Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints. When your body breaks down purines, it produces a substance called uric acid. Normally, uric acid filters through your kidneys and exits your body as urine but in some cases, high levels of uric acid remain in your body and develop into gout. Avoiding foods that are rich in purine and consuming lower level purine foods, may help you decrease attacks of gout.
High Purine Foods
Seafood containing the highest level of purine includes anchovies, roe, herring, mackerel, sardines, scallops and mussels. Game meats including goose, duck and partridge make the list along with organ meats including brains, heart, kidney, liver and sweetbreads. Avoid mincemeat, broth, bouillon, consomme and gravy along with baker's yeast and brewer's yeast in the form of supplements.
Medium Purine Foods
Fish, shellfish and poultry not listed as a high purine food fall in this category along with beef, lamb, pork and other red meats not listed as high purine foods. Vegetables include asparagus, mushrooms, spinach, cauliflower and green peas. Grains that fall under this category include oats, oatmeal, wheat germ, bran and whole grain breads and cereals. In addition, dried peas, lentils and beans are medium purine foods.
Low Purine Foods
The list of foods containing low amounts of purine includes eggs, nuts, peanut butter, low fat and nonfat dairy products, soups made without meat extract or broth, fruits and juices, pasta, rice and small amounts of fats or oils. Sugar, syrup and other sweets in small amounts are also on this list. Breads and cereals made with white flour, refined grains or are low in fiber are also low-purine foods along with soda, coffee and tea.
Other Food Considerations
Choose baked foods instead of fried, since gout may increase your risk of heart disease. Drink at least 10 to 12 cups of fluid each day to flush uric acid out of your body, and limit your intake of alcoholic beverages, especially beer. Alcohol can interfere with uric acid elimination and beer contains a high level of purine.
