What Foods Should You Not Eat For Gout

What Foods To Avoid

Many of the foods you want to avoid are meats and seafood. Meats such as chicken, pork, beef, or lamb are usually okay in moderation however, if you find they cause symptoms you will want to avoid them altogether. Salmon, as part of a gout diet, is also usually tolerated well in moderation.

• Yeast:beer, nutritional yeast, large amounts of bread, others
• Game meats: venison, veal, bison, others
• Organ meats: liver, tongue, tripe, others
• Fish: including sardines and anchovies
• Other seafood: shellfish, roe, others
• Sugary drinks: sodas, fruit juice, others
• Sugar substances: honey, nectar, high-fructose corn syrup, others

Things To Cut Down On

Meat and seafood

High intakes of red meat and seafood are associated with a greater risk of gout because of their high purine content and impact on uric acid production.

Foods that contain yeast, such as Vegemite and Marmite, are also high in purine.

Sugars

Fructose is a simple sugar found in honey, fruit, some vegetables and sweeteners. Fructose increases purine metabolism, raising blood uric acid levels.

Avoid sweeteners high in fructose such as honey, brown sugar, high-fructose corn syrup, golden syrup and palm sugar. Check your tolerance for fruits, vegetables and other foods high in fructose.

Uric acid levels tend to be higher in people who regularly consume sugar-sweetened drinks. Those drinking one to two sugar-sweetened soft drinks a day are almost twice as likely to have gout as those who drink only one a month.

When it comes to whole fruit, results are not clear. While one study found a higher risk of gout with higher fruit intakes, another found a lower risk. The opposing results are partly confounded by the variation in fructose content of different fruits.

Alcohol

The effect of specific alcoholic beverages on blood uric acid levels varies. Beer is high in purine and increases uric acid more than spirits, while moderate wine intake appears neutral.

What Are The Best Foods To Eat When You Have Gout

While eating particular foods wont be enough to make gout go away, studies suggest that certain foods and drinks may help reduce uric acid in your body. For example:

• Milk. Some early research suggests that drinking skim milk may help reduce uric acid and gout flare-ups. It speeds up the excretion of uric acid in your urine and also reduces your bodys inflammatory response to uric acid crystals in your joints.
• Cherries. Scientists are currently researching the benefits of cherries and cherry juice for managing gout symptoms, and early results are promising. Cherries have known anti-inflammatory properties, and they may also help reduce uric acid in your body.
• Coffee. You may have heard that coffee is acidic, but the type of acid in coffee is very different from uric acid. In fact, drinking coffee daily can reduce your uric acid levels by several means. It slows the breakdown of purine into uric acid and speeds the rate of excretion.
• Water. People who drink five to eight glasses of water a day are less likely to experience gout symptoms. This makes sense since your kidneys use water to excrete uric acid in your urine. Water is also good for kidney health. Impaired kidney function is one factor that can contribute to gout.

However, many healthcare providers prefer to focus on general dietary guidelines rather than particular foods. They suggest that you:

Don’t Miss: Almond Milk And Gout

How Does Drinking Alcohol Affect Gout

Alcoholic drinks tend to be high in purines and consuming more than the recommended amount can increase the risk of a gout attack. It is therefore recommended to limit alcohol intake, avoid binge drinking and avoid all alcohol if you have painful gout or are having a gout attack. Try limiting alcohol to a maximum of 14 units per week for both men and women and 1-2 units per day with a minimum of two alcohol-free days a week. Beer, stout, port and fortified wines tend to be higher in purines and should be restricted. Moderate consumption of wine is not associated with a significant increased risk.

Foods That Cause Gout

Its thought that foods and drinks high in purines can directly increase the uric acid and increase the risk of gout attacks. Part of the recommended treatment and prevention of future flairs is to consume a low purine diet.

And its just as important to avoid foods that contribute to the many other risk factors of the disease in daily meal planning.

Purine Rich Foods

While some of these foods can be healthy in people who do not have gout, it is recommended that they are in general minimized in people who suffer from the disease. For example, fish can be a very healthy part of a balanced diet. Gout diets may include fish lower in purines or small amounts of purine rich fish mentioned above.

Read Also: Is Almond Milk Good For Gout

Can Losing Weight Help Gout

If you are overweight, gradual weight loss can help lower uric acid levels and reduce the risk of gout attacks. However, it is important to avoid fasting or crash dieting, where you go without adequate food for long periods and lose weight rapidly. This type of dieting can actually increase uric acid levels and trigger a gout attack. A combination of balanced healthy eating and regular physical activity is the best way to lose weight safely. Talk to your doctor or see a dietitian for advice.

Can I Drink Alcohol

Drinking alcohol can increase your risk of a gout attack as it can raise the level of uric acid in your blood. While it is possible to control gout attacks without completely cutting out alcohol, try to reduce the amount of alcohol you drink and avoid binge drinking . Talk to your doctor or read the Australian government guidelines on recommended alcohol intake.

Don’t Miss: Is Onion Good For Gout

Chicken Beef And Other Meats Appear To Be Foods To Avoid With Gout

The conversion of purines to uric acid, in theory, causes gout.

Therefore high-purine foods are often suspected to trigger symptoms.

Meat, and to a lesser extent seafood, are prime suspects. This includes all the most common meats like beef, chicken, pork and lamb.

The data available somewhat confirms suspicions.

Each additional daily serving of meat or seafood is associated with a 21% or 7% increased risk of gout, respectively . This implies meat could be three times worse than seafood.

There was another similar study that found even greater risks associated with meat intake, but none for seafood. Overall this suggests seafood is far less of a concern than meat .

For those who already have gout, the impact of meat intake on symptoms is even worse. This is likely due to sharper increases in blood uric acid, as well as poorer clearance by the body .

Therefore if you have a history of gout, it is best to dramatically reduce your meat intake, and seafood as well to a lesser extent. Anecdotal evidence suggests avoiding dark part of salmon, and de-veining prawns/shrimp before eating.

You should also buy your meat direct from the butcher where possible, or at least the better quality choices in the supermarket. Sausages and low-quality ground beef may contain traces of organ meat that can cause big problems .

Summary: Frequent consumption of meat is strongly linked with gout risk. The impact of seafood appears far less severe, but there is a link.

How Does Sugar Affect People With Gout

High intake of fructose and sugary foods may have an effect on uric acid levels in the body. One reason is sugar and sweets are higher in calories and linked to obesity, a known risk factor for gout.

In addition, although fructose-rich beverages, such as soft drinks, dont contain high amounts of purines, they have been shown to increase the risk of developing gout. This is because uric acid is one of the byproducts of fructose metabolism. Evidence has shown consuming high amounts of fructose may increase uric acid levels in the blood.

Increasing your daily water intake and cutting soft drink and soda consumption will help to flush your body of uric acid and prevent the formation of kidney stones.

Though theyre tempting, sweets are better left untouched. Make room instead for healthier, gout-friendly foods such as plant-based proteins and low-fat dairy products.

Read Also: Are Almonds High In Purines

Gout Diet: 7 Foods To Eat 7 Foods To Avoid

Why do certain foods cause painful gout symptoms? Our bodies produce uric acid as it digests some types of foods and excess uric acid can accumulate in our joints as crystals. Healthy individuals can usually filter out much of the extra uric acid however, for those who have underlying health conditions or elderly adults whose body processes have slowed down, uric acid builds up.

You Can’t Avoid All Purines

There are too many sources of purines to eliminate them all from your diet. You will stay healthier overall if you eat some foods with purines. Remember that vegetable purines have never been shown to promote gout attacks, and that low-fat dairy products are protein sources that lower your risk of gout pain. People with gout can still enjoy meat in moderation, but should limit meat, fish, and poultry to 4 to 6 ounces a day.

Also Check: Is Onions Good For Gout

What Is Uric Acid

Uric acid is a waste byproduct of purine breakdown in the body. Purines are naturally produced in the body, as well as found in some foods. As purines are broken down, uric acid is created. Normally uric acid is either reabsorbed in the body or excreted via the urine and feces.

When there are more purines in the body than it can process, uric acid builds up in the bloodstream. This is called hyperuricemia. Hyperuricemia can cause gout and/or kidney stones in some people, while others have no signs or symptoms at all.

Verywell / Alexandra Gordon

Treatment for gout often includes medications, diet modification, and lifestyle changes, such as managing weight and quitting smoking. The foods you eat can have a direct impact on gout flares.

During a gout attack, modifying your diet may help decrease the length of the flare. Continuing to follow a gout-friendly diet, specifically a low-purine diet, may help prevent the risk of future gout attacks up to five fold.

Foods You Can Eat In Moderation

Aside from organ meats, game meats and certain fish, most meats can be consumed in moderation. You should limit yourself to 46 ounces of these a few times per week .

They contain a moderate amount of purines, which is considered to be 100200 mg per 100 grams. Thus, eating too much of them may trigger a gout attack.

• Meats: These include chicken, beef, pork and lamb.
• Other fish: Fresh or canned salmon generally contains lower levels of purines than most other fish.

Summary: Foods you should eat with gout include all fruits and vegetables, whole grains, low-fat dairy products, eggs and most beverages. Limit your consumption of non-organ meats and fish like salmon to servings of 46 ounces a few times weekly.

Also Check: Gout And Tofu

Foods That Are Good For Gout

In addition to avoiding common triggers, reaching for certain foods may also help ward off gout attacks:

Cherries: The fruits anti-inflammatory compounds may provide a protective effect. In one study, which tracked over 600 people with gout, cherry consumption over a two day period was associated with a 35% lower risk of gout attacks.

Dairy: Milk proteins have been shown to . So if youre a dairy lover, go ahead and enjoy your grass-fed yogurt and milk.

Coffee: Good news for java fans. A review of nine studies found that in both men and women, coffee can significantly lower uric acid levels. And drinking one cup per day or more was tied to a reduced gout risk.

Water: Staying well-hydrated is an important tactic for preventing gout because water is needed to help the kidneys flush out waste products, including excess uric acid. A good rule of thumb is to aim for 64 ounces of water, spread out throughout the day.

RELATED: 9 Surprising Triggers of Gout Pain

Be Choosy About Carbs

Carbs can be helpful or harmful to your gout health. The most helpful carbs are found in whole grains, fruits, vegetables, and legumes. Sweet potatoes, beans, apples, and popcorn can all be served in wholesome and delicious ways as part of a healthy gout diet.

Other carbs come as natural and refined sugars. Candy, sports drinks, some breakfast cereal, and some pasta sauces all contribute to dietary sugar from unhealthy carbs.

You May Like: Is Pickle Juice Good For Gout

How Is Gout Affected By Diet

Gout is a type of arthritis that is associated with elevated levels of uric acid in the blood. High levels of uric acid can cause crystals to form in the joints, causing pain and swelling. Uric acid is a normal waste product formed from the breakdown of food, particularly compounds called purines. It is believed that lowering uric acid levels through small changes in your diet may help reduce the chance of future gout attacks.

A healthy, balanced diet may help reduce the risk of gout attacks.

What Are The Disadvantages Of A Low

• Its limiting. For people with hyperuricemia, a low-purine diet is a long-term lifestyle change. It also happens to target many favorite indulgences, including sugar, sweets and alcohol. For some people, giving these up indefinitely may seem unrealistic, especially when its only a complementary therapy. Like most diets, you do have to stick to it to reap the benefits.
• It limits omega-3 sources. Seafood is among the most important dietary sources of omega-3 fatty acids, and the low-purine diet limits many of these. Omega-3s have many known health benefits in particular, alleviating inflammation and joint pain from arthritis. Many Americans dont get enough omega-3s, and limiting seafood can make it even harder. However, fish-oil supplements are ok on this diet. Salmon, sardines and mackerel are also good sources and relatively low in purines.
• Its not a cure. Diet may move the needle a little on uric acid levels in your blood, but not as much as medications do. The best approach is to combine them. Some people argue that the benefits of the diet arent proven to be worth the trouble when compared with medication. But medication alone is often not enough to manage gout effectively. In these cases, many people appreciate having something they can do proactively to reduce their symptoms.

A note from Cleveland Clinic

Recommended Reading: Onion And Gout

Gout And Diet: Foods And Drinks To Avoid

Gout is an arthritic condition that can cause sudden, severe joint pain. If you are experiencing symptoms of gout, the NHS recommends that you see a doctor for treatment during an attack and to help prevent further attacks.

We asked Emer Delaney, a dietitian who has worked in some of London’s top teaching hospitals, to explain how diet and lifestyle can affect the condition.

Risky Foods To Avoid With Gout

Home » Cardiovascular and Metabolic Health » 6 Risky Foods To Avoid With Gout

A gout attack is not pleasant.

The pain is so bad that sufferers are often hospitalised for days, if not weeks.

More importantly, gout is typically indicative of other more serious health issues behind the scenes Like a window into the state of an individuals metabolic health.

Unfortunately the occurrence, or recurrence of gout is only getting worse.

Rates are on the rise from China to the UK, and it is now the most common inflammatory arthritis in the US .

Information online about gout treatment can be particularly confusing, and even contradictory at times.

This is because we dont yet completely understand the mechanism behind gout But we do have a lot of big clues.

The following is a list of the top 6 foods to avoid with gout, explaining what we know and how it applies to you.

Contents

• The cause of gout is more than just diet

Recommended Reading: Onions Bad For Gout

The Connection Between Food And Gout Flare

Uric acid is produced when your body breaks down a chemical called purine. Purines are found in cells of all living things. Some enter your body through your diet when they are digested.

In healthy bodies, uric acid is easily removed from your body when it passes through the kidneys into your urine. However, when your kidneys cant process uric acid efficiently or if there is too much in the blood, you develop hyperuricemia, or high levels of uric acid, which can trigger pain, swelling and inflammation, Fowler said.

A Good Diet For Gout Should Not Include Soft Drinks Or Fruit Juice

Added sugar is a big problem in the modern diet.

Generally speaking, the sugar that is added to our food and drink products are 50% glucose and 50% fructose.

While glucose molecules are metabolised in the cell, fructose is metabolised in the liver. Further explanation is out of the scope of this article, but they behave very differently in the body.

Fructose intake, and not glucose intake, is strongly linked with gout.

Soft drinks and fruit juices tend to have the greatest amount of added sugar, and therefore the greatest amount of added fructose.

In fact, gout occurrence in the US has risen in line with fructose consumption since 1970 .

In a large study of over 46,000 men, researches found that two or more sugar-sweetened soft drinks a day was associated with an 85% increased risk of gout .

The largest consumers of sugar-sweetened soft drinks actually had a risk of gout comparable to the risk seen with three to five servings of alcohol.

Unfortunately the researchers did not account for family history of gout, which may or may not have changed their findings somewhat.

The strange thing out of all this, however, is that soft drinks dont typically contain purines.

Fructose is thought to be the culprit linking added sugars with gout. It appears to share the same mechanism as alcohol: fructose accelerates the breakdown of purine-containing nucleotides like ATP. This in turn drives up uric acid levels 90120-5/abstract” rel=”nofollow”> 13, 14, 15).

You May Like: Almond And Gout