Managing High Creatinine Levels: Hydration and Dietary Choices

Elevated creatinine levels?

A month ago, I visited a doctor due to gout, and after blood and urine tests, I was found to have a high uric acid level of 9.9 and a creatinine level of 1.2.
The doctor advised me to drink more water.
After increasing my water intake, I started drinking several bottles of fresh orange juice, which caused my foot pain to return.
After a month, the doctor asked me to undergo another blood and urine test.
This time, despite experiencing pain, my uric acid level was measured at 4.3 and my creatinine level decreased to 1.1.
The doctor warned that if I continued to drink excessively, I could risk kidney failure.
Although I now drink over 3000 ml of water daily, I find it difficult to change my habit of consuming sugary beverages.
I would like to ask if drinking enough water can prevent high uric acid levels even if I continue to drink beverages, and how often I can consume these drinks without harming my kidneys.
Thank you for your guidance.

Li Zimin, 20~29 year old female. Ask Date: 2023/05/02

Dr. Li Jian reply Internal Medicine

In addition to excessive meat intake, consuming beverages high in fructose can also lead to elevated uric acid levels, so it is advisable to limit the intake of sugary drinks.

Reply Date: 2023/05/02

More Info

Managing high creatinine levels and uric acid levels is crucial for maintaining kidney health and preventing complications such as gout and kidney disease. Your situation, where you have experienced fluctuations in uric acid and creatinine levels, highlights the importance of hydration and dietary choices.

Hydration: Drinking adequate amounts of water is essential for kidney function. Water helps dilute the substances in the urine, which can prevent the formation of kidney stones and assist in flushing out excess uric acid. The general recommendation for hydration is to drink at least 2 to 3 liters (about 8 to 12 cups) of water daily, but this can vary based on individual needs, activity levels, and climate. In your case, since you are already drinking over 3000 ml of water daily, you are on the right track. However, it’s important to ensure that the water intake is consistent throughout the day rather than consumed in large quantities at once.

Dietary Choices: Your diet plays a significant role in managing both uric acid and creatinine levels. Foods high in purines, such as red meats, organ meats, and certain seafood, can elevate uric acid levels. It’s advisable to limit these foods and instead focus on a diet rich in fruits, vegetables, whole grains, and low-fat dairy products. Foods like cherries, which have been shown to lower uric acid levels, can be beneficial.
Regarding your consumption of beverages, while it’s important to stay hydrated, the type of drinks you consume matters. Freshly squeezed juices, like orange juice, can be high in fructose, which may contribute to increased uric acid levels. Instead, consider drinking water, herbal teas, or diluted fruit juices in moderation. If you enjoy flavored drinks, try to opt for those without added sugars or high fructose corn syrup.

Frequency of Sugary Drinks: If you have a habit of consuming sugary drinks, it’s best to limit them as much as possible. Instead of having them daily, consider reserving them for special occasions or limiting your intake to once or twice a week. This approach can help you enjoy your favorite beverages without significantly impacting your uric acid and kidney health.

Monitoring and Consultation: Since your doctor has advised you to continue monitoring your levels, it’s essential to follow up with regular blood tests to track your creatinine and uric acid levels. If you notice any symptoms of gout, such as joint pain or swelling, it’s crucial to consult your healthcare provider promptly.

In summary, maintaining high hydration levels and making mindful dietary choices are key strategies in managing high creatinine and uric acid levels. By focusing on water intake, reducing high-purine foods, and limiting sugary beverages, you can support your kidney health and overall well-being. Always consult with your healthcare provider or a registered dietitian for personalized advice tailored to your specific health needs.

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