Therefore, within the guidelines below, for dietary treatment of gout, it is important to also keep caloric intake in balance with expenditure, which may be low. In general, the intake of high purine containing foods and fat have to be limited. This man's diet should be high in carbohydrate, moderate in protein, low in fat, low in purine, with plenty of fluids and limited alcohol. Limit fat because they impair the excretion of urates. That means limiting foods high in fat such as ice cream, fried foods, and pastries.
Increase fluids to assist in the excretion of uric acid.
He should be drinking from 3 to 4 liters of fluid a day. Non-caloric fluids are the best, so as not to hurt his appetite for other foods. However, some of that fluid should be fruit juice because it maintains an alkaline urine that prevents crystallization of urate into stones, except cranberry, plum and prune juice which produce and acid urine. Limit alcohol since it enhances retention of urate. Increase his intake of vitamin D fortified milk as this will help with the rickets, plus is a good source of protein very low in purine, and is a fluid.