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How to manage hyperuricemia with joint pain symptoms?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have high uric acid levels and mild pain in random joints. I would like to learn about the management of hyperuricemia.

Please help.

Thank you.
Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

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Hi,

Welcome to icliniq.com.

Definitely, your uric acid is very high (attachment removed to protect patient identity). To discuss the management, I would need to know when you are having these symptoms. Kindly let me know:

  1. Only small joints are involved, or large joints like the knee and elbow are also involved?
  2. Is there any reddening or swelling over the joints?
  3. Do you consume alcohol?

Please help.

Thank you.

Patient's Query

Hello doctor,

I have had these symptoms since last year. Initially, I used to have severe pain in the large joints, like the knee and hip joints. Now I do not have severe pains, but mild pains in large joints and some sort of irritation in the finger joints.

No visible swelling, but I do occasionally get mouth sores (maybe inflammation indications). I rarely drink, like once in two or three months.

Please help.

Thank you.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

In this case, my recommendation would be to start you on anti-hyperuricemic agents. I would recommend you take the tablet Febuxostat 80 mg once daily after meals. Reduce protein and non-vegetarian diet. Drink plenty of fluids. Write back to me after one month with a fresh report of serum uric acid.

I hope this helps.

Please revert in case of further queries.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At May 16, 2020
Reviewed At April 8, 2026

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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Dr. Anshul Varshney

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Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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