Can Blood Cleansing Machines Help Lower Uric Acid in Gout Patients?
Gout 1. Can gout patients use "extracorporeal machines" to cleanse their blood in order to lower uric acid levels? I have been diagnosed by my physician with gout-induced arthritis, but I still have residual pain after two weeks. Is it possible that it is not gout? Can ...
Dr. Yao Quan Reply:
Hello: 1. Uric acid cannot be completely eliminated through dialysis; moreover, it can be effectively lowered with medication, so there is no need for excessive measures. 2. Gout typically resolves within a week, but if the wrong medication is used, the diagnosis is incorrect, or...[Read More] Can Blood Cleansing Machines Help Lower Uric Acid in Gout Patients?
Managing Multiple Chronic Conditions: Risks and Treatments for Your Mother
Multiple chronic diseases Hello Dr. Chen, My mother is 56 years old and has elevated uric acid levels, hypertension, and an allergic constitution. She has been experiencing long-term bone pain, which has now evolved into pain and stiffness in the joints of her hands. She is a he...
Dr. Chen Baoli Reply:
Hello, Xiaoyu: From your description, I would like to highlight a few points: 1. Soy isoflavones, a type of phytoestrogen, serve as an alternative to traditional hormone therapy for the prevention of osteoporosis. However, the actual safe dosage has not been established. There...[Read More] Managing Multiple Chronic Conditions: Risks and Treatments for Your Mother
Impact of Chemical Solutions on Gout and Uric Acid Levels
The impact of chemical medications on gout? Hello Dr. Chen: I have a question I would like to ask you... If a person has high uric acid levels or gout, what impact might exposure to certain chemicals used in the electronics industry have on them? Could you please provide some ins...
Dr. Chen Baoli Reply:
Hello ALAN: Your question is about the impact of chemicals used in the electronics industry on patients with high uric acid or gout. First, I am not familiar with the specific chemicals used in the electronics industry, so I may not be able to answer your question appropriately. ...[Read More] Impact of Chemical Solutions on Gout and Uric Acid Levels
Is Low Uric Acid a Concern? Understanding Risks During Pregnancy
Is having low uric acid a problem? Hello, our organization recently provided health check-ups for employees, and the result for the uric acid test was 1.9 mg/dL. I understand that high uric acid levels can pose risks such as gout, but are there issues with low levels as well? I a...
Dr. Hong Hongchang Reply:
Pregnant women: Uric acid is primarily produced from the metabolism of purine-rich foods (such as legumes, organ meats, and seafood). Low uric acid levels may indicate insufficient intake of purine-rich foods, rapid renal metabolism, or imbalanced nutrient intake. Therefore, it i...[Read More] Is Low Uric Acid a Concern? Understanding Risks During Pregnancy
Understanding Kidney Issues: Insights on Cysts, Family History, and Health Risks
Kidney problems Dr. Yang Jun: Recently, my father's health check results came out, and three items were marked as abnormal: [Urinalysis] Specific Gravity (Sp.gr) *≤1.005, [Biochemical Tests] Uric Acid *7.95, and [Abdominal Ultrasound] *Left Renal Cyst. I would like to ask wh...
Dr. Yang Jun Reply:
Hello: In response to your questions, there are many inquiries in your message, and I cannot address them all individually. I recommend that you consult a nephrologist in person for a more comprehensive evaluation. However, I will address a few questions online. Urine specific ...[Read More] Understanding Kidney Issues: Insights on Cysts, Family History, and Health Risks
Understanding Abnormal Urine and Blood Test Results: What You Need to Know
Examination report issues Hello, doctor. Recently, I noticed that my urine has been yellow for a while and hasn't improved. Additionally, I've been experiencing lower back pain, so I thought there might be an issue with my kidneys. I went to a laboratory to have my urin...
Dr. Yang Jun Reply:
Hello: In response to your question, I will address only the issues related to uric acid and blood lipids. A complete answer regarding other data requires a visit to an internist to review all reports (blood and urine). Elevated uric acid levels are a precursor to gout, and if it...[Read More] Understanding Abnormal Urine and Blood Test Results: What You Need to Know
Understanding Joint Aspiration for Gout: Key Questions Answered
Questions about joint aspiration? Symptoms: Hello, doctor. I have a history of gout! I would like to ask if joint aspiration for crystal examination can only detect crystals during an acute gout attack (redness and swelling), or is there no chance of detecting them when I am asym...
Dr. Zeng Guosen Reply:
Hello: 1. Hyperuricemia can lead to the formation of joint crystals, and during acute episodes, white blood cells can be seen phagocytizing these crystals. The two are different. 2. The larger the joint, the easier it is to aspirate; however, the soles of the feet cannot be aspir...[Read More] Understanding Joint Aspiration for Gout: Key Questions Answered
Understanding Metabolism Issues: Symptoms of Muscle Cramps and Fatigue
Is this a problem related to metabolism? Hello Doctor, I am experiencing symptoms such as muscle cramps and weakness in my hands and feet, frequent dizziness, and a feeling of weakness in my legs. Recently, I often forget things that just happened, have difficulty concentrating...
Dr. Yang Hongzhi Reply:
Your symptoms are nonspecific and do not seem to correlate with your known medical history. This situation may not necessarily lead to a diagnosis of a specific disease; however, it is advisable to visit an internal medicine outpatient clinic, as sometimes physicians can identify...[Read More] Understanding Metabolism Issues: Symptoms of Muscle Cramps and Fatigue
Could My Back Pain Indicate Gout? Understanding Symptoms and Uric Acid Levels
Do I have symptoms of gout? Hello Doctor: I have been experiencing some soreness in my lumbar region for the past two months. My lower back becomes quite painful if I stand for too long. A few weeks ago, I had blood tests done at both the municipal hospital and Chang Gung Memoria...
Dr. Zeng Guosen Reply:
Hello, gout rarely starts with spinal symptoms unless you already have swelling and pain in the peripheral joints of your hands and feet, indicating chronic gout. Elevated uric acid levels in the blood do not necessarily present with symptoms and do not always require treatment. ...[Read More] Could My Back Pain Indicate Gout? Understanding Symptoms and Uric Acid Levels
Can Gout Patients Drink Yogurt and Probiotic Beverages?
Can gout patients drink yogurt? Can gout patients drink yogurt, Yakult, and other probiotic beverages?
Dr. Yang Hongzhi Reply:
There are many claims suggesting that fermented dairy products like Yakult are harmful to gout, but there is a lack of conclusive evidence in this regard. Some articles indicate that dairy products do not have adverse effects on uric acid levels and may even lower them. Due to th...[Read More] Can Gout Patients Drink Yogurt and Probiotic Beverages?
Managing Gout: Common Questions and Treatment Insights
Gout-related issues Hello Doctor, I have had gout for five years, with an attack occurring once a year, and my uric acid level is approximately 9. I would like to ask the following questions: 1. During a gout attack, should I apply ice to the affected area, and after the symptom...
Dr. Zeng Guosen Reply:
Hello: 1. Gout attacks are inflammatory; initially, ice packs can be applied, but medical attention is still necessary to avoid delaying treatment. 2. Some physicians may prescribe excessive colchicine for acute gout, leading to abdominal pain and diarrhea. Currently, it is gener...[Read More] Managing Gout: Common Questions and Treatment Insights
Can You Stop Taking Uric Acid Medications After Treatment?
Can uric acid-lowering medications be discontinued? Hello Doctor, I experienced a gout attack in my right big toe several years ago. At that time, I took uric acid-lowering medication for about a year and a half, and since my uric acid levels were not high, I stopped the medicati...
Dr. Liu Hongxiang Reply:
The reference values for each test may vary depending on the initial settings of the instrument or the reagents used. After taking uric acid-lowering medication for a period of time, if the uric acid level can be reduced to below 6 or 7 (depending on the instrument), the medicati...[Read More] Can You Stop Taking Uric Acid Medications After Treatment?
Understanding Redness and Swelling in Toes: Gout or Uric Acid?
Redness and swelling? I experience redness and swelling in my toes every winter. Could this be caused by gout or uric acid?
Dr. Chen Jingwen Reply:
Hello! When we consume protein-rich foods, they are metabolized into uric acid in the body. Elevated blood uric acid levels can lead to the deposition of urate crystals in soft tissues, joint capsules, or organs such as the kidneys, causing inflammation in the joints, which resul...[Read More] Understanding Redness and Swelling in Toes: Gout or Uric Acid?
Can Alkaline Ionized Water Help with High Uric Acid and Hepatitis B?
Alkaline ionized water I have high uric acid levels. I've heard that drinking alkaline ionized water can help improve this condition. However, I also have hepatitis B and I'm not sure if it's safe for me to drink it.
Dr. Xie Yonghui Reply:
You have a condition of hyperuricemia, which can lead to gout in severe cases. In addition to medication, treatment for gout should include dietary modifications (a low-purine diet) and adequate hydration. It is generally recommended to drink at least 2000cc of water daily to aid...[Read More] Can Alkaline Ionized Water Help with High Uric Acid and Hepatitis B?
Is High Uric Acid Level a Definitive Indicator of Gout?
Having high uric acid levels does not necessarily mean that one has gout? Dear Doctor: A few months ago, I sought medical attention because my entire foot was swollen. After a blood test, the doctor informed me that my uric acid level was as high as 9.2. Does this mean I have gou...
Dr. Chen Fuquan Reply:
1. A high uric acid level does not necessarily lead to gout symptoms. 2. The normal range for uric acid in the blood is 2.4 to 7.6 mg/dL. If the uric acid level exceeds 7.6 mg/dL, it is referred to as "hyperuricemia." Typically, men have higher uric acid levels (about s...[Read More] Is High Uric Acid Level a Definitive Indicator of Gout?
Managing Symptoms and Home Care for Kidney Failure Patients
Symptoms of kidney failure and home care for patients? Hello Doctor: I have some questions that I should ideally ask during my father's upcoming appointment, but with a few days to go, I am quite worried... My father has been diagnosed with high uric acid levels and may face...
Dr. Yang Jun Reply:
Hello: In response to your inquiry, the information indicates that your father has elevated uric acid levels and abnormal kidney function. High uric acid levels may be due to a history of gout or could be a result of renal failure leading to decreased uric acid excretion, causing...[Read More] Managing Symptoms and Home Care for Kidney Failure Patients
Is Wrist Temperature Measurement Accurate for Infants and Seniors?
Is there a significant discrepancy between the temperature measured near the wrist and the core body temperature? There is a type of temperature measuring device available on the market that can be worn on infants or on the arm. If this temperature measurement tool is placed on t...
Dr. Yu Xianneng Reply:
One is surface body temperature and the other is core body temperature, which can differ by approximately 0.5 to 1.0 degrees Celsius. If the body temperature exceeds 38 degrees Celsius, it may be necessary to visit a hospital to determine whether it is due to a bacterial or viral...[Read More] Is Wrist Temperature Measurement Accurate for Infants and Seniors?
Understanding Kidney Function: Key Concerns and Management Strategies
Renal function index Hello Dr. Yang, Due to having urinary tract stones in my youth, I have not noticed for a long time that my left kidney has become swollen. My creatinine level is currently 1.5, and my urine protein level is about 190, for which I am taking medication for co...
Dr. Yang Jun Reply:
Hello: In response to your question, the presence of protein in urine and a creatinine level greater than 1.4 are indicators of impaired kidney function, which must be managed under the guidance of a nephrologist regarding medication and dietary treatment. Kidney function may dec...[Read More] Understanding Kidney Function: Key Concerns and Management Strategies
Improving Anemia and Managing Gout in Peritoneal Dialysis Patients
Peritoneal dialysis Hello Doctor: I am a patient undergoing peritoneal dialysis, but my hemoglobin level is only between 7 and 8, and my hematocrit is only 25. I often feel dizzy, and once my hematocrit dropped to 19, causing me to faint at work! However, there hasn't been m...
Dr. Jiang Wenzhi Reply:
There are many causes of anemia in dialysis patients, including nutritional deficiencies, insufficient iron stores, issues related to dialysis and erythropoietin (EPO) dosage, and secondary hyperparathyroidism. A comprehensive understanding requires integrating clinical data. Add...[Read More] Improving Anemia and Managing Gout in Peritoneal Dialysis Patients
Understanding Gout: Symptoms, Treatment, and Early Signs of Hyperuricemia
excuse me? Doctor: What are the symptoms and treatment options for hyperuricemia? What are the early symptoms? Thank you for your response.
Dr. Ke Zhengchang Reply:
Hyperuricemia primarily poses the risk of causing gout; however, in fact, most cases of hyperuricemia do not lead to gout and are completely asymptomatic. This asymptomatic hyperuricemia does not require pharmacological treatment. Dietary management, typically involving a reducti...[Read More] Understanding Gout: Symptoms, Treatment, and Early Signs of Hyperuricemia