What are the harms of hyperuricemia?

Written by Li Hui Zhi
Endocrinology
Updated on August 31, 2024
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The dangers of hyperuricemia:

Firstly, some individuals might experience gouty arthritis, characterized by localized joint swelling, redness, heat, and pain, affecting mobility.

Secondly, prolonged hyperuricemia can damage the kidneys, leading to chronic renal failure.

Thirdly, if hyperuricemia persists long-term, it may result in the formation of tophi. Tophi deposited in joints can cause joint deformities and limited mobility. Additionally, hyperuricemia is an independent risk factor for cardiovascular and cerebrovascular diseases, and thus should be taken seriously.

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Written by Li Hui Zhi
Endocrinology
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Can people with hyperuricemia drink alcohol?

Patients with hyperuricemia are advised to avoid drinking alcohol. Especially liquors such as baijiu and beer, which have high purine content, are contraindicated for patients with hyperuricemia. Furthermore, if hyperuricemia is diagnosed with high levels of uric acid, one should abstain from alcohol, and also pay attention to diet by avoiding foods high in purines to prevent complications such as gouty arthritis and gouty kidney.

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Written by Li Hui Zhi
Endocrinology
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What are the harms of hyperuricemia?

What are the dangers of hyperuricemia? First, it primarily causes gouty arthritis, characterized by redness, swelling, heat, and pain in certain joints, along with limited movement. For some people, the pain can be extremely unbearable. Second, long-term high levels of uric acid can damage the kidneys, leading to impaired kidney function. Third, these purines deposit in the joints forming gout stones, further affecting the function of these joints and reducing the quality of life. Therefore, it is important to treat hyperuricemia early to prevent complications.

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Written by Li Hui Zhi
Endocrinology
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What foods should be avoided with hyperuricemia?

Hyperuricemia generally requires a low-purine diet. So, what foods should be avoided? First, seafood and sea fish, as they have a high purine content and should not be consumed. Second, avoid animal organs like chicken and duck kidneys. Third, abstain from alcohol, especially strong spirits and beer, which tend to raise uric acid levels, so it's recommended to avoid them. Fourth, it is advised not to consume long-cooked broths, such as those commonly enjoyed in Guangdong where the broth is simmered for several hours, as these also have high purine content. Fifth, limit intake of some bean products and various mushrooms, as these should also be consumed minimally.

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Written by Chen Xie
Endocrinology
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What is contraindicated for hyperuricemia?

Hyperuricemia contraindications include the following points: 1. Strictly limit the intake of purines, restrict foods that contain more purines, including animal organs, bone marrow, seafood, fermented foods, beans, etc. 2. Reduce the intake of fats, as fats can decrease the excretion of uric acid. 3. Avoid high-protein foods, such as lean meat, chicken, and duck, which should be boiled and the broth discarded before consumption to avoid eating stewed or marinated meats. 4. Abstain from alcohol, as alcohol can lead to the accumulation of lactate in the body and inhibit the excretion of uric acid, easily triggering gout attacks. 5. Avoid hot pot, as the main ingredients in hot pot are animal organs, shrimp, shellfish, and seafood, and drinking beer with it can aggravate the condition, making these items contraindications for hyperuricemia.

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Written by Li Jing
Rheumatology
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What should be noted for hyperuricemia?

Firstly, hyperuricemia is just found during routine physical examinations or blood tests, showing an increase in blood uric acid levels without the occurrence of gout attacks, meaning there are no symptoms of joint pain. At this time, there is no need for special medication, which means uric acid-lowering drugs are not required. However, you need to be cautious and change your lifestyle habits. For example, abstaining from alcohol, controlling the intake of animal organs, seafood, and barbecued foods. Additionally, drinking more water is necessary, and for overweight individuals, controlling weight and losing weight are important considerations. Also, you should avoid intense physical activities as they can trigger gout attacks, but this doesn't mean no exercise at all; slow walking and swimming are fine.