Can Gout Affect the Kidneys?

Effects of Gout on the Kidneys

Gout generally does not affect the kidneys. However, if left untreated, it can potentially cause some degree of kidney damage.

1. No Impact:

Gout is a heterogeneous disease caused by purine metabolism disorders or uric acid excretion impairment. Its clinical manifestations include elevated blood uric acid levels, recurrent episodes of arthritis, and chronic synovitis. Typically, gout does not involve the kidneys and does not cause significant discomfort. Therefore, upon diagnosis, there is no need for excessive concern or special treatment.

2. Potential Impact:

If patients fail to cooperate with medical treatment during the illness, the uric acid levels in the body may continue to rise with the progression of the disease, potentially leading to complications such as hyperuricemia and gouty nephropathy. This can cause damage to the kidneys and even trigger other adverse reactions. Patients are advised to promptly consult a physician, receive a diagnosis, and undergo targeted treatment as prescribed. For patients in the acute phase, non-steroidal anti-inflammatory drugs (NSAIDs) such as diclofenac sodium sustained-release tablets and celecoxib capsules can be used to alleviate pain. These can be supplemented with glucocorticoid medications like prednisone acetate tablets and methylprednisolone tablets. If necessary, surgical intervention may also be considered. Additionally, it is essential to maintain a healthy diet, avoiding high-purine foods like animal viscera and seafood.