Therapeutic diet for high uric acid in the blood

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When a person faces a problem such as increased levels of uric acid in the blood, he needs appropriate nutrition.

Uric acid is a metabolic product in the body that is formed during a process called purine metabolism. When acidity levels are high or low, it can lead to very unpleasant consequences, such as kidney disease or gout.

The essence of this deviation is that salt in the body is converted into crystals with pointed edges. Such crystals are deposited in tissues and joints, thereby causing a person severe pain when moving.

As you know, almost any treatment for a disease begins with a diet. A diet with high uric acid in the blood is no exception.

Unfortunately, those who suffer from this problem will have to adhere to proper nutrition throughout their lives.

Causes

The main causes of hyperuricemia are:

  • Features of metabolism and genetic disorders. Each person's body is different, so it may turn out that it does not secrete enough enzymes that can remove uric acid. As a result, acid accumulates in the organs, leading to hyperuricemia.
  • Excessive and unhealthy nutrition. Uric acid is formed as a result of the breakdown of substances called purines. In small quantities they are beneficial and have an antioxidant effect. However, when these substances are in excess, excessive amounts of acid are formed. Purines enter the body as a result of consuming foods rich in protein (eggs, fatty meats, offal), as well as alcoholic beverages.
  • Side effect from medications. Most often, increased uric acid levels occur due to taking medications for heart disease and hormone therapy.
  • An additional symptom to other diseases. These are mainly diseases of the kidneys and urinary system (cystitis, kidney stones), diabetes mellitus, psoriasis, cancer, obesity, atherosclerosis, etc. Hyperuricemia is also one of the components of the metabolic syndrome (a set of diseases that increase the risk of death).
  • Age. With age, it becomes more difficult for the body to break down uric acid, which is why it accumulates in the internal organs.
  • Hereditary factor. If a person has had problems with high levels of uric acid, then with a high degree of probability this disease can also manifest itself in his children and grandchildren.

Important! According to clinical studies, elevated levels of uric acid can be detected in 6% of the population.
However, the percentage of actually detected cases of the disease is much lower, since hyperuricemia can be asymptomatic. Therefore, it is necessary to periodically (every 1-2 years) check the amount of uric acid in the blood, especially for older people.

What foods contain purine?

In order to control the intake of purine in the body, it is necessary to have information about its content in food products. It has been proven that this compound is present in the highest concentrations in cells dividing at an increased rate (in baker's yeast), as well as in meat offal. In addition, rich sources of this substance are considered:

  • meat obtained from young animals;
  • mushroom, meat, vegetable and fish broths;
  • jellied meat, all varieties of jellied dishes;
  • sauces and gravies prepared from meat broths;
  • dishes made from meat by-products;
  • smoked meat (sausages, wings, ham, etc.);
  • fatty fish (including canned fish);
  • salty and spicy varieties of cheeses with reduced fat content;
  • caviar;
  • drinks that stimulate the nervous system (cocoa, rich black tea, coffee);
  • all types of animal fats;
  • most legumes (peas, soybeans, lentils, beans);
  • products made from grapes (wine, raisins, etc.).

More detailed data on the purine content in products is presented in the table.

List of food productsPurine content (in mg) per 100 g
Black tea (infusion)2766
Cocoa powder1897
Ground coffee1213
Dry yeast761
Fresh yeast321
Chicken liver249
Beef liver229
Sprats224
Herring roe188
Calf liver184
Saida167
Beef lung167
Mussels152
Sardines, canned in oil147
Pork kidneys141
Pork tongue139
Scallops137
Pork liver128
Halibut127
Chicken meat127
Smoked pork belly126
Tuna canned in oil122
Beef kidneys114
Anchovies111
Dry chickpeas111
Raisin109
Flax-seed109
Beef heart108
Raw smoked sausages106
Sea bass103
Venison102
Smoked salmon102
Soya beans94
Herring89
Calf kidneys87
Trout86
Dry lentils86
Ham84
Peanut82
Artichokes81
Dry beans78
Lamb meat77
Smoked mackerel74
Lobster74
Liver pate (any)74
Salmon73
Dry peas72
Confectionery poppy72
Tofu71
Goose71
Salmon69
Beef tongue69
Sunflower seeds68
Cod66
Green onion feathers66
White chocolate64
Veal64
Salmon caviar64
Pork64
Carp64
Green pea63
Duck meat63
Shrimps63
Mackerel62
Mutton62
Buckwheat61
Sesame seeds61
Pheasant meat61
Pike59
Beef59
Flounder59
Hunter's sausages56
Leaf salad54
Haddock53
Corn grains53
Boiled sausages53
Turkey51
Zander48
Meat or poultry sausages48
Smoked eel47
Pumpkin46
Peanut44
Cereals44
Oysters39
Blood sausage39
Millet38
Porcini mushrooms38
Dried apricots34
Quince33
Barley33
Marinated olives31
Brussels sprouts27
Watercress27
Champignon26
Spinach26
Crackers26
Cancers24
Brazil nuts24
Semolina24
Blueberry23
Broccoli22
Dates22
Rye22
Cauliflower21
Kiwi21
Blueberry21
Black bread18
Savoy cabbage18
Leek18
White rice17
Chanterelles16
Celery root14
Camembert cheese14
Kohlrabi14
Avocado14
Sheep's milk cheese14
Hazelnut14
White cabbage14
Crackers13
Almond12
Processed cheeses 20%12
Bananas11
Black Eyed Peas11
Walnuts11
Strawberry10
Beet9
Oranges9
Cabbage9
Peaches9
Raspberries9
Pineapples9
Eggplant9
Butter pastries8
Grapes (all varieties)8
Gouda cheese8
Carrot8
Fennel8
Apples7
Watermelons7
Red bell pepper7
Chicory7
Blackberry7
Prunes7
Zucchini squash7
White bread7
Potato7
Blueberry7
Apricots6
Processed cheeses 60%6
Radish6
Pears5
Radish5
Cherries4
Tomatoes4
Green bell pepper3
cucumbers3
Emmenthaler cheese3
Onion3
Rhubarb3
Chicken eggs2

Diet for hyperuricemia

The main goal of a diet for hyperuricemia is to reduce the level of uric acid in the body.

This goal is achieved in the following ways:

  1. Reducing purine-rich foods in your daily diet.
  2. Introducing into the diet foods that do not contain purines or are present in small quantities.
  3. Introducing a large amount of liquid into the diet (at least 2 liters per day).
  4. Selection of products for weight loss.

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Pros and cons of the method, contraindications

Doctors and nutritionists recommend following this method of eating when uric acid increases. In practice, it has shown effectiveness and rapid recovery.

The benefits of this diet:

  • The exchange of purine bases is normalized.
  • Prevention of stone formation and salt deposits.
  • Over a short period of time, the level of uric acid decreases.
  • The menu is varied, the patient does not get bored.
  • No need to starve.

The only drawback of this diet is the need to avoid salt, pepper, food additives, and reduce meat consumption.

This is not easy for some patients; they have to get used to the therapeutic diet. This diet has no other disadvantages.

There are no contraindications, but if you have chronic diseases, you should consult your doctor. Individual diet adjustments are possible.

Rules for therapeutic nutrition

A diet to reduce uric acid is combined with drug treatment. Nutrition is aimed at improving metabolism.

The basis and main rule is the inclusion in the diet of foods with a small amount of purines in the composition :

  • milk products;
  • fruits and vegetables;
  • yeast-free products;
  • juices and compotes.

During a therapeutic diet, meat consumption should be significantly reduced. You can only eat boiled and stewed meat 2-3 times a week. A serving should be no more than 150-200 grams.

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The diet consists of fractional meals - 5-6 times a day, with a fasting day in the middle of the week. In between meals, you need to drink plenty of fluids - 2-3 liters of liquid. Fasting is strictly prohibited, as it will lead to intense breakdown of purines. And the breakdown of purines will lead to an increase in uric acid in the body.

On a note! Depending on the severity of hyperuricemia, a therapeutic diet may last several months or may be lifelong.

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Approximate diet during the diet

The diet for gout and high uric acid consists of many recipes, but all of them, one way or another, involve consuming only permitted foods and only in permitted quantities. So, for breakfast you can eat a vitamin salad, the components of which are fresh carrots and a peeled apple. The products need to be grated and mixed with a spoon of low-fat sour cream.

Okroshka is also useful during this recovery period. Its composition can be ordinary (radish, cucumber, eggs, potatoes and carrots), and low-fat kefir, low-fat sour cream and a little mineral water can be used as filling. It is useful to drink a decoction of rose hips during the day, eat more apples, for dinner you can eat a potato cutlet, drink weak tea or jelly. If the patient does not have problems with excess weight, it is allowed to eat a piece of marmalade, a spoonful of jam or marmalade, and a little dark chocolate.

Table of products that reduce and increase levels

Reduces uric acid levelsIncreases uric acid levels
  • Fresh juices.
  • Dairy and fermented milk products.
  • Vegetables, fruits and berries (citrus fruits, wild berries, figs, bananas and others).
  • Mineral water containing alkaline trace elements.
  • Bread and baked goods without yeast.
  • Vegetarian soups with lots of grains.
  • Lean types of meat (chicken, turkey) and fish. Moreover, boiled or stewed.
  • Raw vegetables, except legumes and sorrel. Take raw after meals.
  • Any cereal, in small quantities.
  • Egg whites 1-2 times a day as they do not contain purines.
  • Sweets that do not contain cocoa beans - marmalade, marshmallows, etc.
  • Bran decoctions and water with the addition of citrus fruits (orange, lemon).
  • Meat by-products (tongue, liver) and canned food, red meat (pork, beef).
  • Dishes from sea fish and seafood, canned fish.
  • Broths of meat, fish and mushrooms.
  • Sorrel and legume soups.
  • Pickled vegetables and vegetables with a high content of oxalic acid (sorrel, radishes, raspberries).
  • Cheeses.
  • Sauces from broths and fried foods.
  • Legumes and mushrooms.
  • Oatmeal and white rice.
  • Products from cocoa beans - chocolate, cocoa.
  • Tea (except green), coffee.
  • Alcoholic drinks.
  • Confectionery products made from yeast.
  • Dried fruits, except prunes.
  • Spices and spicy dishes.

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What not to eat if you have high uric acid:

  • almost all types of meat,
  • fried fish,
  • canned meat and fish,
  • meat broths,
  • various pickles,
  • hot and salty seasonings and sauces,
  • strong alcoholic drinks,
  • tea,
  • sweet baked goods and puff pastry products,
  • mushrooms,
  • sorrel,
  • fruit juices, nuts.
  • eggplants and corn,

But only a nutritionist or attending physician can say exactly which foods are prohibited if you have uric acid.

Menu for the week by day


The weekly diet is based on the 3-1-3 principle, i.e.
3 days of diet - fasting day - 3 days of diet. Nutrition occurs in uniform small portions 5-6 times a day every 2-3 hours (depending on sleep patterns).

1 day

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Day 2

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Day 3

For information! During the fasting day, you should eat fruits, herbal teas and dairy products.

Traditional methods of treatment

The most common folk methods for treating hyperuricemia that lower acid in the blood are:

  • Bean decoction. 1 tablespoon of bean husks should be placed in 1 liter of boiled water. Leave to boil for 2 hours. After this, strain the broth and consume 1 tablespoon 3 times a day.
  • Nettle decoction. Place 20 grams of pharmaceutical nettle in a glass of boiling water for 20 minutes. After the broth has cooled, take 1 teaspoon 3 times a day.
  • Lingonberry decoction. Prepare in the same way as nettle decoction, but take 1 tablespoon 3-4 times a day.
  • A decoction of birch leaves. It is prepared as follows - 2 tablespoons per 400 grams of water and boil for 10 minutes. Then the broth should sit for another half hour. You should take 100 grams 4 times a day with meals.
  • Foot bath with sage, chamomile and calendula. Immerse 200 grams of plant flowers (pharmacy kit) in 1.5 liters of boiling water and let it brew for 2 hours. Then prepare a foot bath. The temperature should be slightly more than 30°C. Pour a solution of sage, chamomile and calendula into the bath and immerse your feet in it. The therapeutic effect is achieved no earlier than after 5 baths, which must be taken every other day.

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Sample menu for high uric acid in the blood:

The patient's daily diet should be approximately this:

For breakfast:

  • Low-fat milk, yogurt, kefir and other fermented milk drinks.
  • Croutons or bran. You should fry croutons only in olive oil, not sunflower oil.

Lunch:

  • Fruits: apple, orange.
  • A glass of yogurt.

Dinner:

  • Boiled rice.
  • Vegetable salad.
  • Boiled meat (if possible).
  • Any fruit.

Second lunch:

  • Black or green tea. Can be replaced with juice.
  • Oat cookies.

Dinner:

  • Zucchini and carrot puree.
  • Scrambled eggs fried in olive oil.
  • Low-fat yogurt.

This menu does not indicate water, which you need to drink at least two liters per day.

It is highly not recommended to eat at night during a diet.

In order to speed up the process of removing acidic substances from the body, you can prepare special decoctions.

  • For example, you can make a decoction of lingonberry leaves. To do this, fresh or dry lingonberry leaves are poured with boiling water and left for about half an hour. Take one spoonful of this decoction each time before meals.
  • An equally effective “helper” in normalizing the level of acidity in the body is birch decoction. Birch leaves need to be poured with boiling water, left for twenty minutes, and then taken 50 grams during meals.

Author of the article: Dubinets Alena

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