In some routine medical checkups, there is a check for blood uric acid. Some people will have high uric acid but do not have any symptoms, such as gout, arthritis and kidney stones. But it can also indicate that he is at risk for gout, arthritis and kidney stones. If gout is present, the pain is more pronounced at night and the joints between the fingers are more painful. This may be a symptom of gout caused by high uric acid. Some people develop urinary stones and a blood test reveals high uric acid. Some develop arthritis and check for high uric acid. But high uric acid doesn’t always have symptoms.