Diet plays an important role in the treatment of gout, although the control of diet can not completely avoid gout attacks, but not control the diet will certainly aggravate the gout attacks, that to gout patients in the end what to eat?
First we look at the principles of dietary therapy.
1, maintain the ideal weight. Overweight or obesity will make the blood uric acid rise, by reducing weight can reduce the blood uric acid level, but weight loss should be gradual, otherwise it is easy to lead to ketosis or gout acute attacks.
2, moderate intake of carbohydrates. The consumption of carbohydrate-rich rice, steamed bread, pasta, etc., can promote the discharge of uric acid.
3, the right amount of protein. You can use milk, eggs and other high-quality protein and vegetable protein. If it is lean meat, chicken and duck meat, etc., should be boiled and eaten in soup, avoid eating stewed meat or marinated meat.
4, low-fat, low-salt diet. Eat less fat, because fat can affect uric acid excretion. Should avoid eating fatty meat, pork, beef and lamb oil, fatty poultry, cooking should be less oil; salt in the Na has prompted the role of uric acid precipitation. Gout patients mostly mixed with high blood pressure, it is appropriate to use a low-salt diet.
5, drink a lot of water. Water can help uric acid out of the body, so if the kidney function is normal, you should drink about 2000ml~3000ml of water daily to promote the elimination of uric acid. Water intake should be based on plain water, light tea water, mineral water.
6. Quit drinking. Alcohol tends to make the body lactic acid accumulation, has an inhibitory effect on uric acid discharge, easy to induce gout. Especially beer, rich in purines is very easy to induce gout should be absolutely prohibited.
7, limit purine intake. A high purine diet can increase the concentration of blood uric acid, which can often cause acute gouty arthritis attacks. The purine content in animal foods is high.
What is the purine content of various foods?
1.Foods with little purine content can be chosen at will
(1) Staple foods: rice, corn, millet, glutinous rice, barley, wheat, oats, caper wheat, cereal, refined white flour, rich flour, noodles, starch, sorghum, macaroni, potato, sweet potato, yam cornmeal, steamed bread, soda crackers, bread, cookies, cakes
(2) vegetables: cabbage, cabbage, lettuce, amaranth, cherry, coronary, celery, mustard, leek, tomato, eggplant, melon (cucumber, winter melon, loofah, melon, cucumber, bitter melon, etc.), radish, carrot, kale, gourd, green pepper, onion, onion, garlic, garlic, ginger, fungus, squash, chili, kimchi, pickles
(3) fruits: apples, bananas, pears, mangoes, oranges, watermelon, cantaloupe and other fruits
(4) dried fruits: peanuts, almonds, walnuts, raisins, chestnuts, melon seeds
(5) Dairy: fresh milk, condensed milk, cheese, yogurt, milk powder, ice cream
(6) Eggs: eggs, duck eggs
(7) Others: sea cucumber, jellyfish skin, seaweed, pig’s blood, wolfberry, red dates, honey, tea, coffee, chocolate, cocoa, etc.
2, purine content should be limited to medium
(1) Meat: pork, pork skin, beef, mutton, dog, venison, rabbit meat
(2) Poultry: chicken, duck, goose, pigeon
(3) Aquatic products: grass carp, carp, cod, flounder, sea bass, barracuda, swordfish, crab, shrimp, lobster, eel, eel, abalone, fish ball, shark fin
(4) dry beans and products: beans, green beans, beans, cowpeas, peas, green beans, red beans, black beans, broad beans), bean seedlings, soybean sprouts, tofu, dried tofu, dairy tofu, soy milk, soy milk
(5) Cereals: wheat bran, rice bran, wheat germ
(6) Vegetables: asparagus, spinach, mushrooms
3.High purine content should be contraindicated
(1) Meat: beef liver, beef kidney, pork liver, pork small intestine, pancreas, brain
(2) Aquatic products: anchovies, sardines, white scallops, white pompano, mackerel, herring, silver carp, dried small fish, oysters, clams
(3) Broth: thick and clear broth made of various kinds of meat and poultry
In the acute period, avoid high purine foods, purine intake should be controlled at 150mg/d, and choose foods containing low purine, mainly milk and its products, eggs, vegetables, fruits and fine grains.
During the remission period, foods with medium purine content can be used, but in moderation, such as meat should not exceed 120g per day, especially not too much meat in one meal.
As long as the gout patients control their diet well, drink more water and exercise under the premise of standardized treatment, the uric acid will slowly come down and remain at a stable value, and as long as the uric acid is stable, there will be no crystals and no gout attacks. This is the result that both doctors and patients want to see.