Category Archives: Gout

My mother has Chronic Kidney disease. Her hypertension was uncontrolled and caused CKD; but she has it under control now with medication. She gets colds and viruses easy and often now. She is 79 yo and was told she can’t drink orange juice or take Vitamin C. Is that true? If she can take a daily Vitamin C because she doesn’t eat enough fruit, what is a safe dosage? She also has Gouty Arthritis. So what is a safe gout medication? Thanks!

In patients with advanced chronic kidney disease (CKD), I recommend no more than 500 milligrams of Vitamin C per day. Higher doses have been associated with kidney stones in patients with CKD. In the case of gout, I am unable … Continue reading

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

I’ve been living with kidney stones since 2011 when I was told and only passed 2. Both got stuck in my urinary tract. My question is, can kidney stones cause CKD?

Yes. Repeated episodes of blockage from kidney stones may cause progressive kidney damage. In addition, diseases such as tophaceous gout with kidney stones, nephrocalcinosis, medually sponge disease and others can be associated with kidney stones and also cause progressive chronic … Continue reading

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

I recently had my right kidney removed because of early stage cancer. Before the surgery, I always had occasional swelling of my ankles and knee. I believe it was gouty arthritis and controlled it with Indocin and Ibuprophen. Since the surgery, my doctor doesn’t want me to take those meds. I must find a replacement so I can walk, or can I take Ibuprofen one or two tablets a day without harm? Thanks.

I recommend that you ask your doctor for an opinion about the swelling in your ankles and knees to see if this is really gout. If it is gout, then there are other medications that can prevent gout. We recommend … Continue reading

Posted in Ask the Doctor, Gout, Kidney-Related Health Questions, Medication and Kidney Function, Nephrectomy / One kidney

Dear Sir, My creatinine level is 2.39, uric acid is 7.2, blood urea is 39. I am undergoing treatment with a nephrologist in UAE. Medicines being taken are DIOVAN 320, Crestor 10, Adenuric 80, and 320 mg sodium bicarbonate tablets. This has been going on for the past 10 years. The creatinine level varies between 1.9 to 2.39. Please advise. Regards.

I am unable to make medical recommendations without performing a complete history and physical examination. The treatment that you describe is a very common treatment for chronic kidney disease (CKD) related to hypertension and gout. I suggest that you continue … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Gout, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Nephrologist

Hello, I am 63 years old and have stage 3A CKD where my creatinine fluctuates between 1.4 – 1.6. I have high uric acid (8.6) and every now and then I get some pretty horrific gout attacks. Are any of the medications to lower uric acid safe to take? I currently take 80mg Telmisartan. I understand that Losartan can lower uric acid levels. Does it make sense to switch to Losartan? Thanks.

You are correct that Losartan does have some uric acid lowering properties and may be used in patients with gout and elevated serum uric acid. I suggest that you review this information with your physician and see if Losartan would … Continue reading

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

My father is 63 years old. He complains of gouty arthritis, serum uric acid is 6.6, normal renal functions. Does he need to get medications and what about Febuxostat? Thank you very much, sir.

Gout is usually a clinical diagnosis that requires an examination by your father’s physician. If he has gouty arthritis, then treatment with either Allopurinol or Febuxostat (Uloric) would be appropriate. For additional information about gout, please visit our website at: … Continue reading

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

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