Can I Drink Lemonade if the Creatinine Value Exceeds 200 and the Uric Acid is High
2021-12-15 17:38
A patient with kidney disease asked me, can I drink lemonade with high uric acid? Creatinine is also high at 200, and occasionally there is foamy urine, and I have gout now.
First, if you have high uric acid, you can drink lemonade. If uric acid is high, drink plenty of water, at least 2000mL per day. Drinking plenty of water can accelerate the metabolism of uric acid. At the same time, eat less foods with high purine content, and pay attention to certain exercises. Persistent hyperuricemia is just like what the patient’s friend said when he has gout, drug intervention is needed, and diet and life care alone are far from enough.
Second, when the creatinine value exceeds 200μmol/L, the glomerular filtration rate is generally less than 60, and the renal insufficiency is basically developed, and the kidney has undergone substantial damage, which cannot be reversed. If the creatinine level is already in the early stage of renal failure, um, generally speaking, it is not recommended to drink too much water. Excessive exercise, moderate is enough. The clinical level of water should also be based on your metabolism. Because of this situation, if If you have to drink too much water, there may also be a problem with water metabolism, which can cause edema.
Third, in most patients with renal insufficiency, the annual glomerular filtration rate decline rate is not much different from that of ordinary patients of the same age group, and the annual decline is roughly 0.3-0.5ml/min/1.73m2 . In poorly controlled patients, the filtration rate decreases faster, especially after the filtration rate is lower than 40, the deterioration of renal function is obvious. Therefore, patients in the early stage of renal insufficiency still have the opportunity to correct the condition and prevent the occurrence of renal failure.
Start with two aspects: 1. Control the "fluctuation" of chronic factors. Urine protein is continuously stable below 1g. The key to lowering blood pressure is to take antihypertensive drugs, and at the same time cooperate with a low-salt diet, pay attention to regular review. 2. Prevention of "sneak attacks" by acute factors of various types of infections, such as urinary infections, respiratory tract infections, etc. The nephrotoxicity of the drug leads to a rapid increase in creatinine and a rapid decline in filtration rate; obstructive factors, such as thrombosis, etc.; these conditions will cause this In a stable condition, kidney failure suddenly occurred.
You can drink lemonade, such as a long-term high-protein diet, smoking and drinking, staying up late and so on. Nephrologists should get rid of these bad habits.
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Tag: foamy urine High uric acid Gout Creatinine 200
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