Dietary Guidance for Hyperuricemia

Written by Li Hui Zhi
Endocrinology
Updated on September 24, 2024
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For hyperuricemia, it is generally recommended to adopt a low-calorie diet, control weight, and try to maintain an ideal weight.

Secondly, avoid high-purine foods and opt for a diet low in purines.

The third point encourages the use of some alkaline medications and strict abstinence from alcohol.

The fourth point is to reduce the intake of fructose-rich beverages.

The fifth point is to avoid drinking strong tea, coffee, cocoa, and other such beverages.

The sixth point emphasizes the need to drink more water, recommending a daily water intake of at least 2000 milliliters.

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Written by Li Jing
Rheumatology
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How is hyperuricemia caused?

Hyperuricemia is mostly asymptomatic, meaning there are no uncomfortable symptoms. It is usually discovered during physical examinations or blood tests when the uric acid level is found to be elevated, around 420, which is considered hyperuricemia. What causes it? It is mainly caused by poor lifestyle habits, such as long periods of drinking alcohol, excessive intake of animal organs, seafood, barbecue, and too much protein intake. Additionally, some people may develop high uric acid levels due to prolonged use of diuretics. When hyperuricemia occurs, it is essential to change lifestyle habits, but at this time, no special medication treatment is needed.

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Written by Li Hui Zhi
Endocrinology
39sec home-news-image

Dietary Guidance for Hyperuricemia

For hyperuricemia, it is generally recommended to adopt a low-calorie diet, control weight, and try to maintain an ideal weight. Secondly, avoid high-purine foods and opt for a diet low in purines. The third point encourages the use of some alkaline medications and strict abstinence from alcohol. The fourth point is to reduce the intake of fructose-rich beverages. The fifth point is to avoid drinking strong tea, coffee, cocoa, and other such beverages. The sixth point emphasizes the need to drink more water, recommending a daily water intake of at least 2000 milliliters.

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Written by Chen Xie
Endocrinology
1min 8sec home-news-image

How is hyperuricemia treated?

The treatment of hyperuricemia mainly includes: First, improving lifestyle, including healthy eating with a low-purine diet, quitting smoking, drinking more water, exercising regularly, and controlling weight. Second, alkalinizing the urine using sodium bicarbonate to maintain urine pH between 6.2 and 6.9, which facilitates the excretion of uric acid. Third, avoiding medications that increase blood uric acid levels, such as diuretics, corticosteroids, and insulin, among others. Fourth, using medications that lower uric acid, including drugs that increase uric acid excretion, mainly benzbromarone and probenecid, and drugs that inhibit uric acid synthesis, such as allopurinol and febuxostat. The choice of medication has specific indications, contraindications, and side effects, and it is advised to use these medications under the guidance of a specialist and not to self-medicate.

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Written by Chen Xie
Endocrinology
1min 11sec home-news-image

How is hyperuricemia treated?

The treatment of hyperuricemia mainly includes the following points: 1. Improve lifestyle primarily, including a low-purine diet, appropriate exercise, smoking cessation, and increased water intake. 2. Alkalize urine using sodium bicarbonate to maintain urine pH value between 6.2 and 6.9, which facilitates the excretion of uric acid. 3. Avoid drugs that increase uric acid levels, such as diuretics, corticosteroids, and insulin. 4. Use medications that lower uric acid levels; drugs that increase uric acid excretion mainly include probenecid and sulfinpyrazone, and drugs that inhibit uric acid synthesis mainly include febuxostat and allopurinol. However, the treatment with these drugs has specific indications, contraindications, and related side effects. It is advised to use medication under the guidance of a doctor and avoid choosing drugs for treatment arbitrarily.

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Written by Chen Xie
Endocrinology
54sec home-news-image

Treatment of Hyperuricemia with Medication

The treatment of hyperuricemia primarily involves dietary control, focusing on low-purine foods, increasing water intake, and maintaining regular exercise. Additionally, alkalizing the urine using sodium bicarbonate to keep the urine pH between 6.2 and 6.9 can help facilitate the excretion of uric acid. It's also important to avoid medications that can increase uric acid levels. For reducing uric acid, treatments mainly include probenecid, which can increase the excretion of uric acid, and febuxostat, an alternative to allopurinol, though side effects of these medications should be noted. Therefore, it is advised for patients with hyperuricemia to consult a doctor at a reputable hospital before taking any medications.