The three main main goals of taste management are:

(i) rapid relief of the inflammatory condition,

(ii) to stop the recurring attack, and

(iii) decrease the rate of uric acid crystal deposition in the joints and increase the rate of uric acid excretion through the urine.

Dietary management in flavor

In this disease, although some pain relief can be achieved by the temporary excretion of uric acid from the body with medication, a complete cure is not possible. Only by restricting the diet, that is, by proper control of the diet, can relief of taste be obtained. The main condition of this diet control is to have only foods without purines. But you can also take foods that contain a much lower amount of purine. If the amount of purine daily intake can be restricted to 100 – 150 mg, the symptoms of gout and hyperuricemia will be considerably less. The following graph shows the purine level in different types of food:

Highest purine level (150 – 825mg/100g) – should be avoided completely:

Liver, kidney, red meat, shellfish, herring, sardine, meat extract, sauce, broth, minced meat, sweet bread, soybeans, rajma, lentils, alcoholic beverages (especially beer and wine).

Medium purine level (50 – 150 mg/100 g) – can be taken occasionally:

Whole wheat bread, spinach, cereals, cauliflower, peas, mushrooms, asparagus, oats, wheat germ and bran, chicken, freshwater fish.

Minimum purine level (0 – 50 mg / 100 g): can be taken in abundance:

Tea, coffee, soft drinks, refined cereal, egg, cheese, milk, nuts, cream soup, macaroni/noodles, fruit and fruit juices, vegetables, butter, vegetable oil.

Food policy on taste

Since carbohydrate food is very helpful in increasing the amount of urate excretion, therefore 50 – 55% of the total caloric content of the diet of any gout patient should come from carbohydrate food. The amount of protein intake should be limited to 1 g/kg of ideal body weight. The amount of fat intake should also be controlled. Only 30% of the total calorie should come from fat. The amount of cholesterol, however, should not exceed 300 mg/day.

Generally, most of those who suffer from gout or hyperuricemia also suffer from the problem of obesity. So, to keep the disease under control, it is necessary to keep the body weight under control. For this, it is required to reduce the daily caloric requirement by 400 – 500 calories.

In addition to these, it should be seen that there are adequate amounts of vitamin A, vitamin E, vitamin D, calcium, potassium, and phosphorus in the daily diet table. It is required to control the level of uric acid in the blood and to eradicate the possibility of kidney stones. It is necessary to drink at least 3 – 4 liters of water a day. Vegetables, fruit juices, milk and milk products are very helpful in this case.

Foods that can be taken to taste

* refined cereals and cereal products, corn flakes, bread, flour, arrowroot, sago, suji, tapioca, noodles, rice, rice flour, etc. — 150 – 250g

* milk, milk products, cheese, paneer

* egg (1no.), linfish/linmeat (30g, 3 – 5 times/week)

* potato, carrot, garlic, onion, cabbage, squash, bell pepper, squash, etc.

* guava, tomato, amla, cucumber, melon, papaya, apple

* dress, sweets, dessert, pudding

* butter, vegetable oil, olive oil (10 – 30 g/day)

* tea, coffee, cocoa, fruit juice, vegetable juice, pure drinking water.

But if the taste condition is too severe, in addition to avoiding high and medium purine foods, eggs, butter, cheese and fried potatoes should also be avoided.

Do tea and coffee increase uric acid level?

Many people think that tea and coffee should be completely avoided in taste, as they both contain purine. But actually, the purine present in tea or coffee does not harm the taste. Because tea or coffee contains methylated purine, which is converted to methyl uric acid. It is not deposited in the body, but is excreted through the urine.

A sample diet chart to control taste.

Breakfast:

* breakfast cereal/bread + jam/butter

* apple pudding

* Tea coffee

Before noon:

* cucumber + orange juice

Lunch:

* rice/chapatti

* vegetable (potato and pumpkin curry or pumpkin curry)

* small fish/paneer

* white curd

tiffin:

* mixed fruit salad

Dinner:

* vegetable pulao

* cucumber + tomato salad

* pudding/pudding

This is a sample diet chart. But taking into account the individual health condition, age, body weight, height and working capacity, for the actual diet chart, it is necessary to consult a specialist.

Precautions

It is very dangerous to fast completely to lose body weight in taste, because due to fasting, the fat deposited in the body begins to break down, which puts pressure on the liver. In addition, the nucleic acid in the cell breaks down and the level of uric acid in the blood increases. Due to the increased rate of metabolism of fats, the chance of severe gout is greatly increased. Apart from these, the level of lactic acid in the blood can increase and further complicate the condition. It is also essential to always monitor the blood sugar level.