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Dr Karthiyayini Mahadevan | Answer |Ask -Follow

General Physician - Answered on Feb 03, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Asked by Anonymous - Jan 22, 2024Hindi

Health

There is pain in heal and knee joints (right) for almost 9 months. My uric acid level was 6.7. doctor gave me Allopurinol for14days . Nothing happened.At present uric acid level is 7.2. I have started taking 0.5 mg colchesine twice a day . For how long I should take this medicine and is twice a is enough?

Ans: Reduce intake of animal protein, Alchohol
With lifestyle modification, there are possibilities for Serum Uric acid levels to come down. So medicines can be taken off

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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Asked by Anonymous - May 31, 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 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. Should I start taking it everyday or continue taking alternate day, as is now ? 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 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 ? During the past 10 months, My FBS is between 101 to 105 and Post Prandial Blood sugar is between 110 to 140. I am not taking any medicine for sugar control. For the past 1 month, I have a tingling pain in my feet, particularly the toes and the portion below the ankle. Even the fingers of my hand is also aching. What could be the possible cause of this? Does it have to do with the Uric Acid Problem ? My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you

Ans: Hello. With your height and weight, your BMI is 26.8. This is on the higher side. I would recommend the following:
1. Continue Febutaz 40 alt day
2. Diet and exercise to reduce your weight to 80-82 Kg, which will give you a BMI of 23-24 which is ideal. This reduction will also help maintain your HbA1C.
3. Take supplements of B12 which may be low due to your pure vegetarian diet. This deficiency may be causing your tingling pain.

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Question by Ashish - Jul 20, 2023Hindi

Health

Hello, I have issue with Uric Acid. Now , because of uric acid, pain in joints (knee). let me know best way to cure using home medicine/exercise

Ans: Hi Ashish,
Uric acid usually happens because of improper excretion. Please make sure you have a lot of water and constantly flush it out and don’t hold it. Also reduce the intake of anything citric and sour in your diet for a few months

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Asked by Anonymous - Aug 24, 2024Hindi

Health

My uric acid is showing 9.5. Is it very high? I would be having gout/ arthritis? What am I suppossed to be doing wrong? What am I supposed to do now? am drinking less water, How many glass of water should I take daily? Please suggest

Ans: 10 to 12 glasses of water.
Sit with the dietitian and take low purine diet.
If the uric acid is persistently high, gout can happen.

Dr Chandrakant Lahariya | Answer |Ask -Follow

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Question by Janardan - Sep 02, 2024Hindi

Health

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

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