Uric acid dropped by more than 310 after taking medicine, what should I pay attention to? Do you wan

If it has dropped to the normal uric acid value, there is no need to take it for a long time. Pay attention to the maintenance of diet, develop the habit of drinking more water, more than 2000 ml a day, and prohibit eating high-purine foods, such as seafood, animal offal and too much meat food and beer, pay attention to re-examination, eat more alkaline food, kiwifruit, persimmon, mulberry, fig, sugarcane, banana, water chestnut, pear, loquat, orange, mandarin, mango, monk fruit, apple and other foods.

The basis of the onset of gout is hyperuricemia, which is greater than 420umol L in men and 360umol L in women (it can be diagnosed if the fasting test is greater than the above value twice on the same day). Gout is mainly the pain of the first toe knuckle, and tophi will appear in the later stage, and the basic means of gout are three: 1

Exercise more 2Drink plenty of water 3Low-purine diet.

In fact, a low-purine diet can only reduce the body's uric acid by 20%, one-third of which is excreted from the digestive tract and two-thirds from the urinary system).

Therefore, to **gout, it needs to be carried out for the acute attack and remission phase of gout**.

The acute attack period is mainly for pain and anti-inflammatory treatment, during which it is forbidden to use urate-lowering drugs**, otherwise it will further aggravate the gout attack, general control of inflammation and analgesia for about 3 months (leading colchicine + non-steroidal drugs), specific plans and local hospital consultation of drugs; (Actually, you should know how long you have been treating uric acid).

Secondly, it is necessary to clarify whether the physical constitution of hemp is reduced uric acid excretion or excessive uric acid production, the simple method is to perform 24-hour uric acid urine excretion measurement in the local tertiary general hospital, under normal diet, 24-hour uric acid excretion is greater than 800umol l, which belongs to excessive production, and less than 800 belongs to too little elimination; If the diet is low-purine, the value is adjusted to 600umol l, the same as above.

For the above types of gout drugs to choose a reasonable **, but also regular anti-inflammatory and analgesic after 3 months, the general market routine: inhibition of uric acid synthesis (dominant uric acid synthesis hypertype): allopurinol and febuxostat.

To promote uric acid excretion, benzbromarone tablets (leading uric acid excretion is too low), depending on the local hospital consultation.

The ultimate goal of gout is to reduce joint pain, mainly if you drop to the level of 310umol l, how many times have you attacked, if there is only 1 attack in 1 year or no attack, then this indicator is qualified; If it is more than 2 seizures in 1 year, then this indicator is unqualified; It is recommended to control the uric acid value at 300umol l and above 180umol l.

Finally, not paying attention to a low-purine diet in the diet, or overworking, drinking alcohol, etc., will induce gout attacks.

Who wants to live on acid-lowering drugs for the rest of their lives? Gout is so pervasive, even for eight-year-olds!

Not long ago, I received a child, because I want the child to grow up and give the child stewed soup every day, pigeon soup, beef bone soup, chicken soup, every day without the same kind, the patient came in a pattern, just 3 months, the child's feet were red and swollen, at first his mother thought it was a child and knocked it with a trouble, and then he couldn't walk directly!

After the examination, gout was diagnosed, and the patient's family did not believe it and strongly requested to be checked again, but the result was still gout!

The child's mother said: Give the child eggs and drink milk in the morning, the child likes to drink lactic acid bacteria, Wahaha, Wangzi milk or something, and generally eats some vegetables and eats two bites of rice at noon and night, and the rest is to drink soup.

I was very surprised after listening to it, how old is the child, such a tonic body will definitely not be able to bear it, even if an adult eats according to this way, it is harmful to the body!

Here is another important point! So parents must pay attention!

Everyone knows that drinking milk is good for the body, but Dr. Cheng told you that there is a lot of milk on the market that is not real milk at all, and drinking it is only bad for children.

Like lactic acid bacteria, yogurt (milk-containing drinks) drink deliciously, but the milk content is particularly small, some do not add milk at all, the sugar is particularly large, plus sweeteners, children are easy to become obese and caries if they drink too much.

Banana milk, a certain flavor * taste, nourishing flavor, etc. (prepared milk) think that the content of these kinds of milk is 80%, but in order to cater to the taste of children, many of them add white sugar and additives, which is not good for the body.

In fact, the best for children's bodies is pure milk, although it is not sweet to drink, some children do not like to drink, but it is very nutritious.

Children are like a blank sheet of paper, they don't understand anything, it is their nature to love to eat delicious, but the more delicious things, the more seasonings, the more additives, and the higher the purines, can children eat healthy every day? If he gets gout at such a young age, how many sins will he suffer in the future? Do parents really think about their children?

Now there are more and more children with gout, so Dr. Cheng advises parentsYou can be good to your child, but you must not spoil yourself too much, eat more fruits, vegetables, drink more water, and give your child a healthy body is the most important thing.

If the unfortunate child has gout, you must be cautious with medication! If you are not careful, it will affect the normal development of your child!

Hehe, give a little child why not eat a normal diet? A lot of milk, a lot of carbonated drinks, a lot of high-energy drinks, a lot of high-sugar foods, never eat people's normal things, it's no wonder that you don't get sick. People can not understand medicine, but they must not understand life.

People grow up eating whole grains, not on high-sugar, high-milk, high-energy, high-energy drinks. The staple food is the main food, and the supplementary food will always be the auxiliary food, and the main and auxiliary food cannot be reversed. Lessons.

Can't take it for a long time, there is a problem with severe drugs, and the combination of drugs will increase the probability of severe drugs.

What is Gout?

Gout is an inflammation of the joints caused by the deposition of urate in the blood cavity, causing redness, swelling, heat and pain in the joints. Gout is a term that describes the patient's performance well. The first is that the pain comes like the wind, there may have been no signs before, and the pain started quickly; The second is that it is really "painful crazy", many gout patients have described wanting to cut off the painful part, which shows how bad the pain is.

Second, why does urate get into the joint cavity?

Urate deposition in the joint cavity is mainly caused by high concentrations of uric acid in the blood. So where does uric acid come from? Uric acid is produced from purine metabolism in the DNA components of cells.

20% of the uric acid in our blood comes from the purines in the food we eat, and the rest is produced by our own metabolism in the body.

Third, what is the cause of the increase in uric acid concentration?

We consume and produce uric acid at the same time as we excrete uric acid, which is normally in balance. Uric acid levels increase when excretion decreases or when intake increases. It has to be said that 90% of the reason for the high concentration of uric acid is the decrease in excretion.

Fourth, is there any harm caused by elevated uric acid?

Some people may feel that although gout hurts, it will be fine for a few days, and it is not too harmful. However, they dare not move when gout attacks, and long-term gout can lead to joint deformity, which is equivalent to disability in a sense, which affects the quality of life. In addition, high uric acid is also easy to form kidney stones, resulting in kidney function damage and even kidney failure.

As mentioned earlier, gout, especially in women, can also increase the incidence of cardiovascular and cerebrovascular diseases.

Fifth, how to prevent gout?

Lifestyle modification is the most important way to do this, including losing weight, eating less purine-rich foods, and limiting alcohol intake (no more than 1 tael of liquor per day). To put it simply, it is "keep your mouth shut, open your legs, and watch your waistline". In addition, it is important to control high blood pressure, diabetes, and hyperlipidemia that accompany gout.

However, these types of diseases can also be improved with the lifestyle changes described above.

Sixth, which foods are rich in purines?

Since purines are components of intracellular DNA, generally speaking, the denser the cell, the more purines it contains. Specifically, animal organs (especially brain, liver, heart, and kidneys), and seafood (especially marine fish and shellfish) had the highest content; followed by fish and shrimp, meat, beans; And various cereals, vegetables, fruits, milk, eggs are lower in content. Be careful not to confuse purine content with protein content.

What to do if you have a gout attack in case of 70 days?

Don't try to lower the level of uric acid in your blood during a gout attack, as this can worsen the gout. The correct course of action is to give pain relievers and anti-inflammatory drugs. There are currently three main categories that can be used:

One is antipyretic analgesics, including ibuprofen 800 mg 3 to 4 times a day, or indomethacin 25-50 mg 4 times a day; the second is colchicine, starting with 1mg, then every 1-2 hours, and the total amount does not exceed 6mg in 24 hours; The third is hormones, which can be administered intra-articular or oral prednisone 20-30mg once a day and gradually reduced within 10-14 days. Attention should be paid to the use of these drugs.

As long as uric acid is higher than 420 mol L, a rheumatologist should be consulted.

Usually, if the blood uric acid is > 480 mol l, and there are cardiovascular risk factors such as hypertension and diabetes, it is recommended to take medication to lower uric acid. However, it is up to the doctor to determine whether there are cardiovascular risk factors.

If serum uric acid is > 540 mol L, medication is recommended even in the absence of cardiovascular risk factors.

If the blood uric acid is often around 450, if the doctor considers that there are no cardiovascular risk factors, you should not take it lightly, pay attention to lifestyle improvements, and monitor blood uric acid. When the blood uric acid is elevated to the above conditions or other abnormalities (such as a gout attack), drugs need to be considered**.

For people who have had gout, medication is recommended even if the uric acid does not meet the above criteria.

When it comes to the harm of high uric acid, many patients may begin to panic and say: you must take medicine to lower uric acid! That's right, the first step of high uric acid does need to lower uric acid, but the question is: how to lower it?

Generally speaking, there are three ways to lower uric acid: take acid-lowering drugs, such as febuxostat, benzbromarone and allopurinol, which are the three most common acid-lowering drugs; self**, by improving diet, exercising reasonably; Traditional Chinese medicine (TCM) generally focuses on conditioning. So how do we choose?

First, we need to understand four scenarios:

1.asymptomatic hyperuricemia or initial gout flare-up;

2.There is no tophi formation (a small number of patients do not have gout, but do have tophi);

3.No chronic persistent gouty arthritis;

4.There is no uric acid nephropathy and impaired kidney function.

The absence of gout symptoms is called hyperuricemia, which is the asymptomatic period, and during this period, it is not recommended for patients to take acid-lowering drugs. If the above four conditions are met at the same time (note that it is at the same time), it is recommended not to take uric acid-lowering drugs first, as uric acid-lowering drugs have obvious adverse reactions, so it is not suitable for asymptomatic hyperuricemia patients. Acid-lowering drugs are large, and there is long-term dependence.

So at this time, you need to use self-** or traditional Chinese medicine conditioning, in daily life, how to carry out self-**?

1.Abstain from alcohol: Alcohol intake, especially liquor, and beer, increases the risk of gout attacks.

2.Quit high purines: For example, large purines such as seafood and animal offal must reduce their intake, especially during an acute attack of gout.

3.Quit fructose: such as fruit juice, honey, milk tea and other sugary drinks, in addition, some fruits with high sugar content should also be reduced.

4.Drink plenty of water: Make sure you drink enough water every day, at least 2,000 ml to 3,000 ml a day. Drinking plenty of water can promote the excretion of uric acid, which can reduce the chance of gout attacks caused by excessive uric acid.

Finally, gout patients must pay attention to all aspects of improvement in their daily life, and if necessary, combine acid-lowering drugs to stabilize uric acid within the normal range.

High uric acid requires urate-lowering drugs. Commonly used are allopurinol and febuxostat, benzbromarone, and probenecid.

High uric acid requires the use of urate-lowering drugs, which are usually of two types: Drugs that inhibit uric acid production, commonly allopurinol and febuxostat. Allopurinol*** is mainly allergic and hypersensitivity reactions, as well as digestive tract reactions, in the process of applying these drugs, we should pay attention to the liver and kidney function, because this class of drugs may lead to damage to kidney function, or a decrease in white blood cells, so it is necessary to closely monitor the changes in liver and kidney function and blood routine, and use with caution for those with renal insufficiency.

Febuxostat can be used for patients with mild and moderate renal insufficiency, *** mild; Drugs that promote uric acid excretion include benzbromarone, which has a strong uric acid-lowering effect but is contraindicated in patients with severe renal insufficiency and multiple kidney stones.

Hyperuricemia, as a metabolic disease, is an important biochemical basis and direct cause of gout. Elevated serum uric acid levels are closely related to cardiovascular diseases such as coronary heart disease and hypertension, as well as metabolic syndrome. Hyperuricemia can impair a person's physical and mental health, reduce quality of life, and shorten life expectancy.

Therefore, once the patient's blood uric acid level increases, 420 mol L for men and 360 mol L for women, it is necessary to be active**.

Patients with high uric acid are suitable for low-purine foods or alkaline foods and beverages, such as milk, eggs, fresh fruits, vegetables and fruit juices. In addition, it is also necessary to drink more water, and the daily water intake should be more than 2000 ml, which can promote the excretion of uric acid. In terms of drinking water, it is best to use plain water as the main drink, but you can also drink soda or light tea.