What should I do if I have gout? What are the things to pay attention to in terms of diet? The body has 20% of uric acid is exogenous, through the improvement of dietary habits, can reduce the production of uric acid, so the prevention and treatment of gout, diet is a very important link, a large proportion of patients through the control of diet, can be long-term control of uric acid in the normal range, the following to talk to you about the dietary principles of gout.
1, about wine: absolute ban on alcohol, whether white wine or beer are absolutely do not drink, not at all. Many patients know that beer can not drink, but they are comforted by the fact that white wine can drink a little, which is wrong. Beer itself has a high purine content, and drinking it will lead to an increase in uric acid, which is not to be drunk. White wine will produce lactic acid, lactic acid can inhibit the excretion of uric acid, at the same time white wine will stimulate the body to produce more uric acid, on the one hand, the production is increased, while the excretion is reduced, blood uric acid can not be high? How can gout be cured when blood uric acid is high? Therefore, I often caution patients not to come to the doctor as long as they drink alcohol, that is meaningless, so gout is absolutely not cured, and it is useless to take medicine. Red wine can be drunk in small amounts, but I still advise patients that it is best not to drink it, why? Because I once told a few patients that they could drink a small amount of red wine, and when they came for a review, their uric acid was still very high. They said, very aggrieved, did not drink any wine, only a little red wine, only half a pound of red wine per meal, I forgot, for me, a little red wine is about half a tael, for these sea of patients, half a pound is a little, half a pound of red wine also contains about 50 grams of alcohol ah. Therefore, I suggest that they do not even drink red wine.
2, diet control principles (three low and one high)
(1) low purine diet, which can reduce blood uric acid production.
(2) low calorie intake to eliminate overweight or obesity, low salt diet .
(3) Drink more water. Patients with normal kidney function should drink more than 2000ml of water per day, and the daily urine volume should reach more than 2000ml to favor uric acid excretion and prevent uric acid salt deposition in the kidney.
3.The purine content of food
(1) Which vegetables contain more purine substances? Which contain less?
Most vegetables have less purine content, especially radish, cucumber, carrot, eggplant, tomato, cabbage, yam, cabbage, cabbage, kelp, potato, wild rice and loofah. Cauliflower, string beans, bean curd, celery, mushrooms, fungus and garlic also contain less purine. Vegetables with more purine content are spinach, leek, lentils, peas, soybeans, soybeans and their products, large leafy greens, etc.
(2) Which meat dishes have high purine content? Which meat dishes have relatively low purine content?
All kinds of meat dishes contain some purine, but there are differences in the amount.
The least amount is in eggs and milk, followed by eel, white fish, flat fish, silver carp, river shrimp, lobster, etc.
Those with higher content include all kinds of poultry and poultry meat, such as pork, beef, lamb, chicken, duck, goose, rabbit, pigeon, seafood, etc.
The content is very high in various animal offal, especially brain, liver, kidney, heart, sardines, anchovies, broth, etc.
(3) Is the purine content in fruits high? Can gout patients eat fruits?
The main components of most fruits are water, sugar (both carbohydrates), vitamins, fiber and a small amount of minerals and proteins, while the purine content is relatively small.
(4) Can gout patients eat eggs and milk?
Eggs and milk are the most familiar foods in the city. Both eggs and milk are rich in protein, which provides people with essential amino acids. In addition, they contain a variety of other nutrients, but the amount of purines they contain is low, much lower than various types of meat and fish, so eggs and milk are the most suitable nutritional supplements for gout patients.
4.What foods can be eaten safely? What can’t be eaten?
(1) Low purine food can be eaten safely
①Staple food: rice, wheat, pasta products, starch, sorghum, macaroni, potato, sweet potato, yam, etc.
(2) Milk: milk, cheese, ice cream, etc.
③ Meat: eggs and pig, chicken and duck blood, etc.
④Vegetables: Most vegetables are low purine foods.
⑤Fruits: basically, fruits are low purine foods and can be consumed without worry.
⑥Beverages: mineral water, soda, cola, soft drink, cream of wheat, tea, fruit juice, coffee, chocolate, cocoa, jelly, etc.
(7) Others: sauces, honey. Oil and fat: vegetable oil, melon seeds, butter, cream, almonds, walnuts, hazelnuts, dried fruits, sugar, honey, animal agar, and condiments.
(2) Medium purine food limit
①Beans and products: soybean products (tofu, dried beans, dairy bean curd, soy milk, soy milk), dried beans (mung beans, red beans, black beans, broad beans), bean seedlings, bean sprouts.
②Meat: poultry, livestock meat.
③ aquatic products: grass carp, carp, cod, flounder, sea bass, crab, eel, eel, snail, abalone, fish ball, shark fin.
④Vegetables: spinach, bamboo shoots (asparagus, asparagus, dried bamboo shoots), beans (string beans, green beans, beans, peas), kelp, golden needles, silver fungus, mushrooms, cauliflower.
⑤ Fats and oils and others: peanuts, cashew nuts, sesame seeds, chestnuts, lotus seeds, almonds.
(3) High purine food should be contraindicated
①Beans and vegetables: soybeans, shiitake mushrooms, lentils, nori.
② Meat: poultry and livestock liver, intestines, heart, belly and for the stomach, kidneys, lungs, brain, pancreas, and other offal, dried meat, thick gravy, meat trap, etc.
③ aquatic products: fish (rain skin, fish eggs, dried fish and sardines, anchovies and other sea fish), shellfish, shrimp, sea cucumbers.
④Other: all kinds of wine and beer.
Controlling your mouth is the first step in treating gout.