Gout can be the cause or consequence of Chronic Kidney Disease(CKD). Generally, CKD patients do not have gout unless their kidney functions are damaged with decreased GFR(glomerular filtration rate) of 30~59mL/min. If you have gout, you will find helpful information in the following article.
Why does gout in Stage 3 Kidney Disease occur?
To be simple, gout is caused by elevated levels of uric acid in the blood. When kidney disease progresses into stage 3, many toxins and wastes, including uric acid, cannot be excreted with urine. Then, the uric acid crystallizes, and the crystals deposit in joints, tendons, and surrounding tissues. As a result, gout occurs.
Treatment of gout for stage 3 kidney disease patients
As stage 3 kidney disease is reversible, you can treat gout with medicines and diet.
Combining western medicines with Chinese herbs, you can get a better result. Western medicine is to control high level of uric acid, preventing urinary tract infection, while Chinese herbs are mainly to block kidney fibrosis and protect the remaining kidney function. Thereby, excessive uric acid can be discharged and gout can be relieved.
NSAIDs (nonsteroidal anti-inflammatory drugs) are usually the first-line treatment for gout. An alternative, such as ibuprofen, may be preferred due to its less side effects. However, in patients with stage 3 CKD, NAIS are not recommended, because their use can worsen or cause acute kidney injury. In that case, an alternative, such as ibuprofen, may be given.
What you should pay attention is that colchicine reduction is required, based on the level of kidney function.
- Chinese herbs: Some herbs that may dissolve uric acid crystals or prevent their formation are turmeric, cat's claw, stinging nettle, olive and devil's claw, all of which contains anti-inflammatory or diuretic ingredients.
As we all know, stage 3 kidney disease patients have a restricted diet with low salt, low potassium and low protein. If they have gout, foods with high purines, like seafood and red meat , especially the animal organs, are strongly forbidden. Besides, high fat dairy products, alcohol and smoking are problematic. Finally, drinking right amount of water and choosing complex carbohydrates are recommended. For specific food, you can consult our online experts.
As stage 3 kidney disease is reversible, timely and proper treatment is very important for you. You can leave a message below or email to email@example.com for more detailed suggestions.