What could be the reason for pain in the body for a person undergoing treatment for IgA nephropathy and has elevated creatinine levels?

Question

Hi doctor,

I am under treatment for IgA nephropathy and my uric acid levels are elevated. I get severe body pain in my feet, knee, wrist, elbow, etc. I have a burning sensation in my feet too. I have started taking Febuxostat 80 mg. But the pain does not get better. I have pain in my whole body some days, which even my nephrologist can give a reason for. Even Metamizole does not work for the pain. It gets so severe that I can not even move. My doctor is not sure if it is gout. Can it be gout or is there any other reason why I get this severe pain in my whole body? Please help.

Thank you.

Answer 1

Hi,

We will pay close attention to your worries and address all of your questions with utmost care.

Elevated uric acid levels are commonly associated with gout, which is a type of arthritis caused by the buildup of uric acid crystals in the joints. Gout often affects the big toe, but it can also impact other joints such as the feet, knees, wrists, and elbows. However, since your doctor is uncertain about whether gout is the cause of your pain, it is important to consider other possibilities as well. Given your existing condition of IgA nephropathy, it is possible that your pain could be related to other factors like inflammation, autoimmune conditions, or even side effects of medications. It may be worth discussing these possibilities with your nephrologist and exploring further investigations or consultations with a rheumatologist or pain specialist. I recommend lifestyle modifications that can help to reduce inflammation, such as maintaining a healthy weight, following a balanced diet, staying hydrated, and engaging in gentle exercises, and painkillers to manage pain. Remember, it is essential to have open and honest communication with your healthcare team to ensure you receive the best possible care for your specific situation.

I hope this information will help you. In case of further queries, please revert.

Thank you.