@beachtherapy Thank you for joining the community at Mayo Connect, and welcome. We are fellow patients, family members, and caregivers who share our experiences and feelings, and offer support. No doubt it is pretty scary to hear so many different things about your son. If your doctor has not recommended a workup by a nephrologist for kidney issues, it may be worth pursuing that. There may be a familial tendency to kidney disease, and knowing the history of other family members is very helpful for a kidney doctor to know. As for the gout, check with a rheumatologist. I have gout, and in fact take medication to keep my uric acid levels in the normal range. There is a whole list of foods to avoid when you have a tendency towards gout https://www.mayoclinic.org/diseases-conditions/gout/symptoms-causes/syc-20372897 . I do have to watch my diet pretty carefully, because I also have a rare kidney disorder. My guess is that you will hear from several others who experience gout, and will also share their kidney disease journeys. Will you come back and let us know what you find out, please?