Patients with high levels of uric acid in the blood (gout), have to be careful about the food. Their diet must meet the following requirements:
1. Purines restriction
If they had been experiencing swelling in the joints, then the patient should be on a free-purines diet. But because almost all protein sources containing nucleoprotein then this virtually impossible. So what should be done is to limit the intake of purines, into 100-150 mg per day ( a normal diet, usually contains 600-1000 mg purine per day).
2. Calories as needed
Total caloric intake should be tailored to the needs of the body based on height and weight. Gout sufferers who are overweight, they should lose weight, while maintaining the amount of calorie intake. Intake of too few calories can also increase uric acid levels as ketones will reduce the release of uric acid in the urine.
3. High-carbohydrate diet
Complex carbohydrates like rice, wheat, bread and cassava is very good to be consumed by gout sufferers because it will increase the release of uric acid through urine. Consumption of complex carbohydrates should not be less than 100 grams per day. Simple carbohydrates like sugar, candy, and syrup should be avoided as fructose would increase uric acid levels in the blood.
4. Low-protein diet
Protein, especially from animals, can increase uric acid levels in the blood. The types of foods that contain animal protein in high amounts are liver, kidneys, brain, lungs and spleen. The recommended protein intake for people with gout is as much as 50-70 grams / day or 0.8 to 1 gram / kilogram body weight / day. The recommended source of protein is animal protein derived from milk, cheese and eggs.
5. Low-fat diet
Fat may inhibit excretion of uric acid through urine. Fried foods, foods containing coconut milk, margarine and butter should be avoided. Fat consumption should be as much as 15 percent of total calories.
6. Drink plenty of water
High fluid intake, can help remove uric acid through urine. Therefore, you are advised to drink at least 2.5 liters or 10 cups of water per day. Drinking water can be either boiled water, tea, or coffee. Apart from the drinks, fluid can be obtained from fresh fruits that contain lots of water. Recommended fruits are watermelon, melon, cantaloupe, pineapple, sweet star fruit and water guava. In addition to these fruits, other fruits can also be consumed as fruits are very low purine. Fruits to be avoided are avocado and durian, because they have high fat content.
7. Stay away from alcoholic beverages
Based on this research, it is known that uric acid levels in those who consume alcohol is higher than those who did not consume alcohol. This is because alcohol increases lactic acid. This lactic acid inhibits the release of uric acid from the body.