Is a uric acid level of over 700 serious for the kidneys?

Update Date: Source: Network
High uric acid levels

High uric acid levels indicate a metabolic disorder caused by disturbances in the metabolism of purine substances in the human body, leading to an increase in uric acid in the blood, which can result in metabolic diseases. Elevated uric acid levels may lead to the formation of uric acid crystals, which can potentially damage the function of renal tubules. Additionally, long-term use of non-steroidal anti-inflammatory drugs by patients with gout can also cause chronic kidney damage. Now, let's explore the question: Is a uric acid level of over 700 serious for the kidneys?

Firstly, regarding the severity of uric acid levels over 700 on the kidneys, it's important to understand that the main indicators for renal function testing include urea, uric acid, creatinine, and bicarbonate. The normal range for uric acid is 149 to 416 micromoles per liter for men and 89 to 357 micromoles per liter for women. A uric acid level of 700 is considered high and falls under the category of hyperuricemia. If accompanied by symptoms such as joint pain, redness, and swelling, it may indicate gout. Elevated uric acid levels can affect the kidneys, potentially leading to the formation of uric acid crystals and damaging the function of renal tubules. Furthermore, chronic kidney damage can also be caused by long-term use of non-steroidal anti-inflammatory drugs by gout patients. Therefore, it is crucial to actively manage uric acid levels through dietary control and alcohol abstinence.

Secondly, high uric acid levels in the body result from metabolic disorders involving purine substances. This leads to an increase in uric acid in the blood, causing a metabolic disease. The daily production and excretion of uric acid in the body are approximately equal. One-third of the uric acid is derived from food, while the remaining two-thirds is synthesized by the body. Excretion occurs through one-third via the intestines and two-thirds through the kidneys.

Dietary Recommendations

1. Provide an appropriate amount of carbohydrates. If there are no adverse effects on the heart and kidneys, increase water intake.

2. Use cooking methods such as braising, boiling, steaming, and poaching, and avoid frying, deep-frying, and boiling for extended periods. Foods should be easily digestible.

3. Incorporate foods rich in vitamin B1 and vitamin C. Recommended foods include rice, noodles, steamed bread, milk, eggs, fruits, and various vegetable oils.

4. Vegetables are generally allowed except for asparagus, celery, cauliflower, spinach, and coriander.

5. Avoid animal organs, fish roe, bone marrow, sardines, oysters, small shrimps, mackerel, mussels, liver, kidneys, brains, clams, crabs, fish broth, chicken broth, peas, lentils, mushrooms, and all types of seafood. Also, avoid strong seasonings and foods that stimulate the nervous system, such as alcohol, strong tea, and spicy foods.

6. Maintain an ideal body weight, and if overweight or obese, gradually reduce weight. However, rapid weight loss can lead to ketoacidosis or acute gout attacks.

7. Carbohydrates can promote the excretion of uric acid, so patients can consume carbohydrate-rich foods such as rice and noodles.

8. Protein intake should be based on body weight, with a recommended intake of 0.8 to 1 gram of protein per kilogram of body weight, primarily from milk and eggs. For lean meat, chicken, and duck meat, it is recommended to boil the meat and consume it without the broth to avoid high-fat content.

9. Reduce fat intake as it can decrease uric acid excretion. For patients with gout and hyperlipidemia, fat intake should be limited to 20 to 25% of total calories.

10. Increase water intake to 2000 to 3000 milliliters per day to promote uric acid excretion. Reduce salt intake to 2 to 5 grams per day.