How Gout Symptoms Cause Kidney Disease And How To Treat It

Joint swelling and pain caused by gout. In fact, gout is also very harmful to the kidneys. Relevant data show that almost 100% of gout patients with a history of more than 10 years will develop kidney disease or even uremia.

Gout is a systemic disease. The deposition of uric acid crystals in the joints will cause symptoms similar to arthritis, and the deposition in the renal tubules will lead to renal failure, that is, the awareness rate of high uric acid and gout is less than 30%. of nephrologists are not particularly concerned about high uric acid.

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Urine changes in gout may cause kidney disease

Patients with gout or high uric acid should pay attention to their urination habits or whether there is any change in urine, such as increased nocturia. Normal people's urine volume during the day is twice that of the night, and it is 1 or 2 times at night. ; If you go to the toilet 3 to 4 times or even 5 to 6 times a night, the nocturnal urine volume will increase significantly, which does not rule out the possibility of gouty nephropathy. The second is to look at the color of the urine. The urine of normal people is light yellow, and the urine of the early stage of kidney disease is white; some patients will have occult blood in the urine. The third is foamy urine, that is, there is a plus sign for urine protein in the urine routine examination. If B-ultrasound also finds crystals, stones, renal cysts, renal medulla echo enhancement, renal atrophy, and significantly increased serum creatinine in the kidneys, it is highly suspected that the kidney damage is caused by high uric acid or gout.

Which gout or kidney disease should be treated first?

Early and timely intervention can control the blood uric acid to the standard and reduce the gout attack and can have a protective effect on the kidneys. Kidney is the most important organ for excreting uric acid. When kidney function declines, the function of kidney excreting uric acid also declines, and uric acid in blood will increase, further aggravating kidney damage.

Experts believe that in the progress of gouty nephropathy, both nephropathy and gout should be treated and blocked at the same time. As long as the gout patients have nephropathy and other complications, and the uric acid exceeds 420umol/L, they need uric acid-lowering treatment. The complications of chronic kidney disease, such as hypertension and abnormal metabolism, are intertwined with the complications of gout and hyperuric acid, and require differential diagnosis and simultaneous treatment. . The pH value of morning urine is less than 5.5, which is acidic urine. The uric acid filtered from the glomerulus forms chronic interstitial nephritis and renal cysts in the kidneys. Therefore, acidic urine not only leads to a significant increase in the incidence of kidney stones in patients with gout, but also causes renal cysts. , hematuria, and proteinuria are the main culprits. Do not voluntarily give up routine urine examinations during daily physical examinations, so as not to miss the opportunity of early detection of gouty nephropathy.

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Lowering uric acid for kidney disease patients cannot rely on drugs alone.

Reaching the uric acid standard requires comprehensive treatment such as diet adjustment, scientific exercise and drugs to avoid gout and gouty nephropathy. To prevent gout attacks, it is also necessary to alkalize urine, so that the pH value of urine is maintained at 6.2 to 6.9 for a long time, so as to reduce or prevent the damage of acid urine to the kidneys. In the process of treating hyperuricemia, we cannot blindly pursue uric acid-lowering drugs and ignore the importance of alkalizing urine. It is also mentioned in the Chinese guidelines for the diagnosis and treatment of hyperuricemia and gout that alkalized urine can be used for gout patients whose urine pH is less than 6.0.

Experts said that food-grade alkalized urine products are especially suitable for gout patients, because these patients are "no medicine available", and the mode of diet and exercise intervention is not effective. On the basis of citric acid, tart cherries are also added, which can strengthen the effect of lowering uric acid. Experts pointed out that food-grade alkalized urine products are not only suitable for hyperuricemia, gout patients, as well as diabetes, hypertension, lipid metabolism disorder patients and obesity and other groups prone to acid urine, for overeating, like drinking and eating. It is also suitable for people who do not like to eat fruits and vegetables, so as to maintain the pH value of urine between 6.2-6.9 and avoid damage to the kidneys.

Be alert to 6 gout triggers that may cause gout and kidney disease

Involvement, cold, injury, overeating, emotional distress, and medication are common triggers of gout. Experts point out that excessive intake of high-purine foods, such as sports drinks, should be avoided. Drink more water every day, and the daily urination volume must be at least 2000 ml. It needs to be reminded that drinking water can dilute the concentration of uric acid in the blood and original urine, and prevent the deposition of uric acid in the kidney to form crystals and stones, but it does not affect the original urine. In the reabsorption of uric acid, the effect of lowering uric acid is not obvious. Therefore, on the basis of increasing drinking water, it is also necessary to pay attention to alkalization of urine to maintain the pH value of urine within the normal range. In addition, it is necessary to quit smoking. Patients who often take diuretics, anti-tuberculosis drugs, hypoglycemic drugs, etc. take medication under the guidance of doctors. At the same time, pay attention to screening uric acid levels, do not use home remedies, and must receive standardized treatment in regular hospitals to protect joints and reduce kidney damage.

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What should I do if I have gout and crave meat? Three kinds of meat dishes are safe to eat

If gout patients are "too indulgent" in their diet, they are likely to be followed by high blood uric acid and red, swollen, hot big toes. Therefore, adhering to a low-purine diet has always been the core medical advice. However, it is unlikely that gout patients are completely insulated from meat dishes. According to experts, these three kinds of meat dishes are suitable for people with gout and hyperuricemia to satisfy their cravings, so there is no need to avoid them.

1. Sea cucumber. Sea cucumber is a low-purine food, containing only 4.2 mg of purine per 100 grams of sea cucumber, even lower than the purine content of some vegetables and fruits. Normal consumption of sea cucumber in gout patients will not aggravate the disease and cause blood uric acid to rise. In addition, existing studies have found that sea cucumbers are rich in protein, polysaccharides, polypeptides, saponins, and trace elements such as zinc and selenium, which can enhance the body's immunity.

2, jellyfish. Jellyfish is also a low-purine food. The purine content of every 100 grams of jellyfish is about 9.3 mg, which is lower than that of rice. Jellyfish is rich in nutritional value, its fat content is very low, but it is rich in protein and inorganic salts. It is a nutritious food with high protein, low fat and low calorie. Jellyfish also contains substances similar to acetylcholine, which can dilate blood vessels and lower blood pressure, and mannan colloid, which has a certain effect on preventing and treating atherosclerosis.

3. Pig blood. Pig blood is a low-purine food, and generally does not cause elevated blood uric acid and gout attacks after eating. The ratio of amino acids contained in pig blood is relatively close to the ratio of amino acids in the human body, and it is rich in iron, which is easily digested and absorbed by the human body. In addition, calcium, phosphorus, potassium, sodium and other inorganic salts and rich trace elements such as zinc and copper in pig blood have the effect of improving human immunity and anti-aging.

4. Beef Stew with Cistanche

Ingredients: 60 grams of beef, 30 grams of cistanche, 15 grams of silkworm, 2 slices of ginger.

Method: Wash the beef, cut it into pieces, and drag it with boiling water to remove the fishy smell; soak the cistanche, and slice it; wash the dodder seeds and ginger; Simmer for 2--3 hours, seasoning for use.

Efficacy: invigorating the kidney and nourishing essence, reducing lipids and prolonging life.

Cistanche is sweet, salty and warm in nature, invigorating the kidney and nourishing essence, moistening the intestines and defecation. Cistanche deserticola contains trace alkaloids and crystalline neutral substances. According to research, it has the effect of lowering blood pressure and blood lipids. Dodder is pungent and sweet in nature, tonifying the kidney and nourishing the liver, and improving eyesight. It contains resinous glycosides, sugars and other components, which can lower blood pressure.

However, although this soup is a supplement for yin and yang, it tends to supplement yang.

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