Gouty nephropathy feeling soreness in the lower back may be caused by intrarenal obstruction due to urate crystallization or stone formation, which is a common symptom of gouty nephropathy. Gouty nephropathy often occurs due to hyperuricemia, because the high concentration of uric acid exceeds the reabsorption capacity of the renal tubules, retained in the tubular lumen to form crystals, resulting in intra-renal obstruction appearing as lumbago, abdominal pain, oliguria, anuria, etc.; or the formation of stones, especially small stones incomplete obstruction, also manifested as lumbar soreness and discomfort and hematuria. Those with crystallization or stone formation can reduce uric acid deposition by lowering the blood uric acid level, hydrating and alkalizing the urine, such as oral febuxostat to lower uric acid, oral sodium bicarbonate to alkalize the urine, and drinking plenty of water to promote excretion. Gouty nephropathy feel back pain, it is recommended to go to the regular hospital for further examination to clarify the cause of the disease, under the guidance of the doctor for treatment, the above medication need to comply with the doctor’s instructions, not to be used without authorization, so as not to aggravate the condition.