hi.
as indicated in your history, you have persistent asymptomatic
hyperuricemia.
There are three major crystal deposition-related disorders associated with hyperuricemia:
gout,
urolithiasis, and urate nephropathy. The risk of gouty
arthritis and urolithiasis is elevated with increasing degrees of hyperuricemia and
hyperuricosuria, respectively.
A determination of the fractional urinary excretion of urate (FEur), which represents the percent of urinary urate excretion per unit of the glomerular filtration rate (GFR), "should be performed" in men presenting prior to age 30.
In all persons with persistent asymptomatic hyperuricemia in whom treatable secondary causes have been excluded, we provide counseling regarding the use of nonpharmacologic (lifestyle) interventions to reduce the degree of hyperuricemia.
avoidance of red meat, beans, food containing high purine , alcohol, reduction to ideal body weight, and regular exercise ( NOT aggressive workout).
no drug should be used that may cause hyperuricemia such as Thiazide diuretics.
check uric acid after 1 month. if still uric acid level is high after "strictly" following above advise, then uric acid lowering agent maybe used to avoid complications as mentioned above.
hope to answer your concern.
regards
Dr Tayyab Malik