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High Uric Acid Causing Pain: What Should I Do?

Dr Chandrakant

Dr Chandrakant Lahariya  | Answer  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 16, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Janardan Question by Janardan on Sep 02, 2024Hindi
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Hi I am facing an issue of elevated uric acid iver 1 yr now... Gout on left toe and feet and body pains in several body parts like ribs, back etc. Uric acid is constantly above 8...Taking febustat 40 twice daily past 15 days.. Also experiencing indigestion Pl advise

Ans: So, the Febustat is useful for reducing uric acid. However, since you have symptoms of Gout as well, you need additional medication to address the Gout.
However, it is equally important to understand the underlying pathology of why you have high Uric Acid. Alongside medicines, please adopt lifestyle and discuss with a dietitian to understand what dietary modifications need to be done.

Medicine and lifestyle modifications together will ensure better treatment outcomes.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
New Delhi, India
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

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Asked by Anonymous - Jun 06, 2023Hindi
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Hello Doctor, I am 59 yrs old, 90 kgs, height 6'1", a pure vegetarian. Mine is basically a sitting job. Last July, while doing a routine check up, I found out that my Uric Acid had shot up to 7.60. In fact, my toenails had started coming off. My doctor then advised me to take Febutaz40 everyday for 3 months after which Uric Acid came down to 4.30. He then asked me to stop for 1 month and it again shot up to 7.50. He has now asked me to take 1 tablet every alternate day, now my Uric Acid count is 5.70. For the past few days, I have been experiencing swelling and pain in my feet around the ankles as well as in the toes and fingers. Sometimes it is a tingling pain. I have completed 3 months of Vitamin B12 ( Meganeuron OD Plus ) which now under my Doctors instructions I have stopped. I am also taking Vit D for the past 3 months and supposed to take for another 3 months. My Question is : Should I take Febutaz 40 everyday for Uric Acid or continue taking alternate day, as is now ? And what could the possible reason for this pain in the feet and the toes and fingers ? Should I continue with my Vit B12 medicine ? Last July, my HbA1c was 6.30 which I brought it down to 5.80 by changing my diet and walking exercise. I had stopped sugar intake totally for 6 months after which my HbA1c was down to 5.80. Now I have started on sugar intake but very limited quantity and that too once-twice a week. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? Just for information during the past 10 months, my FBS is between 98 to 108 and PPBS is between 110 to 140. I am not taking any medicine for sugar control. My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you
Ans: Sir, from your history and background it look to me that you are focussed more on to your blood parameters and medication
Please shift your attention to
1.What is your diet?
2. How much do you take care of the dietary discipline?
3.How much physical activities do you do other than your activities of daily living?
4.How well do you sleep?
5.How well do you meet each day?
Reflect on these things
You will get the answer

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