High uric acid, will you have symptoms when you sleep? Unbelievable! The doctor will give you a detailed description of the four stages of hyperuricemia

In fact, you can think about it, if uric acid is high, there will be various symptoms in sleep, so do you insist on enduring it or go to the hospital to see it? Then there are 170 million people with abnormal uric acid in our country. If everyone has various symptoms while sleeping, then the hospital does not need to see other diseases, isn't it?

The reason why everyone is more concerned about the high uric acid, whether there will be symptoms when sleeping, many friends may have heard that patients with gout are often prone to attack when they are sleeping, especially in the second half of the night, so they are afraid of high uric acid. . Now there are many sayings, such as high uric acid, there will be more urination foam, high uric acid will cause blood in the urine, high uric acid will cause back pain, and once the uric acid is high, there will be symptoms such as joint pain. Dr. Xie will give you a good talk about this issue today.

01

We must know what is hyperuricemia!

We must understand that it is not that we do a blood test, or we can judge whether our uric acid is abnormal by what kind of symptoms. To identify a patient with abnormal uric acid, we have to do it twice in a row, in the state of the patient on an empty stomach, and The blood uric acid test should be carried out on different days, and if the two results exceed the normal value of 420, it can be diagnosed as hyperuricemia.

And in general, we recommend that patients try not to do strenuous exercise, drink water properly, and not eat high-purine foods before the diagnosis, especially 2 to 3 days before blood collection, otherwise the results of the test will be affected. The reason for this is to reduce interference and determine whether the patient's uric acid is in an abnormal state.

02

Will hyperuricemia necessarily develop into gout?

I want to tell everyone here that if uric acid is not high, it will definitely develop into gout! So please invite those friends with abnormal uric acid, because their uric acid is high, there is a lot of pressure.

Current research shows that there is indeed a certain relationship between the level of blood uric acid and the incidence of gout. About 70 people, but not all of them get sick. As time goes on, the cumulative number of patients will increase, and the cumulative incidence rate will become higher and higher. It is currently shown that if the uric acid exceeds 600, the cumulative incidence rate will reach 30.5%. Although not everyone will develop ventilation, but this probability is indeed not low

03

There are often 4 stages in the development of hyperuricemia to gout.

The development of hyperuricemia into gout is a continuous process divided into 4 stages.

● The first stage, we call asymptomatic hyperuricemia. People with hyperuricemia at this stage often do not have any symptoms, which is why many people do not care even if they find that their uric acid is elevated, because they are not troubled. But at this stage, it is also the stage where hyperuricemia accumulates energy for the development of gout. Why do you say this?

Therefore, if our blood uric acid exceeds the normal value, that is to say, it exceeds the normal concentration that our blood can dissolve, then we will be in a supersaturated state of blood uric acid, which may form uric acid in our body. Salt crystals. These urate crystals can be deposited in almost all parts of our body, but are often found in relatively more weight-bearing parts, such as toe joints, knee joints, and ankle joints. If the uric acid exceeds the standard of 540, there is a 5% chance of forming urate crystals, and if it continues to exceed the standard for 5 years, there will be a 20% chance of forming urate crystals.

When more and more urate crystals are deposited, their power becomes stronger and stronger, and they are not willing to be lonely, and they begin to think about harming the patient, so it is very likely that after a trauma, a cold or a high-purine diet , induced an inflammatory response, gout attack!

●The second stage is the acute attack stage of gout. The attack of gout is actually a crystalline inflammatory reaction. These deposited urate crystals are like tiny steel needles. During the attack, they constantly stimulate the patient's attack site, which will inevitably induce inflammation. The reaction will cause severe pain, local redness, swelling, and heat, and some patients may even experience an increase in body temperature.

However, the acute phase of gout will not persist. Generally, after a week or so, the symptoms of the patient will be gradually relieved, and eventually the pain will disappear, and the gout will enter the next stage.

●The third stage is the remission period of gout. At this stage, the patient will not have any symptoms for the time being. The swelling and pain of the joints have disappeared, and they can walk normally. Finally, they can return to their daily life. At this stage, patients often have two directions. One trend is that patients realize that they have already suffered from gout, and they must actively deal with this problem. They begin to cooperate with doctors to actively control their diet, use scientific and rational drugs, and try their best to control uric acid to meet the standard. They do not want to suffer from this crime again.

Another trend is to heal the scar and forget the pain. Although I have suffered a crime once, I often think that although the pain is only temporary, it can be controlled by drug treatment, so I don’t want to change my eating habits, and I don’t want to be active. Control uric acid, then this situation will slowly enter the fourth stage of gout.

●The fourth stage is the stage of tophi formation and the formation of chronic gouty arthritis. For patients with gout, it is now required to lower uric acid, and try to control it at 360 to reach the target. If a patient with tophi needs to reach 300, it is to control to this extent, and it may dissolve the formed urate crystals. However, if the patient's long-term uric acid control does not meet the standard and does not pay attention to it, these deposited urate crystals will become more and more, and will gradually deposit on the cartilage synovium in the joints, as well as many parts of the body, including bones. Inner and kidney, and eventually tophi is formed.

These tophi gradually erode the joints, the cartilage will gradually be eroded, the bones will be damaged, the joint pain will gradually become heavier, the joints will begin to deform, and the joints will repeatedly accumulate fluid.

At this stage, due to the accumulation of a large number of urate crystals in the body, it may lead to the formation of stones in the patient's kidneys, then there may be renal colic and the possibility of hematuria during urination. If the problem is further serious, the kidney function will be further damaged, which may cause kidney failure, then it may cause the patient to develop proteinuria, and the foam in the urine will naturally increase. If a large amount of tophi erodes the joint, the joint will become painful due to the inflammatory reaction.

04

analyze!

Did you understand something here? That is, in the early stage of hyperuricemia, if there is no gout attack, there are often no symptoms, and there will be no symptoms such as hematuria, foamy urine, and joint pain, let alone. What are the symptoms of high uric acid? It is nonsense to try to tell if uric acid is elevated by what symptoms you have when you sleep.

However, if the uric acid is not well controlled, and the time is relatively long, it may lead to an acute attack of gout. In the early gout attack, because the deposition of urate is not so serious, not all gout patients will form tophi, so when the gout patients enter the remission period, they will form a stage without symptoms. Because there are no symptoms at this stage, many people do not pay attention, which is also the reason why many gout patients have poor uric acid control.

But boils always appear. When a gout patient's blood uric acid is not properly controlled for a long time, it will gradually develop into tophi at this stage, which will affect the joints, kidneys and other systems of the body function, causing a variety of symptoms.

05

Summarize

It is very simple to determine whether uric acid is elevated. It is not only fast but also very cheap. As long as you pay attention to your diet, you can go to the hospital on an empty stomach for a blood test. There are many household detectors that can quickly detect uric acid. It is very convenient. Although there may be errors in the value, it is not particularly large, and you can measure the fluctuation several times in a row to better clarify your uric acid status.

What is the significance of judging uric acid by the symptoms of sleep? What do you think?

Here, Dr. Xie also makes a suggestion, that is, there are too many people with abnormal uric acid in our country. We must pay attention to the problem of abnormal uric acid, because hyperuricemia not only causes gout, but also has high blood pressure, diabetes, The incidence of coronary heart disease is also related to each other! Now, more and more attention is paid to the fourth highest → high uric acid in addition to blood pressure, blood lipids, and blood sugar. Therefore, it is recommended that you go to the hospital for a uric acid test every half a year to find out what the state of your uric acid is. If it is normal, we should maintain our own habits, how to live and how to live. If it is high, we also know that we are abnormal. Is it better to start drinking more water, exercise properly, control your diet, and avoid developing gout?

I am Xie Xinhui who insists on explaining the knowledge of complex diseases in simple language. It is not easy to code words. If you agree with my point of view, please help to follow or like it. If you are also troubled by hyperuricemia, please post this Forward this article to those who need it, thank you!