Excess uric acid in the blood (hyperuricemic) causes crystal deposits to form in between joints and tissues which causes painful inflammatory arthritis (gout) which tortures almost 40% of people with Chronic Kidney Disease (CKD). According to guidelines recently published by the American College of Rheumataology (ACR) there are steps that gout suffers with CKD can specifically take to treat and prevent pain.
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If those with CKD are able to lose weight, it can help reduce the levels of uric acid in their blood. Although a balanced diet and regular exercise can help weight-loss, the ACR acknowledges that diet and lifestyle modifications alone are not likely to lower serum uric acid to therapeutic levels. However, avoidance of food and sodas sweetened with high fructose corn syrup is always recommended for CKD patients and can help prevent gout flare-ups.
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Foods high in the natural compound, Purines, have been found to increase the risk of gout. This includes red meats such as steak and hamburger, organ meat like kidney or liver, and seafood including shellfish and shrimp. Better options for someone with CKD and gout are fresh fruits and vegetables as well as grains, but they should fall in-line with your personal diet. A CKD Dietitian can assist you with developing an appropriate dietary regimen given your unique needs.
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Taking diuretics may increase the risk of suffering a painful gout incident. However, a diuretic may be required for people with CKD to control their blood pressure and reduce excessive fluid buildup. In such cases, your Nephrologist will consider alternative treatments and dosage adjustments. S/he may prescribe one or more medications that will help lower your uric acid level over time so be sure to take them exactly as directed even if you do not feel immediate results.
Regardless of making recommended lifestyle changes and consistently taking any medication you have been prescribed, you may still have an attack. KidneyBuzz.com recommends that you ask your Nephrologist if you should keep your gout medication on hand in case of an attack. That way, you can immediately begin treatment with anti-inflammatory medications which may stop or ease the severe pain. Now is the time to take charge and realize that gout or any other aliment of CKD does not have to keep you from doing the things you love if it is properly managed.
*Note: Do not forget to order your No BP/No Stick Medical Alert Bracelet!
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Rogers Sorey, Mary, ACNP-BC. "Managing Gout â¨in Patients With Chronic Kidney Disease." Empr.com. Monthly Prescribing Reference Publishing
"New Guidelines Issued for Gout Management." Clinicaladvisor.com. The Clinical Advisor
"Gout Living | Gout Management." Arthritis.org. Arthritis Foundation