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
Can Gout Be Cured? Exploring Treatment Options and Side Effects
Can gout be completely cured? Hello Doctor: Can gout be completely cured? Are there any side effects from taking medications to lower uric acid levels? I've heard from a friend that there is a medication prescribed by American doctors that can cure it; is there any truth to ...
Dr. Ke Zhengchang Reply:
Gout can generally be managed through dietary changes to control the production of uric acid. Reducing the intake of high-purine foods such as meat, organ meats, and legumes, as well as avoiding alcohol, can help decrease flare-ups. New-generation uric acid-lowering medications a...[Read More] Can Gout Be Cured? Exploring Treatment Options and Side Effects
Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Non-crystalline urate Hello Dr. Yang: During a recent health check-up, one of the tests for amorphous urates returned a positive result (+), while the normal reference value is negative (-). What does this mean? Is there any issue that requires further treatment? Additionally, ar...
Dr. Yang Jun Reply:
Hello: In response to your question, the urine test results show a positive reaction for non-crystalline uric acid, indicating that there is an elevated level of uric acid in the urine. This may suggest hyperuricemia, which increases the likelihood of developing uric acid stones ...[Read More] Understanding Positive Amorphous Urates: Implications and Lifestyle Tips
Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
I'm sorry, but I need specific content to translate. Please Hello: I would like to ask about the pathological mechanism of gout, what medications are used for treatment, and what symptoms it has?
Dr. Ke Zhengchang Reply:
Gout is formed due to prolonged elevated levels of uric acid in the blood, leading to the formation of urate crystals in the joint cavity, which causes acute attacks characterized by redness, swelling, heat, and pain in the joints. Over time, this can result in joint deformities ...[Read More] Understanding Gout: Symptoms, Pathophysiology, and Treatment Options
Understanding High Creatinine and Uric Acid Levels: What You Need to Know
My health check-up? Hello doctor, I found out during a health check at school that my kidney function test shows a creatinine level of 1.8 mg/dL and a uric acid level of 8 mg/dL. What diseases could this indicate, and how should I manage it? Thank you.
Dr. Yang Jun Reply:
Hello: In response to your inquiry, the kidney function test indicated a serum creatinine level of 1.8 mg/dL, which exceeds the normal range, suggesting impaired kidney function and the possibility of renal failure. Given your age, the elevated creatinine level may indicate acute...[Read More] Understanding High Creatinine and Uric Acid Levels: What You Need to Know
Understanding Joint Aspiration: Is It Gout and What to Expect?
Joint aspiration Doctor... I went to the hospital yesterday to have joint fluid extracted, but they couldn't get any. The swelling in my left foot has not gone down for 2 to 3 months; sometimes it hurts, and sometimes it doesn't. I used to have swelling in my right inde...
Dr. Ke Zhengchang Reply:
1. If the swelling in your left foot has not resolved after 2 to 3 months, it is important to consider the possibility of other underlying issues, including infections or rheumatoid arthritis. Please discuss this further with your physician. 2. With a uric acid level of 12 and ...[Read More] Understanding Joint Aspiration: Is It Gout and What to Expect?
Understanding Moduretic: Effects, Concerns, and Patient Safety
Moduretic is a combination medication that contains amiloride and hydrochlorothiazide. It is primarily used to treat high blood pressure (hypertension) and Dear Director Yang, My mother is 72 years old and has osteoporosis, diabetes (with a blood sugar level of 130), hypertensio...
Dr. Yang Jun Reply:
Hello, in response to your inquiry regarding your mother, who is 72 years old and has diabetes, hypertension, and a long-term history of dizziness, currently being treated with a diuretic (Moduretic), here are the answers to your questions: 1. Diuretics are a class of medication...[Read More] Understanding Moduretic: Effects, Concerns, and Patient Safety
Understanding Your Joint Pain: Gout, Arthritis, or Something Else?
Arthritis or gout or other conditions? I would like to ask the doctor, I have had symptoms similar to gout since high school. It started with the joints in my feet, then moved to my knees, and later to my index finger. Currently, the most common areas of attack are my fingers, kn...
Dr. Ke Zhengchang Reply:
In addition to gout, multiple joint swelling and pain can also be caused by rheumatic diseases, osteoarthritis, and crystalline arthritis. Generally, a comprehensive assessment based on clinical symptoms, blood test results, physical examination, and radiological studies is neces...[Read More] Understanding Your Joint Pain: Gout, Arthritis, or Something Else?
Managing Kidney Issues in Elderly Patients: Treatment Options and Considerations
Kidney problems Consulting a physician: My father is 80 years old and regularly takes medication for hypertension, diabetes, and gout. Recently, due to urine test results indicating an infection, a kidney ultrasound was performed, revealing deteriorating kidney function and a 0.6...
Dr. Yang Jun Reply:
Hello, in response to your inquiry: Your father is 80 years old and has a history of hypertension, diabetes, and gout. The urinalysis shows signs of infection, which may be caused by prostatitis or benign prostatic hyperplasia leading to urinary difficulties, and it is not necess...[Read More] Managing Kidney Issues in Elderly Patients: Treatment Options and Considerations
Understanding Medications for Uric Acid, Gout, and Acid Relief
Medication Inquiry Hello: One day, I found some medication names written by a friend, including uric acid, gout, and antacid tablets. I am unsure what symptoms these medications are used for. Could you please help me understand? Thank you!
Dr. Liu Hongxiang Reply:
Elevated uric acid levels in the blood can lead to joint pain known as gout. Therefore, if a medication is labeled for gout, it is intended for the treatment of gouty arthritis and hyperuricemia. Antacids, commonly referred to as stomach medications, are used to address excessive...[Read More] Understanding Medications for Uric Acid, Gout, and Acid Relief
Essential Dietary Guidelines for Managing Gout: What to Eat and Avoid
Diet for Gout Patients Dr. Tseng: Hello. I have a history of gout for nearly 20 years, and I have had three flare-ups this year, which has been quite distressing. I know that I should avoid foods like legumes, organ meats, and seafood, but I have unknowingly consumed some foods w...
Dr. Zeng Guosen Reply:
Hello! The internet user has experienced attacks more than three times a year, which meets the criteria for the use of urate-lowering medications. Relying solely on dietary control is insufficient, as complications from hyperuricemia, such as joint tissue destruction and renal di...[Read More] Essential Dietary Guidelines for Managing Gout: What to Eat and Avoid
Strong Urine Odor: What Does It Mean for Your Health?
Urination Dear Doctor, my urine has a strong uric acid smell, and the bathroom always has an odor after I urinate. Is there something wrong? Thank you.
Dr. Wang Fangli Reply:
Hello KK: The presence of a uric acid odor in urine does not necessarily indicate a significant issue. It is best to have the first morning urine tested at the hospital. Internal Medicine, Dr. Wang Fangli.[Read More] Strong Urine Odor: What Does It Mean for Your Health?
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) Hello, two years ago I experienced wrist pain and consulted a doctor, suspecting rheumatoid arthritis (I live in Australia). I intermittently took medication and stopped, and one day it suddenly got better. Recently, I have been waking up in the morning...
Dr. Zeng Guosen Reply:
Isolated wrist pain cannot be diagnosed as rheumatoid arthritis (RA). It is important to observe for symptoms such as swelling, pain, and heat in the joints (arthritis), particularly if multiple joints are involved symmetrically in both hands. If morning stiffness in the hand joi...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Kidney Function and Cholesterol Levels in Patients
Kidney function and cholesterol? I have a history of hypertension and hyperglycemia for about three years and have been on medication. On April 5, 2002, my blood test results showed HDL-C 75, LDL-C 75, Total Cholesterol 163, Triglycerides 60, BUN 20, Creatinine 1.2, and Uric Acid...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. BUN and Creatinine generally indicate kidney function. The differences in your two test results are within acceptable ranges, so it cannot be concluded that kidney function has deteriorated based on this. 2. Elevated LDL, decreased HDL, an...[Read More] Understanding Kidney Function and Cholesterol Levels in Patients
Understanding Drug Allergies: Risks, Resources, and Common Medications
Not found? I'm looking for information related to deaths caused by drug allergies or strokes induced by medications. Could you recommend comprehensive books or websites for this research? Additionally, what types of medications are most likely to cause allergic reactions in ...
Dr. Zeng Guosen Reply:
Hello: 1. Regarding data on drug allergies that can lead to death or stroke, bookstores or websites may not provide detailed or comprehensive information; only professional textbooks might offer more complete and thorough insights. I recommend a book: "Davies' Textboo...[Read More] Understanding Drug Allergies: Risks, Resources, and Common Medications
Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Vasculitis Hello, Doctor: Two years ago, I started experiencing redness, swelling, and warmth in my knees, sometimes in my feet, toes, and heels, and occasionally in my fingers. Most of the symptoms are located around the joints and typically resolve on their own within 2-3 days ...
Dr. Zeng Guosen Reply:
I will start with the second question. Based on the symptoms described by the internet user, it is neither vasculitis nor gout; it is likely recurrent rheumatism, also known as migratory rheumatism or paroxysmal rheumatism. Clinically, it is referred to as "3" arthritis...[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Vasculitis Hello Doctor, I have been experiencing issues with redness, swelling, and heat in my knees for the past two years. Sometimes it affects my feet, toes, and heels, and occasionally my fingers, mostly around the joints. Typically, the symptoms resolve on their own within...
Dr. Liu Hongxiang Reply:
Vasculitis refers to the inflammation of blood vessels, leading to damage and resulting in tissue hypoxia, with no definitive cause of onset. Diagnostic evaluations may include medical history, X-rays, blood tests, biopsies, and angiography. Blood tests typically include complete...[Read More] Understanding Vasculitis: Symptoms, Diagnosis, and Treatment Options
Understanding Gout: Managing Occasional Pain and High Uric Acid Levels
Gout Occasional pain, uric acid level 7.7.
Dr. Ke Zhengchang Reply:
Hello: For patients with high uric acid levels and symptoms of pain, redness, and swelling due to gout, it is essential to first treat with colchicine or analgesics and anti-inflammatory medications. At the same time, dietary management should be implemented (it is advisable to c...[Read More] Understanding Gout: Managing Occasional Pain and High Uric Acid Levels
How to Diagnose Gout: Understanding Symptoms and Testing Methods
excuse me? I have a question... My second toe has been swollen lately... I saw a dermatologist but there was no improvement at all... Could it be gout? How can gout be diagnosed to confirm if it is indeed gout? Thank you!
Dr. Ke Zhengchang Reply:
Hello: For patients with high uric acid levels and symptoms of pain, redness, and swelling due to gout, it is essential to first treat with colchicine or analgesics and anti-inflammatory medications. At the same time, dietary control should be implemented (it is advisable to cons...[Read More] How to Diagnose Gout: Understanding Symptoms and Testing Methods
Do I Have Gout? Understanding Diagnosis and Medication Options
Do I really have gout? Should I take these medications? Dear Doctor, I have a condition of elevated uric acid levels (it reached 10.2 two years ago, 8.7 three months ago, and currently 8.8). My blood pressure fluctuates between normal and slightly high (not frequently monitored)...
Dr. Liu Hongxiang Reply:
Gout is caused by the deposition of uric acid crystals in the joints, leading to acute arthritis, and the higher the uric acid levels, the greater the likelihood of developing gout. Symptoms typically manifest as swelling, redness, heat, and pain in a single joint. The first two ...[Read More] Do I Have Gout? Understanding Diagnosis and Medication Options