Gout originates from high uric acid, but it does not mean that high uric acid necessarily leads to gout, and gout occurs only when uric acid crystals in the blood are deposited in the synovial membrane of the joint and cause synovial inflammation. Just high uric acid cannot be ignored, and it is also necessary to control uric acid in time to meet the standard, because long-term high uric acid will cause harm to the human body. So, how to lower high uric acid in gout?
If your uric acid exceeds the standard but does not exceed 500umol l, and you do not have chronic diseases such as high blood pressure, hyperlipidemia, diabetes, gout, or joint symptoms, you do not need medication**.
Of course, that doesn't mean you can just ignore it. Regardless of whether there has been an attack of gout or not, people with high uric acid should pay attention to it in addition to regularly monitoring their blood uric acid
1. Avoid high-purine diet, avoid intake of foods such as: animal offal, meat (especially red meat), seafood and other foods.
2. Quit all kinds of alcohol, especially beer and rice wine.
3. Overweight patients need to control their weight, adopt a low-calorie, balanced diet, and increase the amount of exercise to lose weight.
4. Drink enough water to maintain a daily urine output of more than 2000ml and avoid fructose intake.
5. Timely control of cardiovascular diseases and other risk factors related to hyperuricemia.
6. Eat a low-salt diet and exercise regularly.
7. Avoid overwork, trauma, cold and mental stress and other inducements.
If you still can't lower your blood uric acid through lifestyle changes, it means that you have a problem with your metabolism, and you also need to regulate your metabolism with the help of drugs.
If your uric acid is excessive and you have had a gout attack, regardless of whether you have other chronic diseases, you need to lower your uric acid and regulate metabolism under the guidance of your doctor** to reduce uric acid to below 300.
Because you already have urate crystals deposited in your body, if you don't regulate it in time**, it will slowly turn into tophi and it will be more difficult to control.
We can find out the causes of pain, high uric acid, and metabolic imbalance through specialized examination of musculoskeletal ultrasound, microcirculation detection, and immunometabolism testing. For example, musculoskeletal ultrasound is used to check the distribution of uric acid crystal salts and the degree of bone destruction of soft tissue synovium, local blood circulation is detected through microcirculation, and the cause of metabolic imbalance is detected by immunometabolism. Only a comprehensive and accurate examination can clarify the condition and prescribe the right medicine, so that the best effect can be seen.
If you have had a gout attack, and also have high blood pressure, diabetes, hyperlipidemia, coronary heart disease, heart failure, cerebral infarction, obesity, chronic kidney disease, or have already formed tophi, then no matter how high your uric acid is, you need to do it under the guidance of a doctor."Melt crystal to protect the kidney and regulate metabolism"**Control uric acid below 300.
Melt crystals": urate crystals in the patient's body will not only cause gout to reverse, but also cause joint and kidney damage, and when gout is in the middle and late stages, these urate crystals will also cause chronic gouty arthritis, so that the patient's joints are always in pain.
"Kidney-protecting": The kidney is the main channel for uric acid excretion, and it is also the organ most prone to urate crystal deposition, high uric acid and gout. Most patients with gout in the middle and advanced stages will have some degree of kidney problems, and in severe cases, they will even develop uric acid kidney stones, acute and chronic gouty nephropathy, kidney failure, and uremia. Therefore, in the process of gout**, it is necessary to pay attention to whether the patient's kidneys have lesions.
Regulate metabolism": The root cause of hyperuric acid and gout is the imbalance of uric acid metabolism. Therefore, gout or hyperuric acid also needs to start from metabolism, find out the cause of uric acid metabolism imbalance, and then treat the symptoms**, regulate metabolism, and achieve the purpose of avoiding gout recurrence from the root.
Tips. Uric acid has decreased, but the urate crystals in the body have not been removed, and the metabolic function of uric acid has not been regulated. Then, your uric acid will only drop temporarily, and as long as you stop taking the drug, there is a risk of rising again. Therefore, uric acid lowering requires doctors to consider the best plan according to the individual's situation and comprehensive condition, and it requires the patient's active cooperation, regular review and follow-up, and adjustment of the best measures according to the changes in the condition.