Asked for male, 48 years old from Kolkata
Most men with normal kidney function have approximately 0.6 to 1.2 milligrams/deciliters (mg/dl) of creatinine. Normal uric acid levels are 2.4-6.0 mg/dl (female) and 3.4-7.0 mg/dl (male) as you can see you have a slightly elevated uric acid level which is causing the swelling of feet and angel if you have an elevated blood uric acid level, and your healthcare provider thinks that you may be at risk for gout, kidney stones, try to eat a low purine diet. Foods that are high in purine include:
all organ meats (such as liver), meat extracts and gravy
yeasts, and yeast extracts (such as beer, and alcoholic beverages)
asparagus, spinach, beans, peas, lentils, oatmeal, cauliflower and mushrooms
foods that are low in purine include:
refined cereals - breads, pasta, flour, tapioca, cakes
milk and milk products, eggs
lettuce, tomatoes, green vegetables
cream soups without meat stock
water, fruit juice, carbonated drinks
peanut butter, fruits and nuts
keep well hydrated, drinking 2 to 3 liters of water per day, unless you were told otherwise.
Take all of your medications for hyperuricemia as directed
avoid caffeine and alcohol, as these can contribute to problems with uric acid and hyperuricemia.
Avoid medications, such as thiazide diuretics (hydrochlortiazide), and loop diuretics (such as furosemide or lasix®). Also, drugs such as niacin, and low doses of aspirin (less than 3 grams per day) can aggravate uric acid levels. Do not take these medications, or aspirin unless a healthcare provider who knows your condition told you.
If you experience symptoms or side effects, especially if severe, be sure to discuss them with your health care team. They can prescribe medications and/or offer other suggestions that are effective in managing such problems.
Drugs or treatments that may be prescribed by your doctor:
your doctor or healthcare provider may prescribe medications if you have a high blood uric acid levels. These may include:
non-steroidal anti-inflammatory (nsaid) agents and tylenol®- such as naproxen sodium and ibuprofen may provide relief of gout-related pain. Gout may be a result of a high uric acid level.
If you are to avoid nsaid drugs, because of your type of cancer or chemotherapy you are receiving, acetaminophen (tylenol () up to 4000 mg per day (two extra-strength tablets every 6 hours) may help.
It is important not to exceed the recommended daily dose of tylenol, as it may cause liver damage. Discuss this with your healthcare provider.
Uricosuric drugs: these drugs work by blocking the reabsorption of urate, which can prevent uric acid crystals from being deposited into your tissues. Examples of uricosuric drugs include probenecid, and sulfinpyrazone.
Xanthine oxidase inhibitors - such as allopurinol, will prevent gout. However, it may cause your symptoms of gout to be worse if it is taken during an episode of painful joint inflammation.
Allopurinol may also be given to you, if you have a certain form of leukemia or lymphoma, to prevent complications from chemotherapy and tumor lysis syndrome - and not necessarily to prevent gout. With high levels of uric acid in your blood, as a result of your disease, the uric acid will collect and form crystals in your kidneys. This may occur during chemotherapy, and may cause your kidneys to fail.
When to contact your doctor or health care provider:
localized joint pain (especially in a toe or finger joint), that is red and inflamed.
Shortness of breath, chest pain or discomfort; should be evaluated immediately.
Feeling your heart beat rapidly (palpitations).
Bleeding that does not stop after a few minutes.
Any new rashes on your skin - especially if you have started any new medications.