Gout is a painful type of arthritis caused by excess uric acid in the blood. When uric acid builds up, it forms crystals that settle in joints—often the big toe—causing intense pain, swelling, and inflammation. While medications play a central role in managing gout, diet is an important part of a long-term care plan.
Purines are natural substances found in many foods. When your body breaks them down, uric acid is produced. Normally, uric acid is filtered by the kidneys and removed in urine. But when levels get too high, uric acid crystals can trigger gout attacks or contribute to kidney stones.
Following a low-purine diet can help lower uric acid levels, reduce the frequency of gout flares, and support overall joint health.
A healthy, gout-conscious diet doesn’t mean bland or restrictive eating. Many nutritious foods are naturally low in purines:
Grains: Popcorn, brown rice, pasta, whole-grain bread, cereals
Fruits: All fruits are safe, with cherries, citrus, and berries showing extra benefits for lowering uric acid
Vegetables: Most vegetables are encouraged—except a few higher-purine options listed below
Dairy: Low-fat or fat-free milk, yogurt, and cheese are especially beneficial
Proteins: Eggs, nuts, and peanut butter are excellent low-purine sources
Other options: Coffee, tea, cocoa, olive oil, vinegar, herbs, and condiments are all safe choices
Hydration is also critical—drinking plenty of water helps your kidneys flush out uric acid more effectively.
Some foods are especially high in purines and can raise uric acid levels significantly. Limiting or avoiding these items is key in gout management:
Grains: Oatmeal, wheat bran, wheat germ
Vegetables: Asparagus, spinach, cauliflower, peas, mushrooms
Meats & Proteins:
Red meats such as beef, lamb, and pork
Organ meats (liver, kidneys, heart, brain)
High-purine fish and seafood such as sardines, anchovies, mackerel, tuna, scallops, mussels, shrimp, lobster, crab, oysters, and trout
Game meats (goose, venison)
Dried beans, lentils, and peas (limit intake rather than avoid completely)
Other foods: Gravies, meat-based soups and sauces, yeast supplements, alcohol—particularly beer and spirits
Alcohol deserves special attention. Even moderate consumption can raise uric acid levels and trigger gout flares. Avoiding it, or at least limiting intake, is one of the most effective dietary steps for controlling gout.
A gout diet is not about perfection—it’s about balance and consistency. Here are some key takeaways:
Prioritize whole, plant-based foods like fruits, vegetables, and whole grains
Choose lean proteins wisely—eggs, nuts, and low-fat dairy are excellent
Stay hydrated—aim for at least 8–12 cups of water daily
Avoid trigger foods such as red meats, organ meats, shellfish, and alcohol
Pair with medications—dietary changes alone often aren’t enough but are a powerful complement to medical treatment
Living with gout means being mindful of what you eat and drink. By following a low-purine diet, you can lower your risk of painful flares, protect your joints, and improve your overall health.
At Restore Foot & Ankle Specialists, we work closely with patients to manage gout through both medical treatment and personalized lifestyle guidance. If you experience frequent gout attacks or have questions about your diet, schedule a consultation with our team to create a care plan tailored to your needs. Contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.