How to reduce uric acid in gout

How to remove uric acid from the body, folk remedies, drugs, treatment

Accumulation of uric acid in the body leads to gout and other serious diseases, up to arthritis joints. Why do some people take salt out of the body, and others do not? What does it depend on, and how to remove urates from the tissues of the body?

Reasons for the deposition of

salts Scientists have long been interested in the issues of metabolism and, in particular, the excretion / accumulation of salts in the body. With the same lifestyle and nutrition in some people uric acid is excreted, while in others - accumulates in the tissues of the body. Maybe heredity? Some scientists believe that the cause may well be a hereditary predisposition, exacerbated by malnutrition and alcohol. Failure of the immune system prevents the dissolution of acid crystals in the blood, which provokes the accumulation and deposition of salts in the joint tissues of the body, intestines, renal pelvis and even in the chambers of the eyes.

Where does uric acid come from? It enters the body with food containing a high percentage of purine bases. The common opinion that all diseases from food and nerves, is fully confirmed by life. Here is the list of "dangerous" products containing purine substances:

• meat;• fried chicken skin;• nuts and beans.

Also to the undesirable food products are canned food and smoked products. Alcoholic beverages of purines do not contain, but prevent the excretion of salts from the body.

Danger of salt deposition

What can be harmful to the body of acid crystals, and why should they be taken out? If the metabolism does not cope with the functions of maintaining balance in the body, it needs help. First, you should follow a diet and stop eating fatty meat, smoked foods and alcohol. Secondly, you need to apply appropriate medications.

Salt deposition first leads to inflammatory joints( gout) that can go to arthritis. Also, a high level of uric acid in the blood plasma can lead to ischemia, atherosclerosis and urolithiasis. Arthritis is very hard to treat, leading to severe pain and deformity of the limbs. The prospect of disability will not be very encouraging for a few people, so you should immediately start fighting for the withdrawal of salts, as long as this is still possible.

How to defeat the deposition of

salts How does the level of purines in food affect the acid content of the blood? The most direct way: the exclusion / reduction of the intake of purines in the body excludes / reduces the content of salt crystals in the body. The plan of action for the control of uric acid is as follows:

1. exclusion of products with a high level of purine substances;2. Exemption from surplus salts in the body with the help of medicines;3. The use of folk methods.

For effective treatment, a comprehensive approach is needed, including the use of diuretics, analgesics and anti-inflammatory drugs.

Diet

First of all, you need to reconsider your diet and categorically exclude harmful foods for the body: red meat, legumes, alcohol, offal and smoked products. To fried dishes should be treated very carefully. Completely eliminate from the menu roast chicken: it is better to boil it or cook it in a double boiler. To the list of prohibited products, additional restrictions should be added:

• salt replaced sea salt;• exclude spicy seasonings;• replace sugar with honey.

The diet should include porridge, berries, vegetables and some types of fruit. If you want to achieve results, you can transfer all the restrictions in the usual diet.

Medication

With the help of a diet, you can stop the flow of purines into the blood, but uric acid can not be removed. To do this, you should consult a doctor who will choose the medicines. Remember that self-medication only aggravates the disease, but does not heal! Medications prescribed for the increased formation of salt crystals are divided into two types:

1. excreting acid from the body;2. hinder the development and deposition of crystals.

Drug treatment is prescribed by a doctor on the basis of a laboratory analysis of the patient's urine. One patient shows drugs that increase the excretion of acid from the body. For other patients, it is important to reduce the concentration of crystals in the tissues of the joints and muscles.

Probenecid( Probenecid)

This drug is aimed at increasing the excretion of urates from the blood plasma in the treatment of gout. Taking the drug increases the excretion of the acid, which prevents its deposition and accumulation in the body.

Allopurinolum( Allopurinol)

The drug reduces the production of urate in the body and the risk of exacerbation of gout. The treatment is long-lasting, in combination with diet and special gymnastics gives a positive effect.

Blemaren( Blemaren)

This drug is considered one of the most effective in the treatment of gout and anti-urate. Blomaren normalizes the exchange of uric acid, alkalizes the body and absorbs uric acid stones. Reducing the level of urate has a beneficial effect on the overall well-being of patients. Unlike other drugs, Blemaren does not interfere with the functioning of the liver and kidneys.

Folk methods

Treatment with folk remedies can be preventive in nature or be an addition to the main treatment. The patient must inform the doctor of the use of folk recipes and coordinate them with prescribed medications. What does folk medicine offer?

1. Decoction of cranberry leaves. We brew tea from 20 grams of leaves and 200 grams of boiling water, we insist half an hour. Decoction to drink on a tablespoon before breakfast, lunch and dinner.

2. Nettle juice. This recipe can be used from spring to autumn, when nettles grow. Every day you need to squeeze out juice from freshly harvested nettles and drink on a teaspoon before eating. Juice can be kept in the refrigerator for 24 hours.

3. Birch leaves. A tablespoon of chopped birch leaves is brewed with a glass of boiling water and put on the fire. Leaves should be boiled for 15 minutes and insist half an hour under the lid. A filtered broth is drunk with a quarter of a cup of food.

4. Hand / foot baths. Mix in equal parts chamomile, calendula and sage. A slurry of 200 gr.herbs are poured into 1.5 liters.boiling water and soak in a sealed container for two hours. It is better for these purposes to use a thermos( 100 gr of a suspension for 0.75 liters of boiling water).In a basin of water( 34 degrees), pour napar and lower your legs. When the temperature drops to +26 degrees, the procedure ends. For treatment, take 20 baths daily, then take a break for 20 days. The course is repeated in the same alternation until the condition improves.

Prevention of

To prevent uric acid accumulation, prohibited products should be replaced with useful ones. The diet should include:

• lactic acid products;

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Increased uric acid in the blood: the norm, why its level rises or falls, what to do |ABC of health

  • In children: bright red spots of diathesis on hands and cheeks.

The positive effect of hyperuricemia

Paradoxically, a high level of purine blood product in the blood, according to some researchers, has a beneficial effect on the body and allows you to correct some pathological conditions:

  • Numerous studies 60-70 years.confirmed a higher level of intelligence and rapid reaction in patients with acute hyperuricemia. The chemical structure of the acid is similar to trimethylated xanthine caffeine, as a result, it is believed to be able to improve performance.
  • Elevated levels of acid help prolong life, acting as an antioxidant blocking peroxynitrite, superoxide and oxidative reactions catalyzed by iron. Transfusion of uric acid increases the antioxidant activity of serum and improves endothelial function.
  • Uric acid is the strongest neuroprotector, an inhibitor of neuroinflammation and neurodegeneration, reducing the risk of Parkinson's disease and Alzheimer's disease.

However, this positive effect is noted with acute acid rise in the blood. Chronic hyperuricemia leads to dysfunction of the endothelium and promotes the development of the oxidative process.

What to do with the increased result of the

analysis The detection of an elevated uric acid level in the blood is the first step for further diagnosis in order to establish the root cause of this condition. The treatment of the main pathology with parallel treatment of hyperuricemia is fundamental.

  • The diet with increased uric acid includes a decrease in the proportion of protein foods in the diet: meat, canned meat and broths, smoked products, herring, anchovies, sardines, coffee, chocolate, legumes, mushrooms, bananas, alcohol with a simultaneous increase in the proportion of fruits and vegetables, fermented milk products, eggs, cereals, cereals. Recommended broths of dogrose and bran.
  • Fighting overweight. Often with normalization of weight, hyperuricemia passes without specific treatment.
  • Increase daily drinking regime up to 2-3 liters. You can drink pure water or diluted half with water, fruit, vegetable juices, fruit drinks.

Medication Therapy

All drugs are administered strictly according to the doctor's prescription and under his supervision with regular measurements of the acid content in the blood and urine.

Diuretics

Accelerate the excretion of acid in the body with urine. As some of them increase the concentration of uric acid in the blood, and also are contraindicated in a number of pathologies( gout and others), the appointment of drugs from this group is strictly individual and is carried out by a short course with control of blood and urine indicators.

Allopurinol

Inhibits the synthesis of uric acid in the liver by inhibiting the enzyme xanthine oxidase. Treatment is long( 2-3 months), requires irreproachable compliance with the frequency of admission. Analogues - Milurit, Zilorik, Foligan, Allopur, Prinol, Apurin, Atizuril, Gotikur, Uridozid, Xanturat, Uryprim.

Benzobromarone

A drug that affects the function of the kidneys. Has a uricosuric effect, inhibiting the absorption of acid in the proximal renal tubules, and also inhibiting the enzymes involved in the synthesis of purines. Analogues - Khipurik, Normurat, Dzurik, Exurat, Azabromaron, Maksikur, Urikozurik, Urinorm.

Sulfinpyrazone

Enhances acid secretion through the urinary system, especially in the initial stage of gout treatment. Analogues - Anturidin, Pirokard, Enturan, Sulfazon, Sulfizone.

Etamide

Brakes the reverse absorption of uric acid in the tubules of the kidneys, thereby reducing its concentration in the blood.

Folk remedies

Effective decoctions of birch buds, nettles and lingon leaves, which should be taken 1 glass twice a day for a month.

Low uric acid - pathological causes

  • Hereditary deficiency of xanthine oxidase, in which no uric acid is produced and excreted by the kidneys as an intermediate product of metabolism - xanthine. Xanthine is not completely excreted, partially deposited in skeletal muscles and kidneys.
  • Hereditary deficiency purine nucleoside phosphorylase is a disease in which purine bases are not formed.
  • Acquired deficiency of xanthine oxidase associated with allopurinol and liver diseases.
  • Renal hypouricemia in the background of a mutation of the genes URAT1 and GLUT9, controlling proteins responsible for the reverse absorption of acid in the proximal renal tubules.
  • Increase in the volume of extracellular fluid at high doses of intravenously injected drugs, as well as against polydipsia - a strong thirst.
  • Cerebral syndrome, in which there is hyponatremia, leading to hyperuricemia.
  • Parenteral nutrition - specific nutrition is aimed at maintaining life and, naturally, does not contain purines.
  • HIV infection in which a deficiency of uric acid occurs against a background of brain damage.
  • Oncological diseases against a background of deficiency of protein and purine bases.
  • Enterocolitis due to malabsorption of the protein by intestinal epithelium.
  • In early pregnancy, when the total volume of circulating blood is increased, and uric acid is diluted with an increased volume of the aqueous part of the blood.

Nonspecific factors leading to hypouricemia

  • Low-purine diet with restriction of meat, fish. This situation can be observed in low-income people or those who deliberately observe such restrictions.
  • Abuse of tea and coffee, which have a diuretic effect and promote the excretion of acid from the body.
  • Drugs: losartan, from salicylate groups, estrogen hormones, trimethoprim, glucose, etc.
+ - + -

Elevated levels of uric acid in the blood, also called hyperuricemia, may increase the risk of gout and kidney failure. If you practice different ways to reduce uric acid in your blood, then you can prevent a worsening of the situation and avoid serious complications.

Uric acid is a substance that is present in the body, because it is formed as a product of metabolism, when the digestive system cleaves purines. Purines are rich in foods such as liver, anchovies, mackerel, beer and dried beans. Most often, uric acid dissolves in the blood and enters the kidneys, from which it is excreted in the urine.

Sometimes, the level of uric acid in the blood can increase if the body can not withdraw it with urine or if the body produces too much uric acid. This abnormal condition is known as hyperuricemia( increased uric acid content).

The normal level of uric acid ranges from 3.0 to 7.0 mg / dL, and in those who suffer from hyperuricemia, it exceeds 7.0 mg / dL.

Such a high level of uric acid in the blood requires medical supervision and treatment to lower the level of uric acid to normal.

Complications due to high levels of uric acid in the blood

One of the most common complications of hyperuricemia is gout. It is an inflammation of the joints, or arthritis, which causes considerable pain in the person who suffers from it, and can make it incapacitated. Hyperuricemia increases the risk of developing gout, as uric acid, accumulating in the blood, causes the formation of microscopic crystals in the joint. These crystals can penetrate into the synovial joint and cause pain when friction occurs during movement in the joint.

The first sign of gout is pain and inflammation in the big toe. However, gout can affect other areas of the body, including the ankles, heels, wrists, shoulders, pelvis and spine. Because of hyperuricemia, accumulation of toxins in the kidneys can also occur. Therefore, chronic hyperuricemia can cause kidney failure. If such a dangerous condition has developed because of the increased content of uric acid, the only way to treat it will be dialysis or kidney transplantation.

Causes of increased uric acid in the blood

Hyperuricemia can be caused by two causes. It happens either because of an increase in the level of uric acid caused by the cleavage of purines, or it is based on the disease. Even certain drugs can cause a high content of uric acid in the blood. For example, some chemotherapy drugs, diuretics, as well as medications used to treat Parkinson's disease, can increase the level of uric acid.

Here are some of the main reasons that can lead to an increased uric acid content that accumulates in the body:

  • Medications. Some drugs can cause a rise in the level of uric acid, and if prescribed for long-term use, doctors should pay attention to the side effect of this medication.
  • Kidney disease. Hyperuricemia can develop when the kidneys are unable to remove purines from the body due to various diseases or kidney damage.
  • Endocrine diseases. Such diseases or disorders, such as diabetes or acidosis, can also increase the level of uric acid in the blood.
  • Some pathologies. Such pathologies as preeclampsia, obesity, cirrhosis, psoriasis and hypothyroidism, can also cause hyperuricemia.
  • Certain diseases. Diseases such as Hodgkin's disease, sickle cell anemia and hereditary genetic disorder, known as Lesch-Nayhan syndrome, also contribute to the development of hyperuricemia.
  • Lifestyle. Exercises contribute to the disintegration of tissues and enhance renal excretion. This can also increase the level of uric acid. Starvation or stiff diets, the consumption of fructose in large quantities and the consumption of foods rich in purines all increase the risk of hyperuricemia.

How to reduce uric acid in the blood

If you have an increased uric acid content in the blood, the doctor will prescribe you treatment. This treatment will be aimed at reducing pain with anti-inflammatory drugs, as well as eliminating the cause, resulting in the accumulation of uric acid.

Because elevated levels of uric acid can cause gout and increase the risk of kidney stones and kidney failure, it is very important to combine medical treatment and general measures to maintain a normal level of uric acid in the blood.

Important tips to follow if the level of uric acid in the blood has increased:

  • Avoid products rich in purines. Meat offal, such as liver, other animal meat, and also anchovies, contain many purines. In addition, alcoholic beverages, syrups rich in fructose, refined carbohydrates( such as white bread and cakes) also increase the production of purines. By reducing the use of these products, you can reduce the level of uric acid in the blood.
  • Drink plenty of fluids. Fluids, especially water, increase the excretion of urine, thus contributing to the excretion of uric acid from the body. Therefore, drinking eighteen-sixteen glasses of water a day, you can reduce the content of uric acid in the blood.
  • Relieve weight. Obesity increases the risk of various diseases. Excess weight also increases the risk of developing gout. Therefore, losing weight, you can also reduce the risk of increasing the level of uric acid in the blood and the risk of gout.
  • Take prescribed medicines. Doctors most often prescribe the following drugs: drugs that promote the excretion of uric acid, inhibitors of xanthine oxidase and non-steroidal anti-inflammatory drugs in order to reduce the content of uric acid in the blood. If such medications are prescribed, the results of treatment should be checked regularly.

Elevated levels of uric acid in the blood may have different causes. Methods of treatment depend on the original cause, which led to the accumulation of uric acid. Reducing the level of uric acid is extremely necessary in order to avoid complications. Therefore, do not rely solely on one anti-inflammatory drug to reduce pain, because they will provide only temporary relief, because the long-term effect of elevated levels of uric acid in the blood can be life threatening.

Symptoms of a decreased level of uric acid

  • Loss of skin sensitivity;
  • Visual impairment, hearing loss;
  • Asthenia - mood swings, tearfulness, increased fatigue, uncertainty, memory impairment;
  • In severe cases - paralyzes with possible fatal outcome due to suffocation, multiple sclerosis with multiple lesions of the nervous tissue.

How to increase uric acid

After finding out the causes of the condition and excluding serious pathologies, it is possible to increase this blood show by normalizing protein intake. In a daily diet of 1 g of protein per kg of weight in women, 1.7-2.5 g of protein per kg of weight in men and at least 1.5 grams of protein per kg of body weight in children.

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Uric acid in the blood - a dangerous condition / Publications / Rheumatology: a healthy lifestyle, prevention and treatment of diseases

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which medications remove uric acid from the blood.

lorensa

Drugs that are used to lower the level of uric acid in the blood, work either by increasing renal excretion of uric acid, or by reducing the production of uric acid by the body from food purines. The intake of these drugs usually does not begin before the inflammation from acute gouty arthritis does not subside, because they can worsen the attack. If they started taking before the attack, their reception continues, but only corrected after the attack subsides. Due to the fact that many people with elevated uric acid levels in the blood may not develop gout attacks or kidney stones, the decision to continue treatment with drugs that lower the level of uric acid should be individualized. Probenecid( Benemid) and sulfinpyrazone( Anturan) are medicines that are commonly used to reduce uric acid by increasing the excretion of uric acid in the urine. Since these drugs can, in rare cases, cause kidney stones, they should be avoided by those patients who had a history of kidney stones. These medications should be taken with a lot of fluid, so as to facilitate the rapid passage of uric acid through the urinary system in order to prevent the formation of stones. Allopurinol( Ziloprim) lowers the level of uric acid by preventing the formation of uric acid. It does block the metabolic conversion from food purines to uric acid. This drug is used with caution in patients with weak kidney function, due to the fact that they have a special risk of developing side effects, including rash and liver damage. And again, drugs that reduce the level of uric acid, such as allopurinol, are usually avoided in patients who have acute gout attacks( except when they started taking the medication before the attack).For unknown reasons, these medications, when they are taken with an acute attack, can actually worsen acute inflammation. Therefore, drugs that reduce the level of uric acid, usually prescribed only after the complete resolution of acute attacks of arthritis. If patients have already taken these medications, they continue to take them at the same dosages during acute attacks. In some patients, an increase in drugs that lower the level of uric acid can trigger gout attacks. These patients can be given low doses of colchicine to prevent the development of acute gout. Home remedies that can alleviate the symptoms of acute gout include rest and lifting up the inflamed joint. The use of ice packs can help reduce pain and inflammation. Patients should avoid aspirin-containing medications when possible, because aspirin prevents renal excretion of uric acid.

Serega Bumer

Interesting question.

idealistic

Grass ORTHOSPHON stamping

goldy

allopurinol, know I encountered. ..

Katya

root of burdock, for example, is in capsules, well, if not too lazy to brew, then almost any grass will suit

Nataly

Only allopurinol

Olga Serebryakova

Allopurinol.

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