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Conditions > Gout > Healthy Living with Gout > Foods’ Purine Content
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Foods' Purine Content

What to eat – and what to avoid – when it comes to managing gout.

Managing gout means making lifestyle changes, such as eating fewer foods high in purines. Limiting those with the highest and high amounts may help control gout attacks. Here’s a list – from highest to lowest – of foods and their purine content.

GROUP A
Foods with a high purine concentration, about 150 to 1,000 milligrams of purine per 100 grams of food. Your doctor may recommend not eating these foods.

• Liver
• Sweetbreads
• Brains
• Fish roe/eggs
• Beer
• Kidney
• Sardines
• Gravies
• Broths
• Mussels
• Wine
• Anchovies
• Heart
• Herring

Group B
Foods with moderate amounts of purine, 50 to 150 milligrams per 100 grams of food. Your doctor may recommend that you not eat more than one serving of any of these foods each day.

• Meats
• Peas
• Cauliflower
• Lentils
• Yeast
• Beans
• Asparagus
• Mushrooms
• Spinach
• Whole grain cereals
• Fowl (for example: chicken or duck)
• Fish (except for those listed above)
• Other seafood

Group C
Foods with very few purines. You do not need to limit these foods to avoid purines.

• Vegetables (except for those listed above)
• Fruits
• Milk
• Eggs
• Spices and condiments, including salt and vinegar
• Refined cereals and cereal products
• Butter and fats (in moderation)
• Sugar and sweets (in moderation)
• Vegetable soups (clear broth)
• Nuts

Adriana West
06 May 2012, 11:53
No one has mentioned alkaline diet and gout on the above posts. There is a lot of information on line about this. Again it means restrictions on what you eat but if it works it must be worth it, and some of these posts are heartbreaking.

Introducing a more alkaline diet has helped my suspected incipient arthritis. Have not been to doctor as have not found them terribly helpful in the past.

Alkalising my diet has also kept recurring cystitis at bay. There must be a connection with uric acid and the uric crystals that can form in kidneys and irritate bladders. It's hard. One has to do so much homework oneself as doctors just don't seem to have any answers except antibiotics or steroids. Fine tuning of the metabolism through what we eat just doesn't seem to occur to them, yet everyone knows our modern western diet is toxic with too much meat and processed foods - all acid forming. There is a lot on line. I know there are contradictions but there are a few pointers which can help and then it's trial and error. Good luck and good health to everyone looking for answers.
don
27 Apr 2012, 13:30
Because dietary management of gout is so restrictive and of limited benefit, medication is the best way to treat gout.

The primary dietary modification traditionally recommended is a low-purine diet. Avoiding purines completely is impossible, but strive to limit them. People with gout should learn by trial and error what their personal limit is and which foods cause problems.

Foods considered high in purine content include:

* Alcoholic beverages (all types).
* Some fish, seafood and shellfish, including anchovies, sardines, herring, mussels, codfish, scallops, trout and haddock.
* Some meats, such as bacon, turkey, veal, venison and organ meats like liver.

Foods considered moderate in purine content include:

* Meats such as beef, chicken, duck, pork and ham.
* Crab, lobster, oysters and shrimp.
* Vegetables and beans such as asparagus, kidney beans, lentils, lima beans, mushrooms and spinach.
sarah cooke
05 Apr 2012, 01:18
Does anyone have any info on chickpeas(garbonzo beans)?
GIDEON ANAND KUMAR
31 Mar 2012, 02:43
i have been suffering from gout at least 6yrs i do not know what to do so one day i went to doctor near bye he advised me to take pain killers and gave me injection of voviron d but next day iwas totaly had a parcial paralysis to my both legs were my body is having allergic to diclofenic so till today iam suffering from gout and parayalisis so any body can help me
Dallas
07 Mar 2012, 18:01
I hear you Paul, it is shocking just how conflicting the information is. One site says vegetables with purines are fine and the next says 'no way'. I ave seen spinach on both the 'good to eat' list as well as the 'avoid' list. And many of the sites, like livestrong.com are just repeats of snippets from other sites. Even the respected medical sites like Mayo conflict with other respected, medical sites. I am in the middle of an attack right, close OD'ing on water 'cause it is the only consistently recommended food or drink and really hungry cause I am scared to eat anything else!
paul
04 Jan 2012, 18:41
Getting information on a good diet for gout treatment is impossible online. I am reading all kinds of conflicting info on arthritistoday,Mayo clinic and Web MD and these sites are all linked. Take Vit C, don't. nuts are good and bad, avoid sweets or not, eggs are good, no they are bad. Whole grain is good, no don't eat whole grain bread. Does anyone agree on anything?
shamshad
16 Sep 2011, 02:03
Its been more than 10 years that i used to get pain in my left toe but could not find out when did I hurt my toe, it was one night that i got up with a very severe pain in the same toe and could not sleep. The pain was so severe as if somebody has chopped my toe. The entire toe got red and swollen and by morning the pain reduced, but it continued to pain and gradually subsided. This attach started every 3- 4 months and then I realized that my nail after every attached turned black, once the entire nail became black it fell off from my finger. after this I visited the doctor and found that cause of high uric acid and high level of protein this was happening to me,Its been sometime that i have not got the attach but now my left thumb has a continuous pain, my right knee has become very stiff and at times limp and walk. i am slim and do lot of stretch exercise. please help how do i get rid of this pain,
mahbub reza
27 Apr 2011, 08:13
At first 6 month ago my left arm aches. but after 2 month my right hand's fingers were swolen and severe pain. gradually it affects both hands, feet and knees elbow arms joints. it increases at night. at night arms joints pain awake me from bed. i am very anxious about my life. i take sulfasalazine 500mg but there is no improve. what type of food should i take? please help me oh the people of the universe. give some suggestion. i will be very grateful to you forever.
Judy Schulte
04 Apr 2011, 09:52
Can a person get gout in their heel? Is it true that eating cherries will help with gout?
Mary Witt
01 Apr 2011, 10:31
I do not like meat or eggs very much. To try to lose weight, I need more protein. I have been drinking one High Protein Boost. I am wondering if it is high in purines. Also, how much spinach and other vegetables that are high in purines, may I consume per day?
spike
23 Mar 2011, 06:28
hello are you "NUTS" are you sure of what are you talking here you put NUTS in the NO MODERATION list, you are insane try that and you'll be walking again in no time, in your second life i may add.
Viki
03 Mar 2011, 01:19
I have not eaten red meat nor pork for over 20 years. I do eat chicken, white fish, vegetables and fruits. Lately, because of a raise in my cholesterol and tryclycerides, I have been eating hummus, salads, tofu, beans, etc. However, many of these foods are high in purines and as a result, I had a gout attack. I have gone online and see conflicting info on various foods and purine levels. Does anyone know if tofu is high in purine? Soy is listed under the legume family which is high in purine, but then I read many gout articles online that said tofu is low in purine. This seems conflicting. If anyone knows the purine level of tofu and whether it is ok to eat with gout, please let me know. I am soon exhausting the foods that I can eat with gout, cholesterol and tryclycerides! Thanks!
Alice
23 Feb 2011, 20:02
My fiancee(60) has gout. Mild to no flare up's, when they do his hand swells up first (icepack's) then a foot. Looking over the list what is left to eat? I(53) have Osteoarthritis and Raynauds.
We eat a lot of salads, greens, chicken, little red meat. At a lost of what to make according to list.

Thank you,
Alice Yeager
Sharon Graves
17 Feb 2011, 11:30
Recently told my uric acid is elevated and I need to make dietary changes. All I can find is a list of foods to avoid which are high in purines. Is that enough to lower the uric acid to a normal level? How often should I be tested for the levels? So far I have very limited stiffness in one foot so is this a gout symptom?
GARY BOWERS
16 Feb 2011, 12:14
I have high uric acid. My right knee and right wrist are sore and hurt. Doctor said I have gout and arthritis.
What can I eat to help without drugs?
I want to try my diet first without drugs.
What is the length of time to try diet over drugs before having to try drugs.
Krystal
27 Dec 2010, 20:30
The location of gout if around toe area, is it under the toe or the sideway or the top and how can it be distinguished from pseudogout, tendon and cartilage inflammation for those who are required to wear high heels or bad shoes for work.

Thanks!!!
Joyce Harding
04 Nov 2010, 12:00
I have an infection in my right leg (three middle toes are badly swollen and red, the infection goes up my knee, red, tingly, numb (like a tingly-numb feeling going up my thigh, and very painful. My doctor gave me prednisone for seven days, as that cured my Gout last spring. I have Osteoarthritis and Fibromyalgia, and on coumadin for blood clotting factor. Does this affect the infection in the toes and calf?
Cariliss Tillis
14 Sep 2010, 14:13
My dad has gout. Is it safe for him to eat pink or red sockeye salmon that is bought in the can ? I fry it for him sometimes? Also is it safe to eat sharp cheddar cheese?

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