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Rheumatic & Autoimmune Conditions
Question #26290
143 days ago
305

what causes high uric acid

Rohan

I am really struggling with this thing called high uric acid. A few months ago, I started getting these really painful joint pains, especially in my big toe, and thought it was just from running too much or something. After a couple doc visits and some tests, turns out my uric acid levels are super high – around 8.5 mg/dL, is that bad? I had no idea what causes high uric acid! Like, is it my diet? I've always thought sweets were my best friend, but now I’m questioning everything. The doc said things like red meat, and beer can make it worse, but I didn’t think I overdid either. I'm curious, what causes high uric acid on a daily basis? I mean, I've been drinking a ton of water since then, thinking that could help. Anyone know if dehydration plays a role in what causes high uric acid? I feel like I need to make some serious changes but don't know where to begin. I’ve also been stressed out at work lately and wonder if that could be connected? Can stress actually affect what causes high uric acid? I feel confused and worried, hope someone can shed some light!

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Doctors' responses

High uric acid, medically known as hyperuricemia, often arises from a combination of dietary and lifestyle factors, along with genetic predisposition. Uric acid is a waste product formed when purines—found in certain foods and drinks—are broken down by your body. Foods high in purines include red meats, organ meats, certain seafoods (like sardines and anchovies), and alcoholic beverages, especially beer. While sweets don’t directly contribute to increased uric acid, some studies suggest that high-fructose corn syrup found in sodas and processed foods may increase uric acid production.

While diet is a significant factor, it’s not the only one. Genetic factors can play a role in how your body processes uric acid. Some individuals naturally produce more and eliminate less, which piles up in the body. You’re correct that dehydration can exacerbate high uric acid levels—your body needs plenty of water to effectively flush out uric acid through urine. Drinking plenty of fluids daily can indeed assist with reducing uric acid levels. Stress, while not directly increasing uric acid, can contribute indirectly by leading to poor dietary choices or disrupting healthy habits.

To manage high uric acid levels, consider incorporating a diet rich in fruits, vegetables, whole grains, and low-fat dairy, and focus on reducing or eliminating high-purine foods. Maintaining a healthy weight through exercise can counter another risk factor, as obesity is associated with higher uric acid levels. Alcohol moderation or avoidance is also crucial. Continue with hydration—aiming for 8-12 glasses of water per day is a good target. If lifestyle changes don’t suffice, medication prescribed by your doctor can help control uric acid production or boost its excretion. It’s important to follow up regularly with your healthcare provider to monitor and adjust your treatment as needed. If you’re finding it challenging to manage stress, consider practices like mindfulness, yoga, or talking to a professional. All these strategies could help lower your uric acid levels and reduce joint pain.

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