question-icon

Suggest treatment for joints pain in a person with IBS

default
Posted on Tue, 6 Oct 2015
Question: Ok re my son 30 years of age. Underweight with several years if IBS problem quite severe as I understand. Beeing s nurse Sweden. Ok now since one year also uric acid high levels with symptoms and joint pains different parts of body.
What should he concentrate on he says gym and exercise makes it worse. He Can hardly eat anything now.. What makes Its worse might on the other hand be good for uric acid levels. Should he tace medicin for? He hesitate bcse he believes it has side affects on heart..?
He tries to avoid bear and fed meat now. If dietary changes..and please advise is needed.
Can he be cured. And what specialist is best to see. What tests should he tace. Has very high hemoglobin levels of some reason. Is Vit C high doses good etcetera
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
It is very important to take medicines for uric acid when needed.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have very carefully gone through the details. When uric acid crystals get deposited within the joint space, it increases the friction and since such joint movements are essential during exercise, the joint pain worsens with exercise. Under such a condition, avoidance of animal proteins in diet is very important. It is also very important to take allopurinol or other uric acid lowering medications. I do not think that he needs to worry about adverse effects on the heart. Taking medicines will reduce the deposition of uric acid crystals and would make his life smoother. He need not worry if he takes plant sources of proteins in moderate amounts.

Uric acid is a protein degradation product and is produced due to increased cellular destruction. His turnover of elevated red blood cells/hemoglobin could possibly be related and he needs to get an evaluation done by a hematologist. The underlying cause of the increased hemoglobin level needs to be looked upon. Although the ailment of raised uric acid level is less likely to be curable, it can be kept in definite control nevertheless and a fully normal livelihood can be attained.

Hope that helps.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Prof. Kunal Saha (5 hours later)
Thanks for answers. It may be iof help. I believe his IBS problem has been one reason why he has developed this uric acid. Bye avoiding veggies and fruit and other carbohydrates.
And also stress.. Has been a big factor if different reason..He himself think stress is a mayor factor. Can it be? Stress if not having the life he had hoped for... Or is it genetic to large.. His father had high levels at the age if 45 or 50 but with 5 years if medication and lifestyle changes he now is free from!
Son has often lack if energy and eats minimum mostly unless he tries to exercise in gym. heavy lifting and then used proteinpulver and we'll maybe too much.. And periods when not mostly now exercise and even for periods placed in bed at night and sofa daytime. Now he had s job though so up and active but cannot do gym at all. He now avoids acidic causing food and tries with alkaline causing foodproducts he days. Over for more comments please. I will and have told him to start mediicin. And the bloodtests he will check further.. with a good general practitioners in Stockholm. I am worried about his high hemoglobin be it doesn't seem to be there got the right reason. His creatinine and urea us high ad well!
doctor
Answered by Dr. Prof. Kunal Saha (7 hours later)
Brief Answer:
Stress as well as genetics - both have roles to play

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond earlier.

Stress definitely has a major role to play. However, genetics also has a role. I would not speak in favour of proteinpulver / protein powders. The raised urea and creatinine levels concern me and I would suggest for a thorough medical checkup under some doctor in Stockholm. He would be able to say if a haematologist needs to be consulted as well.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4439 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for joints pain in a person with IBS

Brief Answer: It is very important to take medicines for uric acid when needed. Detailed Answer: Thanks for asking on HealthcareMagic. I have very carefully gone through the details. When uric acid crystals get deposited within the joint space, it increases the friction and since such joint movements are essential during exercise, the joint pain worsens with exercise. Under such a condition, avoidance of animal proteins in diet is very important. It is also very important to take allopurinol or other uric acid lowering medications. I do not think that he needs to worry about adverse effects on the heart. Taking medicines will reduce the deposition of uric acid crystals and would make his life smoother. He need not worry if he takes plant sources of proteins in moderate amounts. Uric acid is a protein degradation product and is produced due to increased cellular destruction. His turnover of elevated red blood cells/hemoglobin could possibly be related and he needs to get an evaluation done by a hematologist. The underlying cause of the increased hemoglobin level needs to be looked upon. Although the ailment of raised uric acid level is less likely to be curable, it can be kept in definite control nevertheless and a fully normal livelihood can be attained. Hope that helps. Regards