Gout diet - low purine foods
Author Dr. Dóra Mihola | 2018.10.25.
Why is diet important for gout? The role of gout diet in the treatment and prevention of the disease.
What can - what can't?
Gout diet for health
For gout increases uric acid levels in the body, and as a consequence uric acid crystals precipitate in the joints. These precipitated crystals pain, inflammation, so-called gout attacks cause. The disease is most often caused by poor diet, but genetic predisposition may also play a role.
Purine diet
The onset of gout disease diet and lifestyle changes have a key role to play in managing. In such cases, the so-called. low purine diet necessary to follow. Purine is the organic compound that the human body digests to produce uric acid. Reducing purine intake can therefore also reduce uric acid levels.
Normally, we get 600 - 1000 mg of purines a day from our diet. This amount needs to be drastically reduced if you have gout or are susceptible to gout. A high levels of uric acid in the blood indicates a predisposition to the disease, a condition called hyperuricaemia. In this case, the daily purine intake to 300 mg in the long term, or below it is necessary to reduce. For acute gout (when there is a seizure), a tightening of the diet is needed, this a maximum daily intake of 100 mg purine report. For chronic gout 200 mg purine consumption is allowed.
Dr. Dóra Mihola
Rheumatologist specialist
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Gout treatment - a low purine diet
The low purine diet key for gout. Excessive purine consumption further increases uric acid levels, the growth of uric acid crystals, joint deterioration and inflammation. Into the body however, a large reduction in purine intake will also reduce uric acid levels, and we have taken the first and most important step towards recovery.
Whatever treatment is chosen, it must be planned and carried out in a personalised way, after the patient has been informed and in agreement with us.
The help of a specialist rheumatologist is essential
In case of established gout the simultaneous, immediate start of diet and anti-arthritic treatment recommended. However, diet alone often fails to reduce uric acid levels sufficiently and quickly. In this case the gout diet can be supplemented with medication is necessary to reduce uric acid levels sufficiently. The assessment of this is in each case the responsibility of the rheumatologist specialist responsibility. It is of particular importance that medication DOES NOT REPLACE THE DIET!
Prevention of gout
The gout diet not only during treatment, but also also plays an important role in prevention. High levels of uric acid in the laboratory test do not necessarily indicate the presence of gout, but merely a predisposition to it and a risk of it. For those with elevated uric acid levels, it is strongly recommended to start a purine-poor diet. By following the diet the development of gout disease can be prevented, so many painful consequences can be avoided!
Gout diet - What can you do, what can't you do?
Foods can be grouped according to their purine content:
- The very high (150 mg) purine-containing foods banned
- The medium-high eating foods containing purines (75 - 150 mg) small quantities and on rare occasions
- The medium (50 - 70 mg) of purine-containing foods with caution, moderately recommended
- The low (50 mg) of purine-containing foods recommended
Foods with high and very high purine content meat, fish, offal and processed products thereof. In particular, you should avoid fatty meat dishes. Occasionally, small amounts of lean poultry meat (chicken breast, possibly turkey breast, strictly without skin), lean fish fillets or pre-cooked minced meat are allowed. It is important to stress that this not the once a day category, but at most weekly or less often.
Gout - What not to eat?
Alcohol, sugary sweets, pastries, smoked and fatty foods, meat soup and jelly are also prohibited, and even small amounts of these are not allowed, as they can seriously affect the condition of the gout sufferer!
Recommended purine-free foods
Dairy products are recommended in large quantities in a purine-poor diet, but they are also low-fat products. Cream, butter and sour cream are not included in this list, and the consumption of these three dairy products is not recommended. Foods of animal origin are Egg is a major focus in the gout diet. The nutritional value of eggs is outstanding, but their purine content is almost negligible. Consumption of 6-8 eggs per week is recommended in the low purine diet.
Gout diet diet
Eating plenty of fruit and vegetables, but you should also be careful with most legumes and asparagus, for example. Oilseeds should also be consumed in small quantities only rarely. Potatoes, rice and cereals however, are specifically recommended in this gout diet. A potatoes in their skins is particularly recommended because it stimulates purine metabolism.
In terms of food preparation, you should definitely low-fat cooking technology is recommended, for (rare) meat dishes, it is recommended to pre-cook the meat and pour out the cooking juices.
The low purine diet a key component of plenty of fluids is. A daily intake of at least 2-3 litres of fluids is recommended, which could be water, non-carbonated mineral water, unsweetened tea, or fruit or vegetable juice with 100%. Balfi and Salvus waters are highly recommended, and herbal teas include nettle tea daily consumption is recommended.
High uric acid is restored
By strictly following the gout diet, the body's uric acid levels are restored. This is the first basic step in the treatment of gout. Determining what to do next and what medication to take rheumatologist specialist the task.
If you have gout or are susceptible to gout, please contact the team of specialist rheumatologists at the Budapest Musculoskeletal Private Clinic. In addition to our Budapest clinics, our specialists can be found in the countryside, in many parts of the country (Eger, Mór, Kecskemét, Jászberény) are available. They are open every day of the week for patients who want to heal!
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