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Disease analysis: Gout is a kind of crystal arthritis caused by purine metabolism disorders and decreased uric acid excretion
Staple foods: rice, white rice, glutinous rice, wheat, oats, cereals, flour, noodles, corn, millet, potatoes, sorghum, coix seeds.
Meat: eggs, duck eggs, preserved eggs, pig blood.
Aquatic products: sea cucumber, jellyfish skin.
Vegetables: cabbage, lettuce, amaranth, cabbage, snow red, ginger, leeks, leeks, cauliflower, leek flowers, gourd, winter melon, bitter gourd, loofah, courgette, celery, mustard leaves, water urn vegetables, carrots, radish, eggplant, green peppers, onions, tomatoes, green onions, fungus, bean sprouts, mustard, dried radish, garlic, peppers, onions.
Fruits: oranges, oranges, lemons, grapes, apples, guavas, star fruit, mangoes, frankincense melons, papayas, loquats, pineapples, peaches, plums, watermelons, tomatoes, bananas, red dates, black dates, pears.
Oils and fats: melon seeds.
Guidance: Eat less or don't eat at all.
Beans and their products: soybeans.
Meat: chicken intestines, pig intestines, pig small intestines, pork liver, duck liver, beef liver.
Aquatic products: white pomfret, flounder, elephant fish, white ribbon fish, mullet, shark, moray eel and other marine fish, small tubes, shrimp, oysters, clams, clams, dried scallops, dried shrimp and other seafood.
Vegetables: dried seaweed, dried shiitake mushrooms.
Other: Yeast powder. All kinds of alcohol (especially beer).
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Eat less fat, as fat can reduce uric acid excretion. For patients with gout complicated by hyperlipidemia, fat intake should be controlled within 20% to 25% of total calories.
Eat more low-purine foods, eat less medium-purine foods, don't eat high-purine foods, and be careful not to drink alcohol. Drink plenty of water, 2000ml to 3000ml per day to promote uric acid elimination.
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1. Control total energy intake.
Body mass index (BMI) is positively correlated with hyperuricemia, so obese or overweight gout patients should not only limit foods with high purine content, but also control their total daily energy intake, which can be calculated at 20 25 kcal per kilogram of body weight, and appropriately reduce the energy supply ratio of protein to fat. Do not lose up to 2 4 kg per month, otherwise it is easy to cause an acute attack of gout.
2. Appropriate intake of eggs and milk.
Some patients think that animal foods are high-purine foods, so they avoid fish, meat, eggs and milk. Some animal foods do contain a lot of purines, such as animal offal, various meats, and most fish, etc., but milk and eggs are low-purine foods and rich in high-quality protein, which can be eaten by gout patients.
3. Limit the intake of certain vegetables.
The purine content of vegetables is generally lower than that of animal foods such as animal liver, seafood, and broth, but some vegetables are not low-purine foods, such as asparagus, seaweed, pea seedlings, etc. In addition to restricting animal foods with high purine content, gout patients should also try to avoid vegetables with high purine content during acute attacks.
4. Drink plenty of water and stay away from strong tea and coffee.
Purines are easily soluble in water, so people with gout should drink more water, generally at least 2000 ml per day, and it is best to reach 3000 ml for those with kidney stones, but patients with renal insufficiency or abnormal cardiopulmonary function should limit their water intake according to their condition. Strong tea, coffee and other beverages have the effect of stimulating the autonomic nervous system, and Zheng Huochang has reported that they can induce an acute attack of gout, and it is recommended that gout patients avoid drinking it.
5. There is a difference between the dietary principles in the acute phase and the remission phase.
The average person's normal dietary intake of purine 600 1000 mg per day, and the purine intake in the acute attack period should be controlled within 150 mg, which is beneficial to stop the acute gouty arthritis attack as soon as possible and strengthen the efficacy of the drug. A low-purine diet should also be followed during remission, but restrictions may be slightly relaxed.
In the acute phase, patients with gout should choose the first group of foods containing less purines. During the remission period, you can choose the second group of foods with moderate purine content, but in moderation, such as no more than 150 grams of meat per day. Regardless of whether it is acute or in remission, you should eat less or avoid foods that are high in purines.
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1. Pay attention not to eat red meat for gout, there are many studies that prove that people with gout have the habit of eating red meat, such as our common beef, etc., this kind of food will cause obesity and other problems after eating, and it is not recommended that people with gout eat some animal offal, which will aggravate gout.
2. Don't eat orange seafood, seafood can not be eaten, in fact, gout is a disease that is easy to suffer from long-term seafood eating, in the daily diet, we must control our mouth, the disease from the mouth is this truth, at the same time, eat more vegetables and fruits is conducive to relieving gout.
3. Don't eat fatty food, we can't eat fatty food, such as fatty meat, Dongpo meat, etc., because too much fat will affect human digestion, if there is poor digestion, fat accumulation may occur, which will cause obesity and other problems, and it also has a great negative effect on gout.
4. Eat green vegetables, people with gout are recommended to eat that kind of green vegetables, the kind that is pollution-free, and at the same time, we should also pay attention to diuretic vegetables, such as cucumbers, winter melons, etc., which can make us digest more quickly, detoxify, and detoxify all have the effect of the group.
5. Eat more grains, eating more grains is conducive to the generation and metabolism of insulin, which is of good help to obese people. At the same time, paying attention to sleep is a good help.
6. Drink water often, keep drinking more water every day, drink boiled water, do not drink cold water, at the same time, avoid drinks, etc., at the appropriate time, it is recommended that you do a whole body examination in the hospital to see if you have high blood pressure or diabetes, and then carry out targeted dietary therapy.
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There are four main types of foods in the list of foods to avoid in gout:
1. Alcoholic beverages.
Alcoholic beverages refer to what we usually know as beer, white wine, red wine, and so on. It is best not to touch these alcohols, because alcohol will be converted into lactic acid in the body, and the accumulation of lactic acid in the body will inhibit the excretion of uric acid, so the increase in uric acid value will induce gout. At the same time, it is recommended to drink more water, drinking a lot of water can promote circulation in the body, which is conducive to the excretion of uric acid.
2. High-purine foods.
This kind of food is a cliché, animal offal, fish and seafood, all kinds of broths, and so on. The intake of these high-purine foods can be directly converted into uric acid in the body, resulting in an increase in uric acid levels. If you are in the period of gout attack, you must not eat these foods, and try to eat as little as possible during other periods.
3. Sugary beverages.
Many people think that high-sugar foods will only lead to an increase in blood sugar, but in fact, this view is wrong, excessive sugar intake will lead to excess calories, cause insulin resistance, affect uric acid metabolism, fructose will also increase uric acid production, reduce excretion, it is best to drink less sugary drinks. There are also many people who think that honey is a very healthy and nutritious food, and gout friends can also eat it, which is wrong. Honey also contains a lot of fructose, of course, you should eat it sparingly, try not to eat it.
Of course, everyone's physical condition is different, some people are easy to have high uric acid, and some people have better resistance, so it is recommended to keep a home uric acid detection instrument such as a Sino uric acid meter at home, and develop a list of your own gout taboo foods according to your own uric acid value.
People with gout should keep in mind "3 lows and 1 high" in their diet to excrete uric acid.
1. Eat less purine-containing diets. Purines are found in the nucleus of cells and are the basic components of all biological cells. As we all know, almost all organisms contain purines, but the content is different, note that animal foods have a high purine content, so chicken, fish, and meat are best to eat meat in soup after boiling, and foods with high purine content, such as animal offal, dried fish, oysters, hot pot soup, etc., are to be avoided. >>>More
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What diets are contraindicated in patients with gout? 1. Avoid acidic food, 2. Avoid moderately acidic food, 3. Avoid weakly acidic food, 4. Avoid eating food with high purines.
Gout patients with high uric acid, they must pay attention to supplementing protein in their diet, and there are foods rich in high-quality protein that can be eaten more, and then high-protein foods are very helpful for enhancing the body's resistance, as well as gastrointestinal absorption, and enhancing physical fitness.