In Lao Liu's clinic, many patients with acute gout attacks are often seen. Before joint swelling and heat pain appear, they will have the experience of eating hot pot and drinking a lot. I don't know whether eating hot pot induces acute gouty arthritis or drinking alcohol causes gouty attack.
Hot pot has north and south, gout has nothing. The hot pot in the north is light, and the hot pot in the south is spicy, but there is still oil, meat and vegetables in the hot pot after all. Isn't it like being a vegetarian with your life? Behind the seemingly balanced hot pot, it may be high purine or high fat. Do you get scared?
As far as Sichuan where Lao Liu is located is concerned, spicy hot pot is naturally the first one. As soon as the meal arrives, the hot pots all over the street are fragrant. Even patients with gout or hyperuricemia can hardly resist this temptation. Although for friends with high uric acid and gout, hot pot is not a good way to eat, because the purine, salt and fat in it will easily exceed the standard. But it is not generally difficult for gout patients not to eat hot pot: where can they eat hot pot when friends and relatives get together and go out for entertainment?
Today, I will tell you how to eat hot pot for patients with gout and hyperuricemia. Dr. Liu gave six suggestions:
What is the bottom of the pot? It's hotpot soup. Generally divided into spicy hot pot soup, clear oil hot pot soup, butter hot pot soup, old oil hot pot soup, Yuanyang hot pot soup, tomato hot pot soup, mushroom soup and so on.
As we all know, hot pot soup is rich in purine, and there is purine at the bottom of the soup itself, which will increase if vegetables are washed. For friends with hyperuricemia, clear soup, tomato soup or mushroom soup is the first choice, followed by fish soup, chicken soup or bone soup. But this is just an ideal state. After all, eating hot pot is not a matter for one person. In order to take care of your friends who eat hot pot with you, it is recommended to have half clear soup and half oil soup at the bottom of the pot.
Some friends like to drink hot pot soup, but it's not delicious. First of all, purine is soluble in water. Whether it is clear soup or thick soup pot bottom, the purine content in soup after food rinsing is high. In addition, if the content of amines in hot pot soup increases after long-term boiling, it is easy to synthesize nitrosamines and other substances with nitrite after continuous heating, which is not good for human body. If you really want to drink hot pot soup, it is recommended to drink a little before washing vegetables, but it is not recommended for gout patients to drink fish soup, chicken soup or bone soup.
The side dishes of hot pot are very rich, mainly including six kinds of ingredients, namely aquatic products, animal offal, animal meat, vegetables, roots, bean products and staple food. For gout patients, we should try to avoid high purine food and eat moderate purine food, but we all know that we like to eat meat, fish, viscera and other meat dishes when eating hot pot. And eating hot pot without meat doesn't mean not eating hot pot?
In fact, in the purine diet of patients with gout and hyperuricemia, if gout is in remission, it is to control the overall purine intake, that is, the daily purine intake is less than 300mg, while the meat intake is less than150 g, and in the daily diet, it is recommended to eat meat dishes, vegetarian dishes and staple foods together, so as to maintain a balanced nutrition while controlling the total amount.
Then, when eating hot pot, it is not recommended that gout patients only eat vegetarian food instead of meat. Generally speaking, they should eat more vegetables to control the quantity of meat. Some high-purity foods are still not recommended. We can look at the purine content of each component and compare it with the overall purine intake standard. In fact, every gout patient can know fairly well.
Judging from the purine of common hot pot ingredients, aquatic ingredients generally belong to high purine food, and the purine content in animal viscera and processed animal meat is also high. For gout patients, the intake of animal meat, aquatic products and internal organs with high purine content should be reduced and avoided as much as possible; You can eat meat and fish with moderate purine, as well as most fresh vegetables and fresh mushrooms.
Hot pot certainly needs seasonings, including sesame oil, sesame oil-based oil, oyster sauce, soy sauce, peanut butter, sesame sauce, Chili sauce, tofu, balsamic vinegar, shrimp sauce, chicken essence, and other seasoning materials, such as garlic, chives, parsley, broken ears, peanut powder, diced celery, shrimp skin, shrimp, minced meat and chopped pepper.
Then let's see it the same way. From the perspective of seasoning oil, sesame oil itself has a low purine content and belongs to vegetable oil, which can be properly eaten by gout patients. Peanut butter, sesame sauce, oyster sauce, shrimp sauce, tofu, etc. High in fat, salt, oil or purine, it is not recommended to eat. Soy sauce, chicken essence and so on. Not recommended because they have high salt content. Chili oil, Chili sauce, etc. They are all spicy and exciting foods, so use them as little as possible.
For gout patients, chopped green onion, coriander, diced celery, broken ears, peanut powder, balsamic vinegar and sesame oil can be used as seasoning. Of course, when using condiments, we should pay attention to: whether eating meat or vegetables or eating hot pot, we are used to dipping food in sauce before taking it out. This way of eating is easy to exceed the standard of fat.
What harm does fat exceeding the standard have to gout patients? Lipolysis will hinder uric acid excretion in the body. Originally, there was enough purine in hot pot meat. Because of too much fat, uric acid could not be discharged, so blood uric acid was easy to soar. Therefore, even if you use sesame oil, you should also grasp the dosage.
After choosing the soup base, side dishes and seasonings, we began to eat hot pot. Getting ready is the foundation, and eating hot pot is the highlight. Usually, when people eat hot pot, they rinse the meat first, and then rinse the vegetables. This is not only to satisfy their appetite, but also the vegetables at the bottom of the soup will taste better with meat.
However, it often happens that after eating meat, there is no intention to eat vegetarian dishes, and even if you want to eat, you just want to eat two bites. For patients with gout and hyperuricemia, it seems that the nutritional structure is unbalanced, that is, there is no vegetable and staple food to help balance. Then Liu's suggestion is that friends with high uric acid should pay attention to the way of eating hot pot:
For gout patients, it is suggested to add some boiling water or soup to the pot when eating hot pot, which can dilute the concentration of purine.
But we should also pay attention to controlling food intake, especially don't forget to eat staple food. Such as vermicelli, sweet potato powder, egg dumplings and so on. And high-carbohydrate foods such as potato chips, yam chips and corn can replace the staple food. This is also beneficial to the nutritional balance and can control the intake of meat and vegetables.
According to the normal situation, gout patients can eat 50 ~ 100g meat, poultry or fish with moderate purine, 500g vegetables, 100g bean products and100g staple food in a hot pot.
Here, Dr. Liu has a hot pot recipe for gout patients for your reference: