Can people with high uric acid levels eat fish?
Jul 05, 2025
Source: Cainiu Health
Dr. Yang Tiesheng
Introduction
Most freshwater fish, such as crucian carp and grass carp, are moderate in purine content. They may be consumed in small amounts when uric acid levels are well controlled and there are no frequent gout attacks. It is recommended to consume no more than 100 grams per serving, 1-2 times per week. Steaming or boiling is preferred for cooking; frying or making soup broth should be avoided. Some saltwater fish, such as sardines and anchovies, are high in purines.
Generally speaking, people with high uric acid levels can eat fish, but should choose fish based on their purine content and individual medical conditions, avoiding high-purine fish and controlling intake. If in doubt, it is recommended to consult a doctor in advance. Detailed analysis is as follows:
Most freshwater fish, such as crucian carp and grass carp, are considered moderate-purine foods. When uric acid levels are stable and there are no frequent gout attacks, small amounts can be consumed, with a suggested serving size of no more than 100 grams per meal. It is recommended to prepare fish by steaming or boiling, avoiding frying or making fish soup. Certain marine fish, such as sardines and anchovies, are high-purine foods. Individuals with uncontrolled high uric acid levels or those experiencing an acute gout attack should strictly avoid these fish to prevent increased uric acid production, which may trigger or worsen symptoms.
For individuals with high uric acid levels, low- or moderate-purine fish should be prioritized while avoiding fish organs and skin, where purines tend to accumulate. Additionally, attention should be paid to dietary balance—reducing intake of other high-purine foods while eating fish and drinking plenty of water to promote uric acid excretion. If joint discomfort or fluctuations in uric acid levels occur after consuming fish, consumption should be stopped and medical advice sought.
Individuals with high uric acid levels should consume fish according to their personal condition, following the principle of low-purine and moderate intake. Regular monitoring of uric acid levels, maintaining a healthy lifestyle, and adjusting dietary plans under a doctor's guidance when necessary are also important.
