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My wife had uncontrolled urine problem, especially in winter. She is diabetic, mild hypertensive and on telmisartan (telday 40) and metformin. We visited our diabetes doctor and he suggested to do sonography. Sonography reported 'renal parenchyma the doctor then suggested urine test. The urine test showed high protein. The blood test showed uric acid in blood. The doctor suggested febustat 40 tabs. We went to nephrologist. He prescribed telmisartan 40 mg. He said go to urologist. We found that there is nothing like urologist but all are uro surgeons. We went to uro surgeon, who said go back to nephrologist. There is nothing from his side to explain or prescribe as he is surgeon. This is not surgical case. Ridiculous. I want to know why there is uric acid in the blood? Is it related to some kidney problem or anything else? I also need to know what is the remedy to permanently stop uric acid high levels? Febustat is symptomatic relief. This cannot be stopped as after stopping the blood report goes back to positive uric acid. Also let me know if there is any such speciality as urologist or uro surgeon himself is called urologist.

1 Doctor Answered
Urologist and uro surgeon are same. High uric acid is not only due to kidney problem. Uric acid is produced as a byproduct of purine metabolism and is normally found in blood. It is excreted by kidneys. High uric acid in blood may be due to its overproduction or may due to inability of kidneys to excrete it. Fabuxostat is a medicine prescribed commonly to reduce uric acid in blood. Your description is not clear. 1-what do you mean by unconrolled urine problem. Is it inability to hold urine or something else? 2-"sonography reported renal paranchyma" which does not explain anything. 3-what was the full urine report? 4-what is latest fasting, pp blood sugar and hba1c report. As uro surgeon has declared there s no surgical problem means physician or nephrologist can solve it.
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