Male, 30 years old, weighing 210 kg, height 184cm. Before that, the skin of the lower leg was itchy and ulcerated for two years. It was easy to doze off. In the past, the living habits were not good. They often stayed up all night and slept the next day. They ate too much and ate too much when they were not hungry. They didn't like to eat vegetables, eat visceral and fat meat, don't drink alcohol, and there has been no gout. Five years without physical examination, this year's physical examination blood pressure, normal blood sugar, mild cholesterol. It was found out that hyperuricemia and creatinine were also high. The doctor said that creatinine may be caused by hyperuricemia. He prescribed fibrate. In the first week, he took fibrate, and uric acid decreased from more than 700 to more than 400. Creatinine slightly decreased, but it still exceeded the standard. Later, he reduced fibrate to one quarter of a tablet every day, and uric acid increased again. Up to now, he has been eating half a tablet every day. The urine test has been normal. The pH is within the range, sometimes acidic and sometimes alkaline, Creatinine was never normal. The picture is my last blood test. Would like to ask the doctor what is my situation?
According to your current description, the problem of elevated creatinine and uric acid levels may be related to your diet. In this case, it is recommended to check a glomerular filtration rate, which is sensitive to judge the status of renal function. In addition, we should pay attention to weight loss and control the level of uric acid within the normal range as far as possible.
This is the increase of serum creatinine caused by hyperuricemia, suggesting that it has entered the stage of chronic renal insufficiency. It is suggested to have a regular daily life, light diet, frugal diet, strictly control high calorie diet, avoid animal viscera and seafood, and exercise to lose weight. Continue to take febustat to control uric acid.
This creatinine is slightly high, which should be caused by hyperuricemia. The possibility of nephritis is relatively small. It can be considered to use some benzbromarone to further control blood uric acid. At ordinary times, pay attention to quitting smoking and drinking, and eat less seafood, animal viscera and other purine rich foods.