High uric acid blood disease falls under which department?

Written by Luo Juan
Endocrinology
Updated on June 28, 2025
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Hyperuricemia is an endocrinological disease. First, let's understand what hyperuricemia is. Hyperuricemia refers to a condition where the concentration of uric acid in the blood exceeds the normal upper limit. Generally, the blood uric acid concentration in males and postmenopausal females is greater than 420 µmol/L, and greater than 348 µmol/L in premenopausal females is considered hyperuricemia. It is a nucleic acid metabolic disease and is often accompanied by obesity, type 2 diabetes, hyperlipidemia, hypertension, arteriosclerosis, coronary heart disease, etc., and is a type of metabolic disorder. Therefore, hyperuricemia is an endocrinological disease.

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Causes of hyperuricemia

Hyperuricemia is divided into primary hyperuricemia and secondary hyperuricemia. Primary hyperuricemia is mainly due to a disorder in the metabolism of purines in the body, leading to excessive production of uric acid, which in turn causes hyperuricemia. Prolonged duration can greatly increase the risk of gout. Secondary hyperuricemia refers to hyperuricemia caused by excessive production or excretion obstacles due to some common diseases, the most common being chronic renal failure or some tumors, etc.

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How should one with hyperuricemia adjust their diet?

For the diet of hyperuricemia, it is generally recommended to follow a low-purine diet. What is a low-purine diet? First, try to avoid consuming seafood, animal organs, and other seafood products that contain high purines. Second, it is advised to abstain from alcohol, especially spirits and beer, and it is best not to drink them at all. Third, drink plenty of water, ensuring a daily intake of at least 1500 to 2000 milliliters. Fourth, it is also recommended to avoid consuming traditional long-cooked soups and hotpots.

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How to reduce high uric acid in hyperuricemia?

The treatment of hyperuricemia includes lifestyle intervention and medication. Lifestyle intervention involves controlling the total caloric intake of the diet, limiting the intake of high-purine foods, avoiding animal offal, shellfish, hot pots, and not consuming tofu, bean sprouts, and other soy products. Smoking and drinking alcohol should be prohibited. It is advocated to eat alkaline foods and choose melon-type vegetables. Appropriate exercise, such as brisk walking, jogging, and aerobic dancing, should be performed. Weight control is necessary, and obese patients should lose weight. Secondly, medication should be used to lower uric acid levels. Options include drugs that promote the excretion of uric acid and drugs that inhibit the production of uric acid, while also alkalizing the urine.

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What is contraindicated for hyperuricemia?

Hyperuricemia contraindications include the following points: 1. Strictly limit the intake of purines, restrict foods that contain more purines, including animal organs, bone marrow, seafood, fermented foods, beans, etc. 2. Reduce the intake of fats, as fats can decrease the excretion of uric acid. 3. Avoid high-protein foods, such as lean meat, chicken, and duck, which should be boiled and the broth discarded before consumption to avoid eating stewed or marinated meats. 4. Abstain from alcohol, as alcohol can lead to the accumulation of lactate in the body and inhibit the excretion of uric acid, easily triggering gout attacks. 5. Avoid hot pot, as the main ingredients in hot pot are animal organs, shrimp, shellfish, and seafood, and drinking beer with it can aggravate the condition, making these items contraindications for hyperuricemia.

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Can people with hyperuricemia drink alcohol?

Patients with hyperuricemia are advised to avoid drinking alcohol. Especially liquors such as baijiu and beer, which have high purine content, are contraindicated for patients with hyperuricemia. Furthermore, if hyperuricemia is diagnosed with high levels of uric acid, one should abstain from alcohol, and also pay attention to diet by avoiding foods high in purines to prevent complications such as gouty arthritis and gouty kidney.