Gout has been 4-5 years, what to do with uric acid 565 recently

Patients with gout are considered hyperuricemia if they have a history of 4 to 5 years and a recent serum uric acid level of 565 μmol/L. At this time, timely lifestyle intervention, drug treatment, etc. are required.

1. Causes and symptoms

1. Cause: Long-term intake of foods with high purine content, such as seafood, animal offal, etc., leads to purine metabolism disorders in the body, resulting in an increase in blood uric acid;

2. Symptoms: When the blood uric acid exceeds the normal value, it will be deposited around the joints, forming crystals and stimulating the synovium, causing symptoms in the acute attack period, including joint redness, swelling, heat and pain, fever, fatigue and other symptoms.

2. Treatment

1. Lifestyle intervention: First of all, the dietary structure should be adjusted and high-purine foods should be avoided, such as beans and their products, seafood, animal liver, etc. At the same time, it is necessary to exercise appropriately to control weight, quit smoking and alcohol, work and rest regularly, and maintain a good attitude, which helps to reduce blood uric acid levels;

2. Drug treatment: If the blood uric acid cannot be reduced to the target range through the above methods, you can take uric acid-lowering drugs under the guidance of a doctor to help stabilize the condition, commonly used drugs are benzbromarone tablets, febuxostat tablets, allopurinol tablets, etc. However, changes in serum uric acid levels should be monitored regularly while taking the drug, and the treatment regimen should be adjusted according to the test results.

For patients with recurrent gout attacks, colchicine tablets or corticosteroids are recommended as directed for pain relief. You should always pay attention to keeping warm to avoid aggravating the discomfort after cooling.