Dietary Guidelines for Managing Kidney Disease and Heart Conditions
Diet for Kidney Disease My father has a history of coronary artery disease, and he has experienced proteinuria, as evidenced by foamy urine, for some time. He has previously consulted both traditional Chinese medicine and Western medicine, but his symptoms do not seem to have imp...
Dr. Hong Hongchang Reply:
Hello: In addition to blood lipids, there are other factors related to coronary heart disease. The causes include diet, medications, and genetic metabolism. Furthermore, hyperuricemia can lead to kidney damage, resulting in proteinuria. It is recommended to follow up with a cardi...[Read More] Dietary Guidelines for Managing Kidney Disease and Heart Conditions
Managing Gout: Key Questions for Effective Treatment and Prevention
Gout Hello Doctor: I am 34 years old and have experienced gout attacks three times this year (approximately once a year). Currently, I am not taking any medication for prevention or treatment. I would like to ask you a few questions: 1. Since I often have irregular sleep patter...
Dr. Hong Hongchang Reply:
Gout is a joint disorder caused by the overproduction or impaired excretion of uric acid metabolites (purines). In addition to dietary management, alcohol consumption and hydration are also important factors. During acute attacks, colchicine and nonsteroidal anti-inflammatory dru...[Read More] Managing Gout: Key Questions for Effective Treatment and Prevention
Rare Salmonella Infection in Father's Heart: A Critical Medical Case
My father's right heart vessel is infected with Salmonella, and his condition is critical..? My father suddenly experienced chest tightness, shortness of breath, and chills around 3:40 PM on August 12. My mother urgently took him to the New Building Hospital in Tainan. After...
Dr. Ke Zhengchang Reply:
In response to Su Wenting: Based on your description, it may be infectious vasculitis with associated aortic aneurysm. Typically, treatment involves antibiotics for two to four weeks while also managing hypertension. If there is no improvement or if the condition worsens, surgica...[Read More] Rare Salmonella Infection in Father's Heart: A Critical Medical Case
Understanding Gout: Causes, Prevention, and Treatment Options
Gout is a form of inflammatory arthritis characterized by the accumulation of uric acid crystals in the joints Gout is caused by the accumulation of uric acid crystals in the joints, leading to inflammation and pain. It can be triggered by factors such as high purine intake (foun...
Dr. Ke Zhengchang Reply:
Reply SOS: The accumulation of excessive uric acid crystals in the joints causes inflammation and swelling, known as gout. Consuming too many high-purine foods, such as organ meats, seafood, hot pot broth, meats, and alcoholic beverages, leads to the metabolism of these substance...[Read More] Understanding Gout: Causes, Prevention, and Treatment Options
How to Differentiate Recurrent Rheumatic Conditions: A Patient's Guide
How can recurrent rheumatic fever be distinguished? Hello Doctor: I have the following questions I would like to ask you! I have been experiencing aching pain in my joints, particularly in my hands and feet, during rainy days and before weather changes, and it has been progressiv...
Dr. Ke Zhengchang Reply:
Hello Doris: There are many causes of arthritis in young women. In addition to gout and rheumatoid arthritis, I recommend that you visit an orthopedic specialist for further examination and treatment. New anti-inflammatory pain relievers are effective and less likely to cause gas...[Read More] How to Differentiate Recurrent Rheumatic Conditions: A Patient's Guide
Understanding Cholesterol and Uric Acid Levels: Risks and Treatment Options
Borderline cholesterol levels with accompanying uric acid? My cholesterol levels are around 110-120. What are the potential complications? How should it be treated? I have a uric acid level of about 22. Are there any interactions between these two conditions? Is medication treatm...
Dr. Hong Hongchang Reply:
1. Cholesterol (CHOL TG) includes two main components, and it is important to pay attention to the cholesterol content in your diet. Regular exercise is essential, and quitting smoking is also necessary. If hyperlipidemia persists, it is advisable to consider lipid-lowering medic...[Read More] Understanding Cholesterol and Uric Acid Levels: Risks and Treatment Options
Understanding Hyperuricemia: Risks, Treatment, and Genetic Factors
Hyperuricemia Before the Lunar New Year, I went to the hospital for a health check-up. After the report came out, my uric acid level was as high as 8.4! However, I do not have any symptoms of gout. Doctor, is this a cause for concern? Do I need to take medication? What should I p...
Dr. Hong Hongchang Reply:
Hyperuricemia - A blood test shows uric acid levels exceeding 8.0 mg/dL. It is advisable to avoid foods high in purines (such as organ meats, seafood, and rich broths) and to refrain from drinking beer. Additionally, increasing water intake and engaging in moderate exercise can b...[Read More] Understanding Hyperuricemia: Risks, Treatment, and Genetic Factors
Understanding Uric Acid Levels: Diet and Gout Risk Factors Explained
Uric acid My husband had a blood test a few days ago, and the report showed his uric acid level is 7.0 (with the normal upper limit being 7.0). I would like to ask: 1. Does he need further testing, or can we manage this with dietary control (he enjoys eating meat and barbecued fo...
Dr. Yang Guojun Reply:
Gout has arrived with winter, and many people eagerly anticipate the snowfall, hoping to go to the mountains to enjoy the snow and build snowmen. However, some individuals worry that their painful old ailment, "gout," may strike again. Regardless of social status, the i...[Read More] Understanding Uric Acid Levels: Diet and Gout Risk Factors Explained
Should You See a Doctor for a Uric Acid Level of 7.0? Dietary Tips Inside!
Uric acid If a health check reveals a uric acid level of 7.0, should I see a doctor for further evaluation, or is it sufficient to manage it through dietary changes? Should I reduce my meat intake? Thank you!
Dr. Ke Zhengchang Reply:
Hello, the normal range for uric acid is below 7.0. If there are no gout attacks, dietary control (low-purine diet) is generally sufficient, and medication is not necessary. It is advisable to consume more fish and vegetables, while limiting intake of meat, organ meats, shrimp, a...[Read More] Should You See a Doctor for a Uric Acid Level of 7.0? Dietary Tips Inside!
Does Zyloric Cause Kidney Stones in Gout Patients with High Uric Acid?
Zyloric Due to high uric acid levels and gout, the doctor prescribed Zyloric as a uric acid-lowering medication. Will taking Zyloric lead to the formation of kidney stones?
Dr. Li Huixiong Reply:
Elevated uric acid levels can easily trigger acute gout attacks and may lead to the deposition of uric acid in joint cavities, subcutaneous tissues, and the kidneys over time, resulting in what is known as "gouty tophi." Zyloric is used to inhibit the excessive producti...[Read More] Does Zyloric Cause Kidney Stones in Gout Patients with High Uric Acid?