Uric acid, Internal Medicine FAQ

Concerns About Kidney Health: Understanding Atrophy and Function Tests

Concerned about needing dialysis? I underwent an ultrasound examination in 1999, which revealed left kidney atrophy. I have been having regular health check-ups every two years, and my left kidney measures approximately 6 centimeters. I have also had detailed examinations at a ma...

Dr. Yang Zhongwei Reply:
Hello: 1. A person only needs one normal kidney to manage bodily functions, so in your case, even though only the right kidney is functioning normally, your blood test results for kidney function and urinalysis are normal. 2. The presence of foam in the urine without proteinuria ...

Understanding Gout: Causes, Symptoms, and Long-Term Management Options

Dr. Tseng: Hello! I experience gout attacks every year in June, July, and August (in my big toe). Why does this happen? When it flares up, the pain is so intense that I can't sleep, and my toe becomes red and swollen! I have to rely on medication and injections to alleviate ...

Dr. Zeng Guosen Reply:
Hello, internet user: Gout is caused by elevated levels of uric acid in the blood. It can be categorized into two main types: those with identifiable causes and those without. If the cause of your high uric acid levels cannot be determined and you continue to experience frequent ...

How to Lower Your Cholesterol Levels: Tips for a Healthier Heart

Cholesterol is particularly high? A few days ago, my health check report came back, and my cholesterol level is particularly high at 238. The other values, such as uric acid, creatinine, and liver function tests, are all normal. What can I do to lower this level?

Dr. Yang Hongzhi Reply:
Cholesterol levels should ideally be kept below 200 mg/dL. Initially, dietary modifications can be implemented to manage this. It is advisable to reduce the intake of egg yolks, meats, seafood, animal fats, fatty meats, and whole milk. After 3 to 6 months, a follow-up should be c...

Understanding Neck Swelling and High Uric Acid Levels: A Guide

I am experiencing some health issues? I recently experienced an unusual swelling in my neck, but it subsided after a few days. From the time I noticed it until it disappeared, it was approximately five days, although I'm not entirely sure of the exact duration since I am som...

Dr. Yang Hongzhi Reply:
The term "goiter" generally refers to an enlargement of the thyroid gland. For issues related to high uric acid, you may consult a specialist in metabolic disorders. Additionally, if there are abnormalities in liver function, it is advisable to see a gastroenterologist ...

Understanding Uric Acid Levels: Impact on Active Lifestyles

Regarding uric acid issues? Hello Dr. Yang: I understand that athletes commonly have issues with elevated uric acid levels. I am an active person and I brisk walk for an hour and a half every other day. I previously had my uric acid levels tested, and while they were slightly ele...

Dr. Yang Weishun Reply:
Hello, since you are still within the normal range, there is no problem. You can continue exercising. Best wishes for your health. Sincerely, Dr. Yang Wei-shun, Taoyuan Hospital, Department of Health.

Managing Anemia and Cholesterol: Do I Need to Take My Medications?

Please help me with my medication concerns! Thank you? Hello Doctor: I am a housewife and I rarely exercise! I often feel dizzy. Last July and August, I went to a public hospital for an examination, and the doctor prescribed me an iron supplement for anemia, which is Cyanocobalam...

Dr. Chen Qingbin Reply:
Hello Tina: Your cholesterol and uric acid levels are slightly elevated. You can manage this through dietary control and may not necessarily need medication.

Understanding High Uric Acid Levels: Causes, Treatments, and Lifestyle Tips

Regarding the issue of high uric acid levels? I would like to consult a doctor. I have a condition of elevated uric acid levels, with values between 11 and 12. Is the normal value 7? I discovered this issue three years ago when I suddenly experienced severe lower back pain and wa...

Dr. Wang Weijie Reply:
Hello, Ayou: The uric acid level should be maintained below 7.0 mg/dL. The most common sites affected by gout are the joints, particularly the interphalangeal and metatarsophalangeal joints (especially the big toe). During an acute attack, colchicine is typically administered alo...

Understanding White Sediment in Urine: Causes and Concerns

Urine sediment I would like to ask why there is a white sediment in the urinal after urine has been sitting for a long time, which cannot be scrubbed away. Does this indicate a problem with the body?

Dr. Xiao Yongxun Reply:
Hello: In response to your question, the important components of urine include organic solutes and inorganic solutes. The former includes urea, creatinine, uric acid, hippuric acid, ketone bodies, and indican, among others. The latter includes NaCl, K+, SO4-2, PO4-3, NH4+, Ca2+, ...

Which Medical Specialty Should My Mother See for Knee Swelling?

Which department should I consult? Hello, my mother is 50 years old, and her knees swell up on their own almost every month, making it nearly impossible for her to walk normally. Recently, she has also been experiencing intermittent cramps in her heels. She is a homemaker and doe...

Dr. Zeng Guosen Reply:
Hello: Knee swelling may be related to high uric acid levels. It is recommended to consult a rheumatologist. Wishing you good health.

Understanding Uric Acid Levels: Do They Indicate Gout?

Uric acid Hello, I would like to ask about my previous foot pain. I went to see a doctor and the test results showed that my uric acid level is slightly higher than normal. Does this mean I have gout? Should I get another test done? Is gout a condition that can be completely cure...

Dr. Yang Hongzhi Reply:
Hello: If the uric acid level is high along with typical symptoms of a gout attack, a diagnosis of gout can generally be made. However, if only the uric acid level is elevated without typical attacks, it cannot be diagnosed as gout. Most gout treatments are effective, and after a...

Can Gout Patients Safely Consume Clam Extract Drinks?

Can gout patients consume clam extract? Hello doctor, I am a gout patient with a history of two years. Two years ago, during my first attack, my uric acid level was 12. Currently, my uric acid levels have been normal upon examination. I would like to know if consuming commerciall...

Dr. Zeng Guosen Reply:
Hello: Clam extract is considered a high-purine food. If consumed occasionally and not on a regular basis, it should not pose significant issues. It is advisable to regularly monitor uric acid levels after consumption. Sincerely, Dr. Tseng Kuo-Sen, Internal Medicine.

Understanding High Uric Acid Levels: Health Impacts and Dietary Solutions

Hyperuricemia The blood test results indicate a total cholesterol level of 201, triglycerides at 69, blood urea nitrogen at 11.4, creatinine at 0.9, and uric acid at 7.5. Elevated uric acid levels can lead to health issues such as gout, which is characterized by painful joint inf...

Dr. Yang Hongzhi Reply:
Hyperuricemia can lead to gout, but the likelihood of a gout attack due to mild elevations in uric acid is low. Avoiding high-purine foods can help lower uric acid levels in the blood. High-purine foods include organ meats, seafood, legumes, and meat gravies.

Understanding High Uric Acid and Its Impact on Kidney Health

Uric acid issues? Hello, doctor: Recently, I participated in a health check-up, and the abdominal ultrasound report indicated that there are bilateral renal calcifications (gouty nephropathy) in the kidneys. The examining physician mentioned that this is caused by my elevated uri...

Dr. Wang Weijie Reply:
1. Bilateral renal calcifications may indicate the presence of calcified spots within the kidneys, which cannot be confirmed by other means. This could be one of the manifestations of hyperuricemia or hypercalcemia. If accompanied by hyperuricemia, controlling uric acid levels (t...

Understanding Severe Palpitations: Causes and Diagnostic Approaches

Severe palpitations? I apologize! Recently, I often feel a strong heartbeat, and there is a sharp pain in the lower left side of my heart. The back of my head also experiences sharp pain that is truly unbearable. It has been occurring more frequently. In previous health check-ups...

Dr. Chen Qingbin Reply:
You need to go to the hospital for an electrocardiogram (ECG) and thyroid function tests.

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...

Understanding Mild Proteinuria: Causes, Concerns, and Dietary Impact

Mild proteinuria detected in two consecutive tests? Hello, doctor. 1. Over a year ago and again last week, I used a urine test strip to check my urine. The healthcare personnel informed me that there was mild proteinuria, which may be related to my profession as a teacher, invo...

Dr. Wu Jiyu Reply:
1. To confirm proteinuria, a 24-hour urine collection is required for diagnosis. 2. Proteinuria can sometimes be physiological, such as from prolonged standing or exercise, and does not require excessive concern. 3. If uric acid levels exceed the standard values, please adher...

Understanding Kidney Function and Health Risks: A Patient's Guide

Kidney Disease Consultation I previously underwent a health check at a laboratory, and my test results showed cholesterol: 230 mg/dL, creatinine: 1.7 mg/dL, uric acid: 8.5 mg/dL, potassium: 2.9 mmol/L, and urine protein: ++. I would like to ask the doctor how much kidney function...

Dr. Yang Jun Reply:
Hello: In response to your question, the tests listed in your inquiry can diagnose chronic kidney disease, hyperlipidemia, hyperuricemia, hypokalemia, and hypertension. Kidney disease is related to hypertension, and additionally, diet, medications, systemic diseases, and autoimmu...

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...

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. ...

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...

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