Do you love slurping on steaming bowls of pho but worry about its potential impact on your health? One recurring concern among pho lovers is whether this Vietnamese noodle soup does Pho cause gout, a painful arthritis condition caused by the buildup of uric acid crystals in your joints. In this article, we’ll explore the scientific evidence regarding pho and gout to help you make an informed decision about consuming this delicious dish.
What is Pho?

Pho is a traditional Vietnamese soup made with beef or chicken broth, rice noodles, herbs, and various toppings such as bean sprouts, lime wedges, and chili peppers. The broth is typically simmered for several hours with ingredients like cinnamon, star anise, and ginger to infuse it with rich flavor. Pho is a popular street food in Vietnam and has gained widespread popularity across the world due to its unique taste and healthy ingredients.
What is Gout?
Gout is a type of arthritis that occurs when uric acid accumulates in your joints, leading to inflammation and pain. It primarily affects the big toe but can also affect other joints like the ankle, knee, elbow, and wrist. Gout attacks can be triggered by consuming foods high in purines, a compound found in many animal-based protein sources like red meat, seafood, and organ meats.
How Does Pho Cause Gout?

So, does pho cause gout? While there is no clear-cut answer to this question, the overall evidence suggests that pho is unlikely to trigger gout attacks. Here are a few reasons why:
- Pho is low in purines: Unlike many other meat-based dishes, pho contains relatively low levels of purines. The beef or chicken used to make the broth is typically lean and contains fewer purines than fattier cuts of meat. Additionally, the rice noodles and vegetable toppings in pho are purine-free, making it a healthier option than many other soups or stews.
- Pho contains anti-inflammatory ingredients: Many of the herbs and spices used in pho have anti-inflammatory properties that can help reduce joint pain and inflammation associated with gout. For example, ginger and turmeric are known for their anti-inflammatory effects and are commonly used in traditional medicine to treat arthritis symptoms.
- Pho is hydrating: Drinking plenty of fluids is essential for people with gout to help flush out excess uric acid from the body. Pho broth is rich in water and can help keep you hydrated throughout the day.
Pros and Cons of Consuming Pho

While pho may not cause gout, it’s important to understand the potential pros and cons of consuming this dish:
Pros:
- Rich in nutrients: Pho contains a variety of vitamins and minerals, including vitamin C, iron, and zinc. The herbs and spices used in the broth also have medicinal properties that can boost your immune system and improve digestion.
- Low in calories: A typical bowl of pho contains around 300-400 calories, making it a great option for people looking to maintain a healthy weight.
- Gluten-free and dairy-free: Pho is naturally gluten-free and dairy-free, making it a safe option for people with celiac disease or lactose intolerance.
Cons:
- High in sodium: Most restaurant-prepared pho contains high levels of sodium, which can lead to high blood pressure and other health issues if consumed in excess.
- May contain MSG: Some pho broths may contain monosodium glutamate (MSG), a flavor enhancer that some people are sensitive to. If you’re sensitive to MSG, be sure to ask the restaurant if their pho broth contains this ingredient.
- May contain animal products: While many pho restaurants offer vegetarian or vegan options, most traditional pho broth is made with beef or chicken bones. If you’re following a plant-based diet or are concerned about animal welfare, be sure to ask the restaurant if they have any meat-free options.
Alternatives to Pho

If you’re looking for alternatives to pho that are low in purines and suitable for people with gout, here are a few options:
- Vegetable soup: A simple vegetable soup made with low-purine vegetables like carrots, celery, and zucchini can be a great option for people with gout. Add anti-inflammatory herbs like ginger and turmeric to boost the flavor.
- Lentil soup: Lentils are high in protein but low in purines, making them an excellent choice for people with gout. Try making a lentil soup with low-sodium vegetable broth and plenty of herbs and spices.
- Chicken noodle soup: While chicken is higher in purines than beef or fish, a homemade chicken noodle soup made with lean chicken breast and low-purine vegetables can still be a healthy option for people with gout## Tips for Consuming Pho
If you’re a pho lover and want to continue enjoying this dish while managing your gout symptoms, here are a few tips to keep in mind:
- Choose lean cuts of beef or chicken: Opt for lean cuts of beef or chicken when ordering pho. These cuts contain fewer purines than fattier cuts like brisket or flank steak. Additionally, ask the restaurant to remove any visible fat before serving.
- Limit your portion size: While pho may be low in calories, it’s still important to watch your portion sizes. Stick to a small or medium-sized bowl and avoid adding too many toppings like fried onions or crispy pork belly.
- Avoid adding hoisin sauce: Hoisin sauce is a commonly-used condiment in pho that can be high in sugar and sodium. If you do choose to add hoisin sauce, use it sparingly.
- Stay hydrated: Drinking plenty of water throughout the day can help flush out excess uric acid from your body. Be sure to drink water before, during, and after consuming pho.
The Best Pho Restaurants Around the World

If you’re looking to try some of the best pho restaurants around the world, here are a few options:
- Pho 95, Denver, Colorado: This family-owned restaurant has been serving up authentic Vietnamese pho for over 20 years. Their broth is made with beef bones and simmered for over 24 hours to create a rich flavor.
- Pho Van, Portland, Oregon: This restaurant sources its ingredients locally and serves up a variety of pho options, including vegetarian and gluten-free options.
- Pho Binh, Ho Chi Minh City, Vietnam: This iconic pho restaurant has been around since the 1960s and is a favorite among locals and tourists alike. Try their specialty pho with beef, meatballs, and tendon.
- Pho Thin, Hanoi, Vietnam: This restaurant is famous for its pho with rare beef and crispy fried shallots. The broth is simmered with cinnamon and anise for a fragrant flavor.
- Mui Kee, Hong Kong: This Michelin-starred restaurant serves up traditional Cantonese-style beef brisket pho with tender meat and rich broth.
Conclusion
So, does pho cause gout? The evidence suggests that pho is unlikely to trigger gout attacks due to its low purine content and anti-inflammatory ingredients. However, it’s important to watch your portion sizes and limit your intake of high-sodium condiments like hoisin sauce. By following these tips and choosing lean cuts of beef or chicken, you can continue enjoying this delicious dish while managing your gout symptoms.
FAQs
- Can people with gout eat pho?
Yes, people with gout can typically eat pho as long as they choose lean cuts of meat, watch their portion sizes, and limit their intake of high-sodium condiments like hoisin sauce.
- Is pho high in purines?
Pho is relatively low in purines compared to many other meat-based dishes. The rice noodles and vegetable toppings in pho are also purine-free, making it a healthier option than many other soups or stews.
- Does pho broth contain MSG?
Some pho broths may contain monosodium glutamate (MSG), a flavor enhancer that some people are sensitive to. If you’re sensitive to MSG, be sure to ask the restaurant if their pho broth contains this ingredient.
- Can vegetarians or vegans eat pho?
Many pho restaurants offer vegetarian or vegan options made with vegetable broth and tofu or seitan instead of meat. Be sure to ask the restaurant if they have any meat-free options.
- Is pho a healthy option?
Pho can be a healthy option as long as you choose lean cuts of meat, watch your portion sizes, and avoid high-sodium condiments like hoisin sauce. Pho is also rich in nutrients like vitamin C, iron, and zinc, making it a great choice for a balanced diet.