Can people with high uric acid levels eat black fish?

Black fish (snakehead fish) is exceptionally nutritious, rich not only in abundant collagen but also in various amino acids and multiple vitamins. Many people enjoy eating it. However, can individuals with elevated uric acid levels consume black fish?

Can individuals with elevated uric acid levels eat black fish?

Patients with hyperuricemia are advised against consuming black fish, as it contains relatively high levels of purines. Eating black fish may elevate serum uric acid levels, potentially triggering gouty arthritis. Moreover, chronic hyperuricemia increases the risk of cardiovascular and cerebrovascular diseases. Therefore, maintaining uric acid within the normal reference range—180–420 µmol/L—is essential.

Hyperuricemia is closely associated with dietary habits; thus, strict adherence to a low-purine diet is crucial. Foods to avoid include organ meats, seafood—including both freshwater and marine fish—as well as alcoholic beverages, especially beer. Additionally, patients should drink ample water (at least 2,000 mL daily) to promote frequent urination and enhance uric acid excretion, thereby helping maintain serum uric acid within the normal range and reducing the risk of gouty arthritis and cardiovascular/cerebrovascular diseases.

Hyperuricemia may affect all body systems, but its impact on the kidneys is most pronounced—potentially leading to uric acid nephropathy, gouty nephropathy, and kidney stones. Consequently, effective management of hyperuricemia is imperative. After successful treatment, regular follow-up examinations at a healthcare facility are strongly recommended. We hope this information proves helpful!