High creatinine caused by high uric acid can be seen in acute hyperuricemic nephropathy, chronic hyperuricemic nephropathy, treatment includes drugs and dialysis treatment.
1. Acute hyperuricemic nephropathy, commonly seen after tumor radiotherapy and chemotherapy, the high concentration of uric acid exceeds the reabsorption of proximal renal tubule, forming transcrystalline and obstruction in renal tubule and develops.
Treatment is based on prevention, and the use of allopurinol is started 3 to 5 days before radiotherapy to reduce production. Most patients with acute hyperuricemic nephropathy can have their renal function normalized after active symptomatic treatment or dialysis.
2. For chronic hyperuricemic nephropathy, first of all, we should reduce the intake of high purine diet; give drugs to inhibit uric acid production, such as allopurinol and febuxostat; promote the excretion of uric acid, such as phenylbromarone; promote the decomposition of uric acid, such as uric acid oxidase; and at the same time, give drugs to alkalize the urine, such as sodium bicarbonate to alkalize the urine. The above medications should be used in a standardized manner under medical advice, avoiding self-medication.
If creatinine rises to a certain level, dialysis treatment can be chosen, including hemodialysis, peritoneal dialysis, etc..
People with high blood creatinine caused by high uric acid are recommended to consult the nephrology department of hospitals and be treated under the guidance of doctors.