Uric acid is a waste product generated in the body due to digestion and absorption of food. It is produced when the body breaks down chemicals called purines. It gets dissolved in the blood and excreted through the kidneys. High uric acid levels occur in the body when uric acid is not eliminated by kidneys efficiently. It occurs due to intake of rich foods, being overweight, diabetes, and taking diuretics. It is reduced by losing weight, avoiding sugar and alcohol, and reducing intake of purine-rich foods.
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My serum uric acid levels are high. Can I take Neurobion Forte? Will it increase my serum uric acid levels?
Query: Hi doctor, I have been experiencing the following symptoms for the past 15 days. Feet pain, occasional finger bone pain, radiating bone pain, occasional cold feet, occasional abdominal cramping, or a feeling of pressure in the abdomen. I had ureteroscopy for my right proximal ureter stone removal a ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will surely help you out. I have seen all the reports you have attached (attachments removed to protect the patient's identity). I will answer your queries step by step. 1. Can I take Neurobion forte (daily one at night)? And... Read Full »
Why are my uric acid levels always high?
Query: Hi doctor, I have a bad throat, cold and mild fever. I am taking antibiotic Amoxycillin and Ibugesic plus. Can I get liver function test and kidney function test at this time or should I wait? Read Full »
Answer: Hi, Welcome to icliniq.com. It is advisable to get the liver and kidney function tests done after a week, as these drugs alter the test results. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician Read Full »
I have been experiencing pain and inflammation in my lower wisdom teeth due to pericoronitis, despite taking medications. Kindly help.
Query: Hello doctor, I recently went to the dentist to fill one of my upper teeth. That went fine. However, the same day my lower jaw wisdom teeth started to hurt a little. I ignored it, but the day after, it was inflamed and was painful while swallowing. I made an emergency dental appointment and got pres... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Both the cases were unrelated. Wisdom teeth infection may be due to the lack of space for the wisdom teeth to grow at the corner. I do not know whether the root canal treatment will be helpful. If it is pericoronitis, then either the wisdom... Read Full »
Can you give me any advise based on my lab reports?
Query: Hello doctor, I am a 68-year-old male. I am currently on tablet Gluformin G2 Forte for diabetes, tablet Cinod-N 10/2.5 for blood pressure and tablet Olmezest 20. The below is my laboratory report is from last week. HbA1c - 6.8. Uric acid - 7.41 mg/dL. Fructosamine - 299.7 mmol/L. eGFR - 83. APO B /... Read Full »
Answer: Hello, Welcome to icliniq.com. Your HbA1c is in good control and the other parameters are within the normal range. ACR (albumin creatinine ratio) is slightly high. You need to recheck the albumin-creatinine ratio after three months. Please repeat your uric acid levels after two weeks. If it is sti... Read Full »
When I urinate standing up, I notice foamy bubbles. Does it indicate a high protein content?
Query: Hi doctor,I am a 29 year old male. When I urinate standing up, I notice foamy bubbles. If I do it sitting, there are no bubbles. I read in the internet sources, that it might be due to a high protein content in the urine, which may be due to a kidney problem. I got really worried and opted for ... Read Full »
Answer: Hello, Welcome to icliniq.com. Your uric acid level is high, but your symptoms are not due to it. I would recommend you go for a urine routine examination as well as urine culture. If your report comes out to be normal, this could be simply anxiety. I would recommend tablet Febuxostat 40... Read Full »
How to know the reason for my big toe pain?
Query: Hi doctor, I have been suffering lately from pain in my big toe joint. It is very severe that I could not sleep two nights when I ran out of painkillers. I thought it might be a gout attack. Because I do have gout. Though my uric acid levels are mostly high, I do not really watch what I eat. My tr... Read Full »
Answer: Hello, Welcome to icliniq.com. From your detailed description, it is gout unless proven otherwise. The reason I say this is your past medical history of gout. Swelling of the great toe and adjoining area with excruciating pain is called podagra. It is the most common presentation of gout. Ev... Read Full »
Can BP tablets cause high uric acid level?
Query: Hi doctor, I am 35 years old. Height 166 cm, weight 76 kg. My uric acid level has come to 8.9. I did this checkup one year before and it was 8.4. At that time I had stopped eating all pulses for at least one month. I am pure vegetarian. I do not have any symptom of gout or any other stuff. I do hav... Read Full »
Answer: Hi, Welcome to icliniq.com. You seem to have high uric acid levels but asymptomatic hyperuricemia does not need treatment. You may have a family history of hyperuricemia which explains why you have it despite being a vegan. Also, being obese or losing too much weight can increase blood uric acid l... Read Full »
I am worried about needing medications for increased urate levels. Please help.
Query: Hi doctor, At my routine blood test, my urate level was tested and came back at 7.3. I do not have symptoms, but I am worried about needing medications. I do not eat a lot of meat or protein shakes. I have gained 35 kg in the last two years. Before this, the level was 5.3 two years ago, and three ye... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. The problem is not your uric acid, but it is your weight. Generally, medicines are not needed at uric acid of less than 9.5 mg/dL a patient has gouty arthritis. You need to stop or reduce non-vegetarian foods by 50 percent and reduce pulse... Read Full »
Why are my medial malleolus and calcaneus swollen?
Query: Hello doctor,My medial malleolus and calcaneus are swollen. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. The common cause of swelling in the medial malleoli are ankle sprain and strain. Gout needs to be investigated with the help of serum uric acid and an X-ray. I suggest you apply Crepe Bandages and take Naprosyn (Naproxen) 500 mg twice daily. Consult... Read Full »
My reports say there is protein in the urine. Is it normal?
Query: Hello doctor, I just got my blood and urine tests done and it says I have protein (trace) in the urine. Is it normal? Secondly, I am attaching my reports. Please check and comment. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Traces of protein in the urine might be normal. Kindly note: Uric acid is on the higher side, and lipid profile is deranged. Also, check your blood pressure and blood glucose level... Read Full »