HYPERURICEMIA-HIGH URIC ACID : YOUR DIET & TREATMENT

By | Categories: Medical Articles | Tags: | Date: 18th October 2018

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;

  1. Joint pain
  2. Abdominal or flank pain

Causes of uric acid:

  1. Food and drinks listed in the limited diet below*
  2. Obesity
  3. Stress
  4. Severe illness
  5. High blood pressure
  6. High blood sugar
  7. High cholesterol
  8. Hypothyroidism
  9. Hyperparathyroidism
  10. Extreme Physical exertion
  11. Kidney disease
  12. Exposure to lead
  13. Malignancy
  14. Some of the medication and supplements

Possible complications of hyperuricemia include the following:

  • Gout
  • Acute uric acid nephropathy
  • Uric acid nephrolithiasis
  • Chronic renal insufficiency

What are the work ups required for proper management?

  1. Serum Uric acid
  2. Complete blood count
  3. Blood glucose
  4. Lipid profile
  5. Liver function test
  6. Electrolyte, BUN, Creatinine
  7. Thyroid stimulating hormone
  8. Serum calcium and phosphorous
  9. Urinary uric acid excretion
  10. In patients with gout: radiograph
  11. 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

GOOD NEWS:

Drinking around 2 liter of water daily helps in reducing the accumulation of uric acid in blood.

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