Is high uric acid a sign of poor kidney function?

Mar 30, 2023 Source: Cainiu Health
Disease description:

Hello, doctor. Recently, I went to the hospital for a checkup and found out that my uric acid levels are high. I'd like to ask if high uric acid means my kidneys aren't functioning well?

Doctor's answer (1)
Dr. Li Mingchuan
High blood uric acid is a common metabolic disorder and also a risk factor for chronic diseases such as diabetes, chronic kidney disease, and hypertension. The kidneys are the most important organs responsible for regulating blood uric acid levels. Once the kidneys are damaged by disease, it can lead to elevated blood uric acid. Therefore, high blood uric acid is generally caused by kidney dysfunction. In addition, elevated blood uric acid may also result from viral infections, hyperthyroidism, or congenital disorders. The main symptoms of high blood uric acid include joint pain, muscle fatigue, depression, and dizziness. If high blood uric acid persists for a prolonged period, it may lead to chronic conditions such as kidney failure, nephritis, kidney stones, and hypertension. Furthermore, long-term elevated uric acid levels increase the risk of cardiovascular diseases, such as myocardial infarction and stroke. To control elevated blood uric acid levels, in addition to standard medical treatment, appropriate dietary management is recommended, including controlling intake of fats, proteins, and carbohydrates. It is also important to monitor fluid and sodium intake and to engage in appropriate physical activity to maintain healthy blood uric acid levels.