Low Purine Diet

WHAT YOU SHOULD KNOW:

Low Purine Diet (Discharge Care) Care Guide

A low-purine diet is a meal plan based on foods that are low in purine content. Purine is a substance that is found in foods and is produced naturally by the body. Purines are broken down by the body and changed to uric acid. The kidneys normally filter the uric acid, and it leaves the body through the urine. However, people with gout sometimes have a buildup of uric acid in the blood. This buildup of uric acid can cause swelling and pain (a gout attack). A low-purine diet may help to treat and prevent gout attacks.

AFTER YOU LEAVE:

Foods to include:

The following foods are low in purine.

  • Eggs, nuts, and peanut butter

  • Low-fat and fat free cheese and ice cream

  • Skim or 1% milk

  • Soup made without meat extract or broth

  • Vegetables that are not on the medium-purine list below

  • All fruit and fruit juice

  • Bread, pasta, rice, cake, cornbread, and popcorn

  • Water, soda, tea, coffee, and cocoa

  • Sugar, sweets, and gelatin

  • Fat and oil

Foods to limit:

  • Medium-purine foods:

    • Meats: Limit the following to 4 to 6 ounces each day.

      • Meat and poultry

      • Crab, lobster, oysters, and shrimp

    • Beans, peas, and lentils (limit to 1 cup each day)

    • Vegetables: Limit the following vegetables to ½ cup each day.

      • Asparagus

      • Cauliflower

      • Spinach

      • Mushrooms

      • Green peas

    • Oats and oatmeal (limit to ⅔ cup uncooked each day)

    • Wheat germ and bran (limit to ¼ cup each day)

  • High-purine foods: Limit or avoid foods high in purine.

    • Anchovies, sardines, scallops, and mussels

    • Tuna, codfish, herring, and haddock

    • Wild game meats, like goose and duck

    • Organ meats, such as brains, heart, kidney, liver, and sweetbreads

    • Gravies and sauces made with meat

    • Yeast extracts taken in the form of a supplement

Other guidelines to follow:

  • Increase liquid intake. Drink 8 to 16 (eight-ounce) cups of liquid each day. At least half of the liquid you drink should be water. Liquid can help your body get rid of extra uric acid.

  • Limit or avoid alcohol. Alcohol (especially beer) increases your risk of a gout attack. Beer contains a high amount of purine.

  • Maintain a healthy weight. If you are overweight, you should lose weight slowly. Weight loss can help decrease the amount of stress on your joints. Regular exercise can help you lose weight if you are overweight, or maintain your weight if you are at a normal weight. Talk to your primary healthcare provider before you begin an exercise program.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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