What should a 25-year-old man do if his uric acid level reaches 600

A 25-year-old male with a uric acid concentration of 600 μ mol/L needs to be intervened through dietary adjustments, increased water intake, weight control, medication treatment, and regular monitoring. Hyperuricemia may be related to genetic factors, high purine diet, metabolic abnormalities, renal excretion disorders, drug effects, and other factors.

1. Adjust diet

Reduce the intake of high purine foods such as animal organs, seafood, and thick meat soup, and control the daily purine intake below 200 milligrams. Low purine foods such as low-fat milk, eggs, and fresh vegetables can be chosen in moderation. Avoid alcohol, especially beer, as it can inhibit uric acid excretion. The main cooking method is steaming and boiling, reducing the intake of fried foods.

2. Increase water intake

Maintain a daily water intake of 2000-3000 milliliters, and drink plain water or diluted tea in portions to help dilute urine and promote uric acid excretion. Avoid sugary drinks and fruit juices, as fructose can accelerate uric acid production. It is recommended to maintain a daily urine output of at least 2000 milliliters and observe the color of the urine as light yellow.

3. Weight Control

By combining aerobic exercise and strength training, the body mass index is controlled between 18.5-23.9. Perform 150 minutes of moderate intensity exercise such as brisk walking and swimming every week to avoid joint pain caused by intense exercise. The recommended weight loss rate is 2-4 kilograms per month, as rapid weight loss may lead to fluctuations in uric acid levels.

4. Medication therapy

If uric acid levels remain above 540 μ mol/L after 3-6 months of lifestyle intervention, or if gout attacks have occurred, uric acid lowering drugs should be used according to medical advice. Allopurinol tablets can inhibit uric acid production, febuxostat tablets have stronger selectivity, and benzbromarone capsules promote uric acid excretion. During medication, regular monitoring of liver and kidney function is necessary to avoid combination therapy with drugs such as aspirin that affect uric acid metabolism.

5. Regular monitoring

Re check blood uric acid levels every 3 months, while testing urine routine and renal function. When experiencing symptoms of gout such as joint redness, swelling, heat, and pain, seek medical attention promptly to check for urate crystal deposition. Long term high uric acid may damage the kidneys or induce cardiovascular disease, and joint and kidney involvement should be evaluated through dual energy CT or ultrasound.

It is necessary to maintain a regular daily routine and avoid staying up late and excessive fatigue. Pay attention to keeping your feet and joints warm, as cold temperatures may trigger gout attacks. When hypertension or diabetes is combined, basic diseases should be strictly controlled. When sudden joint pain occurs, colchicine tablets can be temporarily used to relieve symptoms, but medication must be taken under the guidance of a doctor. It is recommended to establish dietary records to track purine intake, and if necessary, consult a clinical nutritionist to develop personalized dietary plans.