High Uric Acid Levels: What You Need to Know - Family Medicine

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Health check-up


Hello, doctor: I would like to ask you some questions.
My girlfriend is 21 years old and she had a health check-up two weeks ago.
The results showed that her uric acid level is high, but everything else is normal.
We don't understand the report because it is all in English.
I would like to know what tests she underwent.
The results are as follows:
- Creatinine: standard range 0.6–1.5 mg/dL; her result is 0.7 mg/dL
- Uric acid: standard range 2.0–6.0 mg/dL; her result is 6.6 mg/dL
- GOT (AST): standard range 10–42 IU/L; her result is 16 IU/L
- GPT (ALT): standard range 10–40 IU/L; her result is 25 IU/L
- Cholesterol: standard range 140–250 mg/dL; her result is 170 mg/dL
Could you please advise on what to do about her high uric acid level? Should she see a doctor, or can she just avoid certain foods? Thank you.

Xiao Guai, 20~29 year old female. Ask Date: 2006/08/28

Dr. Xu Li'an reply Family Medicine


Dear young patients, typically everything is normal.
Doctors usually do not specifically explain that creatinine is related to kidney function; as long as it is within the normal range, it is considered normal.
Uric acid is slightly elevated, so dietary attention is needed regarding organ meats, mushrooms, legumes, hot pot broth, chicken essence, and stock.
GOT and GPT are liver function tests.
Cholesterol should be kept below 200.
You can directly consult your physician about this.
I usually write to my patients wishing you and your family good health.

Xu Li-an, Hualien Hospital, Family Medicine Department, 950830.

Reply Date: 2006/08/28

More Info


High uric acid levels, or hyperuricemia, can be a significant health concern, particularly for young individuals like your girlfriend. Uric acid is a waste product formed from the natural breakdown of purines, substances found in certain foods and drinks. When the body produces too much uric acid or fails to eliminate enough of it, levels can rise, leading to potential health issues such as gout, kidney stones, or even kidney disease.

In your girlfriend's case, her uric acid level is reported at 6.6 mg/dl, which is above the normal range (2.0-6.0 mg/dl). While this is not alarmingly high, it does warrant attention. Here are some key points to consider regarding high uric acid levels and how to manage them:
1. Dietary Modifications: One of the most effective ways to manage uric acid levels is through dietary changes. Foods high in purines can contribute to elevated uric acid levels. These include:
- Red meats and organ meats (like liver)
- Certain seafood (like sardines, anchovies, and shellfish)
- Sugary beverages and foods high in fructose
- Alcohol, particularly beer and spirits
Instead, encourage a diet rich in fruits, vegetables, whole grains, and low-fat dairy products. Cherries, in particular, have been shown to help lower uric acid levels.

2. Hydration: Drinking plenty of water is crucial. Staying well-hydrated helps the kidneys flush out uric acid more effectively. Aim for at least 8-10 glasses of water a day, or more if she is physically active.

3. Weight Management: If your girlfriend is overweight, losing weight can help lower uric acid levels. However, it’s important to approach weight loss gradually, as rapid weight loss can actually increase uric acid levels.

4. Regular Monitoring: Since her uric acid levels are elevated, it would be wise for her to have regular check-ups with a healthcare provider. This will help monitor her levels and assess any potential complications.

5. Medication: In some cases, if lifestyle changes are insufficient, a doctor may prescribe medications to help lower uric acid levels. This is typically considered if there are recurrent gout attacks or other complications.

6. Understanding Other Test Results: The other results from her health check-up, such as creatinine (0.7 mg/dl), GOT (16 IU/L), GPT (25 IU/L), and cholesterol (170 mg/dl), are within normal ranges. Creatinine is an indicator of kidney function, and normal levels suggest that her kidneys are functioning well. The liver enzymes (GOT and GPT) are also normal, indicating no immediate liver issues. Cholesterol levels are acceptable but should be monitored to ensure they remain within a healthy range.

7. Consulting a Healthcare Provider: It is advisable for your girlfriend to consult with a healthcare provider or a dietitian who can provide personalized advice based on her overall health, lifestyle, and dietary preferences. They can help create a tailored plan to manage her uric acid levels effectively.

In summary, while dietary changes are a crucial first step in managing elevated uric acid levels, regular monitoring and consultation with healthcare professionals are essential for long-term health. Encourage your girlfriend to adopt a balanced diet, stay hydrated, and maintain a healthy lifestyle to help manage her uric acid levels effectively.

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