High Blood Urea//Hyperuricemia // Hindi

Hyperuricemia is a condition in which the uric acid levels in the blood is too high. Uric acid, which is formed especially on breakdown of proteins present in meat and seafood, usually is excreted by the body through urination. But when body makes too much of uric acid or the kidney are not able to throw it out , it starts accumulating in various parts of the body including joints, and kidney where it's accumulation causes gout and kidney stone
Symptoms of high uric acid levels includes, swelling , lower back pain, pain in abdomen or groin, nausea, increased urgency to urinate, difficulty in urinating and pain during urination. Fould smelling urine, painful swollen joint, fatigue, redness in joint areas, stff joints, and difficulty in movements of limbs.
Risk factors commonly associated with this disorder includes alcoholism, cardiac medications, exposure to lead, High purine diet, pesticide exposure, hypertension and diabetes mellitus, kidney diseases, hyperthyroidism , obesity and Heavy worker.
For diagnosing this disorder a simple blood test to check for elevated levels of uric acid is done. Urine is also tested for presence of uric acid and the urine test may also be repeated to after a purine restricted diet is followed by the patient. A CT scan and MRI may be adequate to identify the presence of kidney stones and gout. Though in case of gout the fluid buildup in the area may also be sent for testing.
Treatment of this disorder usually includes diet therapy. Also people are treated for Gout and kidney stones, if detected.
For Gout non steroidal anti inflammatory drugs are quiet effective, which helps in reducing the inflammation. Colchicine is used for prevention and it's treatment of patient cannot, tolerate NSAIDs. Probenecid is a drug that helps lower uric acid by its diuretic action while allopurinol reduces the uric acid in the blood stream.
Kidney stones are removed through various interventions and the person is put on a purine restricted diet. A detailed video on Kidney stones and Gout will be uploaded soon
Coming to the purine restricted diet, patient are told to avoid the consumption of the red meat, sugars, organ meat, seafood , beans , lentils, oatmeal whole grains, alcohol, and yeast supplements. Patient is encouraged to drink plenty of food to facilitate the excretion of the extra urea through urination. Maintenance of a healthy weight is also adviced.
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