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Uric Acid High - What It Means & What to Do

Uric acid is a normal waste product created when your body breaks down substances called purines. A high uric acid level (hyperuricemia) doesn't always cause problems, but it can sometimes lead to kidney issues or gout (a painful form of arthritis).

It's important to remember that a single high uric acid test result isn't always cause for alarm. It can fluctuate based on diet and hydration. Often, simple lifestyle changes can bring levels back into a healthy range.

What Uric Acid High Measures

This test measures the amount of uric acid in your blood. Uric acid is formed from the breakdown of purines, which are substances found naturally in your body and in certain foods. Your kidneys usually filter uric acid from the blood and eliminate it in urine. When your body produces too much uric acid, or your kidneys don't efficiently remove it, uric acid levels in your blood can rise. Persistently elevated uric acid levels (hyperuricemia) can lead to the formation of urate crystals. These crystals can deposit in the joints, causing gout, a painful inflammatory condition. They can also accumulate in the kidneys, potentially leading to kidney stones or kidney damage over time. Therefore, monitoring uric acid levels is important for identifying potential risks to joint and kidney health and taking preventative measures.

Possible Causes

Diet high in purines

common

Consuming large amounts of purine-rich foods (red meat, seafood, organ meats, beer) can increase uric acid production.

Dehydration

common

Not drinking enough fluids can impair kidney function and reduce uric acid excretion.

Kidney disease

less-common

Impaired kidney function can reduce uric acid excretion, leading to elevated levels.

Certain medications

less-common

Diuretics (water pills), aspirin, and some immunosuppressants can increase uric acid levels.

Obesity

less-common

Obesity is associated with increased uric acid production and decreased excretion.

Genetic factors

less-common

Some individuals may be genetically predisposed to producing more uric acid or excreting less of it.

Tumor lysis syndrome

rare

Rapid breakdown of cancer cells can release large amounts of purines into the bloodstream, leading to a sudden spike in uric acid.

Your Action Plan

1

Consult Your Doctor

Schedule an appointment to discuss your results. They can review your medical history, medications, and lifestyle to determine the underlying cause and recommend appropriate treatment.

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2

Increase Water Intake

Aim for at least 8-10 glasses of water per day to help your kidneys flush out uric acid. Avoid sugary drinks and excessive alcohol.

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3

Dietary Modifications

Reduce your intake of purine-rich foods such as red meat, organ meats, seafood, and alcohol (especially beer).

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4

Maintain a Healthy Weight

If you are overweight or obese, losing weight can help lower uric acid levels.

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5

Review Medications

Discuss your current medications with your doctor to see if any could be contributing to high uric acid levels. Do not stop taking any medication without consulting your doctor first.

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Global & Cultural Context

In India, a diet rich in lentils and certain vegetables can contribute to higher uric acid levels in some individuals. Additionally, genetic predispositions and lifestyle factors prevalent in the Indian population may play a role. It is important to discuss your specific dietary habits and family history with your doctor to tailor a management plan that is right for you.

Lifestyle Adjustments

🥗 Diet

Focus on a diet rich in fruits, vegetables, and whole grains. Limit red meat, organ meats (liver, kidney), seafood (especially shellfish, anchovies, sardines), and sugary drinks. Reduce or eliminate alcohol consumption, particularly beer. Cherries and cherry juice may help lower uric acid levels due to their anti-inflammatory properties.

🏃 Exercise

Engage in regular moderate-intensity exercise, such as brisk walking, jogging, or swimming, for at least 30 minutes most days of the week. Avoid strenuous exercise, as it can temporarily increase uric acid levels.

😴 Sleep & Stress

Aim for 7-8 hours of quality sleep per night. Manage stress through relaxation techniques such as yoga, meditation, or deep breathing exercises. Chronic stress can contribute to inflammation and affect uric acid levels.

Monitoring Timeline

When to retest: Your doctor will advise on the appropriate timing for a retest, typically in a few weeks to a few months, depending on the initial uric acid level and any interventions implemented.
Watch for: Seek immediate medical attention if you experience sudden, severe joint pain (especially in the big toe), fever, chills, or difficulty urinating, as these could indicate gout or kidney problems.

Common Questions

Can high uric acid cause any symptoms?

High uric acid often doesn't cause any symptoms initially. However, over time it can lead to gout, characterized by sudden, severe joint pain, usually in the big toe. It can also contribute to kidney stones and kidney damage.

Is high uric acid always a cause for concern?

Not always. Many people with high uric acid levels never develop gout or kidney problems. However, it's still important to address elevated levels through lifestyle changes or medication to prevent potential complications.

What is the normal range for uric acid?

The normal range for uric acid is typically between 2.4 and 7.0 mg/dL for women and 3.4 and 7.0 mg/dL for men. However, these ranges may vary slightly depending on the laboratory.

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