Blood uric acid is lowered to 250 μmol/L and then rises again a few days later may be the result of not strict dietary management, discontinuation of uric acid-lowering medication, or taking certain medications that cause blood uric acid to rise. Dietary management, resumption of uric acid-lowering medication, and adjustment of suspected medications should be taken to lower the blood uric acid level after the cause is clarified.
1. Dietary management: blood uric acid after the decline and then rise may be the patient treatment period is not strict dietary taboos, eating a high-purine diet, high fructose diet, drinking alcohol or drinking water to reduce the result, at this time the patient should be further management of their own diet, to adjust the structure of the diet, as far as possible to choose skimmed milk, eggs, brown rice and other low purine content of the diet. Drink more water to promote uric acid excretion.
2. Restore uric acid medication: some patients with gout or hyperuricemia do not follow the doctor’s instructions to take medication on time and in accordance with the amount, which can lead to a decline in blood uric acid levels and then rise, it is recommended that patients follow the doctor’s instructions to standardize the use of drugs.
3. Adjustment of suspected drugs: taking vitamin B12, aspirin, anti-tuberculosis drugs, thiazide diuretics and other drugs may also cause an increase in blood uric acid concentration, the patient should be careful to use these drugs, choose other alternative drugs.
It is recommended that patients with high blood uric acid go to the rheumatology and immunology department of regular hospitals for consultation and standardized treatment under the guidance of doctors. Drugs should be used in accordance with medical advice, do not self-medication.