Increased uric acid. Causes, treatment, diet
Often, turning to a doctor and testing, you can hear that you have elevated levels or, in other words, hyperuricemia. But what does this mean, why does this happen, how can this affect health, and how can this indicator be lowered?
Where does uric acid come from?
The urinary system is a good mechanism that cleanses the body of residues of metabolic processes. If all the organs of this area work smoothly, we can avoid other related diseases. But sometimes in this system, the kidneys fail, and the body ceases to be sufficiently purified from uric acid (the result of purine and protein metabolism). These particles, which were not removed in time with urine, enter the bloodstream and are carried to all parts of our body (joints, kidneys, etc.).
Accumulating in large quantities, they crystallize in the internal organs and cause a number of diseases. So, after passing certain tests, increased uric acid may be found in the blood. The reasons for this lie in the malfunction of the urinary system.But It is worth noting that the enhanced synthesis of uric acid in the liver can also be to blame. Often this process is affected by food saturated with purine compounds. But what factors can cause "contamination" of the blood?
Increased Uric Acid: Causes of Failure
Improper eating habits and medication can affect uric acid levels. In particular, these are:
- Protracted diets during which the excretory functions of the kidneys gradually fail.
- Beer and red wine are saturated with purines, which increase the level of uric acid, so alcohol intake affects the kidneys.
- Some drugs, for example, Aspirin, Furosemide and others.
- Regular consumption of meat, fish, offal - all that is rich in purines.
- Increased uric acid in the blood also occurs due to intense exercise and excessive physical exertion, as they lead to increased protein breakdown.
Diseases That Cause Hyperuricemia
But there are diseases that are inextricably linked with an increase in uric acid, or against the background of which this pathology usually develops:
- Gout.During this disease, purine bases are formed in excessive amounts. Gout always affects the kidneys, and over time, kidney failure can occur. But hyperuricemia is also reflected in the joints (although not so pronounced), which gradually leads to atherosclerosis. Therefore, if a person cannot cure gout for a long time, the probability of the formation of cardiovascular pathologies increases.
- Arterial hypertension stage II. Since elevated uric acid in the blood damages the kidneys, it aggravates the course of hypertension. Usually, if you treat the underlying disease, hyperuricemia can go away without any extra effort. But in some cases, a diet and a specific therapy are required to clear the blood.
- Kidney disease. In this case, the formation of stones is likely. But some diseases can, on the contrary, reduce the production of uric acid, for example, renal failure, polycystic disease, acidosis and much more.
- Elevated cholesterol and lipoprotein. These two components do not cause symptoms until HA and gout develop.
- Some diseases of the endocrine system, such as diabetes,acromegaly and hypoparathyroidism.
- Blood diseases such as hemolytic anemia, leukemia, polycythemia, and others.
- Eczema, psoriasis.
Of course, these are not the only factors of a clinical nature that lead to the fact that there is increased uric acid in the blood, but it is these that occur most often. It is worth noting that in some people hyperuricemia can occur without reasons that could be identified by specialists. In this case, doctors explain this pathology as an independent factor that increases the likelihood of death.
Symptoms of hyperuricemia
But by what signs can it be determined that uric acid is elevated? The symptoms of each person may be different and, as a rule, they are not attributed to hyperuricemia. Most often, a change in blood content is accompanied by fatigue or chronic fatigue and the formation of tartar. If hyperuricemia has a concomitant disease (gout, HA, diabetes, etc.), it manifests itself in the symptoms characteristic of this pathology.
In children, it is possible to determine the increase in uric acid by the fact that diathesis bright red spots appear on the hands and / or cheeks.
Analysis for the determination of hyperuricemia
To accurately determine whether there is increased uric acid in your body, it is necessary to perform a blood test. To obtain accurate results three days before the biomaterial is submitted, one should follow a diet in which alcohol and protein products are completely excluded. Also, food intake should be stopped 8 hours before analysis. For the study takes venous blood.
The direction can be prescribed by such doctors: urologist, rheumatologist, cardiologist, nephrologist.
Depending on the gender and age of the person, the normal level of uric acid in the blood is calculated. So, in children who are not 14 years old, this indicator should be in the range of 120-320 µmol / l.
For men up to 60 years - from 250 to 400 µmol / l, from 60 years - from 250 to 480.
The indicator for women under 60 years old is from 200 to 300 µmol / l, from 60 years old it is from 210 to 430.
It is worth noting that not only high uric acid is harmful for health, but also its low level.
How to normalize indicators
There are three methods that are used to remove uric acid from the body. These are medicines, folk recipes and proper nutrition. Best of all, if you work on the problem in a complex.But in any case, if uric acid is elevated, diet is a necessary measure - it speeds up recovery. Therefore, experts first recommend to pay attention to nutrition.
Proper nutrition in case of illness
The first thing that requires such a diet is the rejection of salted, fatty, pickled, smoked, meat broth, fried, canned. You should also limit the use of salt to 7 grams per day. If you have increased uric acid, you will have to give up foods rich in proteins and purines. These include fatty fish, meat, sausage, liver, kidney, tongue, chocolate, coffee, beans, mushrooms. You will also have to exclude sweets, pastry and puff pastry. From the vegetation is not suitable sorrel, spinach, grapes, eggplant, tomatoes, turnips, cauliflower. Alcohol is also not allowed, especially beer and wine. Very rarely in a small amount can be vodka. Strong black or green tea is excluded from the diet.
A sick person should give preference to fermented milk products. For example, low-fat cottage cheese, kefir, sour cream. Eggs are allowed daily, but not more than one per day.You can eat potatoes, lean fish in boiled form, especially lean on vegetables and fruits (apples, pears, apricots, plums, strawberries, cherries). In this situation, it is useful to use watermelons, which help cleanse the body of uric acid. Bread is better to buy bran.
Once a week you need to organize fasting days and eat only kefir.
If uric acid is elevated, be sure to drink clean water in large quantities. Compotes, juice, dogrose decoction will also benefit. The attending physician can explain in more detail all the details regarding such a diet.
Folk recipes for hyperuricemia
Often, even physicians resort to the advice of herbalists if uric acid is elevated in the blood. Treatment of folk remedies can be a good addition to proper nutrition. Here are a few broths that are easy to prepare (you need to take them for at least a month).
- 20 grams of lingonberry leaves insist half an hour in boiling water (1 cup). Take three times a day for a tablespoon.
- Chop birch leaves, 2 tbsp. spoons of greens pour two glasses of vara. Put on the stove and cook for 10 minutes. Set aside on the table and wait half an hour.To accept the filtered solution on 1/4 glasses during food.
- Well chop the pear twigs, 1 tbsp. l pour a glass of vara. Put the container in a water bath and hold for another 5 minutes. Insist hour. Divide one glass into 4 parts and take during the day.
- A wild carrot seed umbrella to steam in a glass of boiling water. Take the same as the decoction of the twigs of pear.
- Foot baths are made from sage, chamomile or calendula herbs.
Increased uric acid: medication treatment
Treatment with drugs should take place only as prescribed by a doctor. Medical method of uric acid excretion is carried out under the supervision of a specialist who will regularly prescribe the appropriate tests.
To cleanse the body, the doctor prescribes diuretic drugs that remove uric acid. Further prescribed medications that inhibit the synthesis of this product, usually it is "Allopurinol" or its analogues. To achieve the effect, strict adherence to the medication regime for four weeks or more is required. Also, the doctor may find it necessary to prescribe prophylactic drugs, for example, Koltsikhin.