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Urology/Allopurinol-High Uric Acid


Pat wrote at 2012-02-22 21:12:46
High uric acid levels are far more serious than just gout or stones! The crystals cause inflamation everywhere in the body leaving thousands and thousands of micro-scars. Heart valves, prostate and arteries are common sites of damage. I made the mistake of coming off allipurinol because I stopped drinking alcohol because when I had gout attacks I was told to lay off beer and organ meats. WRONG! My uric acid load peaked about 9 months ago and trying to get back on allipurinol has been very hard and painful. It has taken 3 months to go from 100 to 300 each time two weeks of severe gout even with daily colchicine. Stay on the allipurinol! Its cheap and it works.  

witchypoo wrote at 2015-05-18 09:47:53
I have had 5 or 6 uric acid kidney stones. I do not have gout, but was diagnosed at ten with RA. I have no idea about my uric acid levels. I have checked the food list of foods high in uric Acid. My question is.... when not eating foods high in uric acid is there anything else I can do to prevent these stones from forming?

swleslie wrote at 2015-05-24 15:18:45
You absolutely need to know your uric acid level in the blood. In general, levels 9 or higher risk gout attacks and more stones. If you are already on allopurinol, the usual dose is around 300 mg or whatever it takes to get the blood uric acid level down to 6 or less.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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