Answers ( 2 )

  1. Thank you very much for posting your query on MediMetry.
    I would like to start off by telling you briefly about the disease process and progression.
    Uric Acid is a normally present byproduct of the metabolism of purines. Purines are nitrogen compounds that are present externally in certain kinds of foods (given below) and present internally due to natural aging process of the tissues of the body.
    They pass through the liver into the bloodstream and filtered by the kidneys to be excreted in urine or normally pass through the intestines.
    If there's any problem in the above organs, or genetically inherited or acquired conditions, the uric acid may not be excreted fully and remain in the blood causing high levels of Uric Acid.

    When to worry and immediately approach your closest doctor:
    1) Localized joint pain especially in a toe or finger joint, that is red, swollen and inflamed (gout).
    2) Shortness of breath, chest pain or discomfort.
    3) Feeling your heart beat rapidly ie palpitations.
    4) Bleeding that does not stop after a few minutes.
    5) Any new rashes on your skin - especially if you have started any new medications

    Kindly reply back with your son s height and weight, if he s on any medicines, any other conditions, his Uric Acid levels, his Cholesterol and sugar levels, his liver and kidney functions and other blood report parameters and any family history of heart conditions, diabetes, hypertension, gout etc to let us know the entire picture and subsequently we may devise a more suited plan for your son.
  2. Foods that are high in purine and should be avoided include:-
    All organ meats (such as liver), prawns and shellfish, meat extracts and gravy, bread, yeasts, and yeast extracts such as beer, and alcoholic beverages, coffee, chocolate, asparagus, spinach, beans, peas, lentils, oatmeal, cauliflower and mushrooms.

    Foods that are low in purine include:
    Refined cereals - breads, pasta, flour, cakes, Milk and milk products, eggs, Lettuce, tomatoes, green vegetables, cream soups without meat, stock water, fruit juice, carbonated drinks, Peanut butter, fruits and nuts.

    Keeping well hydrated, drinking 2 to 3 liters of water per day, unless told otherwise.

    Medications may be advised upon all reports only and usually include NSAIDS, Allopurinol, Xanthine Oxidase inhibitors, etc. but please inform your doctor if your son is on any other medications.

    Hope this answers your queries. Please write back to us for any further clarification.
    Live healthy.