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Gout diet

Gout and kidney stones can be caused by high levels of uric acid. Most of the uric acid (85%) is made by the body. You may need to take medication to reduce the amount of uric acid the body makes, or to help the body to get rid of extra uric acid. Purines in the diet can also increase uric acid levels. By following these dietary guidelines you will lower the purines in your diet, which may lower the small portion (15%) of the uric acid in your blood that comes from foods or beverages.

GUIDELINES

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 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. Look at the Purine Content of Foods chart on the back of this page. Avoid foods on the High Purine List.
Use in moderation the foods on the Moderate (Purine list) .
Eat foods daily on the Low Purine list.

4. Eat only a moderate amount of protein. Good protein sources are tofu1 and low fat milk products,
with small amounts of peanut butter and eggs. Eat less meat, fish, and poultry (to a maximum of
4-6 ounces per day).

5. Emphasize high carbohydrate foods (breads, cereals, rice, pasta, vegetables and fruits).

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.
Between flare ups or chronic gout:

In between flare ups (when you do not have symptoms of gout), or if you have 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 Canada’s Food Guide 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 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.

PURINE CONTENT OF FOODS
 

FOOD GROUP

 

LOW PURINE

 

(0-50 mg  urines/100 g)2

 

USE AS DESIRED

MODERATE PURINE

 

(50-150 mg purines/100 g)2

 

USE IN MODERATION

 

HIGH PURINE


150-825 mg purines/100 g)2

 

AVOID


Breads and Cereals

 

breads & cereals2

noodles3

rice3

cornbread3

 

Limit to 2/3 cup raw daily:

+oatmeal2

Limit to 1/4 cup raw daily:

+wheat bran2, wheat germ2

 

 

 

Fruit

 

All2, including juices2,3

 

 

 

Vegetables

 

Most vegetable

Limit to 1/2 cup serving daily2:

+ asparagus, cauliflower,

spinach, mushrooms,

green peas 

 

Protein Foods

Choose lean meats,poultry without the skin, and fish.  Cook without added fat.

 

eggs2,3, nuts2,3

peanut butter

 

Limit of 1-2 servings daily2:

+meat,poultry2 (2-3 oz)

+fish,shellfish2 (2-3 oz)

+dried peas/beans/lentils2(1 cup cooked)

 

liver2,3, kidney2,3, heart2,

brains2,3, sweetbreads2,3,

game meats3, goose3,

partridge3, anchovies2,3,

sardines2,3, mackerel2,3,

herring2,3, scallops2,3,

 

Milk & Milk Products

Choose low fat products

 

All2,3

 

 

mussels3

 

Fats & Oils

Limit use of fats & oils

 

All (in moderation)2,3

 

 

Gravy2,3


Soup

 

vegetable soups made

vegetable stocks2

 

meat soups and broths2

 

meat extracts2,3 (e.g.

Oxo, Bovril)

yeast taken as a

supplement3

 

Other

 

sugar syrup, sweets2,3

geletin2,3

soft drinks, tea coffee3

cereal beverages

(Postum)3

chocolate,

custard, pudding3

white sauce3

condiments, salt, herbs3

olives, pickles, relishes3

vinegar, popcorn3

 

 

Mincement3

 

 

 

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