Hello Doctor, my uric acid level is 11.4 mg/dL. Currently I do not have severe pain, but recently I had heel and foot pain. Should I start medication now, or can I try lifestyle changes first? Please advise. I am planning pregnancy. Are uric acid medicines safe for me.
Answers (21)
Get your queries answered instantly with Care AI
FREE
Avoid alcohol , red meat ( No Option - you need to quit )
Second needs medication to lower uric acid
Third if you have big toe pain you need painkiller
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YESNO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
Do the following,
1. Low purine diet (lots of information leaflets online)
2. Avoid alcohol
3. Medication: Allopurinol 100mg daily
4. Every 6 months check uric acid and KFT and the goal is to bring the uric acid level into normal range. This may need increased dose of allopurinol.
All the best.
www.jgsr-health-education.in
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Your uric acid = 11.4 mg/dL, which is significantly high (normal in women ≈ 2.5–6 mg/dL).
You recently had:
• Heel pain
• Foot pain
That could represent early gout attack, even if not severe.
Now the important factor:
Next Steps
Step 1 – Repeat Test
Repeat uric acid after:
• 2–3 weeks
• Fasting sample
• Good hydration
Also check:
• Creatinine
• Urine routine
• Fasting insulin (if overweight)
⸻
Step 2 – Try Strict Lifestyle for 4 Weeks
If uric acid remains >9–10 mg/dL,
then medication should be considered before pregnancy.
If planning pregnancy very soon,
discuss with physician for short-term uric acid control before conception.
⸻
Step 3 – When to Start Medicine Immediately
Start medication if:
• Recurrent joint pain
• Swelling/redness
• Kidney stones
• Uric acid persistently >10–11
Because 11.4 is quite high.
Health Tips
Diet Changes (Strict)
Avoid:
• Red meat
• Organ meat
• Seafood (especially shellfish)
• Beer
• Sugary drinks
• Fructose-heavy foods
Limit:
• Lentils (not fully avoid, just moderate)
• Paneer excess
• Deep fried food
Increase:
• Water 3 liters/day
• Low-fat dairy
• Cherries
• Vitamin C rich fruits
• Vegetables
⸻
Weight & Metabolism
If overweight, even 5% weight loss reduces uric acid.
Avoid crash dieting — it increases uric acid.
⸻
Final Clear Advice
Because you are planning pregnancy:
✔ First attempt aggressive lifestyle correction for 4 weeks
✔ Repeat uric acid
✔ If still >9–10 mg/dL, consult physician before conceiving
Medication can be used if necessary, but it should be supervised in pre-pregnancy phase.
⸻
If you tell me:
• Your age
• Weight
• Height
• Any PCOS or insulin resistance?
I can give more precise guidance.
Since you are planning pregnancy, optimizing uric acid safely before conception is important — I recommend a structured consultation to plan this properly.
You need to start medicine.
Take tab prednisolone 20mg one daily for 7 days.
Tab febuxostat 20mg daily for 2 weeks.
Drink more water, avoid much of beans, peas, spinach, tomato.
Repeat uric acid after 2 weeks. If reduced to near normal or normal, you can stop it, then go ahead with pregnancy. It is not to be used during pregnancy.
Start medicine for one e month n change life style n diet plan drastically.
Tab febuxtare 40 one at night for 4 weeks. Avoid ref meat legumes, lentils n so on.
Your uric acid level is high , please you need to start medicine for minimum one month and also required lifestyle modifications. Because of no uric acid lowering drug is considered safe in pregnancy. Only probenecid is safer than others.but its cautious.so you need to delay your pregnancy plan ,first lowering the uric acid level and then think about it because these medicine is no safe in pregnancy. Consult me on practo for further management and evaluation.
Your kidney test shows some mild changes, which are usually manageable if addressed early. Drink enough water, avoid painkillers without advice, and control blood pressure or sugar if present.
Next Steps
Please consult me so I can review the full report properly and guide you with the right treatment and follow-up.
Dear Patient,
Your uric acid level of 11.4 mg/dL is significantly elevated. Even if you are not experiencing severe pain now, high uric acid can lead to gout attacks, joint pain, or kidney issues over time. Since you are planning pregnancy, careful management is important.
What you should do
- Lifestyle changes first:
- Drink plenty of water (2–3 liters/day) to help flush uric acid
- Reduce intake of red meat, organ meat, seafood, sugary drinks, and alcohol
- Include fruits, vegetables, whole grains, and low-fat dairy
- Maintain healthy body weight and regular physical activity
Medicines
- Uric acid-lowering medicines are generally avoided during pregnancy, so it’s best to manage with diet and lifestyle until conception
- Medications may be considered if levels remain high or if you develop gout attacks, under your doctor’s guidance
consult me urgently
- Severe joint pain, redness, or swelling
- Fever, decreased urine output, or kidney-related symptoms
- Planning pregnancy and needing guidance on safe uric acid management
For further guidance and personalized treatment you may consult me on Practo anytime.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Flu
Reasons for flagging
Hateful or abusive contentSpam or misleadingAdvertisement