Hyperuricemia is increased uric acid level in the blood.
Uric acid level to be safe below 6mg/dl
Increased uric acid level occurs because of:
Decreased removal of uric acid from the blood or its increased production or a combination of these two mechanisms.
When should you think you have a uric acid problem?
If you develop any one of the following symptoms, it calls for a uric acid checkup;
- Joint pain
- Abdominal or flank pain
Causes of uric acid:
- Food and drinks listed in the limited diet below*
- Severe illness
- High blood pressure
- High blood sugar
- High cholesterol
- Extreme Physical exertion
- Kidney disease
- Exposure to lead
- Some of the medication and supplements
Possible complications of hyperuricemia include the following:
- Acute uric acid nephropathy
- Uric acid nephrolithiasis
- Chronic renal insufficiency
What are the work ups required for proper management?
- Serum Uric acid
- Complete blood count
- Blood glucose
- Lipid profile
- Liver function test
- Electrolyte, BUN, Creatinine
- Thyroid stimulating hormone
- Serum calcium and phosphorous
- Urinary uric acid excretion
- In patients with gout: radiograph
- In patients with hyperuricemia and suspected renal problem: renal sonogram
What are the Food that needs to be limited in patients with hyperuricemia?*
- Alcoholic beverages (all types)
- Meats, such as beef, chicken, duck, pork, ham, bacon, turkey, veal, venison
- Organ meats: liver, kidney, brain
- Fish: anchovies, scallops, salmon, sardines, herring, mussels, codfish, tuna, trout and haddock
- Shellfish, such as crab, lobster, oysters and shrimp
- Processed food like bakery items, chips, snacks, frozen dinner
- Refined carbohydrate like white bread, white rice, pasta, Sugary beverages
- Vegetables: asparagus, cauliflower, peas, spinach, beans, mushroom
Which Food items can be included in the diet?
- Skim milk
- Low-fat dairy products (yogurt, cheese, cottage cheese)
- Whole-grain products
- Plant oils (olive, canola, sunflower)
- Vegetables except the ones mentioned in the limited diet list
- High fiber or dietary soluble fibers such as Isabgol, Oats, Broccoli , apples, oranges, pears, strawberries, blueberries, bananas, cucumbers, celery, barley and carrots.
- Vitamin C rich food or supplements
Drinking around 2 liter of water daily helps in reducing the accumulation of uric acid in blood.