Do I need to treat my high uric acid if I've had only one attack of gout?

If you've only had gout once, you probably don't need medicine to lower your uric acid level. Uric acid comes from the breakdown of purines. Purines are a group of chemicals that are in all body tissues and in many foods.

Our bodies are always processing purines. Normally our bodies, especially our kidneys, can keep uric acid levels from getting too high. When blood uric acid levels rise above 7.0 mg/dL (men) or 5.7 mg/dL (women), it's called hyperuricemia.

This happens when you make too much uric acid or your kidneys can't get rid of normal uric acid production. Or it could be a combination of both problems. Not everyone with hyperuricemia gets gout.

In fact, only 1 out of 5 people do. Today, 21% of American adults have hyperuricemia. And only 4% of them also have gout.

The are a few main reasons for taking daily medicine to lower blood uric acid levels. For instance, you've had:More than 2 or 3 attacks of gout per yearAttacks of gout that don't respond quickly to anti-inflammatory medicineKidney stones related to high levels of uric acid in urineGout that attacks multiple joints at the same time (polyarticular gout)The presence of tophi. Tophi are clumps of uric acid crystals that can form anywhere in the body.

When they form, they often can be seen on the skin. Typical places are near joints and the outer ear. You can help lower uric acid levels by:Eating only the calories you really needExercising regularly to keep up a healthy body weightAvoiding red meats, especially processed meatsLimiting sugary foods and beveragesDrinking alcohol in moderation or not at allCoffee (both regular and decaffeinated) also lowers uric acid levels, as long as you don't add too much sugar.

In some people, vitamin C can help lower uric acid levels too.

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