Category Archives: Gout

Hello. I had a recent gout incident in May, took indomethacin, reoccurred in 3 weeks, indomethacin again, slight reoccurence 3 weeks later, only two indomethacin taken, no incident since. Some test results below, taken in 06/19, 08/23, 09/26 where available, dash means not taken on that visit: Renal + Glucose (blood) ————————– UreaN 19, 13, 15 Creat 1.5, 1.5, 1.5 UricAcid 9.3, -, 8.5 Urine Chemistry (urine) ————————- Creat -, -, 111 TotProt -, -, 6 Prot/Creat -, -, 0.1 Albumin -, -, 0.8 Alb/Cre –

I am unable to make a specific diagnosis based on the information that you present.  The urine protein and albumin findings are normal.  The serum creatinine and the urine creatinine are measuring different concentrations and that is expected. Gout is … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Gout, Kidney-Related Health Questions, Laboratory Testing, Serum Creatinine, Symptoms and Side Effects, Treatments

Dear Sir, I read your post “Let’s Drink to Kidney Health (Literally)!” In Huffpost. Thank you for this valuable post. I am from Almora, India. I want to ask a general problem of uric acid which is now very common here in my town. My father and elder brother have uric acid problem. This problem is among so many people I know. The temperature of my place is around 20-25 in summer and -2 – 5 in winters. How this problem can be controlled or cured with food and exercises? Which food should be included and which should be excluded? I will share to every needy person so that they can get benefit out of it. :) Thank you

Uric acid problems can consist of acute and chronic gouty arthritis in the joints (especially in the feet and ankles). Uric acid can also cause kidney stones and can cause chronic damage to the kidneys in the form of gouty … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Gout, Kidney Stones, Kidney-Related Health Questions

I had a episode of gout in my left foot and left shin. It was a sharp pain that lasted more than a few seconds. Then suddenly my right foot started to swell. My left foot didn’t swell. The right foot didn’t have the gout pain and it swelled. Is this common? How do I get the swelling down? Does this affect kidney function?

I am unable to explain the swelling. Gout does not cause pain for just a few seconds. Gout causes pain that is very intense and usually lasts for hours to days. I suggest that you see your primary care physician … Continue reading

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

I have been recently diagnosed with mild tubular atrophy and interstitial fibrosis (and stage 3 CKD) via a needle biopsy. The etiology is unknown- my nephrologist suspects its due to medication side effects since I do not have the many other conditions which may cause it. I was told to avoid certain medications like PPIs and NSAIDs. I am concerned that there is not a definite cause given. Knowing a specific cause can help me plan my lifestyle to hopefully avoid whatever has caused/contributed to it. I’d like to know if further tests might better define the cause. I am wondering if I should get a second opinion or what I should request of my current nephrologist. Any feedback is appreciated.

Interstitial nephritis is an uncommon cause of chronic kidney disease (CKD). A kidney biopsy is the definitive way to make a kidney diagnosis, so you have had the definitive test for kidney disease. There are many causes of interstitial nephritis, … Continue reading

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

Sir, this is pertaining to my father, who is 66 yrs old and has been diabetic since 1996. His present Creatinine level is 4.8. He has been advised to take the below mentioned medicines. Are the prescribed medicines okay for my father? His liquid intake in a day is restricted to 1 liter and no salt in food. Kindly advise. Here is a list of his medications: 1)ARKAMIN 0.2 mg 2)NICARDIA R 10 mg 3)CARVEDILOL 25 mg 4)SOBISIS 500 mg 5)FEBUXOSTAT 80 mg 6)PHOSTAT 667 mg 7)KETOSTERIL 8)URIMAX 0.4 mg 9)ANFOE 4000 10)LUPIHEME 12 mg 11)RENERVE 12)NOVARAPID 13)LANTUS

The medications that you describe are common medications used in patients with diabetes, gout, and chronic kidney disease (CKD). Some of the medications are used to treat anemia in patients with CKD. I am unable to recommend doses and medication … Continue reading

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

I have Stg 4 CKD; a transplant is approx 4 months away. However, I have recently had bouts of gout in my lower extremities. Took prednisone, but it remains, and periodically flares up. Is it safe to take tart cherry and celery seed to bring Uric acid levels down? Those levels currently at 14.5 to 16. Watching diet doesn’t seem to help. Thanks.

There are medications such as Febuxostat (Uloric) and Allopurinol (Zyloprim) that lower the serum uric acid levels and effectively treat gout. Use of these agents with low dose colchicine can be very effective in patients with gout and chronic kidney … Continue reading

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

Dr, my father has undergone kidney disease as he had gotten his blood test checked and found out 3.3 level of creatinine and 46 level of urea. We got health care from a nephrologist and he suggested Zurig 40mg, Ferrocite 500mg and cap of vitamin D. Please comment

I am unable to make a specific diagnosis based on the information that you present.  The medications that you mention are commonly used in patients with chronic kidney disease (CKD).  The use of a medication to treat gout (Zurig) and … Continue reading

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

Hello doctor, My father has been on dialysis for almost 2 years. He has a major problem of high fever and pain + swelling in hand joint and legs. We went to many doctors in your country but we didn’t find a solution. Please help my father. He is suffering from very painful time.

I am not able to make a specific diagnosis based on the information that you present. There are many possibilities for hand and joint pains including gout, pseudogout, amyloidosis related to dialysis, secondary hyperparathyroidism, infection, and other inflammatory types of … Continue reading

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

Hello. I’m 24 years old. My doctor did quite a bit of blood work on me to eliminate some ankle pain. Come to find out, my GFR is 41.45. I don’t know if I should be concerned. He doesn’t really think there is anything wrong with it. Can you tell me if this is a bad number?

The normal for an estimated glomerular filtration rate (eGFR) is greater than 60 milliliters per minute per 1.73 meters squared. The number that you mention is 41.45.  I suggest you discuss this laboratory result with your physician.

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

Honorable Dr. Leslie Spry M.D., FACP My wife done Renal Biopsy on 31st July 2017 report as under. Please medicine. Gross Description: Two light brown needle cores of soft tissue, the larger measuring 1.1 x 0.1 cm and the smaller, 0.9 x 0.1 cm. Total tissue processed. Microscopic Description: Renal cortical biopsy containing up to twenty-one(21) glomeruli, all of which are normocellular with GBM of normal thickness. The blood vessels are more or less within normal limited. The interstitium shows small faci of moderate non-specific chronic inflammation with mild tubular atrophy limited to these areas. Immunofluorescence: Immunoflurescence studies for IgG, IgM, IgA, C3c and C1q were negative. Diagnosis: Renal biopsy : Appearances consistent with non-specific mild chronic tubulointerstitial nephritis. Focal segmental glomerulosclerosis cannot be excluded. Here advise Tablet Deltacortil 5mg 6+0+6 and Cap.

Interstitial nephritis is a relatively uncommon kidney disease that can be due to infection of the kidney and can be seen in chronic gout.  It can also be an allergic reaction in the kidney.  I am unable to recommend treatment … Continue reading

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