Gouty arthritis diet and treatment

It turns out that a person “stiffens alive” (or crystallizes) not only everywhere, but in the joints – since the features of their blood supply and tissue nutrition create favorable conditions for the deposition of urates.

The favorite and classic localization of gouty arthritis is the defeat of the base of the big toe. This picture is so typical that it allows you to make the right diagnosis with lightning speed.

Uric acid accumulates in the blood, and after exceeding a certain concentration, it begins to “fall out” into the tissue in the form of spiny microscopic crystals, which, when accumulated, begin to irritate the joint tissues and cause symptoms of gouty arthritis.

In turn, the accumulation of uric acid occurs due to the significant decomposition of compounds called purine bases.

A person receives these compounds as a result of abuse of special types of food that belong to the festive and gourmet table, and are risk factors (for more details, see the rest of this article).

With an attack of the disease, gouty arthritis – the pain is very severe, simply unbearable (in many countries of the world, emergency pain medication standards are used in this attack).

From the good news: the disease is quickly and easily treated.

Next, I will talk about products that can cause pathology, about the characteristic symptoms of this disease, a very important nuance in diagnosis and about treatment methods.

Causes of the disease: harmful foods

Moderation is the key to health. Therefore, there is really no prohibition on the use of all products that cause gouty arthritis.

You just need to eat them only on holidays (a few times a year), in a small amount, and not in the form of the main menu, but in the form of additional snacks.

Gout – the disease is very offensive, because the most delicious is forbidden.

The recommendations from the table below are relevant for those who suffer from gout:

Symptoms of an attack

Gouty arthritis is useful because those who have suffered it and who have been witnesses will not forget this sight for many years.

Its symptoms are simple, understandable for diagnosis, and quite typical:

  • The attack is preceded by another feast with libations of alcoholic beverages.
  • The attack develops at night without any harbingers and warnings.
  • Most often, it is the big toe that is affected, much less often – on the hands, even less – large joints are involved.
  • The pain in a matter of minutes reaches a crazy and incredible intensity, from which you can lose consciousness. Patients compare the power of pain with “sawing off a finger alive,” “as if the dogs were tearing,” and so on. Such pain (this is the leading symptom) becomes understandable if we recall that spiny crystals have grown in living tissues of the joint.
  • The joint, which hurts, begins to swell, and change color. It becomes not only red, but also red-violet, cyanotic.
  • The skin over the joint swells so much that it begins to shine, and all wrinkles and folds disappear on it, it is very tense.
  • The joint heats up and becomes hot.

A characteristic symptom is the patient’s attempt to keep the joint at rest, for example, putting his foot on a pillow, as the slightest touch of the finger causes an attack of extreme pain.

Quite often there is a rise in temperature to 39–40 degrees.

The patient is in this state for 2-3 days, often due to pain, not having the strength to even go to the toilet, and then all the symptoms disappear in the reverse order very quickly.

Over time, there is an increase in seizures, if a person does not change his eating habits: if at the beginning of the disease gouty arthritis bothered annually, then after a while, the seizures become monthly, and then daily.

Particular anguish causes chronic arthritis, in which the joints contain voids that are almost completely filled with salt.

A special form of microcrystal accumulation is tofus. This is the same salt, only visible with a simple eye, since it is deposited under the skin in the form of small white nodules. If too many salts have accumulated in the tofus, then they are opened, and the salts are released outside.

The main harm from gout is the deposition of crystals in the tissues of the kidneys with the development of urate nephropathy, which leads to renal failure.

Diagnostic Tricks

It is very simple to diagnose gout, because the leading biochemical syndrome is hyperuricemia – an increase in the concentration of uric acid in the blood. If you take blood from a gout for analysis in the period between seizures, then this will be confirmed.

But if you take the analysis in the midst of an attack of gouty arthritis, it turns out that the indicators of uric acid in the blood are normal. The fact is that uric acid just left the bloodstream in the tissue. This causes many diagnostic errors.

Therapies

Gouty arthritis is a metabolic disorder, but is treated by therapists or rheumatologists. Such a choice of specialists is due to the fact that the rheumatologist is treated with joint lesions most often, and he has sufficient experience in the diagnosis of such conditions.

The treatment of gouty arthritis consists of 2 equally important steps:

1. Treatment of an attack of acute gouty arthritis to relieve symptoms (primarily pain).

2. In the period between attacks, it is necessary to reduce the concentration of uric acid in the blood, observing a diet. A diet for gout is the foundation of therapy.

Therapy during remission

With a disease, gouty arthritis treatment must necessarily include a diet – without it, the disease will certainly flourish.

The basis for the treatment of gout is a healthy diet with the restriction of purine-containing foods, which cause the symptoms of this.

What you can’t eat and what you need to limit in your diet has already been said.

But what can and should be:

  • drink more than ordinary clean water;
  • vegetable soups without the use of meat broth;
  • cereals (buckwheat, barley, rice);
  • pasta;
  • animal and vegetable oil, dairy products, cheese;
  • egg products, whole eggs;
  • vegetables, fruits, dried fruits.

If a person has reason and willpower after a single attack of the disease, gouty arthritis should thus change its lifestyle in order to get rid of gout forever.

But, unfortunately, often the force of habit is such that endless oaths and regrets about the sin of gluttony are heard only from the bed of the suffering patient, and the quick normalization of well-being pushes the unfortunate patient into an infinite distance promise to fix his lifestyle. published by econet.ru. If you have any questions about this topic, ask their specialists and readers of our project here.

Author: Svetlana Kant

The materials are for guidance only. Remember, self-medication is life-threatening, consult a doctor for advice on the use of any medications and treatment methods.

PS And remember, just changing our consumption – together we change the world! © econet

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Gouty arthritis or the disease of kings: how to recognize and cure

Gout, popularly known as the “disease of the kings,” is a disease that develops against the background of metabolic disorders. In 75% of cases, the joints of the foot are affected. More often the disease affects people of advanced age. But statistical studies indicate its significant rejuvenation. At risk are men after forty years. Less commonly, women experience menopause.

Clinical features

Gout is a progressive pathology caused by a high concentration of uric acid in the body. Uric acid is a product of purine metabolism. Its excess leads to the accumulation of salts in joints and tissues.

A healthy body removes urates (uric acid derivatives) using excretory systems or engages in other metabolic processes. With a violation of the functions of the body, uric acid is delayed. This becomes the cause of many pathologies.

A distinctive feature of gout is the formation of growths in the joints of the arms and legs, which provoke intense pain.

Classification

According to clinical indicators, 7 forms of the course of the disease are distinguished:

  1. Gouty arthritis. It has the classic symptoms of gout in the form of a sudden sharp pain.
  2. Infectious and allergic form. It manifests itself as a consequence of infectious diseases.
  3. Subacute arthritis. Unexpressed symptoms. It appears in women in the form of pain in the joint of the big toe.
  4. Rheumatoid form. Numerous lesions of small joints.
  5. Asthenic form. Unexpressed symptoms. Accompanied by aching pain.
  6. Periarthric form. Damage to the tendons of the joints.
  7. Pseudophlegmatic form. It is characterized by intense pain, fever, chills, general weakness.

Dangers

The location of the urate is mainly the joints of the big toes. This is due to insufficient blood circulation and a lowered foot temperature. But the disease also affects the ankles and knees, in the absence of treatment leads to their deformation.

The accumulation of salts in the joints leads to their destruction.

For men, a neglected form of the disease can cause disability.

Causes

Various factors can provoke stagnation of uric acid:

  • heredity;
  • improper diet;
  • injury or surgery.

Gout may indicate a problem in the body, such as diabetes, psoriasis, and kidney dysfunction.

In women, the cause of the development of gout of the legs is wearing uncomfortable shoes, especially narrow high-heeled shoes, which impair the circulation of the feet and ankle.

Evidence

A sign of a developing disease is the formation of nodes – tofuses, which are located in the soft tissues near the joints. Tofus have different sizes and are capable of self-opening. Nodule rupture is accompanied by the release of a thick white mass.

In 25% of cases, urolithiasis develops. This is facilitated by the deposition of a large amount of uric acid salts in the kidneys.

During the development of the disease, the joints are deformed, and movement is complicated.

Symptoms

The progress of the pathology is divided into three stages, each of which differs in its symptoms:

  1. The first stage – the course of the disease is asymptomatic, it is diagnosed only by analysis of urine.
  2. The second stage – the accumulation of salt in the joints provokes acute pain.
  3. The third stage is chronic.

Common characteristic symptoms are:

  • sudden sharp pain;
  • swelling;
  • redness;
  • formation of seals.

Acute pain appears in the morning and evening hours. In the afternoon it has a less pronounced character, but limits the possibility of movement. The attack is characterized by a sharp increase in pain.

Diagnosis of gout involves an external examination of the limb, a clinical and biochemical analysis of blood and urine, an x-ray and a puncture. A urine and blood test gives a basic picture. The rest of the research is aimed at detecting other diseases that are similar in symptoms.

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A rheumatologist can establish a diagnosis based on the following symptoms:

  1. Overstated uric acid in the blood.
  2. The presence of nodes on the joints.
  3. The presence in the tissues of synovial fluid and uric acid crystals.
  4. Acute arthritis.

The presence of two or more indicators from the list indicates progressive gout.

Therapies

Basically, the treatment takes place at home. At the first symptoms of the disease, you should contact a rheumatologist, traumatologist or orthopedist.

A set of measures aimed at combating hyperuricemia (high uric acid), includes three stages:

  1. Stopping the attack.
  2. Drug reduction of urate levels.
  3. Diet and relapse prevention.

The interval between seizures after drug treatment varies from six months to several years. Early diagnosis of the disease and complex treatment will increase the likelihood of persistent remission.

Medication

Therapy involves the use of medications, as well as physiotherapeutic procedures.

Medication is provided by the use of:

  • preformed anti-inflammatory drugs;
  • ointments of external exposure;
  • special preparations for gout.

The use of drugs of the last group helps to remove uric acid from the body and relieve gout attacks.

To improve blood circulation in the joints of the legs, a number of physiotherapeutic procedures are prescribed:

Also, massage is used to restore blood circulation and joint mobility. Simple movements help relieve swelling. Massage helps strengthen muscles and improve tissue trophism.

Important! It is forbidden to start treatment with medications during an exacerbation of the disease. First, you need to stop the acute attack.

The procedure for stopping an acute attack of gout is as follows:

  1. Provide rest to the affected limb.
  2. In the midst of an attack on the joint, apply ice, after calming down – replace with a warming compress.
  3. Reduce uric acid levels with non-steroidal anti-inflammatory drugs. The dosage and method of application will be determined by the doctor.

Operative therapy

Surgery for gout is rare. The main indications for surgery can be extensive proliferation of tofus, purulent complications, damage to the hip or knee joint.

In other cases, a more gentle treatment is prescribed.

Treatment with folk remedies

You can influence the development of gout with the help of folk remedies. Their use must be agreed with the attending physician.

Recipe 1

  • 1 tbsp. l chopped celery
  • 400 ml boiled water

Pour celery with boiling water, leave to cool. Strain. Take 100 ml 30 minutes before meals 3 times a day.

Recipe 2

  • 2 tsp chicory
  • 200 ml boiled water

Pour boiling water, leave for 5 hours. Drink 100 ml before meals 2-3 times a day.

Recipe 3

  • 1 tsp roots madder red
  • 200 ml of water

Pour the roots with water, boil for 10 minutes. Take 100 ml 2 times a day.

Recipe 4

  • 1 liters of water
  • 1 tsp food soda
  • 3 drops of iodine

Dissolve soda in warm water, add iodine. Dip the foot affected by tofus into the solution. The duration of the procedure is 10-20 minutes. Regular use of bathtubs helps to reduce salt deposits.

Recipe 5

  • 1 tbsp. l daisies
  • 1 tbsp. l elderberry
  • 200 ml. boiled water

Pour boiling water over the plants, leave for 2 hours. Strain. Treat with infusion the affected areas 2-3 times a day.

Prevention

Preventive measures require the implementation of general mandatory rules and dietary adjustments.

To avoid the development of gouty arthritis, you must:

  • provide more physical activity – walking, jogging or light exercise;
  • exclude foods high in purines from the diet;
  • increase the amount of fluid consumed;
  • exclude narrow and uncomfortable shoes from the wardrobe.

Particular attention should be paid to nutrition. Excessive consumption of purine-containing products provokes stagnation of uric acid in the body and its crystallization in vessels.

Diet is an integral component of the comprehensive treatment of gout. A specialist will help develop a diet based on the clinical picture.

The main postulate of the diet is the exclusion of meat and fish dishes. The optimal norm of purines with gout is not more than 150 mg.

When developing a diet, attention is focused on products in which the purine content does not exceed 30 mg (see table).

Can not be consumed Can be consumed
Name Concentration mg / 100 g Name Concentration mg / 100 g
Tea coffee 2800/1200 Oat groats 30
Chocolate 620 Spinach 23
Sardinы 120 rice 18
Liver 95 Asparagus 14
Pork 48 Bread (Wheat) 8
Veal 48 Radish 6
Goose 33

Protein plays a decisive role in the formation of uric acid, so its use should be no more than 1 g per 1 kg of weight.

Important! Only an integrated approach in the form of diet, regimen, physical activity and drug exposure will help in the fight against gout for healthy joints.

Various factors can trigger gout. To avoid joint problems and prevent the development of the disease, you need to carefully consider your diet and lifestyle. After all, as you know, the disease is easier to prevent than to cure.

Diet for gout and arthritis

Inflammatory joint diseases – arthritis – occur at any age. They are usually treated with non-steroidal anti-inflammatory drugs, but in some cases, rheumatologists also prescribe steroid hormones. However, it should be remembered that a diet for arthritis is no less important than treatment with medications.

There are a lot of arthritis in medicine. Among them, such frequently occurring forms are distinguished:

  • Reactive.
  • The consequence of autoimmune processes – for example, rheumatoid.
  • Metabolic or metabolic arthritis (with gout).
  • Against the background of infectious diseases (infectious arthritis).

With any of these pathologies, proper nutrition is extremely important for recovery or the transition of the active process to a state of remission.

Since causal factors are different in each situation, dietary requirements may vary. However, there are a number of general recommendations that apply to any joint inflammation.

Permitted products

With arthritis, all those products that do not cause an exacerbation of the inflammatory process and do not contribute to rapid weight gain are allowed.

Among those recommended, first of all, those that contribute to the strengthening of bones and joints are distinguished. These are foods rich in calcium and phosphorus. These include:

  • Different types of cabbage.
  • Dairy and dairy products.
  • Hard and soft cheeses.
  • All bean.
  • Sesame, poppy.
  • Nuts (especially almonds).
  • Soy Cheese – Tofu.

Calcium and phosphorus are also found in fish. The most useful for joint diseases are salmon and sardine.

Since with arthritis the main pathological mechanism is inflammation, doctors recommend eating foods rich in vitamin C.

First of all, these are such fruits:

Broccoli, asparagus, watercress, rose hips, and sea kale are also extremely useful.

Prohibited products

For any diseases of the joints, including inflammatory ones, it is not recommended to use products that cause weight gain. These are easily digestible carbohydrates and animal fats. Rheumatologists say that with arthritis should limit the use of:

  • fried meat;
  • fat;
  • meat broths;
  • cakes and pastries;
  • sweets;
  • chocolate;
  • sugar and jam;
  • bakery products;
  • mayonnaise;
  • eggs.

It is not advisable to consume a large amount of proteins during an exacerbation. However, if we are talking about rheumatoid arthritis, then in this case the recommendations will be reversed. With this disease, patients constantly receive steroid hormones as therapy that stimulate the breakdown of proteins.

With arthritis, do not get involved in salt. It is advisable not to salt the dish during cooking, but only to add it during meals.

However, there are diseases in which the diet is of extreme importance and sometimes even allows the patient to do without pills. It’s about gout and gouty arthritis.

Gout is a disease known to many. It is mentioned not only in medical, but also in fiction.

This disease usually affects overweight men, prone to frequent consumption of alcohol and fried meat.

Gout refers to metabolic pathologies. The main mechanism for the development of the disease is a disturbed metabolism of uric acid. It can be produced in excess in the body or poorly excreted.

In both the first and second cases, the level of this substance in the body increases. When uric acid becomes too much, it crystallizes and is deposited in the tissues. These can be seals called tofuses – for example, in the earlobe.

More dangerous are crystals that are deposited in the kidneys. In this case, patients develop urolithiasis, if untreated, it is fraught with a formidable complication – chronic renal failure.

However, more often, excess uric acid affects the joints. Such patients develop gouty arthritis. Its exacerbations are difficult and cause excruciating pains. The inflammatory process primarily affects the knees and big toes.

Gout diet

The diet for gout and arthritis caused by it requires strict restriction of certain foods in the diet. With such a disease, it is much more important not to eat harmful foods than to eat healthy ones.

This is due to the mechanism of development of gout. Uric acid is formed by the breakdown of special substances called purines. They are contained in the following products:

  • smoked meats;
  • language;
  • the kidneys;
  • brains;
  • liver;
  • canned food;
  • meat broths;
  • fish – fatty and salty or smoked;
  • mushroom broth;
  • fat – culinary and pork and beef;
  • legumes;
  • spinach and sorrel;
  • chocolate.

The fewer purines enter the body of a sick person, the less common are exacerbations of arthritis. It is advisable to completely exclude them from the diet. However, in addition to foods rich in purines, with gouty arthritis, the diet also includes other restrictions.

Restrictions

The diet for gouty arthritis is a fractional diet with a decrease in the proportion of fat in the diet. This is due to their ability to increase the level of uric acid in the blood. In addition, hypocaloric nutrition prevents significant weight gain and the development of obesity, which can adversely affect joint health.

The protein content in the diet, on the contrary, needs to be increased – however, at the expense of vegetable ones. Protein products of animal origin are recommended to be consumed less frequently.

The restriction of salt in the diet is of great practical importance. Dietary nutrition for gout in this regard is no different from any other arthritis. Patients need to explain the importance of adding the finished meal, as this measure reduces the total amount of salt consumed during the day.

It is advisable to cook food for a couple or boil. However, stews are also allowed. It is not necessary to grind or wipe it.

With gout, complete fasting is prohibited, even if it is used to reduce weight. In this case, the level of uric acid rises sharply, and arthritis worsens.

Permitted products

Products that do not affect uric acid metabolism are allowed. However, there are those that even accelerate the elimination of this substance from the body. They are advised by doctors to maintain the disease in remission.

Products recommended for gout are:

  • citrus;
  • lean meats and poultry;
  • a fish;
  • whole grain and rye bread;
  • milk;
  • dairy products – yogurt, fermented baked milk, kefir, yogurt;
  • any cereals in moderation;
  • oils – vegetable and cream (without abuse);
  • any vegetables, except pickled and salted;
  • fruit.

It is advisable to boil poultry and dietary meat, since about 90% of all purines go into the broth. Also, with gouty arthritis, you need to pay attention to the drinks consumed.

Beverages

Drinking regimen can both negatively and positively affect the activity of the inflammatory process in the joints. With gouty arthritis, at least 2–2,5 liters of fluid should be drunk per day.

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However, not all drinks are indicated for such a disease.

Coffee, alcohol, tea, cocoa, hot chocolate can aggravate gout and worsen its course. This is especially true for those who are accustomed to abuse such drinks.

What can be useful for gouty arthritis? For joint inflammation, it is advisable to drink plain or alkaline water. Since citrus fruits help to remove uric acid from the body, with gout, you can consume a lot of orange and grapefruit juices.

Fruit drinks and fruit drinks, herbal teas and decoctions, especially rose hips, are also useful. If the patient cannot completely refuse black or green tea, its use is allowed, but only on condition of weak brewing.

Separately, the issue of alcohol with gout is considered.

Alcohol

Most rheumatologists and doctors of other specialties claim that alcohol for gouty arthritis is not indicated and is even prohibited.

Numerous studies have been conducted on this subject. In some, data were obtained that with inflammation of the joints 1-2 glasses of red wine are able to stop the process. Other results, in contrast, claimed that moderate amounts of vodka or beer are safe with gout.

However, in practice, excessive drinking leads to a variety of dietary disorders. And even one glass of beer may well provoke an exacerbation of the pathological process. A feature of the disease is that both strong and low alcohol drinks are capable of worsening its course.

Proper nutrition for gout and inflammatory joint damage is the key to their successful treatment.

Therapeutic diet and gout: a diet for gouty arthritis and joint pain, which cannot and can be consumed

Gout is a disease that affects the joints and destroys the kidneys. One of the most significant factors in its development is an unbalanced diet (consumption of excess meat, animal fats, alcohol, coffee and tea), so a special diet is a very effective treatment method.

How to eat with gout and arthritis

The cause of gout is an excess of uric acid in the tissues and the body’s inability to “process” it. At first, due to the excessive intake of purines with food, the concentration of this substance in the blood rises, and then its salts (urates) in the form of crystals are deposited on the cartilage (fingers are usually affected). The joints become inflamed, increase in size, their skin turns red.

Important! To stop the development of gouty arthritis, it is necessary, firstly, to limit the intake of foods containing purines, and secondly, to prevent intoxication and to ensure the rapid elimination of salts from the body.

These recommendations apply to patients with both gout and arthrosis, and arthritis of various nature.

The principles of diet in treatment

Some products slow down the process of removing salts, while others – accelerate. Naturally, preference should be given last. These include: vegetables, fruits and berries (with some exceptions), drinks (kefir and fermented baked milk, stewed fruit and jelly, herbal teas).

Foods high in salt, fat, and sugar, by contrast, are not good.

With gout, you should not starve, get involved in dieting for weight loss and dramatically lose weight. You need to eat 5-6 times a day, an hour before each meal – drink 1 cup of liquid (best of all – alkaline mineral water). Dishes should be at normal temperature – not too hot, but also not from the refrigerator.

At the first signs of gouty arthritis of the big toe and other joints, it is necessary to strictly observe the diet prescribed by the doctor and completely abandon the “dangerous” products. Subsequently, some concessions can be allowed, but the general principles will have to be followed throughout life.

During periods of exacerbation, it is necessary to eat only products of plant origin, but not to reduce the calorie content of the daily diet.

What can be used for gouty arthritis of the joints

Table: Allowed Foods for Gout

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Rye flour bread; wholegrain

Porridge (except oatmeal)

Vegetable, cereal and milk soups

Macaroni from durum wheat

Vegetables: white cabbage, potatoes, cucumbers, zucchini, carrots, bell peppers, pumpkin, eggplant

Fruits and berries, excluding raspberries and figs

Decoctions of mint, linden, rosehip

Alkaline Mineral Water

Low fat cottage cheese

Chicken and turkey fillet, rabbit, beef – 2-3 times a week, in boiled or baked form

Vegetable and Butter

Jam, jelly, honey

Boiled fish of lean varieties – 2-3 times a week

Chicken eggs (1 pc per day) and quail

Water-diluted juices, fruit drinks (lingonberry, cranberry, citrus)

This is an indicative table, since the doctor can give specific recommendations based on the nature of the course of the disease and related diseases.

An important point! There are exceptions to any rule. Asparagus and cauliflower are valuable and useful vegetables, but in this case they are banned due to the high content of purines in them.

And of course, remember that there should be a measure in everything – do not overeat, but do not starve, because the body needs nutrients and energy to fight the disease and maintain vitality.

What foods can not be eaten with foot gout: list

For any diseases of the joints (including gout), it is not recommended to use salty, fatty and fried foods, as well as snacks and sweets, which are considered “harmful”, “unnatural”: those that contain trans fats, preservatives, and dyes.

Important! It is strictly forbidden to drink alcohol, which promotes the retention of toxins in the blood and tissues. In this regard, a gout diet is similar to many other therapeutic nutritional regimens.

It is necessary to refuse:

  • offal;
  • smoked, cooked-smoked, dried meat products, stews, bacon, pastes, jellied meat;
  • duck and goose meat;
  • smoked and salted fish, caviar;
  • flour products, muffins;
  • legumes;
  • chocolate;
  • chips, snacks;
  • margarine;
  • fatty cheeses;
  • any broths, except vegetable;
  • seafood;
  • sweets with butter cream;
  • mayonnaise, ketchup and other hot or salty sauces;
  • some types of greens: sorrel, lettuce, rhubarb, spinach;
  • carbonated drinks;
  • alcohol;
  • beer, even non-alcoholic;
  • strong black tea;
  • coffee.

Sample menu for the day

People suffering from gout are advised to eat 5-6 times a day, observing moderation and not overeating. Drink plenty of water throughout the day. The best influence on the body is provided by decoctions of rose hips, herbs and wheat bran, low-fat dairy products. In this case, the diet should fully satisfy the body’s calorie needs.

A full menu might look something like this:

  • Breakfast: cottage cheese with fruit salad or vegetable salad seasoned with light unsweetened yogurt, brown bread and tea.
  • Second breakfast: porridge, egg (soft-boiled), jelly.
  • Lunch: vegetarian borsch, jacket potatoes or baked vegetables, chicken breast or a piece of boiled meat (100-150 g), sour cabbage salad / vinaigrette, compote or fruit drink.
  • Snack: fresh vegetables or fruits, a glass of kefir or fermented baked milk.
  • Dinner: casserole (vegetable or cottage cheese), jelly or green tea.

Note! Cook should be possible without salt. If necessary, the dish can be salted immediately before use.

Recommendations of rheumatologists with exacerbation

Gout attacks are painful, and therefore patients in these periods often forget about the diet and have all their hopes for medicines – from relatively “harmless” NSAIDs to corticosteroids.

It is safer and more effective to relieve pain with the help of a comprehensive treatment, which includes both the use of drugs, and adherence to the regimen, diet, regular and plentiful drinking. Sometimes the simplest and most affordable products do more good than expensive drugs.

Nutrition for pain

During gout attacks, it’s advisable to switch to a completely vegetarian diet. For the most part, it should consist of:

  • steamed or stewed vegetables;
  • light soups with vegetables or groats;
  • liquid cereals on the water;
  • jelly;
  • decoctions of rice, oats, dried fruits.

In order to speed up the metabolism and get rid of urates faster, you need to drink from 2 to 4 liters of fluid daily.

Pain treatment

With severe symptoms of gout, you can take NSAIDs (non-steroidal anti-inflammatory drugs) inside: Diclofenac, Ibuprofen, Nimesulide, Ketoprofen, Ibuklin, Meloxicam and their analogues. Ointments (gels) based on them will not be superfluous.

On a note! In addition to NSAIDs, compresses and lotions with Dimexidum, Vishnevsky ointment bring relief.

Folk remedies against gout – propolis, bee venom, potatoes, turnips – should be used only as auxiliary.

Colchicine (in tablets) is used specifically for the treatment of gout. With severe pain and severe edema, the administration of hormonal drugs (corticosteroids) is permissible, but they should be prescribed by a doctor.

Is the diet different for gouty arthrosis?

The principles of diet with arthrosis caused by gout are similar. It is necessary to eat food often, but in small portions, drink a lot, exclude fried, salty, spicy foods and fast food from the diet, and focus on vegetables.

But there are differences. With arthrosis, the body needs protein, and from time to time, patients are allowed to use jellied meat, broths on the bones. These products help restore cartilage. The use of oily “red” fish (salmon, trout) is periodically allowed.

And with gout, and with arthrosis, you should be careful with sour fruits, and dilute the juices half with water. It is important to prevent the consumption of large amounts of “fast” carbohydrates (white bread, boiled potatoes and pasta, semolina and rice porridge). Products should be fresh and natural.

Useful video

The story about the rules of nutrition in case of joint damage with gout in the program “Live healthy!”

Conclusion

Gout is not in vain called the “disease of the aristocracy.” To reduce its manifestations, it is enough to abandon the “extra” products that in the past were available to few, or at least use them no more than 1-2 times a week. Without a diet, all other measures (procedures, medications) will be ineffective.

The diet of a patient with gout should consist mostly of properly cooked vegetables, a small amount of lean meat and fish, “slow” carbohydrates, fermented milk products and a variety of soft drinks, mostly unsweetened.

Shishkevich Vladimir
Shishkevich Vladimir
Orthopedic doctor, traumatologist
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I have been treating joints for many years. I can say with confidence that the joints are always treatable, even in the very ripe old age.

Hondrostrong for joint treatment
Hondrostrong is an innovative drug that is created to combat joint diseases. It helps with arthritis, arthrosis and other diseases. Thanks to the use of cream, joint mobility quickly returns. Damaged cartilage tissue is regenerated, which prevents the further development of the problem.

Our medical center was the first to receive certified access to the latest drug for osteochondrosis and joint pain - Hondrostrong. I confess to you when I heard about it for the first time, I just laughed, because I did not believe in its high efficiency. But I was amazed when we completed testing: 4567 people were completely cured of diseases of the organs of the musculoskeletal system, and this is more than 94% of all subjects. 5.6% felt significant improvement, and only 0.4% did not notice any improvement.

Hondrostrong cream allows you to forget about back and joint pain in the shortest possible time, literally from 4 days, and even very difficult cases can be cured within a couple of months. In addition, the manufacturer of this product is now offering a 50% discount of the full cost of this medication.
Morozov Georgiy

Rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases. Specialization: diagnosis, treatment and prevention of diseases and deformations of the musculoskeletal system.

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