What is Hyperuricemia?

Jul 17, 2025 Source: Cainiu Health
Dr. Yang Tiesheng
Introduction
Under normal circumstances, hyperuricemia may be caused by excessive dietary purine intake, genetic factors, obesity, chronic renal insufficiency, uric acid kidney stones, and other factors. It is recommended to seek timely medical advice, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. In daily life, one should avoid strenuous exercise and excessive alcohol consumption, maintain emotional stability, and minimize fluctuations in uric acid levels.

  In general, hyperuricemia may be caused by excessive intake of dietary purines, genetic factors, obesity, chronic renal insufficiency, uric acid kidney stones, and other factors. It is recommended to seek timely medical consultation, identify the underlying cause, and undergo symptomatic treatment under a physician's guidance. Detailed analysis is as follows:

  1. Excessive intake of dietary purines: Long-term consumption of large amounts of high-purine foods such as animal offal, seafood, beer, etc., can significantly increase uric acid production in the body, exceeding the excretion capacity of the kidneys, thereby causing hyperuricemia, which may present without obvious discomfort. Adjust the diet structure by reducing intake of high-purine foods and increasing consumption of low-purine foods such as fresh vegetables and fruits. Maintain a daily water intake of more than 2000 milliliters to promote uric acid excretion.

  2. Genetic factors: Defects in genes related to uric acid metabolism within the family may lead to reduced excretion or increased production of uric acid, increasing the risk of disease, which may manifest as abnormal indicators even in young age. Regularly monitor serum uric acid levels, detect abnormalities early and intervene accordingly. Avoid inducing factors such as staying up late and excessive fatigue, and maintain regular作息 and moderate exercise.

  3. Obesity: Excess body weight decreases the efficiency of uric acid excretion, while metabolic byproducts of fat in the body inhibit uric acid excretion, leading to elevated serum uric acid levels, accompanied by fatigue and reduced exercise tolerance. Control caloric intake and engage in regular exercise such as jogging or swimming to reduce weight. Weight loss helps improve uric acid metabolism and lower serum uric acid levels.

  4. Chronic renal insufficiency: Impaired kidney excretion function prevents uric acid from being excreted normally from the body, leading to elevated serum uric acid levels, accompanied by edema, proteinuria, and back pain. Patients may take medications such as allopurinol tablets, febuxostat tablets, and benzbromarone tablets as prescribed by a physician to reduce uric acid levels. At the same time, medications such as Bailing Capsules and Jinshuibao Capsules may be used to protect kidney function, and nephrotoxic drugs should be avoided.

  5. Uric acid kidney stones: Uric acid crystallizes and deposits in the kidneys to form stones, blocking the urinary tract and impairing uric acid excretion, further exacerbating hyperuricemia, accompanied by renal colic and hematuria. Smaller stones can be expelled by drinking more water and engaging in physical activity, while larger stones require extracorporeal shock wave lithotripsy to fragment the stones and clear the urinary tract. Concurrent use of uric acid-lowering medications is necessary to prevent stone recurrence.

  In daily life, strenuous exercise and excessive alcohol consumption should be avoided, emotional stability maintained, and uric acid fluctuations minimized. Through comprehensive management, serum uric acid levels can be controlled within the normal range, thereby reducing the risk of associated diseases.

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