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Gout and Pseudogout Questions

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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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A uric acid level higher than normal is called hyperuricemia excess uric acid in the blood.But we have to look into the details of the problem. Let's have a detailed discussion for better advice and medication plan.
8 people found this helpful
Asked for male, 38 years old from Patna
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I am 37 years old male and suffering from high uric acid for the last 3 years. My height is 165 cm and weight is 70 kg. In 2017 I got 1st attack with severe pain in my right foot and swelling with uric acid level 10.8. I was on zyloric 100 1*3 for 1.5 months. Thereafter I got similar attack after every 6 months with uric acid level 9 and 9.5. Recently in may 2020 I got the most severe attack. I am on febutaz 40 for the past 3 months. But even I am on medication pain again started occurring in my foot after subsiding first. I am not taking high purine food as spinach tomatoes, paneer, red meat, egg, milk etc. I walk 30 minutes everyday. I am not understanding why my uric acid level is still increasing while I am on febutaz 40. My creatinine level is 1.13 and egfr is 90. My doctor has said that my kidney is ok although my cholesterol level is slightly high with level 201 and my triglyceride is 232 and my liver is very bmild fatty. please suggest.

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MBBS, MD Internal Medicine, PhD (Endocri...read more

Endocrinologist•Vellore
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Dear lybrate-user,
as you have developed symptomatic gouty arthritis with high uric acid levels it is likely that you have a genetic tendency for high uric acid levels.
You need to avoid nuts, wine and red meat and drink 3-4 litres of water every day. If in spite of dietary modification the problem persists you may have to adjust the dose of febutaz to optimize uric acid levels.
1081 people found this helpful
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Bachelor of Unani Medicine and Surgery (...read more

Unani Specialist•Kanpur
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basant kusumakar ras 1 tablet twice a day

gokshuradi avleh 3 gram twice a day

relief in 3-4 days and for complete cure take it for 60 days only

avoid spicy and oily food
53 people found this helpful
Asked for male, 73 years old from Bangalore
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Asked for female, 56 years old from Mumbai
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Hello doctor, I am 23 years old male and around 8 months ago, in my blood test I found high levels of creatinine and uric acid amd high blood pressure of around 170/90, then I went to kidney specialist and he prescribed febuxostat 40 mg for 3 months, and relmisart 40 mg twice a day 1-0-1, with amlodipine 5 mg once a day 1-0-0, now its been 6 months I am eating these, and stopped fexanto, and now due to lighten, from past 1 week, I am checking my blood pressure at home, so it is normal 115-80, hence now, can I reduce my dosage of telmisartan 40 mg to once a day, 1-0-0 and increase amlodipine dosage to twice a day, 1-0-1.because I have heard that telmisartan declines kidney function and is not good for kidneys for long term use. Ps: I cannot visit kidney specialist doc as he is stuck out of india because of cavity 19 lockdown. Please help me out with a detailed reply.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
I have seen the details given. I do not know from where you have gathered the information about Telmisartnan causing "kidney damage". In fact these group of drugs (ARBs) and ACE- Is are considered safest of blood pressure reducing drugs. Since your BP is well controlled, there is no reason to reduce the dosage. Telmisartan is shown to reduce proteinuria and help improve Glomerular Filtration Rate (GFR), which an indication of kidney function. Thanks.
Asked for male, 69 years old from Delhi
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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The mean urinary creatinine and uric acid excretions in the patients with gout were significantly increased as compared with those of normal male controls. Let's have a detailed discussion for better advice and medication plan.
15 people found this helpful
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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Use cautiously in patients with a history of gout, or elevated uric acid levels, as the correction of megaloblastic anemia with vitamin B12 may precipitate gout in susceptible individuals. Let's have a detailed discussion for better advice and healthy lifestyle.
43 people found this helpful
Asked for female, 33 years old from Pune
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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I am sorry to hear about your concern, but I will be happy to assist you
diet is the best method to control high uric acid and diabetes. Diet can be easily done with natural food or supplements. Let's connect over a call so that we can discuss your concern in detail and make a suitable  diet plan for you.
7 people found this helpful
Asked for female, 28 years old from Siliguri
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
Usually the drug mentioned is taken to reduce excess uric acid from the blood. Plus if a person has symptoms of joint pains and swelling with high uric acid. Unless those details are given there is no way to give any advice. Thanks.
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