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Gout and Kidney Function

Bones, Joints & Muscles | Last Active: Aug 11 6:32pm | Replies (6)

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@bhb30602

My nephrologist did not mention kidney disease. As a matter of fact, when I told him I was very concerned about my kidney function he seemed to downplay my concern. Not sure if he was trying to reassure me or buy some time to see if the Allopurinol he prescribed will get my next reading (in 3 months) back in line. He prescribed 100mg of Allopurinol 2x daily and after 4 days, I haven't had another flare-up and am moving w/o pain. I hope to get back on the walking trail on Monday and lose some weight and not be in constant pain.

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Replies to "My nephrologist did not mention kidney disease. As a matter of fact, when I told him..."

@bhb30602 I had my first nasty gout attack July 1, 2013. I recall the day clearly, since it was the "go live" day for a new computer system at my then-medical center. And of course there were major glitches! I have been on 100 mg allopurinol once a day since then. And yes, the allopurinol continues to keep my uric acid to a manageable level, combined with close monitoring of my diet.

Eating to avoid gout flares include no shellfish [I miss shrimp!], very limited pork or processed meat products, very limited purines, avoiding stress as much as possible. I am also an end stage kidney disease patient, on daily dialysis.

It's important for you to understand your kidney function level, and possible causes of a disease process. That your nephrologist is not seeming to be concerned, is a concern for me! What is your eGFR [kidney function] level? Can you share why you are seeing a nephrologist? The two major causes of kidney disease are uncontrolled high blood pressure, and diabetes. Other causes are medication response, life style, or genetic issues.
Ginger