Category Archives: Gout

If I start having recurring gout more frequently, can this be an indication of CKD?

Gout is very common in chronic kidney disease (CKD).  CKD can cause gout and gout can cause CKD.  If you have recurring attacks of gout you should see your physician and be tested for CKD.  

Posted in Ask the Doctor, Chronic Kidney Disease, Gout, Kidney-Related Health Questions, Laboratory Testing

I get kidney stones on a regular basis that pass on there own. I seem to have pain in my foot associated with the stones, almost like a burning sensation. Is this normal or could it be caused by something else?

I do not know why you should experience foot pain associated with kidney stones.  This does not make sense.  Patients with gout may get painful joints and also kidney stones that come from gout stones.  I can not explain the … Continue reading

Posted in Ask the Doctor, Gout, Kidney Stones, Kidney-Related Health Questions

About 10 years ago my ex-husband, who has always been in good health, developed hematuria. There was no work up then. About 3 years ago, he developed multiple kidney stones in only the left kidney. He has also experienced multiple episodes of gout. His left kidney has atrophied to 6mm transverse x 8mm AP x 9mm sup-inf-inf. He is on Potassium Citrate 3x daily with Allopurinol. He had shock wave lithotripsy 08/16 with questionable results. A renal US in 11/16 noted again multiple kidneys stones with further atrophy. He has had several more gout attacks with this regime. GFR is 41. I am concerned about damage to kidney from persistent good sized stones. Should they be removed? Would a biopsy be warranted? Why are there stones in only the one kidney? Could it progress to involve the other? There is no family history of kidney disease or gout. Thank you for your help.

The problem that you raise is a urological problem and should be dealt with by a urologist.  I am a nephrologist and have no experience with lithotripsy or surgery.  I suggest that your ex-husband consult with a urologist and determine … Continue reading

Posted in Ask the Doctor, Gout, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Treatments

I have been taking 300 mg of Allopurinol for 32 years now. Any long term side effects? Over this time my creatinine value has gone up to 2.85. Who could I talk to about taking it for this long?

Allopurinol is a medication used to prevent acute attacks of gout and prevent joint damage from gout.  It will also prevent gout kidney stones from forming.  If you are tolerating the medication without side effects, then you should continue to … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Gout, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Treatments

I took allopurinol after chemotherapy to prevent gout and lower uric acid. High uric acid causes blood in my urine. and once uric acid level was back in range without blood in urine, the allopurinol started giving me constipation. I found when I didn’t take allopurinol, I wasn’t constipated. When I did take allopurinol, I was constipated again. The constipation puts a tremendous amount of stress on my lower back and spine. Something in the allopurinol makes me constipated. Do I discontinue allopurinol?

In this case, I suggest that you discuss the side effects of allopurinol with your physician.  There are other alternatives to taking allopurinol.  There is a drug called febuxostat (Brand name Ulrich) that can be used to treat gout and … Continue reading

Posted in Ask the Doctor, Gout, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments

Does a high uric acid level cause an increase in a creatinine level?

This is a problem of the chicken or the egg.  An elevated blood uric acid level can be associated with acute and chronic gouty arthritis.  An elevated blood uric acid level over many years can also be associated with kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Gout, Kidney-Related Health Questions

What’s the general allopurinol dose given for each CKD stage?

Allopurinol is a medication used to treat gout.  The dose of allopurinol should be sufficient to lower the blood uric acid level so as to prevent attacks of gout.  In general, the goal is to get the blood uric acid … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Gout, Treatments

Can taking a 10 MG daily tablet of the Ace Inhibitor Lotensen (Benazepril) help slow down the decline in kidney function for someone in the early stages of chronic kidney disease?

Angiotensin Converting Enzyme (ACE) inhibitors such as Benazepril have been shown to slow the progression of chronic kidney disease (CKD) especially in those patients who have excess protein in their urine.  I do recommend such treatment frequently. For more information … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Gout, Kidney-Related Health Questions

I’ve been diagnosed with hyperuricemia and my doctor has told me to go on a low purine diet. I’m finding conflicting information about what to eat and what not to eat. For example, the handout from my doctor says refined bread is better than whole grain bread, while the information on Mayo Clinic and the National Kidney Foundation says just the opposite. Some sites say to avoid spinach, while others say it’s okay. How can I find out the best practices for a low purine diet?

I do not advocate low purine diets.  Low purine diets are of almost no benefit to the treatment of gout and complications of gout.  We have drugs that are much more effective and I would continue with an otherwise healthy … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Gout, Kidney-Related Health Questions, Treatments

My wife is 70 years young, she had her right kidney removed at age 18 due to a congenital defect. She has been taking Prilosec for over a year every day for heartburn and acid reflux. We have recently seen adverts for attorneys soliciting clients with kidney damage from Prilosec and Nexium… She was worried, and stopped taking Prilosec, now has massive heartburn and acid reflux and is taking Tums like crazy. Can she resume Prilosec or another acid reducer without damaging her remaining kidney?

Proton pump inhibitors (PPI’s) such as Prilosec (omeprazole) have been associated with kidney disease but have not been shown to cause kidney disease.  I suggest that you consult with her primary care physician (PCP) and determine if she has any … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Gout, Kidney-Related Health Questions, Medication and Kidney Disease, Medication and Kidney Function, Symptoms and Side Effects, Treatments