Uric acid, Internal Medicine FAQ

Long-Term Medication Side Effects for High Uric Acid Levels?

What are the side effects of long-term medication for hyperuricemia? Hello, I would like to ask a few questions. My father is seventy-two years old and has been experiencing severe uric acid issues over the past year or two, which has led to arthritis and mobility difficulties. H...

Dr. Guo Conghuai Reply:
Hello Ms. Li: Your father has elevated uric acid levels and hypertension, which can easily lead to urate nephropathy. Therefore, both uric acid and blood pressure need to be strictly controlled to prevent or delay the onset of this condition. Certain sedatives or sleeping medicat...

Understanding Persistent Sleepiness: Possible Causes and Concerns

Somnolence Hello Dr. Tseng: I would like to ask about my condition. From May 11 to May 13, I experienced prolonged drowsiness and fatigue. The week prior, I had persistent swelling in my legs and elevated uric acid levels, for which I have been taking medication to manage. I have...

Dr. Zeng Guosen Reply:
1. There are many causes for drowsiness and lethargy, which can be psychological or physiological. Physiological causes include medications, infections, organ dysfunction (heart, lungs, kidneys, liver, endocrine), electrolyte imbalances, and abnormalities in blood glucose levels,...

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...

Essential Health Check Insights: Anemia, Low Blood Pressure, and Urinary Issues

Health check-up After a health check-up, the following symptoms were found. What should I pay attention to? Thank you! 1. There is anemia, with both hematocrit and hemoglobin levels being inadequate, and his blood pressure is 110/60 (which is considered low blood pressure). Wha...

Dr. Hong Hongchang Reply:
Anemia may be due to excessive loss or bone marrow disorders, requiring further diagnosis. Hematuria combined with elevated uric acid levels can lead to kidney damage and chronic renal failure. It is recommended to follow up with a nephrology outpatient clinic.

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...

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...

Can People with High Uric Acid Levels Drink Broth from Purine-Rich Foods?

Uric acid Dear Doctor: Can individuals with high uric acid levels drink soup made from high-purine foods (such as milkfish and mushrooms), or should they avoid eating fish and mushrooms altogether? Thank you!

Dr. Ke Zhengchang Reply:
It is still not recommended for individuals with high uric acid levels to consume soups made from high-purine foods.

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...

Understanding Shogren's Syndrome: Symptoms, Diagnosis, and Treatment Options

What is Shy-Drager syndrome? My mother has been experiencing gastrointestinal discomfort for over ten years, with frequent abdominal pain and diarrhea. Doctors believe she has colonic dysmotility and have also mentioned irritable bowel syndrome. In recent years, she has been diag...

Dr. Ke Zhengchang Reply:
Hello Ms. Tsai: Sjögren's syndrome is an autoimmune disease characterized by symptoms such as chronic dry eyes, dry mouth, keratoconjunctivitis, and difficulty swallowing (due to reduced saliva), as well as bilateral parotid gland enlargement. It often coexists with other au...

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...

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...

Understanding High Uric Acid and Amylase Levels: Causes and Dietary Tips

Health check-up report issues? Hello Dr. Hong: I underwent a health check at Joseph Hospital, where my Uric Acid level was 7.7 mg/dL and Amylase level was 138 U. Three months later, I returned for a follow-up, and the results showed a Uric Acid level of 8.3 mg/dL and an Amylase l...

Dr. Hong Hongchang Reply:
Based on the description of the condition, there are two main reasons: (1) High uric acid levels can be caused not only by the consumption of purine-rich foods (such as organ meats, legumes, seafood, etc.) but also by factors such as alcohol consumption, medications, or genetic p...

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...

Managing Platelet Count and Uric Acid Levels: Dietary Tips and Advice

Platelets and uric acid? During the school health check, my platelet count was 350, and my uric acid level was 8.9, while the rest were normal. I had iron deficiency anemia when I was younger, but I don't know why my platelet count is still elevated now. Could you please adv...

Dr. Ke Zhengchang Reply:
Hello, the normal platelet count is 350,000/mm3. For iron deficiency anemia, iron supplementation (such as lean meat) is necessary. The normal uric acid level is below 7.0, and a level of 8.9 is too high. Dietary modifications should be implemented (avoiding high-purine foods suc...

Managing High Uric Acid Levels: Dietary Tips and Purine Food Chart

Dietary Management of Hyperuricemia In the past two months, my uric acid levels have been elevated (reaching a maximum of 17), and they are currently at 8.5. However, I suffer from degenerative arthritis, which causes me significant pain. I am currently undergoing treatment and w...

Dr. Zeng Fenyu Reply:
Due to space limitations, we are unable to provide a detailed summary. We recommend that you obtain a low-purine diet educational pamphlet from the hospital or consult a nutritionist for further guidance.

Is Your Weight Loss Causing Fatigue? Understanding Nutritional Deficiencies

Feeling lightheaded after weight loss? Three months ago, I was 165 cm tall and weighed 85 kg. Due to elevated uric acid and blood sugar levels, I started a weight loss regimen, eliminating meat from my diet and consuming only vegetables, fruits, and milk. Now, I weigh 65 kg, but ...

Dr. Chen Shidian Reply:
Hello: Rapid weight loss can have side effects, so it is advisable to visit a clinic to check for any other issues. Nutritional concerns can be addressed by a dietitian who can provide a low-calorie but balanced meal plan for reference. Wishing you safety and health.

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