Diet for Gout

Gout and kidney stones are two of the possible results of having overly raised levels of uric acid. Most uric acid (85%) is made by the body. While you may be advised to take medication to reduce the amount of uric acid your body makes, or to help the body to get rid of extra uric acid, diet is a safe and very viable option. This is because purines in your diet can also increase uric acid levels. These dietary guidelines were drawn up to help you  lower the purines in your diet, which may lower the portion (15%) of the uric acid in your blood that comes from foods or beverages. When fighting gout and kidney stones, every little bit helps.

Diet for Gout Guidelines

For when you are having an acute attack of gout:
1. Drink two or three litres (8 to 12 cups) of fluid daily, at least half as water.

2. Limit your intake of alcohol or, better yet, do not drink alcohol. Alcohol can result in a build up of uric acid in the body. If you choose to drink, do not drink more than one drink three times per week. If you are unsure about the use of alcohol, discuss it with your doctor.

3. Avoid high purine foods shown on the high purine list below. Limit your consumption of medium purine foods, shown on the Moderate Purine list. Eat foods daily on the Low Purine list.

4. Eat only light amounts of protein. Good protein sources for a diet to limit uric acid are tofu and low fat milk products, with small amounts of peanut butter and eggs. Eat less meat, fish, and poultry (a maximum of 4-6 ounces per day).

5. Emphasize high carbohydrate foods (breads, cereals, rice, pasta, vegetables and fruits). Also favor complex carbohydrates and whole grains. Avoid white bread and white rice.

6. Limit the fats in your diet by choosing lean meats, fish, skinless poultry, and low fat milk products. Don’t eat deep fried foods and high fat desserts, and limit added fats like butter, margarine, oils, and salad dressings to 3-6 teaspoons per day.

7. Eat plant-based protein such as beans and legumes (but not string beans)

8. Choose low fat dairy products. Dairy products are generally low purine, and a reduction of fat in the diet has been shown to reduce gout flare-ups.

For between flare ups and for chronic gout:
In between flare ups (when you do not have symptoms of gout), or if you suffer from chronic gout:
1. Continue to drink at least 8 cups of fluid daily, at least half as water.
2. Continue to limit alcohol intake. Discuss alcohol use with your doctor.
3. Follow a normal, nutritious diet, using nutritional guidelines to plan meals. Continue to use caution with the foods on the High Purine list. Eat only a moderate amount of protein.
4. Maintain a desirable body weight. Being overweight can result in a build up of uric acid in the body. If you need to lose weight, reduce it gradually: 0.5-1.0 kg (1-2 pounds) per week. Rapid weight loss, in fact, may cause an attack of gout. Follow a sensible, balanced diet to lose weight. Do not fast or follow a high protein diet to lose weight because these can make gout worse.
1    Yamakita J., et al. (1998). Effect of tofu (bean curd) ingestion and on uric acid metabolism in healthy and gouty subjects. Adv Exp Med Biol, 431, 839-42.
For more information, contact:
The Arthritis Society Website: http://www.arthritis.org
This information is not meant to replace the medical counsel of your doctor or individual consultation with a registered dietitian. This information may only be used in its entirety.

FOOD GROUP LOW PURINE(0-50 mg purines/100 g)2Enjoy! MODERATE PURINE (50-150 mg purines/100 g)2Eat in moderation HIGH PURINE(150-825 mg purines/100 g)2Avoid!
Breads and Cereals Breads & cereals, noodles, rice cornbread Limit to 2/3 cup raw daily:• oatmealLimit to 1/4 cup raw daily:• wheat bran, wheat germ2 Few to none with high purine.
Fruits and Fruit Juices All fruits, including fruit juices, are low purine. Few to none with medium purine. Few to none with high purine.
Vegetables Most vegetables Limit to 1/2 cup daily:          • asparagus, cauliflower, spinach, mushrooms,  green peas Few to none with high purine.
Protein Foods Choose lean meats, poultry without the skin, and fish. Cook without added fat. Eggs, nuts, peanut butter Limit of 1-2 servings daily2:• meat, poultry (2-3 oz) • fish, shellfish (2-3 oz) • dried peas/beans/lentils(1 cup cooked) Iver, kidney, heart, brains, sweetbreads, game meats, goose, partridge, anchovies, sardines, mackerel, herring, scallops, mussels
Milk & Milk Products Choose low fat products All milk and milk products Few to none with moderate purine. Few to none with high purine.
Fats & Oils Limit use of fats & oils All (in moderation) Few to none with moderate purine. Gravy and meat sauces
Soup Vegetable soups made vegetable stocks Meat soups and broths Meat extractsYeast, taken as a supplement
Other Sugar syrup, sweets, gelatin, soft drinks, tea coffeeCereal beverages Chocolate, custard, puddingWhite sauceCondiments, salt, herbs, olives, pickles, relishes vinegar, popcorn Few to none with moderate purine. Mincement

Pennington, J. A. (1998). Bowes & Church’s food values of portions commonly used (17th ed.). Philadelphia: Lippincott-Raven Publishers.
Mahan, L. K., & Escott-Stump, S. (Eds.). (2000). Krause’s food, nutrition and diet therapy (10th ed.). Philadelphia: W.B. Saunders Company.

The information above was provided by the website formerly known as dialadietician.org, with information from The Arthritis Society of Canada.

4 Responses to Diet for Gout

  1. Yogendra Verma says:

    Hello, I am suffering from Gout & uric acid level is now 8.18. so i would like know more thing to control my Uric acid . please advise…..

  2. TRIPTI JAISWAL says:

    Hello, I am suffering from thyrid 8.9 & uric acid level is now 8.3. so i would like know more thing to control my Uric acid . please advise…..

  3. manoj says:

    Hello Iam suffering from gouts uric acid is 8.1 please advise diet and how to control advise medisin

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>