Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): Blood test uric acid high 575.6 standard 140-420 total cholesterol high 5.4 standard 2.33-5.17 the rest of the body is normal no significant reaction not taking medication treatment What treatment is needed? Doctor: The risk of asymptomatic hyperuricemia is gout attacks or eventually kidney stones. The likelihood of gout in patients with hyperuricemia is roughly proportional to the degree of increase in serum uric acid levels. Persistent high blood uric acid may cause deposition of uric acid crystals and urate crystals in renal pelvis, ureter or renal tubules and renal interstitium, causing kidney damage and kidney stones. Therefore, we should look for the causes of high blood uric acid, such as diuretics, antihypertensive drugs, chemotherapy drugs and other drug factors and kidney disease, hematological disease, diabetes, etc., to find out the causes, and we should also avoid obesity, high purine and high calorie diet, alcoholism, excessive fatigue, mental tension, trauma, wet and cold, and other triggering factors. Lowering blood uric acid is something that is beneficial and not harmful. Treatment should be considered when the following conditions are present: (i) clinical symptoms of gout; (ii) family history of gout; (iii) high blood uric acid (over 500) even after some of the above-mentioned causes are excluded, uric acid-lowering medication should be given.