Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns
Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms of g...
Dr. Xiao Yongxun Reply:
Dear Ms. Kiki: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. When uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to go...[Read More] Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns
Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns
Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check-up, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms o...
Dr. Xiao Yongxun Reply:
Dear Ms. KiKi: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. If uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to gout....[Read More] Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns
Can Chlamydia Infection Cause High Uric Acid Levels in Arthritis?
Clostridium infection Hello doctor, does Chlamydia infection-related arthritis lead to high uric acid levels?
Dr. Liao Zhongxin Reply:
Dear readers: Regarding Chlamydia arthritis, the response is as follows, referencing http://blog.xuite.net/apex0818/twblog/121592288-%E6%8A%AB%E8%A1%A3%E8%8F%8C%E9%97%9C%E7%AF%80%E7%82%8EI. I. Cause: Infection with Chlamydia trachomatis after sexual contact is a common cause ...[Read More] Can Chlamydia Infection Cause High Uric Acid Levels in Arthritis?
Understanding Rheumatoid Arthritis and Uric Acid Levels in Blood Tests
Rheumatoid arthritis and uric acid? Hello! I would like to ask if the rheumatoid factor test report includes uric acid levels. I checked my report yesterday, and there was no rheumatoid factor, but the inflammatory markers were elevated. I am concerned that even without rheumatoi...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The rheumatoid factor and uric acid levels are two different tests. Therefore, if your physician did not include these two tests in the examination items, you may not receive results for either the rheumatoid factor or uric acid levels. It would...[Read More] Understanding Rheumatoid Arthritis and Uric Acid Levels in Blood Tests
Do You Need Regular Kidney Function Tests? Common Concerns Explained
Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained
Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...
Dr. Xiao Yongxun Reply:
Dear Mr. Anong: 1. Your height is 163 cm, weight is 103 kg, and your body mass index (BMI) is 48.9 kg/m², which classifies you as severely obese. Consequently, your risk of developing the following conditions is increased: hypertension, dyslipidemia, metabolic syndrome, type 2 d...[Read More] Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
Should a Middle Schooler with High Uric Acid Levels Take Medication?
A middle school student with a uric acid level of 8 mg/dL, should medication be considered? Doctor, in my lifetime, during a school health check, my uric acid level was found to be elevated at 8. I went to see a doctor, who advised me to take medication to lower uric acid for one...
Dr. Wu Jiyu Reply:
Based on your inquiry, if your uric acid level is 8 and you have no history of gout attacks, you can start with dietary control, increase your fluid intake, and reduce consumption of sugary beverages. After making these adjustments, you should have a follow-up test and then discu...[Read More] Should a Middle Schooler with High Uric Acid Levels Take Medication?
Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
In addition to measuring uric acid levels, what other methods can be used to achieve a definitive diagnosis during an acute attack of non-gouty arthritis? Hello Dr. Gao, Due to my work in the United States, I was unable to return to Taiwan for medical treatment. On a day when I...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I will summarize my response as follows: 1. I believe the likelihood of gout is very low, even if you have mild hyperuricemia. Generally, gout attacks are quite severe, with significant redness, swelling, heat, and pain, often preventing indi...[Read More] Diagnosing Non-Gout Acute Attacks: Beyond Uric Acid Testing
Understanding Thumb Joint Nodules: Symptoms and Treatment Options
There is a nodule or hard lump on the second phalanx of the right thumb? In the past six months, I have experienced pain in my right thumb when performing certain actions (such as opening bottles or snack packages, where I cannot apply force). There is pain and stiffness when ben...
Dr. Gao Jiankai Reply:
Hello, based on the symptoms you provided, it is likely not rheumatoid arthritis or gout. However, to accurately identify the nodules, it would be best to have them examined. I recommend consulting a rheumatologist or an orthopedic specialist. The Changhua Hospital of the Ministr...[Read More] Understanding Thumb Joint Nodules: Symptoms and Treatment Options
Could Your Diet and Dehydration Be Causing Kidney Pain?
Drinking insufficient water and experiencing lower back pain after consuming certain foods may indicate a potential issue with the kidneys? Hello Doctor: I have noticed that whenever I eat certain specific foods (like Angelica duck noodles or braised dishes), I experience sorenes...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Regarding your symptoms, there are several possible scenarios: 1. The pain in your elbows and knees may be related to gout. I recommend visiting a hospital for a blood test to check your uric acid levels. 2. A high-sodium diet can lead to increased fluid intake...[Read More] Could Your Diet and Dehydration Be Causing Kidney Pain?
Can You Drink Unsweetened Soy Milk Daily with High Uric Acid?
Gout and Soy Milk Hello, Doctor Gao. I would like to ask if it is okay for me to drink a cup of unsweetened soy milk (about 250cc) for breakfast every day, considering my fasting blood test showed a uric acid level of 7.7 (with the upper limit of the normal range being 7.6). Than...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Currently, high-purine foods from vegetables, including legumes or related products and mushrooms, do not have an impact on individuals with gout or hyperuricemia! If you have never had a history of joint pain, the effect of high-purine vegetab...[Read More] Can You Drink Unsweetened Soy Milk Daily with High Uric Acid?
Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Polyarthritis 1. I have an ASLO index of 247 (or 274?). Is this caused by genetics or an infection? My family has a history of almost all hereditary diseases, including lupus erythematosus, ankylosing spondylitis, gout, rheumatoid arthritis, kidney stones, kidney disease, stroke,...
Dr. Gao Jiankai Reply:
Hello Ms. Yang, I hope this message finds you well. Your questions are somewhat complex, and since I haven't actually seen you, many of my thoughts are merely speculation. It is best for you to discuss these matters with a physician who has examined you in person. Here are m...[Read More] Understanding Autoimmune Arthritis: Causes, Symptoms, and Treatment Options
Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Cloudy tea-colored urine? Hello Doctor, I have a hereditary issue that causes my uric acid levels to be consistently high, and I have experienced multiple gout attacks. I have been taking Benzobromarone 50 mg once daily for four months to manage this condition. This morning, I no...
Dr. Wu Jiyu Reply:
Based on your inquiry (this morning's first urine was found to be cloudy and tea-colored, while the second urine returned to clear), it is not possible to determine whether Benzobromarone has caused hepatotoxicity. Generally, the first urine in the morning is darker because ...[Read More] Understanding Cloudy Tea-Colored Urine: Causes and Concerns
Understanding Thumb Joint Bumps: Symptoms and Possible Causes
Thumb joint Hello Doctor: I have a small hard bump on the right side of the joint of my left thumb (near the nail), which becomes more noticeable when I bend my finger. It hurts when I press on it firmly. Is this what is referred to as gout? I have a tall and slim physique, and I...
Dr. Gao Jiankai Reply:
Dear Miss Lin, I hope this message finds you well. The protrusion at the distal interphalangeal joint may be an early sign of joint degeneration or a ganglion cyst of the finger joint, and it is unlikely to be gout. Regardless of the cause, it should not lead to significant func...[Read More] Understanding Thumb Joint Bumps: Symptoms and Possible Causes
Managing Cellulitis: A 11-Day Hospital Journey and Ongoing Challenges
Cellulitis, hospitalized for 11 days, currently still unable to achieve complete control? On October 11, the patient experienced foot pain and sought medical attention at a general orthopedic clinic. The doctor prescribed anti-inflammatory and pain relief medication for three day...
Dr. Liao Zhongxin Reply:
Dear readers, 1. I have a general understanding of your (or your family member's) condition; it may be necrotizing fasciitis or severe soft tissue inflammation. This is inherently a serious and challenging condition to manage. 2. First, it is important to assess whether...[Read More] Managing Cellulitis: A 11-Day Hospital Journey and Ongoing Challenges
Understanding the Cancer Risks and Benefits of Baked Foods and Coffee
Food-related Hello Dr. Hsiao, I often come across many articles stating that baked foods can cause cancer. However, baked items like coffee are commonly consumed by humans, and there are numerous studies suggesting that coffee has anti-cancer properties and is beneficial in many ...
Dr. Xiao Yongxun Reply:
1. According to the current medical literature, the consumption of coffee is neither recommended nor discouraged. There are reports indicating that drinking coffee may reduce the risk of Parkinson's disease, Alzheimer's disease, alcoholic liver cirrhosis, gout, and diab...[Read More] Understanding the Cancer Risks and Benefits of Baked Foods and Coffee
Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Uric acid and metabolism issues? Hello Dr. Hsiao, Question 1: Around the age of 20, I was diagnosed with high uric acid levels, approximately double the normal range, which led to gout (in my toe). The doctor mentioned it might be hereditary, but my family members do not exhibit...
Dr. Xiao Yongxun Reply:
Question 1: The definition of hyperuricemia is a serum uric acid concentration greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. Uric acid is a risk factor for the development of gout; however, the relationship between hyperuricemia and acute gout remains unclear...[Read More] Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Joint pain, edema, pityriasis rosea? Hello Dr. Tseng, A while ago, I accidentally bumped my left middle finger joint lightly against a table, which started to hurt slightly. At first, I thought it was just a bruise, but it has been over two months now, and it has developed into ...
Dr. Zeng Guosen Reply:
Hello, based on the definition, symptoms such as pain in the joints, muscles, fascia, and bones can all be referred to as rheumatism. Some rheumatic conditions can be diagnosed as specific diseases through symptoms, blood tests, and X-rays, while others may still remain undiagnos...[Read More] Joint Pain, Swelling, and Pityriasis Rosea: Understanding Your Symptoms
Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Family's biochemical report Hello Dr. Wu, I consulted with you in February this year, and today I am attaching more biochemical report data for your explanation. My father is 60 years old today and has been suffering from diabetes and kidney stones for a long time. He was or...
Dr. Wu Jiyu Reply:
My father is 60 years old today and has long been troubled by diabetes and kidney stones. He has been seeing a family medicine doctor, but for some reason, his case has been referred to a nephrologist. I have attached the examination reports from February of this year to the pres...[Read More] Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Understanding Prednisolone Use for Gout: Dosage, Safety, and Alternatives
Prednisolone My father (85 years old) has gout and visited an orthopedic doctor who prescribed him prednisolone (2 tablets in the morning and 2 tablets in the evening, each 5 mg). He has been taking it for over a month, and I recently found out that it is a corticosteroid. Is thi...
Dr. Li Zhiyao Reply:
Hello: The main anti-inflammatory and analgesic medications used to treat acute gouty arthritis include three types: nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, and corticosteroids. The choice among these medications should depend on whether the patient has any con...[Read More] Understanding Prednisolone Use for Gout: Dosage, Safety, and Alternatives