Gout is caused by an excess of uric acid in the body. Purines consumed in the diet account for about 50 percent of the uric acid produced in the body. Therefore, avoiding foods high in purines or following a modified purines diet may help gout improve. The gout diet puts and emphasis on dairy products, vegetable protein and water intake and avoiding food high in purines. When this diet is used, studies have shown that gout symptoms decrease and the sudden, painful attacks of gout can be prevented.

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A low purines diet consists of eliminating the following food high in purines from the diet: organ meats, sweetbreads, brains, kidney, meat gravies, meat extracts, scallops, wild game, mackerel, herring, anchovies and sardines. In addition, only one serving of the following foods are allowed per day for avoiding food high in purines: dried beans and peas, asparagus, cauliflower, spinach, mushrooms, poultry, meat or fish. A low purines diet, once frequently prescribed, is not frequently used today, however. Instead, a purine-modified diet is now used for the treatment of gout.

Most people who have gout use a purine-modified diet and avoid food high in purines. This diet consists of eliminating extremely high purines such as liver, brains, kidney and other organ meats as well as sweetbreads. However, in a purine-modified diet, it is ok to have some protein foods not to exceed 100 grams per day. In one ounce of meat, there are 7 grams of protein

Bread and grains have about 3 grams of protein per serving. One serving is one slice of bread or ½ cup of grain. Protein can be obtained by eating milk, eggs and cheese because these foods are high in protein and low in purines.

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Along with avoiding food high in purines, medications such as non-steroidal anti-inflammatory drugs, corticosteroids and allopurinol are used to treat gout. In addition, it is important to substitute dairy products such as milk, eggs and cheese for the missing purine containing foods in order to reduce the chances of developing gout. In a study published in the New England Journal of Medicine, those that consumed these dairy products in large amounts reduced the risk of developing gout by 50 percent.

In a low or modified purines diet, the following extremely high purine foods need to be eliminated from the diet completely in order to prevent and treat gout: Anchovies, bouillon, brains, broth, consumme, dried legumes, goose, gravy, heart, herring, kidneys, liver, mackerel,, meat extracts, mincemeat, mussels, partridge, roe, sardines, scallops, shrimp, sweetbreads, yeast (bakers and brewers), and yeast extracts (maramite, vegemite).

Fish, shellfish, poultry and meats except those mentioned in the foods to be avoided) contain high purine levels and can be consumed in moderation in a purine-modified diet. Foods that contain only moderate amounts of purine and are allowed on a low purine or modified-purine diet are the following: Asparagus, cauliflower, legumes, lentils, mushrooms, oatmeal, peas (dried), soy, spinach, tripe, best bets, beverages (carbonated), butter, cereals and cereal products, cheese (all types), cocoa, corn, cornbread, eggs, fruit juices, fruits, gelatin, ice cream, milk, noodles, nuts, refined white flour, tapioca, vegetables (except those high in purine), white bread and crackers, and white rice.

If you suffer from gout or want to prevent gout, drink lots of water, eat lots of dairy products and vegetable proteins and avoid or decrease significantly the amount of high purine foods in the diet.

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