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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Uric Acid Levels In Blood?

Hi,



I am 29 year old male weighing 89 Kilos , and height is 6'1. I am affected with increase of Uric acid level in blood . Initial blood test in Septermber showed a 7.6 , then after taking zyloric for 2 weeks count increased to 8 . But while taking zyloric i didnt maintin the diet. After this I took zylori again for 2 week with proper diet and then blood test showed level of 6.2. After that i didnt takle zyloric but maintained a proper diet . After this blood test showed uric acide count of 10 !!!!. I do work out regularly and i dont have paint in joints
Mon, 24 Oct 2016
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Gastroenterologist,  's  Response
hi.
as indicated in your history, you have persistent asymptomatic hyperuricemia.

There are three major crystal deposition-related disorders associated with hyperuricemia: gout, urolithiasis, and urate nephropathy. The risk of gouty arthritis and urolithiasis is elevated with increasing degrees of hyperuricemia and hyperuricosuria, respectively.

A determination of the fractional urinary excretion of urate (FEur), which represents the percent of urinary urate excretion per unit of the glomerular filtration rate (GFR), "should be performed" in men presenting prior to age 30.

In all persons with persistent asymptomatic hyperuricemia in whom treatable secondary causes have been excluded, we provide counseling regarding the use of nonpharmacologic (lifestyle) interventions to reduce the degree of hyperuricemia.

avoidance of red meat, beans, food containing high purine , alcohol, reduction to ideal body weight, and regular exercise ( NOT aggressive workout).

no drug should be used that may cause hyperuricemia such as Thiazide diuretics.


check uric acid after 1 month. if still uric acid level is high after "strictly" following above advise, then uric acid lowering agent maybe used to avoid complications as mentioned above.

hope to answer your concern.

regards
Dr Tayyab Malik
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What Causes High Uric Acid Levels In Blood?

hi. as indicated in your history, you have persistent asymptomatic hyperuricemia. There are three major crystal deposition-related disorders associated with hyperuricemia: gout, urolithiasis, and urate nephropathy. The risk of gouty arthritis and urolithiasis is elevated with increasing degrees of hyperuricemia and hyperuricosuria, respectively. A determination of the fractional urinary excretion of urate (FEur), which represents the percent of urinary urate excretion per unit of the glomerular filtration rate (GFR), should be performed in men presenting prior to age 30. In all persons with persistent asymptomatic hyperuricemia in whom treatable secondary causes have been excluded, we provide counseling regarding the use of nonpharmacologic (lifestyle) interventions to reduce the degree of hyperuricemia. avoidance of red meat, beans, food containing high purine , alcohol, reduction to ideal body weight, and regular exercise ( NOT aggressive workout). no drug should be used that may cause hyperuricemia such as Thiazide diuretics. check uric acid after 1 month. if still uric acid level is high after strictly following above advise, then uric acid lowering agent maybe used to avoid complications as mentioned above. hope to answer your concern. regards Dr Tayyab Malik