Preventing Gout Attacks and Treating Gout with diet for Kidney Patients
Episode 100: Preventing Gout Attacks and Treating Gout with diet for Kidney Patients. Gout is a form of arthritis. Pain and inflammation occur when too much uric acid crystallizes and deposits in the joints, causing gout attacks. Gout attack symptoms include severe pain, redness, and swelling in joints, often the big toe. Gout Attacks can come suddenly, often at night, and can lead to kidney stones. Renal Dietitian Jen Hernandez and Kidney Health Coach James Fabin discuss using diet to prevent and treat gout attacks for patients with Chronic Kidney Disease (CKD).
Read Jen's Blog on Preventing Gout Attacks and Treating Gout with diet for Kidney Patients at http://www.jenhernandezrd.com/gout-kidney-stones
Learn more from Jen at www.JenHernandezRD.com
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What Causes Gout?
Gout is caused by a buildup of uric acid. When a person develops high levels of uric acid in their blood, known as hyperuricemia, the urate crystals can collect and can then stick around the join areas.
Hyperuricemia does not always lead to symptoms or a diagnosis of gout. If high levels of uric acid are noted without symptoms, it may not need to be treated.
Uric acid is produced when the body breaks down purines. The kidneys are generally responsible for eliminating excessive uric acid from the body. This, however, does not always happen, especially in people with kidney disease.
Who Is At Risk For Gout?
In general, gout is more common in men. Additional risk factors for gout include obesity, high blood pressure, congestive heart failure, insulin resistance or diabetes, or kidney disease.
If you have kidney disease, you are at a higher risk for developing gout due to the limited ability to remove the uric acid from your body.
Other risk factors for developing gout include using certain medications (such as water pills), drinking alcohol, or a diet high in sugar or purines.
Gout And Chronic Kidney Disease
While there seems to be a “two-way road” relationship between gout and CKD, it seems to be more heavily leaning towards CKD causing gout rather than gout causing CKD.
The kidneys are responsible for eliminating more than 70% of the uric acid in the body.
That being said, research has shown that even without symptoms of gout or kidney stones, having high levels of uric acid when you have kidney disease can increase the progression of kidney disease. So it’s important to be aware of your uric acid levels and talk with your doctor about how to best manage it.
To find a renal dietitian (in the US):
To find a renal dietitian in the UK:
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IMPORTANT: I AM NOT A DOCTOR. Patients should always be under the care of a physician and defer to their physician for any and all treatment decisions. This video is not meant to replace a physician's advice, supervision, and counsel. No information in the video should be construed as medical advice. All medical decisions should be made by the patient and a qualified physician. This video is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE.
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