to eat egg dishes, but not more than 2 pieces per day. You can also diversify your diet with porridges from various cereals with the addition of vegetable or butter, but in small quantity. As for flour products, during the diet it is not forbidden to eat ground bran and a little white or rye bread.

Vegetables and dishes based on them can be consumed in unlimited quantities. It’s good if it’s vegetable soups or casseroles. For dessert, the patient is allowed to enjoy fruits, dried fruits, compotes, jelly, as well as fermented milk products. You can also drink green tea in any quantity.

Fruits, berries and nuts are good for reducing uric acid levels

The following is a list of foods that can be used on a low sUA diet. This:

• chicken, rabbit, turkey, fish and seafood;
• milk, fermented milk products, eggs;
• nuts, dried fruits (except raisins), honey, jam;
• vegetables in any quantity and form;
• cereals, bakery products - a little;
• citrus fruits, any fruits (except raspberries);
• oil – sunflower, olive, sesame, linseed;
• sweets - fruit mousses and creams, marmalade, jams, honey, jelly;
• sauces and gravies - only vegetable or sour cream and milk;
• spices - Bay leaf, lemon juice, vanilla, cinnamon;
• greens - dill, parsley, cilantro.

From liquids you can drink vegetable or fruit juices, teas, compotes, decoctions, infusions, mineral and alkaline water, milk. It should be remembered that teas, decoctions and tinctures with diet No. 6 must be made weak.

Prohibited Products

When drawing up a menu, the patient needs to know what not to eat so as not to aggravate his condition. First of all, it is necessary to exclude from the diet all sausages, smoked foods (meat, fish), fried foods, liver and canned food. It is forbidden to eat meat broths, all kinds of pickles, as well as spicy and hot sauces, as they sharply increase the level of uric acid.

Alcoholic drinks are almost completely excluded. The same applies to butter and puff pastries. Dishes made from mushrooms, cauliflower, and sorrel should be consumed very carefully and in small quantities; if possible, it is better to avoid them during the diet. Don’t forget about fasting days, regular consultations with your doctor and tests to monitor your blood condition.

Diet and menu

The vast majority of people suffering from gout or urolithiasis report improved health thanks to a diet that reduces uric acid in the blood. Patients with gout say that with proper nutrition, relapses of the disease are less likely, attacks become less intense, and the need for taking medications is reduced.

Unfortunately, gout cannot be completely cured, but often the patient can control his condition himself - reduce the frequency and severity of attacks, as well as the concentration of sUA. To normalize the metabolite content, the diet must be properly balanced. Overeating and fasting should not be allowed, but neglect fasting days not worth it.

They can be made varied or you can choose the most suitable one from the recommended ones that are carried out:

• on dairy products (1.5 liters of milk, low-fat fermented baked milk or kefir per day, you can combine 1 liter of milk or kefir and 300-400 grams of low-fat cottage cheese);
• vegetables (1.5 kg of cucumbers per day or any other permitted vegetables);
• fruits (1.5 kg of apples or citrus fruits per day);
• watermelons

Approximate menu for a week, based on the principle of table No. 6

According to statistical data obtained during a study of patients with gout, it was found that a diet for hyperuricemia is one of the main conditions for improving the quality of life for such people. You just have to change your diet, and the painful symptoms will be forgotten for a long time. In addition, this is an excellent chance to protect the urinary system, and in particular the kidneys, from dangerous complications.

If we take into account all the advantages of a diet to reduce uric acid, it turns out that this method– the simplest and most affordable option to bring your health back to normal. And following all the basics of proper nutrition in combination with medications and physiotherapy gives excellent results.

To avoid another attack of pain for several weeks, a comprehensive treatment includes a diet for gout and high uric acid, which includes a list of permitted and prohibited foods and focuses on the rules and features of everyday nutrition. Diet therapy does not contribute to complete recovery, but it significantly prolongs the period of remission. Patients with gout have been following the recommended diet for many years and feel satisfactory. The hypopurine diet should be discussed with your doctor.

What is a diet for gout and high uric acid?

A characteristic disease is accompanied by large-scale deposits of uric acid crystals in the joint tissues, as a result of which excess salts lead to their rapid destruction. To prevent this from happening, a diet for hyperuricemia helps to slow down the pathological process in time, which should become the norm of everyday life for a patient with such a chronic disease. The same principles of nutrition should apply to patients with arthritis and arthrosis.

Why do you need a diet?

Patients with joint diseases need to eat properly to reduce the concentration of uric acid in biological fluids body, to ensure the timely process of its excretion by the kidneys. To achieve results, the main requirement is to exclude puric acids from the diet, which, when destroyed, form uric acid. Then, during exacerbations of gout, the patient suffers from an acute attack of pain and a decline in performance. A diet with elevated uric acid in the blood guarantees normalization metabolic processes, relieves gout relapses.

General rules of nutrition for illness

If a patient's gout progresses, in order to live without pain, it is necessary to choose an antipurine daily diet, that is, to minimize the presence of this acid in the daily menu. To do this, you can choose a strict vegetarian diet or not be categorical and adhere to the following medical recommendations:

1. Eliminate protein foods from the daily menu as much as possible, since protein metabolism increases the concentration of urates in tissues.
2. Drink plenty of fluids, which reduces the concentration of uric acid and promotes salt excretion naturally.
3. Reduce your consumption of table salt as much as possible, choose fresh and lean dishes without adding spices.
4. It is very important to eliminate the feeling of hunger, so the diet can be reasonably high in calories and satisfying. Stop fasting immediately, otherwise a gout attack is guaranteed.
5. It is important to remember the list of permitted and prohibited foods, since you will have to adhere to the updated diet throughout your life.

Diet for high uric acid in women

Since the characteristic disease progresses with age (during the upcoming menopause) much more often female body, patients must clearly understand that overall well-being, performance, physical activity and emotional stability. The diet for gout on the legs provides the following rules for the treatment of representatives of the fairer sex:

1. The diet includes 5-6 meals. These are the three main meals with hearty breakfast, plus additional snacks throughout the day.
2. The doctor very precisely stipulates the norms of certain products, and it is important not to violate them. For example, boiled meat for gout can be eaten only 3 times a week, no more.
3. In the absence of extensive pathologies with the kidneys, a patient with gout is allowed to drink up to 3 liters of fluid per day.

Diet for gout with obesity

To reduce the concentration of uric acid, the patient must get used to the regimen and eat at regular intervals. However, each clinical picture has its own individuality. For example, obesity of one degree only intensifies an acute attack of pain due to gout, however, starving is extremely dangerous. The optimal solution is dietary table No. 6, which provides the following rules:

• completely avoid eating fatty, fried and floury foods;
• increase fluid intake to 3 liters per day;
• adhere to a daily vegetarian diet;
• choose bread made from wheat or rye flour;
• do not forget about the enormous benefits of natural vitamins.

What can you eat if you have gout?

To cleanse the blood of uric acid as much as possible, it is important to properly formulate a diet, control the flow of fluid into the body, and get vitamins from fresh fruits and vegetables. It is not recommended to choose a strict diet, since it also has its drawbacks, and the patient should always feel full. Here are the ingredients your diet should contain to ensure your uric acid levels are reduced to acceptable levels.

	Names of food ingredients
fresh vegetables	cucumbers, tomatoes, carrots, beets, pumpkin, potatoes
dairy, fermented milk	low-fat cottage cheese, kefir, milk, yogurt, feta cheese
fresh fruits	oranges, lemons, apples, pears, peaches, apricots
dried fruits	dates, dried apricots
meat (in small portions)	chicken, turkey, rabbit
	pearl barley, barley, wheat, buckwheat
	chicken, quail
	olive oil
spices	bay leaf, cinnamon, vanilla, lemon juice.
sweets	nuts, honey

What kind of fish can you eat?

Since fatty meats and broths cannot be consumed if you have gout, patients on a therapeutic diet radically change their taste preferences and choose fish. These must be low-fat varieties, cooked boiled in portions of up to 200 g per day. Squid, mussels, crayfish and shrimp are especially useful for gout, but the following types of fish are prohibited:

• herring;
• sardines;
• sprats;
• cod;
• pike.

What kind of meat can you eat

A gout diet does not mean that the patient will have to give up meat dishes forever and become a vegetarian. However, make certain adjustments to your taste preferences still have to. For example, fried cutlets will have to be replaced with steamed ones, and fatty pork with lean beef or rabbit. Therefore, it is advisable for all patients with gout to learn new recipes so as not to suffer from increased uric acid concentrations and attacks. acute pain.

What foods remove uric acid from the body?

To cleanse the blood and productively remove oxalic acid from the affected body, a therapeutic diet with fasting days is necessary. In the latter case, we are talking about the recommended period when it is possible to restore chemical composition blood without medication. Here are some foods that can remove uric acid from the body:

• plums;
• pears;
• apples;
• potato;
• apricots.

Healthy drinks

If you have gout, you will have to stop drinking alcohol forever, or rather reduce its intake to 100 g “on holidays.” From strong tea and coffee too. It is important to increase your daily fluid intake to 3 liters. It’s not just about water, you can drink milk jelly (low-fat), berry and fruit compotes, pumpkin, carrot and celery juices, alkaline mineral waters, herbal infusions. Some people prefer fruit drinks made from apricots, pears and apples - it is also very useful for gout.

What not to eat

To reduce the frequency of relapses, the diet for progressive gout and high uric acid specifies a list of prohibited foods. It is better to avoid such food ingredients altogether, otherwise it is very problematic to stabilize your overall health at the “satisfactory” mark. So:

Sample menu for the day

To reduce the production of purines and prevent the formation of uric acid, doctors recommend a diet. It is advisable to determine the daily diet together with a professional, thereby protecting your own body from so-called “accidental relapses”. Here is a sample patient menu for the day:

• after waking up - rosehip decoction;
• breakfast – buckwheat with water or skim milk;
• second breakfast – sweet tea with milk;
• lunch - a vegetable dish with the addition of carrots and potatoes;
• afternoon snack - compote, green apple(peanuts are prohibited for gout);
• dinner - fruit salad.

Menu for gout for a week

Complex carbohydrates must be supplied to the body in order to control not only the uric acid level, but also the patient’s weight. When choosing dairy foods, it is important not to forget about their calorie content, and you will have to completely abandon baked goods and homemade baked goods. Here is a sample menu for a week that will help you forget about gout attacks for a long time:

1. Monday: breakfast - vegetable salad, lunch - milk soup, dinner - vegetable cabbage rolls.
2. Tuesday: breakfast - cheesecakes with kefir, lunch - mashed potatoes with steamed fish, dinner - fermented baked milk.
3. Wednesday: breakfast - cottage cheese casserole, lunch - vegetable soup, dinner - baked vegetables.
4. Thursday: breakfast - carrot casserole, lunch - buckwheat with steamed cutlets, dinner - boiled beets, jelly.
5. Friday: breakfast - sweet rice with apples, lunch - vegetarian borscht, dinner - vegetable stew and compote;
6. Saturday: breakfast - vegetarian okroshka, lunch - stewed vegetables, dinner - boiled fillet.
7. Sunday: breakfast – buckwheat with milk, lunch – barley, dinner – pancakes with bananas.

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Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

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At the same time, the consumption of animal fat, including mixed culinary fat, is reduced, since such fat blocks the excretion of urates from the body.

Oxalic acid, which is found in spinach, sorrel, rhubarb and other products, is also prohibited.

Fish and meat dishes are allowed to be consumed only 2-3 times a week, but only boiled and with a minimum amount of fat. Broth should not be consumed after cooking meat, since most of the purines pass into it.

Purines are nitrogen-containing compounds that serve as the basis for the formation of nucleic acids. During the breakdown of purines, sodium urate, or uric acid, is formed, the excess of which stimulates the development of gout. For this reason, the diet primarily involves limiting purines in the food consumed.

To prevent the formation of uric acid crystals, it is necessary to significantly reduce salt intake. Doctors recommend salting food immediately before eating - this makes it easier to control the amount of salt. The optimal daily amount of salt is from 1 to 6 g.

Fasting days will bring some benefit. It is recommended to organize them once a week, giving preference to dairy products, vegetables, and juices. It is strictly forbidden to fast without taking fluids if you have gout. Sometimes fasting on water is allowed, but only under the supervision of a doctor.

It is good if a person with gout follows a vegetarian diet. Plant foods for gout are welcome. It is also the basis of dietary table No. 6, which is recommended for gout.

Recipes for Diet 6 for Gout

• Rice cutlets recipe.

Ingredients: a glass of washed rice, one onion, breading, vegetable oil for frying.

Boil the rice until completely cooked, it is better if it is a messy porridge. Chop the onion and fry in vegetable oil. Drain the water from the rice, add salt and add the fried onion. We make cutlets, roll in breading (breadcrumbs or corn flour) and fry until browned.

• Recipe for buckwheat casserole with vegetables.

Ingredients: 150 g buckwheat flour, 8 tbsp. l. buckwheat, 4 eggs, 10 tbsp. l. milk, salt, pepper, baking powder, garlic to taste, 100-200 g cabbage, tomato, 100 g hard cheese.

Beat eggs with milk, add buckwheat flour, 1 tsp. baking powder, salt and pepper. Mix. Add cereal and crushed garlic.

Finely chop the cabbage and mix into the dough.

Place the mixture in a greased form and place tomato slices on top. Place in the oven at 180°C for 30 minutes, then remove, sprinkle with grated cheese and bake again for another 5 minutes.

Serve with sour cream or garlic sauce.

• Breakfast toast recipe.

Cut the wheat flour bread into arbitrary pieces, dip in a mixture of egg, 50 ml of milk, sugar, nutmeg, cinnamon and orange zest. Fry until golden brown on both sides. When serving, you can sprinkle with powder or pour over honey.

• Recipe for stewed potatoes and zucchini.

Ingredients: 1 carrot, 1 onion, 2 medium zucchini, parsley, vegetable oil, pepper, salt, garlic, tomato.

Finely chop the carrots and onions. Cut the zucchini into large cubes. Peel the potatoes and cut them as desired.

Fry the potatoes with onions and carrots until half cooked, then add the zucchini and garlic, salt and pepper. At the end, add the tomato slices and fry for a few more minutes. Serve sprinkled with finely chopped parsley.

During a gout attack, it is better to have a fasting day, during which you should drink a sufficient amount of mineral water and weak tea with lemon.

Sample diet menu 6 for gout

In order to correctly navigate your diet and not deviate from the recommended diet, we suggest that you familiarize yourself with the approximate menu for the week.

• Menu for Monday:
  • For breakfast - oatmeal with dried fruits, tea with lemon.
  • For a snack – curd pudding.
  • For lunch - rice soup, zucchini pancakes with sour cream, oatmeal jelly.
  • For an afternoon snack – a glass of tomato juice.
  • For dinner - cabbage salad, pear.
• Menu for Tuesday:
  • For breakfast - rice croquettes with carrots and sour cream, green tea.
  • For a snack – fresh apple juice.
  • For lunch - vegetable stew, pasta casserole with sour cream, compote.
  • For an afternoon snack – baked apple with honey.
  • For dinner - beet salad, toast with cheese.
• Menu for Wednesday:
  • For breakfast - rice porridge with raisins, rosehip infusion.
  • For a snack – cottage cheese with sour cream.
  • For lunch - cabbage soup, cheesecakes, jelly.
  • For an afternoon snack - fruit jelly.
  • For dinner - potato pancakes with sour cream.
• Menu for Thursday:
  • For breakfast – scrambled eggs with dill, a sandwich with cheese.
  • For a snack – carrot and apple salad with sour cream.
  • For lunch - beetroot soup, pancakes with sour cream, compote.
  • For an afternoon snack – fresh plum juice.
  • For dinner – pumpkin porridge with cinnamon.
• Menu for Friday:
  • For breakfast - cottage cheese with honey, herbal tea.
  • For a snack - a banana.
  • For lunch - vegetable noodle soup, rice cutlets, jelly.
  • For an afternoon snack - a bunch of grapes.
  • For dinner - baked zucchini with cheese and tomatoes.
• Menu for Saturday:
  • For breakfast – millet casserole with honey, tea with mint.
  • For a snack – an apple.
  • For lunch - buckwheat soup, zrazy with cabbage, compote.
  • For an afternoon snack – kefir with cookies.
  • For dinner - baked potatoes with vegetables.
• Menu for Sunday:
  • For breakfast - two boiled eggs, cucumber salad.
  • For a snack – cheese toast.
  • For lunch - milk noodles, pancakes with cheese.
  • For an afternoon snack - fruit mousse.
  • For dinner - stewed cabbage, bread with peanut butter.

Diet 6 for gout will help reduce the number, frequency and intensity of attacks, especially against the background of periodic preventive treatment, which should be prescribed by a rheumatologist.

General rules

Gout refers to chronic recurrent diseases, which are based on a violation of purine metabolism. The disease is characterized by the accumulation in the body urates(salts of uric acid), which, deposited in the joints and kidneys, cause disruption of their functions.

Signs, symptoms and treatment

The main diagnostic signs and symptoms include:

• Acute attack arthritis metatarsophalangeal joint thumb feet (most often) in which there is a sharp cutting/burning pain in the affected joint on the legs, the skin over the joint becomes purple and hot to the touch, the joint swells. Any touch to it causes severe pain, which can last from 2-3 hours to 2-3 days. The most common is “gout of the legs”, but much less often it can also be affected. thumbs on the arms, elbow, knee, ankle joints.
• Presence of specific gouty tophi nodes, which are deposits of crystals sodium urate V soft tissues in the form of hard nodules, mainly on the extensor surface of the thighs, over the joints of the foot, lower leg and Achilles tendons.
• Increased level uric acid in the blood (based on poor nutrition or kidney disease).

Treatment of the disease is complex and the most important component of the treatment process is diet therapy. Therapeutic nutrition involves reducing the energy value of the diet (as a rule, patients with gout have increased body weight), limiting the intake of exogenous purines, as well as fats, which reduce the excretion of uric acid by the kidneys.

The main diet for gout of the legs - a dietary plan developed by Pevzner Table No. 6 in order to normalize the metabolism of purines (nitrogen-containing organic compounds), reduce the level of uric acid and salts formed during the metabolism of purines, and shift the urine reaction to the alkaline side. It is in an alkaline environment that the solubility of urates increases, the removal of uric acid from the body is accelerated and, at the same time, the process of their formation is disrupted.

The energy value of a therapeutic diet is about 2700-2800 Kcal. The nutrition is physiologically complete with a slight reduction in the diet of proteins to 70-80 g and fats, mainly refractory to 80-90 g. In the absence obesity carbohydrate content is about 400 g. The amount of free liquid is 2 liters.

Diet for gout. The table provides for strict restriction/prohibition of foods rich in purine bases and oxalic acid with minor restrictions sodium chloride(up to 10 g/day). In this case, products that have an alkalizing effect (vegetables/fruits, milk) are introduced. To guide patients, special tables have been developed indicating the content of purine bases in food products.

Such a table can be downloaded on the Internet, and you can use it when creating your menu.

Boiled meat for gout

There are no special requirements for the preparation of products, with the exception of meat processing. In order to reduce the purine content in the dish, meat is prepared exclusively by boiling. At the same time, the meat is pre-boiled briefly for 10-15 minutes, after which the broth is drained and further cooking continues. Outside the period of exacerbation, meat and fish dishes can be included in the menu no more than 2-3 times a week, and the amount of meat/fish per day should not exceed 150 g. Meals for gout are fractional, 5 times, in the intervals between meals - drink plenty of fluids.

The anti-gout diet provides for fasting days (once a week) - cottage cheese-kefir days - 400 g of low-fat cottage cheese and 1 liter of kefir; fruit - up to 1.5 kg of permitted vegetables/fruits, with an increase in fluid intake during this period to 3 liters (in the absence of contraindications).

Diet for gout during an exacerbation requires a more careful formation of the diet. During an exacerbation of gout, it is necessary to completely exclude all meat and fish products from the diet. The optimal diet during this period is a vegetarian diet, including milk and vegetable soups, liquid cereals, fermented milk products, decoctions of vegetables and fruits, fruit juices, herbal teas. Exacerbation of the disease requires more frequent fasting days (optimally every other day). During this period, increased consumption of alkaline mineral waters is shown.

Varieties

Diet 6E belongs to varieties Stola No. 6. Prescribed for similar indications to patients with obese. The energy value is reduced to 1950-2000 Kcal (protein content at 70 g, fat at 80 g, carbohydrates at 250 g).

The consumption of simple carbohydrates (fresh wheat bread, sugar, honey, sweets, confectionery and flour products) and less complex carbohydrates (cereals) are mainly reduced. Meat intake is limited to 1-2 times a week. Eat small portions (fractional) up to 5-6 times a day, drink plenty of fluids, especially slightly alkaline mineral waters. Vegetables and fruits are best consumed raw, but can be baked and boiled. Since the diet is not physiologically complete, it can be prescribed for a period of no more than 2 weeks.

Indications

• Gout - dietary Table No. 6.
• Gout in overweight patients - dietary Table No. 6E.

Authorized Products

It is recommended to include most vegetables in the diet: white cabbage, carrots, zucchini, tomatoes, eggplant, cucumbers. Potatoes are especially useful. Fruits - plums, pears, apples, apricots, oranges and various berries.

It is recommended to cook various cereals with diluted milk and whole grain pasta. Meat in small quantities can include turkey, rabbit, and chicken. Soups are only allowed to be made vegetarian. The diet should include low-fat milk, fermented milk drinks, cottage cheese and dishes made from it, low-fat sour cream, unsalted cheese.

It is allowed to eat chicken eggs (one per day) and boiled fish, white (dried) and black bread. From fats - vegetable oils (olive, flaxseed). Sweets included in the diet include marshmallows, marshmallows, marmalade, and non-chocolate candies. Be sure to include cucumber juice, lingonberry juice, and weakly mineralized alkaline mineral waters in your diet. Drink - a decoction of rose hips, chicory, wheat bran, green tea, compotes, juices of vegetables, fruits, berries.

Table of permitted products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
eggplant	1,2	0,1	4,5	24
zucchini	0,6	0,3	4,6	24
potato	2,0	0,4	18,1	80
carrot	1,3	0,1	6,9	32
cucumbers	0,8	0,1	2,8	15
tomatoes	0,6	0,2	4,2	20
Fruits
apricots	0,9	0,1	10,8	41
oranges	0,9	0,2	8,1	36
pears	0,4	0,3	10,9	42
plums	0,8	0,3	9,6	42
apples	0,4	0,4	9,8	47
Nuts and dried fruits
prunes	2,3	0,7	57,5	231
Bakery products
wheat bread	8,1	1,0	48,8	242
bran bread	7,5	1,3	45,2	227
Confectionery
jam	0,3	0,2	63,0	263
marshmallows	0,8	0,0	78,5	304
paste	0,5	0,0	80,8	310
Raw materials and seasonings
honey	0,8	0,0	81,5	329
Dairy
milk	3,2	3,6	4,8	64
kefir 2.5%	2,8	2,5	3,9	50
Ryazhenka 2.5%	2,9	2,5	4,2	54
curdled milk	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
yogurt	4,3	2,0	6,2	60
Cheeses and cottage cheese
sulguni cheese	20,0	24,0	0,0	290
cottage cheese 0.6% (low fat)	18,0	0,6	1,8	88
Meat products
rabbit	21,0	8,0	0,0	156
Bird
chicken	16,0	14,0	0,0	190
turkey	19,2	0,7	0,0	84
Eggs
chicken eggs	12,7	10,9	0,7	157
Oils and fats
butter	0,5	82,5	0,8	748
linseed oil	0,0	99,8	0,0	898
olive oil	0,0	99,8	0,0	898
Non-alcoholic drinks
green tea	0,0	0,0	0,0	-
Juices and compotes
juice	0,3	0,1	9,2	40
cucumber juice	0,8	0,1	2,5	14

Fully or partially limited products

The diet limits the consumption of red meat (beef, lamb, pork) and strictly excludes the intake of animal by-products (beef tongue, pork liver kidneys, heart), as well as fatty varieties of sea fish and seafood (herring, mackerel, salmon, salmon, shrimp, mussels ), caviar and canned fish. It is not allowed to include any smoked, salted or pickled foods, animal (pork, beef, lamb) or cooking fat or butter in the diet. Soups and broths containing meat, fish and legumes are excluded.

Products rich in vegetable proteins (peas, beans, lentils, soybeans, beans), hot and spicy seasonings and spices (horseradish, mustard pepper), as well as products containing oxalic acid (sorrel, spinach, gelatin-containing dishes, bread kvass) are completely excluded , cocoa, coffee, jelly, chocolate, rhubarb). The ban includes cakes, cream pies, salty and spicy cheeses and a number of berries - raspberries, grapes, cranberries, figs.

The consumption of foods rich in carbohydrates in the diet is limited: pasta, fresh bread. It is undesirable to eat mushrooms, cauliflower, peppers, radishes, asparagus, and celery. Drinks include strong tea and black coffee. Drinking alcohol-containing drinks, especially red wines, beer and cognac, is prohibited. Limit consumption of salt, sweetened juices and soft drinks.

Table of prohibited products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
beans	6,0	0,1	8,5	57
peas	6,0	0,0	9,0	60
chickpeas	19,0	6,0	61,0	364
soybeans	34,9	17,3	17,3	381
beans	7,8	0,5	21,5	123
horseradish	3,2	0,4	10,5	56
lentils	24,0	1,5	42,7	284
sorrel	1,5	0,3	2,9	19
Fruits
figs	0,7	0,2	13,7	49
Berries
cranberry	0,5	0,0	6,8	26
raspberries	0,8	0,5	8,3	46
Mushrooms
mushrooms	3,5	2,0	2,5	30
Flour and pasta
pasta	10,4	1,1	69,7	337
Chocolate
chocolate	5,4	35,3	56,5	544
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
mayonnaise	2,4	67,0	3,9	627
Meat products
pork	16,0	21,6	0,0	259
pork liver	18,8	3,6	0,0	108
pork kidneys	13,0	3,1	0,0	80
salo	2,4	89,0	0,0	797
beef	18,9	19,4	0,0	187
beef liver	17,4	3,1	0,0	98
beef brains	9,5	9,5	0,0	124
mutton	15,6	16,3	0,0	209
bacon	23,0	45,0	0,0	500
Sausages
smoked sausage	28,2	27,5	0,0	360
Fish and seafood
pink salmon	20,5	6,5	0,0	142
Red caviar	32,0	15,0	0,0	263
squid	21,2	2,8	2,0	122
shrimps	22,0	1,0	0,0	97
salmon	19,8	6,3	0,0	142
mussels	9,1	1,5	0,0	50
herring	16,3	10,7	-	161
salmon	21,6	6,0	-	140
mackerel	18,0	13,2	0,0	191
Oils and fats
animal fat	0,0	99,7	0,0	897
cooking fat	0,0	99,7	0,0	897
Alcoholic drinks
red dessert wine	0,5	0,0	20,0	172
vodka	0,0	0,0	0,1	235
cognac	0,0	0,0	0,1	239
liquor	0,3	1,1	17,2	242
beer	0,3	0,0	4,6	42
Non-alcoholic drinks
coffee	0,2	0,0	0,3	2
black tea	20,0	5,1	6,9	152

* data is per 100 g of product

Menu (Power Mode)

The menu for the week includes only permitted products, prepared taking into account recommended cooking methods. Below is a sample diet menu for gout for a week.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Recipes dietary dishes

Below are recipes for some dietary dishes and the technology for their preparation.

First meal

Vegetable cauliflower soup

Half a head of cauliflower, 1 carrot, 1 can of canned peas, onions, herbs, a mixture of dried herbs.

Wash all the vegetables, peel and finely chop. Place in boiling water and cook for 15-20 minutes. Cauliflower disassemble into inflorescences, lower into the broth, add green peas, salt, a mixture of herbs and pepper and cook until tender. At the end, add the greens.

Light puree soup

1 carrot, 1 onion, champignons, 2 tablespoons lemon juice, ½ teaspoon sugar, 2 spoons sunflower oil, cream 30 g.

We clean and chop the vegetables. Place the cooked carrots and onions in a pan with heated oil, put on the fire, and simmer for 7-8 minutes. Add spinach leaves and blend until pureed. Add lemon juice, sugar and let it boil; when serving, add cream to the plate.

Second courses

Steamed chicken meatballs with gravy

Steamed chicken meatballs

Chicken fillet 350 g, onions 70 g, milk 30 ml, 1 chicken egg, boiled rice 150 g, 70 g white bread, pepper. Salt, herbs. For the gravy: 150 g carrots, 200 ml chicken broth, 50 g herbs, 70 g onions, vegetable oil, 50 g sour cream, 15 g wheat flour, salt, pepper, green onions for serving.

Cut the chicken fillet, put it in a blender, add onions, a raw chicken egg and bread soaked in milk, pepper, and dry dill. Grind thoroughly. Add boiled cold rice, fine table salt and mix the minced meatballs, let it sit for 20 minutes in the refrigerator. Form meatballs and steam for 6-8 minutes.

Sauté onions and carrots, add chicken broth, herbs, wheat flour, salt to taste and sour cream. Warm up over low heat. Place the steamed meatballs into the prepared gravy and cook for another 5-6 minutes, sprinkle with green onions.

Cottage cheese casserole

3 chicken eggs, 100 g semolina, 100 g sugar, 2 packs of cottage cheese, 200 g low-fat sour cream, dried fruits, salt, slaked soda lemon juice.

Mix all ingredients thoroughly, add 0.5 teaspoon of soda, slaked with lemon juice, and raisins. Pour the resulting mass into the prepared baking dish and bake in the oven at 180 degrees until mild condition blush.

Advantages and disadvantages

Comments from nutritionists

Many patients underestimate proper nutrition for gout. Meanwhile, a strict antipurine diet in combination with taking anti-gout drugs can significantly slow down the rate of progression of bone destruction. cartilage tissue, prevent the formation of tophi and preserve the function of the musculoskeletal system as much as possible.

Some patients practice fasting, especially during an exacerbation. This should not be done, since during fasting the level sharply increases uric acid, which is extremely undesirable. Fasting days only.

Reviews and results

The overwhelming number of patients talk about the effectiveness of nutritional therapy for gout. Meals according to the dietary menu Stola No. 6 allows you to quickly, together with medicinal drugs, normalize the metabolism in the body and relieve exacerbation.

• “... The diagnosis of gouty arthritis was made relatively recently (about a year ago), after the first attack. Tests confirmed the diagnosis. I carefully re-read all the information on the Internet about “what diet for gout, practical recommendations" I carefully analyzed all the information and decided not just to go on a diet, but to completely change my lifestyle: I practice maximum consumption of fruits and vegetables, drink a lot of fluids, especially mineral water and herbal teas, reduced my weight to normal, introduced morning walking walks. The condition has improved significantly, there are no attacks yet”;
• “...I have not yet been diagnosed with gout, but tests showed that in my body increased level uric acid and warned that if its levels in the blood are not reduced in time, then in the near future I may become a regular patient of a rheumatologist. Naturally, I wouldn’t want to become sick at just over 30 years old. Therefore, I spent 6 months on a strict diet and followed all the therapist’s recommendations. Now the tests show the norm, but I will still stick to proper nutrition, because I am afraid that the situation may worsen with age.”

Diet price

The diet includes products that are relatively accessible and familiar to patients, mainly plant-based. Based on the calculation of the cost of products for the above menu for a week, the costs are 1490-1610 rubles per week.

NOTE! The information about diets on the site is for reference and general information, collected from publicly available sources and cannot serve as a basis for making a decision about their use. Before using the diet, be sure to consult a dietitian.

For gout, the diet is the most important element complex treatment. Poor nutrition is considered one of the main etiological factors of this pathology, and therefore eliminating this cause helps to cure a person. When nutrition is optimized, gout is treated most effectively with medications. A properly composed menu is a guarantee of getting rid of acute attacks. Traditional medicine is rich in inventions, so even a reduced diet can be tasty and nutritious.

The essence of the problem

Gout is a systemic pathology that occurs when protein metabolism is disrupted. As a result of colloid imbalance, processes develop that lead to increased uric acid in the blood and the deposition of its salts (urates) in the joints. Normally, colloidal equilibrium is established in the human body, which is ensured by the production of protective substances by the kidneys that increase the dissolving ability of urine.

The appearance of uric acid and subsequent urates is associated with the breakdown of purine, the main part of which comes from food. A healthy body ensures their excretion in the urine, preventing precipitation and accumulation in the blood.

Gout develops when the body cannot cope with the products of purine metabolism. The main reasons for this phenomenon are renal dysfunction and excessive penetration of purines from food.

With increased uric acid, that is, with the progression of the pathology, the level of acidity in the body increases. The urates formed from it gradually accumulate in the joints, causing inflammation, swelling, severe pain, and redness.

The onset of the disease is signaled by an acute attack, the recurrence of which can be expected in a few months. If adequate therapeutic measures are not taken, exacerbations occur more and more often. Gout becomes a recurrent pathology, and its subsequent progression can cause chronic gouty arthritis. This development of the disease leads to the destruction of cartilage tissue and the appearance of a cavity formation with urate crystals.

Principles of nutrition

Food products are an important cause of elevated uric acid in the blood, acting as the main supplier of purines to the body. When a person allows himself constant poor nutrition, gout will not take long to develop. A number of foods contain large amounts of purine; excessive amounts of them for a long time lead to the fact that the kidneys can no longer cope with the production of the necessary enzymes to neutralize it.

In addition to the direct supply of the active reagent, nutrition for gout can cause additional harm, provoking relapses of attacks. Food can increase acidity levels. Products containing oxalic acid are especially successful in this. And the general metabolic process largely determines nutrition - gout is a consequence of its violation. Another factor is salt.

Excessive salt consumption inhibits the penetration of necessary enzymes into the blood, which further aggravates the resulting imbalance.

A therapeutic diet for gout is a necessary condition for effective therapy. The fight against purine metabolism involves the following basic principles of nutrition:

1. The diet for patients with gout is based on the menu of dietary table No. 6. If there is a tendency towards obesity, diet No. 8 can be used.
2. The most important condition is the complete exclusion from the diet of foods high in purines and oxalic acid.
3. Limiting salt intake.
4. It is necessary to consume foods that can neutralize the acid. It is especially important to consume milk and vegetables (except those that are prohibited).
5. Increasing fluid intake, and free fluid should be at least 2-2.5 liters per day. Liquid and semi-liquid foods, juicy fruits and vegetables are recommended.

Principles of diet planning

Specialist nutritionists believe that in case of gout, nutrition should be organized taking into account the following recommendations on diet and food intake:

1. Preference should be given to animal fats and proteins, and carbohydrates should be easily digestible.
2. The diet is set to frequent with small portions - 4-6 times a day.
3. It is advisable to arrange one fasting day each week, when food is limited to fresh vegetables and fruits, and throughout the day the menu consists of one type of plant food.
4. For gout, the menu has a number of restrictions, but the diet must be balanced and varied, providing the necessary energy value (calorie content).

It is also advisable to consider the following additional recommendations:

1. Gout is often accompanied by excess body weight, or even obesity. The diet should be aimed at reducing your own weight, which will contribute to the treatment of gout.
2. The antipurine diet involves limiting animal foods, but you cannot completely give it up. Meat and fish should be consumed, but low-fat varieties, preferably boiled.
3. During periods of exacerbation of the disease, in order to maintain the body and increase its resistance, it is necessary to increase the consumption of carbohydrates with an increase in calorie content.
4. In summer in hot weather Special attention paid to the drinking regime. The volume of fluid consumed should be significantly increased. This is best done with decoctions of medicinal herbs, fruit drinks, tea, and natural juices.
5. It should be remembered that alcohol and gout are incompatible concepts. Alcoholic drinks can cause an acute gout attack.
6. The following approximate breakdown of power parameters is recommended. Calorie content daily ration- 2600-2800 kcal; amount of carbohydrates - 350-380 g, fats - 70-75 g (and vegetable fats should be about 40-45%), proteins - 75-85 g. Salt consumption should not exceed 7-8 g per day.

Product restriction

When organizing therapeutic nutrition, you need to take into account that in case of gout, foods that have high level purines and acidity:

• rich fish and meat broths;
• smoking;
• salo;
• mushrooms;
• legumes;
• meat of young animals;
• fatty sauces;
• offal (kidneys, liver, brains, lungs);
• salty fish;
• canned meat and fish;
• caviar;
• hot spices;
• salty and fatty cheeses;
• cream cakes;
• rhubarb;
• figs;
• raspberries;
• grape;
• any alcohol (including grape wine).

Vegetables that should be removed from the menu:

• sorrel;
• cauliflower and Brussels sprouts;
• asparagus

Some products have relative contraindications for gout. They can be included in the diet if they have undergone special processing. When planning a diet for gout, the table of products with special conditions for use is as follows:

Products with certain restrictions on consumption	Terms of use
Meat	Low-fat varieties and only boiled, no more than 3-4 times a week
Tea	Not strong, preferably green
Cocoa	No more than 1-2 times a week
Coffee	Not strong and no more than 1-2 times a week
Fish	In the form of meatballs, cutlets or boiled
Fruit drinks, compotes	If consumed frequently, reduce sugar content
Salt	No more than 6-8 g per day
Spices	Only bay leaf
Animal fats	Butter and only in limited quantities
Canned food	It is advisable to use it as little as possible
Sausages, boiled sausages	Introduced into the diet on a limited basis
Spinach, celery, peppers, green onions	Consumed in very small quantities
Whole milk	Can be consumed 3-4 times a week
Egg	No more than 1 piece per day

If nutrition is properly organized, then gout will recede. Recommendations for the consumption of products are based on this principle. If uric acid is high, the menu can be varied:

• various vegetable soups, incl. with the addition of cereals;
• marine cephalopods and crustaceans;
• low-fat fish;
• rabbit meat;
• cereals and pasta;
• yoghurts;
• sour cream and low-fat cheeses.

Lunch can be safely flavored with dill, eating wheat or rye bread. Vegetable proteins can be consumed in large quantities.

For gout, foods should not increase the level of purines, and therefore the consumption of vegetables (except those named in the restrictive list) increases:

• apples (especially green ones);
• dried fruits (except raisins);
• honey;
• nuts;
• sunflower seeds;
• citrus fruits;
• berries (except raspberries).

You can diversify the menu for every day:

• marshmallows;
• marmalade;
• jam.

Care must be taken when preparing food. You can cook it with butter or vegetable oil, but you should avoid using animal fat, especially pork and lamb. Preference should be given to boiling, stewing, and steaming. Fried food is allowed only in limited quantities.

An important condition for diet therapy for gout is the organization of weekly fasting days with a strict diet.

On such days, only one type of chosen food is consumed. dietary product, which allows you to normalize a certain direction of the metabolic process. You can adhere to a vegetable, fruit, dairy, kefir or cottage cheese diet. The rice-apple diet is popular.

It is very difficult to follow a diet if the food is not of high quality and variety. Recipes should be used taking into account taste. However, the most important thing is maintaining a certain balance of food. For example, this is what a typical menu for one day looks like:

1. Breakfast: cottage cheese with sour cream, cheese sandwich, weak tea.
2. Lunch: milk omelet, natural juice.
3. Lunch: beetroot soup, mashed potatoes, vegetable salad with olive oil.
4. Afternoon snack: jelly, bun, pudding.
5. Dinner: boiled fish, buckwheat porridge.

When compiling a menu for a week, this typical diet is updated every day. For breakfast on different days you can offer pancakes with cottage cheese, pasta, boiled eggs, and various salads. Lunch can be varied with stewed cabbage, borscht, lean meat, steamed cutlets, stuffed peppers, and meatballs. For dinner, various porridges are more suitable.

For gout, recipes can brighten up the monotony of your diet. Cooking special food does not require special skills. Here are some delicious recipes as an example:

1. Potato soup. Boil the potatoes and rub them through a sieve. Dry flour is poured with potato broth and heated to a boil. Mashed potatoes, eggs, and butter are added to the broth. After re-boiling, sour cream and herbs are added.
2. Vegetable stew. Onions (1 head) and carrots (3 pieces) are stewed until the carrots soften. Then add green peas, boiled potatoes (6 medium potatoes), sour cream. The final extinguishing takes 14-17 minutes. Before eating, the stew is seasoned with butter.
3. Buckwheat porridge. 100 g of cereal is poured with 200 ml of water. Salt is used in very limited quantities. Cook over medium heat until all the liquid is absorbed. After this, the porridge simmers over low heat for 15-20 minutes. Before use, season with butter.

Diet for gout is a necessary condition for proper treatment at any stage of the disease. When conducting diet therapy, it is important to observe restrictions and prohibitions on the consumption of foods. At the same time, food should remain complete in terms of calories and taste.

Certain diseases often require dietary adjustments and maintenance necessary balance metabolism with the help of a properly selected diet. Diet for gout and high uric acid is an important stage of complex treatment, without which it is impossible to achieve full recovery.

What is gout?

Gout is a chronic disease associated with a disorder of purine metabolism, which is accompanied by accelerated breakdown of proteins and leads to the kidneys losing their ability to remove uric acid from the body. As a result of a high concentration of this substance in the blood (hyperuricemia), crystals of urates (uric acid salts) are formed, which are deposited in the joints and cause their damage.

Gout is a disease that humanity has encountered since the dawn of civilization. The first mentions of this disease are found in written sources Ancient Egypt. And the founder of modern medicine, the ancient Greek healer and scientist Hippocrates, was the first to note the relationship between gout and intemperance, excessive consumption of fatty foods, alcohol, and mentioned that men are more often susceptible to manifestations of the disease.

The history of the Middle Ages confirms this opinion; it was not without reason that gout was called the “disease of the aristocrats” and was associated with overeating and excess weight. In those days, only rich people and crowned heads could afford abundant consumption of meat food and wine.

The accumulation of uric acid compounds and their deposition in organs and tissues during gout leads to the development of arthritis, accompanied by inflammation and swelling of the joints, limitation of their mobility, pain, development inflammatory process, hyperemia and swelling of the skin.

Why do you need a diet for gout?

Proper nutrition for gout has the following goals:

• preventing the deposition of salts (formed due to excess uric acid) in joints and periosteal tissue;
• compensation for protein loss as much as possible;
• reducing the likelihood of exacerbations and their prevention.

The disease is similar in its manifestations to acute forms of arthritis, and during the period of exacerbation, with the highest accumulation of uric acid breakdown products, it is accompanied by unbearable attacks of pain in the joints and kidneys. Thanks to drug therapy and a properly selected diet, taking into account all the recommendations of the attending physician, you can avoid the development of painful symptoms and prevent relapses of the disease.

Diet for gout - food table and menu

If you have gout, you should strictly follow the recommendations of a nutritionist on the correct preparation of the daily menu. At the same time, it will not hurt to have information about what the chemical composition of the diet and its calorie content should be. For example, the daily ratio of proteins, fats and carbohydrates should be as follows:

• proteins – from 85 to 95 grams, the ratio of animal to plant proteins is 1:2;
• fats – from 75 to 95 grams, the ratio of animal to vegetable fats is 1:1;
• carbohydrates – from 260 to 350 grams;
• the total energy value of the entire amount of food per day should not exceed 2000 - 2450 calories.

The basic principles of a diet for gout are as follows:

Salt should be eliminated completely or its consumption significantly limited. It is better to cook food without any salt at all and add some salt. ready meals already on the table. Of course, pickles, marinades and most spices should be removed from the diet.

It is recommended to reduce the consumption of protein foods (especially red meat), since accelerated protein metabolism provokes an increase in urate concentrations. If you are overweight, you should also limit carbohydrate foods (especially baked goods and confectionery).

It is necessary to follow the recommended calorie intake. You should not go hungry, as following strict diets leads to increased breakdown of proteins and increases the level of uric acid in the blood. You can have a fasting day once a week - this will not cause a metabolic failure, but will improve the overall well-being of a gout patient. During the day, you can eat fresh fruits, light vegetable salads, or drink low-fat kefir all day.

The benefits of dieting for excess weight

If a patient with gout is obese, then following a diet with limited carbohydrates, high-calorie and fatty foods will help reduce weight and improve the condition. And following the recommended protein ratio and increasing the amount of unsaturated fatty acids in the diet will reduce the concentration of uric acid and relieve painful attacks of pain.

If you have gout, you will have to follow a diet for the rest of your life. Therefore, you need to know exactly which foods are allowed for consumption and what needs to be excluded from the diet.

To a person who is faced with any medical dietary restrictions for the first time, it seems that the ban applies to all familiar and inexpensive products. And what you can eat is either too expensive or tasteless. However, this is not at all true. An average menu for gout for a week can be inexpensive and quite tasty.

Menu for the week

Day of the week	First breakfast	Lunch	Dinner	Afternoon snack	Dinner
Monday	Steam omelette with herbs	Diet cottage cheese with candied fruits	Green salad with apples Vegetable puree soup Baked fish and potatoes	Bananas and low-fat kefir	Steam cutlets made from mixed minced meat with green peas. buckwheat and leek
Tuesday	Chicken balls with vegetables	Yogurt and sandwich with processed cheese	The vinaigrette Pink salmon soup Pasta with mushrooms and green peas	Berry jelly and croutons with raisins	Steamed fish with rice and broccoli
Wednesday	Vegetable “balls” in cheese, for example, carrots	Poultry ham sandwiches with soy added	Caesar salad with shrimp Vegetable borscht or beetroot soup Fish meatballs in mild vegetable sauce with rice	Tea with fruit to taste and palm oil ice cream	Boiled turkey fillet with beets and mashed potatoes
Thursday	Oatmeal with fruit	Bananas or banana chips	Egg salad without mayonnaise Chicken noodle soup Soy goulash with tomatoes and buckwheat	Compote of fruits and berries with cheesecakes	Boiled lean (lean) pork or beef with white beans and dill
Friday	Cottage cheese with berries or raisins	Sandwiches with cod liver pate and other fish products	Vitamin salad from fresh vegetables Curly egg soup with cereals Chicken or turkey fillet with broccoli and cauliflower	Boiled eggs and milk jelly	Hedgehogs in milk-butter sauce or soy sauce with fresh vegetables
Saturday	Vegetable salad with olives and goat cheese	Sandwich with soy ham, vegetables, herbs	Souffle of berries and fruits Pea soup Fried cheese with lingonberries	Potato balls with carrot-apricot sauce and green tea	Pizza with vegetables, mushrooms and shrimp
Sunday	Fish balls with vegetables	Fruit salad with a predominance of apples and creamy dressing	Chicken aspic with vegetables and herbs Lenten cabbage soup Baked Turkey Breast with Beans	Chicory and sandwiches with curd mass	Warm salad with shrimp. Turkey meat, red bean cheese and pineapples

At night, you can drink a glass of kefir or limit yourself to mineral water, depending on your desires and preferences.

Good to know

Important! The diet during an exacerbation of gout becomes more strict! At this time, meat and fish dishes are completely excluded from the menu and the amount of liquid in the diet is increased. It is necessary to drink pure drinking or mineral water without gas, weak herbal and green teas, as well as herbal decoctions with a diuretic effect. This will help remove excess uric acid from the body and dissolve the resulting urates.

Proven Diets

Tested diets for various diseases include the so-called tables, approved back in the USSR by the Ministry of Health and mandatory as a guide for catering places that have the status of “dietary”. Also, these “tables” were used to determine diets in sanatoriums, dispensaries and rest homes.

Several treatment tables have been developed for patients with kidney diseases, but the most popular in practice was “Diet number 6 for gout and high uric acid.”

The general principles of the Sixth Table are:

• Soups are prepared without using fatty meat, lard, or bone products for broths.
• The diet must include lean meat and lean fish. Methods of heat treatment - boiling, stewing, steaming.
• The consumption of cereals, pasta and bakery products is limited.
• All fresh fruits and vegetables are allowed. The ban applies to marinades and pickles, with the exception of vegetables canned in their own juice.
• Preferably vegetable oil, but a small amount of ghee or butter is acceptable, for example, when stewing foods (this is due to the difficulty in digesting protein from animal oils).
• All fermented milk drinks, dairy products and dishes made from them are allowed without restrictions.
• Restrictions do not apply to the consumption of juices, tea, fruit drinks, and compotes.
• Honey, nuts and sweets are allowed in moderation. But the ban applies to chocolate and all foods and drinks that contain it.

In general, diet number six imposes restrictions only on the amount of salt (limiting it to 5 grams per day) and prohibits chocolate, due to the fact that cocoa beans burden the kidneys and practically prevent the body from absorbing protein.

Modern nutritionists love to process and develop " treatment tables» Soviet times, in particular table No. 6 for gout, is actively supplemented and constantly refined in order to maximally adapt it to modern life realities.

There are new additions to the diet regarding what you can and cannot eat. The list of approved products is constantly increasing, mainly due to the greater variety of available products, compared to the 70s of the last century, when this “table” was approved for use.

Today the list of “prohibitions” looks like this:

• carbonated drinks, with the exception of mineral water;
• drinks of artificial origin that do not contain natural ingredients;
• fatty meat, fish, offal, caviar, preserved and canned fish;
• baked goods, confectionery products with cream;
• chips, dried squid, ready-made croutons with salt and spices and other “beer” snacks;
• smoked meats;
• products containing carogen;
• figs;
• ready-made sauces;
• spices, horseradish, mustard, hot peppers;
• feta cheese and salted cheeses;
• lamb or beef fat, lard;
• chocolate, cocoa and coffee;
• semi-finished products, canned foods and meat products - due to the content of spices and salt;
• alcohol in any form.

IN exceptional cases You are allowed to drink up to 100 g of vodka, but other alcohol, especially sweet wines, liqueurs and beer are prohibited! Restrictions also apply to some types of greens and vegetables. For gout, eating sorrel, spinach, cauliflower, and green beans is prohibited.

Can I have mushrooms and legumes?

Today, nutritionists are actively arguing about the advisability of including mushrooms and legumes (peas, lentils, beans) in the diet of gout patients. Some experts claim that these products can provoke an exacerbation of the disease, others dispute this statement.

In the first version of the diet for gout patients, approved by the USSR Ministry of Health, mushrooms and legumes were present. If you wish, these diet options are not so difficult to find, you just need to turn to books about dietary nutrition, released no later than the 80s of the last century. Therefore, you can include controversial products in the menu in small quantities no more than 1-2 times a month.

In these same books you can find quite interesting ideas for preparing dishes that will significantly diversify your diet, for example, these could be:

• zucchini or pumpkin pancakes with raisins or berries;
• salads from fresh cucumbers or puree soup from fresh vegetables without heat treatment;
• corn cakes or oatmeal meatballs in milk gravy;
• currant jelly with sour cream;
• milk mousses;
• vegetable zrazy with meat filling.

In fact, the list of dishes is endless; it is limited only by the patient’s financial capabilities, the range of products on store shelves and, of course, the availability of free time and culinary talent. However, regardless of whether you have time to prepare food or not, you should not break your diet, much less eat in catering establishments that do not specialize in preparing dietary dishes.

The doctor's consultation

The painful symptoms that accompany an attack of gout on the legs are comparable in intensity to a fire inside the joints of the fingers. And this feeling haunts not only when walking or standing, but also in a state of complete rest.

To avoid painful symptoms, seek medical help at the first warning signs and strictly follow all the recommendations of your doctor. Including those related to nutritional adjustments. An experienced nutritionist will help you create the right menu, who will tell you what you can eat with an increased concentration of uric acid, and which foods you should avoid forever.

But why does uric acid stop being excreted by the kidneys, which is why its salts begin to accumulate, and how can we help the body eliminate urates? Let's find out the main reason for the accumulation of urate and consider methods of removing it from the body, including traditional ones.

What is uric acid

Uric acid is the final substance formed during the metabolism of purines and proteins. Its level is determined by the balance in the body of the mechanisms of excretion (removal) and formation. Uric acid is synthesized in liver tissue and excreted from the body through the kidneys. In a healthy body, the substance in the plasma is in the form of sodium salt (urate).

However, when kidney function is weakened or a person consumes excess purine bases in food, the level of the substance begins to increase. This causes the accumulation of large amounts in the blood serum sodium salt, which damages organs and systems, causing the development of various pathologies.

Foods that contain significant amounts of purines include:

• red meat (especially offal);
• some types of fish;
• cocoa;
• chocolate;
• beans;
• alcohol (especially beer).

Normally, in an adult, uric acid varies from 150 to 350, in children under 14 years of age - from 120 to 320 Akmola/l.

Why is excess uric acid dangerous?

As a rule, the level of uric acid in the blood is higher than the permissible norm - hyperuricemia, which is one of the main signs of gout. Gout is a disease characterized by the deposition of urate salt crystals in organs and tissues, as well as joints. This is due to excess production of the substance or its slow elimination.

Why is an excess of this substance dangerous for the body? Quite often, it is urates that cause the development of painful clinical symptoms in various pathologies:

• osteochondrosis;
• gout;
• rheumatism;
• muscle spasms and pain;
• arthritis and arthrosis.

This substance, accumulating in brain tissue, leads to decreased intellectual activity, frequent and intense headaches, and increases the risk of strokes. It is also possible the formation of varicose veins of superficial veins and arterial hypertension.

This phenomenon is often called uric acid diathesis. This pathology consists of excess urate in the blood serum. Patients with this diagnosis are prone to frequent nervous breakdowns, disorders of brain activity, insomnia, neuroses, decreased perseverance.

Uric acid is mostly excreted by the kidneys, however, this is why urolithiasis can develop or sand may appear in the renal pelvis. Some of the uric acid can be excreted in saliva, which is accompanied by the formation of tartar.

You need to understand that uric acid is normally a participant in metabolic processes in the body. However, excess acceptable standards This substance is dangerous for the development of severe pathologies.

How to remove uric acid from the body at home interests many patients. However, it is worth remembering that only consultation with a specialist allows you to deal with the problem as quickly and effectively as possible, avoiding unpleasant complications.

Diet for high uric acid levels

Patients need to know which foods need to be excluded and what, on the contrary, should be added to their diet to correct urate levels. It is, of course, necessary to avoid foods rich in purines. It is also worth minimizing your consumption of:

• smoked meats;
• salt;
• alcoholic drinks;
• Sahara;
• hot seasonings.

For those with elevated levels of urate in the blood, it is also undesirable to consume:

• grapes;
• salad;
• rhubarb;
• sorrel;
• turnips;
• tomatoes;
• eggplant.

A healthy diet for people with high urate levels should consist of cereals, vegetable, fruit and berry snacks. Products that remove uric acid from the body include:

• plums;
• pears;
• apples;
• potato;
• apricot.

Frequent drinking of non-sweetened drinks and alkaline mineral water is also beneficial. It is important for the patient to know which foods help remove uric acid from the body, since in some cases diet correction significantly improves the patient’s condition.

However, even with the most strict low-purine diet, it is often impossible to reduce the amount of urate. It is necessary for a doctor to prescribe special medications that remove uric acid from the body.

How to remove uric acid from the body using folk remedies

To reduce urate levels, you can use folk recipes. Herbal decoctions have a good effect. These include:

• birch leaves;
• angelica roots;
• lingonberry leaves.

Herbs activate the process of removing and dissolving urate stones.

1. Lingonberry infusion. For 200 ml of boiling water you need 20 g of lingonberry leaves. You need to leave for about 30 minutes. Drink 1 tablespoon three times a day.
2. Nettle helps a lot. It should be taken 1 teaspoon three times a day.
3. Birch decoction. For 400 g of boiling water you need 2 tablespoons of birch leaves. Boil the mixture for about 10–15 minutes, then leave for 30 minutes. Take 50 g of the strained decoction during meals.

Foot baths made from chamomile, calendula or sage also help with gout. For 200 g of herb you need about 1.5 liters of boiling water, leave for several hours. The resulting decoction is added to a warm bath. Repeat for 20 days, then after a twenty-day break you can repeat the course of treatment.

Sometimes it is not possible to remove urates using folk remedies. In such cases, it is necessary to consult a specialist and supplement treatment with drug therapy. A competent doctor can recommend how to remove uric acid salts from joints by using medicinal plants in complex treatment together with drug therapy.

Medicines for gout and high uric acid

The need to use medications to remove uric acid salts (urates) is usually due to one of two reasons:

• due to the low level of urate excretion from the body;
• due to excess normal level uric acids.

There is no need to treat high urate levels on your own with medications!

The treatment process begins during gout attacks or if there are urate stones in the body. Treatment is focused on reducing serum urate to a level less than the extracellular fluid saturation (6.40 mg/dL).

There are two types of urate-reducing agents.

1. Medicines to increase urate excretion - “Probenecid” and similar drugs. In the correctly prescribed dosage, it increases the excretion of uric acid from the body.
2. Medicines to reduce urate production - Allopurinol and similar drugs. They inhibit the production of uric acid, which reduces its level in the serum and prevents urate deposition in the kidneys.

Before deciding on the choice of medication, the doctor needs to obtain a 24-hour urine sample. This gives an idea of ​​how to remove urates from the body by affecting the cause of the pathology.

The main condition for prescribing medications to increase the excretion of uric acid is to examine a urine sample.

Therapeutic exercises to reduce uric acid

The benefit of therapeutic exercises in the fight against urate is that physical exercise helps to activate and improve metabolic processes in the body.

Thus, regular, simple physical exercise and an active lifestyle help speed up the elimination of urate from the body.

To sum up, we can draw the following conclusions. To remove uric acid from the body, folk remedies help only for preventive purposes or in combination with the main drug treatment, diet and exercise. Therefore, only a doctor can explain how and how to remove uric acid from the body without causing harm to yourself!

Any person has heard about gout - a serious disease that provokes suffering for the patient. This disease is caused by insufficient excretion of uric acid by the kidneys with subsequent accumulation of its salts in the joints.

To protect yourself as much as possible from possible illness, you need to clearly know the reasons why the kidneys slow down the excretion of uric acid and how to stimulate the excretion of urate.

Uric acid – what is it?

Uric acid is a consequence of the decomposition of purines and proteins. It is a toxin excreted by the kidneys.

With a decrease in enzymatic activity, accumulation of uric acid follows circulatory system. Its concentration depends on general condition organism, its ability to isolate and form.

To a large extent, the amount of uric acid is affected by the consumption of foods rich in purines: chocolate and cocoa, red meat and fish, legumes and alcohol-containing drinks. In a stable working body it is present in the form of urates - sodium salts.

The natural concentration, which does not cause the development of pathologies, is an amount of 150-350 µm/l for an adult and 120-320 µm/l for a child.

Factors influencing the accumulation of uric acid

According to medical statistics, an excess of acceptable concentration of uric acid is observed in 1/3 of the population.

Reasons affecting excess acid and its salts:

• abuse of diuretic pharmaceuticals that stimulate urination;
• constant excessive consumption of foods rich in purines;
• pathological kidney disorders;
• excessive intake of alcoholic beverages;
• drug use;
• toxicological disorders of pregnant women;
• pathology endocrine system- diabetes;
• AIDS;
• malignant neoplasms.

The effect of excess uric acid on the body

The main function of urea is considered to ensure the safety blood vessels. However, an excess amount of it provokes the production of sediment in systems and organs. The formation of stones in the urinary system can provoke unbearable, severe pain, and the appearance of joint salts is the primary source of arthritis and gout.

In addition, uric acid in abundance promotes the development of the following diseases:

• rheumatism;
• osteochondrosis;
• muscle pain;
• arthrosis.

The secretion of uric acid by the kidneys and saliva when there is an excess of it contributes to the formation of dental plaque. Accumulating in brain tissue, urates lead to strokes, decreased brain activity and memory. Patients are susceptible to nervous breakdowns, neuroses and sleep disorders.

Determining excess uric acid is only possible with specific diagnostics in the laboratory.

Principle of effective elimination

Research results indicating that urea levels are exceeded require immediate action to correct and normalize the indicators.

The most important aspect is to regulate your diet. It is necessary to analyze the usual menu and avoid eating foods high in purine.

Diet to regulate urea levels

In addition to avoiding “harmful” foods containing high concentrations of purines, you should introduce cereals, fruits and vegetables into your diet. It is necessary to regularly drink pure mineral alkaline water. It is recommended to eat plums, apples, apricots, pears and potatoes.

If following a low-purine diet does not give the required results, you should think about taking targeted pharmaceuticals prescribed by a doctor and correcting urate levels with alternative means.

Folk tricks for removing urates

Reducing urate levels is greatly facilitated by the use of alternative medicine.

High results can be achieved by using herbal decoctions from birch leaves, angelica roots, lingonberry leaves, which provoke the elimination procedure and contribute to the erosion of stones.

• nettle infusion is taken three times a day, a teaspoon;
• lingonberry, prepared by mixing 20 g of lingonberry leaf and 200 ml of hot water and infused for half an hour, consume a tablespoon three times a day;
• Birch decoction, prepared by boiling 2 tablespoons of birch leaves in 400 ml of water for 15 minutes and infused for half an hour, is consumed with food, strained, 50 ml each.

Foot baths made from sage, calendula or chamomile have proven effective in relieving the symptoms of gout. 200 grams of herb are infused in 1.5 liters of boiling water for up to three hours, after which the decoction is added to warm baths for up to three weeks.

Calendula

In cases where a traditional recipe does not provide the desired result, it is recommended to consult a specialist and then recommend pharmaceuticals.

Medicines that lower uric acid levels

The use of medications requires mandatory consultation with a specialist in order to avoid improper treatment and aggravate the severity of the disease!

Often the need to take medications is due to one of the following reasons:

1. Insufficient degree of urate excretion.
2. Excess natural levels of uric acids.

If stone formation or gout is suspected, complex targeted treatment is selected, the purpose of which is to minimize the concentration of urates. Drugs are selected based on specific goals - increasing the excretion of urea or reducing the amount of its formation.

The choice of the type of drug depends on the results of laboratory tests of 24-hour urine samples. This analysis makes it possible to select therapy that specifically targets the source of the disease. For gout, the treatment process must begin immediately during an exacerbation of the disease.

To reduce urate levels, the main types of pharmaceuticals are used:

• agents that increase urea excretion - “Probenecid”;
• agents that reduce the production of urate - Allopurinol.

Therapeutic exercises as a way to reduce urea

IN complex therapy diseases caused by an increase in the concentration of urea in the blood, an important role is given to therapeutic exercises, which stimulate and improve metabolic processes in the body.

Competent treatment of pathological uric acid levels and safe excretion of urea requires a comprehensive approach, including medications, methods of traditional medicine - herbs and infusions, adherence to a specific diet and an active lifestyle - physical activity and gymnastics.

Gout is a metabolic disease of the human body. The kidneys reduce the rate of excretion of uric acid, and it accumulates, which is deposited as salt in the joints. The disease causes severe pain. If not treated in a timely manner, deformation of the limbs may occur. In this article we will look at a way to remove uric acid from the body if you have gout.

Uric acid - what is it?

Uric acid is a product that is obtained after the metabolism of proteins and purines. It ensures the release of excess nitrogen from the human body. The level of acid in the body depends on the balance of excretion and formation. The substance is formed in the liver, and in the form of sodium salt it is found in the blood plasma and excreted through the kidneys.

If kidney function is impaired, the metabolism of uric acid occurs. Consequently, salts accumulate, the concentration of uric acid increases, which leads to various damage to the body.

The standard limits for uric acid are:

• In children under 14 years of age, the norm is not lower than 120 and not higher than 320 mcol/l.
• In women, the levels are 150-350 µmol/l.
• In men, the values ​​are 210-420 µmol/l.

Uric acid is absorbed in the body through food, which high content purina. List of overrated products:

• red meat;
• offal;
• some types of fish;
• crabs and shellfish;
• fried chicken skin;
• nuts;
• cocoa;
• legumes;
• chocolate;
• canned food;
• smoked meats;

Purines are not contained in alcohol, but there is a delay in the removal of urates from the body.

Advice! The main diet, with an increased level of uric acid, during the day, should be consumed fruits, vegetables and cereals.

Excretion from the body

If the salt value is too high, the doctor prescribes treatment. Medicines are prescribed to reduce pain, relieve inflammation and are a diuretic.

Advice! Medicines must be combined with diet and other treatments that help reduce acid in the body.

For effective treatment, several rules should be followed:

• you should stick to a diet;
• drink plenty of fluids. The liquid promotes the release of additional urine, therefore, the acid concentration decreases;
• you will need to lose extra pounds. Excess weight provokes the development of gout;
• it is necessary to follow the recommendations of doctors and take the necessary medications;
• monitor uric acid levels and periodically visit a doctor;
• reduce salt intake.

You should not self-medicate. Medicines must be selected and prescribed by a doctor.

Traditional remedies

If the level of uric acid (urate) is elevated, medication is prescribed. The drugs are prescribed by doctors. Based on the results obtained, they will decide how to remove the salts. Medicines can act in two ways:

• increase the release of urate from the joints;
• inhibit the development of uric acid.

Treatment begins at the time of gout exacerbation. Medicines and diet are prescribed to reduce inflammation and increase acid output. To properly prescribe treatment, the doctor will need a urine sample, which was collected throughout the day. Such an analysis will provide insight into the cause of the pathology.

Medicines that the doctor may prescribe:

• Probenecid. The medicine promotes the release of urates from the body during gout disease. The product stimulates the release of salts and deposits are reduced to a minimum.
• Allobenecid. The drug reduces the formation of urates in the blood and reduces the risk of exacerbation of the disease. The medication is supposed to be taken for a long time and is designed for joint treatment with diet and exercise. After two weeks of taking the drug, the acid level returns to normal, but the medication continues, only the dose is reduced. After six months, the dosage of the drug is reduced to a minimum and is taken only to maintain the effect obtained. Some people will have to take the drug for life. This approach gives positive dynamics.
• Blemaren. One of the effective medications in the fight against gout. The product normalizes the function of uric acid metabolism and promotes the dissolution of urates. Reducing the salt value has a beneficial effect on the health and well-being of patients. The medicine does not cause side effects on the kidneys and liver. The maximum course of taking the medication is six months.

Cure gout, it is long lasting and labor-intensive process. It is impossible to completely recover from the disease, you can only alleviate the condition and relieve the attack.

ethnoscience

Treatment of the disease with folk remedies is divided into several categories:

• folk remedies. These include recipes for decoctions, lotions, etc.;
• physiotherapy;
• diet.

Let's look at each treatment point in more detail.

Recipes

How to get rid of gout using folk remedies? Grandmother's methods are used as disease prevention or in addition to treatment. The patient must inform the doctor about the use of traditional methods of treatment. Based on the prescriptions, treatment prescriptions will be issued.

Folk remedies:

1. A decoction of lingonberry leaves. Leaves 20g. brew with a glass of hot boiled water, infuse for 35 minutes and take 1 tbsp before meals.
2. Nettle juice. Only freshly harvested nettle juice is used. Squeeze out 1 tsp. and is taken before meals. The finished juice is stored in a cold place for no more than one day.
3. Birch leaves. Chopped leaves 1 tbsp. pour 1 tbsp. boiling water and put on the burner. The broth is boiled for 20 minutes, infused for 40. Take 1/4 cup with meals.
4. Baths. Chamomile, sage and calendula flowers are mixed in equal proportions. Herbal collection 200g. 1.5 l is poured. boiling water and infuse in a closed container for 2 hours. A decoction is poured into a basin of water at a temperature of 34°C, and the limbs that are in the water at a temperature of 26°C are lowered. Carry out the procedure 20 times every day for 20 days. After this, take a break for 20 days and repeat the course.
5. Chamomile baths help. You need to mix 100g of flowers with 20g of salt and add 10 liters of water. Let it sit and you can use the bath.
6. Unopened ones are effective in cleaning blood vessels. fir cones. They are filled with 2 tbsp. boiling water and leave overnight. Take the decoction 3 times throughout the day before meals. Carry out the procedure until complete recovery.

Rice has a beneficial effect on joints.

1. Rice 2 tbsp. thoroughly washed in several waters, filled with 0.5 liters of water and stopped overnight.
2. In the morning, it is washed and put on the fire until it boils, then removed and washed, and cooked again. The procedure is repeated 4 times.
3. The last step is to wash the rice again and eat it without salt or oil. After consumption, you are not allowed to drink or eat food for 4 hours.
4. The duration of the procedure is 45 days.

Physiotherapy

Daily therapeutic exercises are beneficial for every body, not only for gout. With regular exercise, the concentration of uric acid decreases. Physical stress on the joints allows them to develop and reduces the likelihood of deformation.

During an exacerbation or during acute form Depending on the course of the disease, exercises are compiled individually by a specialist.

Classes should begin with small loads and gradually increase. At the initial stage it will be suitable:

• preparatory warm-up or breathing exercises;
• swimming;
• outdoor games;
• skates or skis.

During exercise, it is necessary to constantly monitor the correct breathing. Movements must be performed with maximum tension.

A set of exercises can stretch and strengthen the muscles around the joint. For a separate group of joints and muscles, a separate set of exercises has been compiled.

A set of exercises for the lower extremities. With gout, complications mostly affect the lower extremities. A set of exercises will help support the joint.

For the hip joint:

• All exercises are performed sitting or lying down.
• The thigh is pulled towards the stomach to the maximum distance.
• The legs go up one by one.
• Hip rotation.

For the ankle.

1. The patient sits on a low chair. Legs cross right knee is on top of the left one. Right hand Grab your right ankle and grab your left foot. With your left hand, make circular movements with your foot, pulling your foot in different directions.
2. Sitting on a chair, raise your legs and move your foot in the air in a semicircle, bending it in different directions.
3. Bend and straighten your toes.
4. Exercises can be done at different rhythms and with different approaches. It all depends on the patient’s well-being.

Knee joints.

1. The patient, lying on his back, bends and straightens his leg at the knee. In the first classes, the exercise is performed without load, and in subsequent classes - with resistance.
2. The patient sits on the floor and alternately bends his legs at the knee joint.

Diet

The purpose of the diet is to reduce the concentration of salts in the body, as well as minimize their formation.

The diet consists of reducing the consumption of foods with high levels of purines and oxalic acid, as well as limiting salt, increasing dairy products, vegetables, fruits and liquids. Any food processing is allowed, the food temperature is normal, and meals are served 4 times a day.

Products allowed and prohibited for consumption:

• It is allowed to eat baked goods made from grade 1 and 2 flour.
• Omit the pastry dough.
• Allowed are vegetarian, dairy and cold soups.
• Prohibited - broths based on meat, fish, mushrooms. It is not allowed to use sorrel, legumes and spinach.
• Allowed - low-fat varieties of meat, fish and poultry, which are previously boiled before preparing the dish.
• Prohibited: offal, sausages, smoked meats, canned food and caviar.
• All dairy products are acceptable.
• Unacceptable - salted cheeses.
• One egg per day is allowed.
• You can have cereals in limited quantities.
• Don't use legume products.
• Allowed - vegetables in unlimited quantities in any form of processing.
• Prohibited: mushrooms, legumes, spinach, purslane, cauliflower inflorescences.
• Allowed are vegetable and fruit snacks and salads, vegetable and squash caviar.
• Prohibited: salty canned food, canned food, smoked foods.
• Acceptable - berries and fruits, sweets.
• Unacceptable - chocolate, raspberries and cranberries.
• Acceptable are sauces based on vegetable broth and vegetable spices.
• Unacceptable - sauces based on meat and fish broth, horseradish, pepper, mustard.
• Allowed - various drinks.
• Prohibited: strong tea, natural or instant coffee, cocoa.

To cleanse the body of salts, folk remedies alone will not help. They can be used only for prevention or in combination with other means. To prescribe the correct and effective treatment package, you need to consult a doctor and not self-medicate.

Video “Removing uric acids”

From this video you will learn how to remove uric acids from joints with gout.

» Treatment with traditional methods

Gout - treatment with folk remedies

Gout refers to a disease that occurs due to metabolic disorders, most often protein metabolism. Because of this, a large amount of salt begins to be deposited not in the renal system, but in the joint area. First, arthritis develops, then it develops into gout, with which a person experiences severe painful sensations, his movements are impaired. The disease affects your entire lifestyle. There are a large number of methods for treating gout; traditional methods play an important role.

Features of the course of gout

After uric acid has accumulated in the joint area, lump-shaped formations begin to appear and are visible. The immune system begins to fight the disease, and the level of leukocytes in the blood rises sharply. They can affect the joint that is affected, causing hyperemia and severe pain. In cases where the disease is advanced, the joint may be completely destroyed; in this situation, only surgery will help.

Nutrition is one of the methods of traditional treatment

Traditional healers say that in order for their methods to help, the first thing you need to do is pay attention to your diet. Most often, gout is caused by the fact that a person consumes large amounts of animal fat. This also includes people who are fond of cognac, champagne, and wines.

To successfully cure the disease, you need to forget about the following foods: fatty fish, meat, smoked meats, canned food, rich broths from meat, fish, mushrooms, chocolate, coffee, cocoa, tea, cauliflower, acute types cheeses, offal, spinach. The entire list contains purines, so you should not eat these foods if you have gout. Also, food should contain as little salt as possible.

For gout, it is recommended to include in your diet: lean boiled meat, raw vegetables and fruits, kefir, yogurt, fermented baked milk, potatoes, durum wheat pasta, white, rye, and whole grain bread. You can include some eggs in your diet. The following vegetables must be on the menu: beets, eggplants, soups with vegetables, with milk. For gout, it is recommended to eat citrus fruits.

You need to drink up to three liters of water per day. In no case should you allow the body to starve if you have gout, as this may increase uric acid in the blood, which will only worsen the disease. It is imperative to monitor your diet; it must be balanced and healthy.

An ancient folk recipe for gout

You need to take unsalted butter, it is best to prepare it yourself at home, the effect will be much better.

The butter needs to be melted until foam begins to form, add alcohol. Set it on fire a little, everything should burn until it burns out completely. Afterwards, place the mixture in a glass jar and place in a cool place. When the disease worsens, you need to apply the prepared oil ointment to the sore spot, while you are near the stove, fireplace, radiator or heater. Hold it until the pain goes away completely.

Folk decoctions and solutions for the treatment of gout

1. For the recipe you will need an onion - 3 pieces, one liter of water, boil everything until you see that the onion is boiled. Strain everything and consume 150 ml of the decoction before meals for at least two weeks. When gout pain reappears, therapy must be repeated.

2. A solution based on iodine and aspirin. To cook this effective medicine, you need to take at least 6 aspirin tablets, dissolve it in iodine. You should get a colorless liquid, then wipe all joints with the solution at night, be sure to wear warm mittens on your hands and woolen socks on your feet.

Traditional herbal treatment for gout

It is recommended to prepare special decoctions and infusions at home, which include medicinal herbs. It is especially useful to take baths with the addition of chamomile flowers. To prepare it, you will need 10 liters of water, 100 grams of plant, and add 150 grams of salt.

If you regularly use the series as an external and internal remedy, you will notice how the disease begins to go away. It is best to collect the string when the buds are forming.

For gout, healers recommend using lilac tincture with alcohol. To prepare it, you need to take a 500 ml jar and pour 150 ml of alcohol. Let it sit for one week, stirring occasionally. When the tincture is ready, you need to drink it internally. up to 25 drops three times a day.

An effective remedy for the treatment of gout is lingonberry; the leaves must be used. Prepare an infusion and drink it. Beneficial weeds include weed, and infusions are prepared from it.

Healers recommend treating gout with pine needles; applying a compress is especially useful. To prepare a decoction, you need to take half a kilogram of a fresh plant and add boiled water. Leave for one hour, simmer over low heat. The compress should be applied before going to bed.

An effective folk method for treating gout with garlic

To do this, you need to prepare a garlic tincture. Take half a kilo of garlic, chop it, pour one liter of vodka, leave in the sun for 10 days. After adding it to milk or fruit juice, drink it on an empty stomach.

To get rid of gout pain, you need to use compresses based on vinegar and garlic. In order to prepare them, you need to finely chop the garlic and pour vinegar over it. Leave for 20 days, then you can be treated with this remedy.

Recipe for gout based on activated carbon

Take 10 charcoal tablets, grind them into powder, add flaxseeds. Fill everything with water, you should get a paste consistency. Then you need to apply the mixture to the joints that are affected before going to bed. The patient feels better in the morning.

Thus, treatment of gout with folk remedies is economical, safe and effective.