Uric acid test to assess gout in the general health checkup package at Vinmec

The article was professionally consulted by Doctor Vo Ha Bang Suong - Doctor of Medicine - Department of Medical Examination & Internal Medicine - Vinmec Phu Quoc International General Hospital. The doctor has more than 15 years of experience in the treatment of internal diseases.

Uric acid is a natural product of purine nucleotide metabolism in the body. This type of nucleotide is present in foods that humans consume on a daily basis. The purines, after entering the body, will react with enzymes in the intestinal tract to produce uric acid.
The uric acid in the human body is mostly soluble in the blood, filtered by the kidneys and eliminated by urine or sweat.
If the kidneys cannot filter it all or the body produces too much uric acid, this acid level will increase, which leads to increased deposition of urate salts in the joints. This is the main cause of typical gout.

Uric acid test is a subclinical test that helps to check whether the uric acid index in the blood or the uric acid in the urine is within normal limits, in order to serve the detection and diagnosis of a number of related diseases. more accurately and effectively, including gout.
As for the uric acid blood test, this test will help diagnose hyperuricemia as well as Gout disease, in addition, the test also helps monitor the treatment progress of some diseases. Cancer has used chemotherapy and radiation methods, to assess kidney function and partly diagnose some causes leading to kidney stone pathology.
When doing blood uric acid test, the patient should not eat or drink for 8-10 hours before taking blood for the test, do not use any medicine before performing the test if not approved. the permission of the treating doctor because it will affect the test results, do not use beer, wine, alcoholic beverages and stimulants before the test.
For the uric acid test in the urine, it will be conducted by applying enzyme kinetics method with an automatic machine through taking a urine sample to perform the test.
Urine uric acid test helps diagnose some diseases such as kidney failure, renal colic, hydronephrosis, joint failure, arthralgia, hemolytic anemia, monitoring chemotherapy and radiation treatment in cancer. cancer, pregnancy toxicity for women in the process of pregnancy.

The normal range of uric acid in the blood is 210-420 umol/L for men and 150-350 umol/L for women. Uric acid index in the urine is within the normal range of 1200 - 5900 umol/24 hours. When this limit is exceeded, the patient is at risk of other related diseases.
For blood uric acid test:
* In case the results show that uric acid levels are higher than normal, it shows that the body is creating too much uric acid or reducing its excretion through the kidneys. When this concentration increases, it can be a sign of some diseases as follows:
Gout, acute arthritis. Diabetes. Leukemia-related diseases such as bone marrow disorders. Renal dysfunction, kidney stones, acute renal failure. Metastatic cancer. Diet too high in purines. * In case uric acid levels are lower than normal, this may be a manifestation of a number of diseases as follows:
Fanconi syndrome, a rare syndrome affecting the filtering tubes of the kidneys. Wilson's disease is an inherited condition that causes tissue buildup in the body. Liver dysfunction, kidney dysfunction. The diet is low in purine. After performing a clinical examination, conducting paraclinical tests to screen for gout, there are a number of treatment methods as follows:
In case the patient has hyperuricemia and no other symptoms If you have symptoms in your joints or kidneys, you can be advised and guided to change your diet more scientifically by reducing foods high in purines (such as shrimp, crab, animal organs, tofu, dog meat). ). Increase physical activity to improve metabolism in the body. If the patient has additional symptoms in the joints and kidneys, they will be treated with drugs that reduce uric acid as prescribed by the doctor (such as colchichin, allopurinol) For cancer patients undergoing chemotherapy and radiation therapy, they will be treated. Adjust the amount of uric acid in the body up to prevent complications of acute kidney failure. If the patient has a history of gout in the past with persistent elevation of uric acid, then it will be treated with uric acid-lowering drugs. Uric acid test is an essential laboratory to diagnose kidney diseases as well as gout, making it easier to screen for gout. Therefore, when there are any suspicious signs such as joint pain, joint swelling, etc., the patient should immediately go to a medical facility to be tested for health status to detect related diseases. concerned as soon as possible.

Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern equipment and technology, but also stands out for its examination and consulting services. and comprehensive, professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests here can be completely assured of the accuracy of test results.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hospital hotline for support.