Reply To: gout attack with normal level of uric acid

Stopping Gout Together Forums Help My Gout! The Gout Forum gout attack with normal level of uric acid Reply To: gout attack with normal level of uric acid

Keith Taylor

You know, I get really angry about “normal uric acid“. So angry, that I started that campaigning website to try and remove the phrase from our language. No chance!

But, I now realize, it’s a language problem.

Normal does not mean OK, though it’s often interpreted as such. Thus, it’s normal for traffic accidents, heart attacks, cancer, war, and many other unpleasant things to happen. So much so, that any area free of those things for an extended time period is considered unusual, or abnormal. Thus, any gout-free country would be abnormal.

Achieving normal uric acid simply means that your chances of having gout are the same as every other patient who has blood tests processed at the particular laboratory. This might have some value for the administrators of your health practice. And, for the health department of your government. Those administrators might assess their performance. Which has nothing to do with individual patient needs.

On a personal level, “normal uric acid” has absolutely no medical value whatsoever. It is medically meaningless.

Gout patients must aim to get their uric acid safe.

I strongly recommend you use my help in these forums to assess your safe uric acid level. Then, we can get your doctor to give you the right uric acid lowering treatment to keep you free from gout.

Failure to make uric acid safe reduces both the quality and length of your life.

In a group of doctors I used to go to, only 1 doctor that I saw agreed that 7mg/dL was high enough to warrant treatment. The other 3 thought it was acceptable because the lab reported it within the normal range. It is impossible to avoid the life-threatening risks of gout when uric acid is as high as 7. Yet 3 out of 4 doctors manage by numbers, rather than by patients needs.

André, your emergency doctor was right to generalize that “uric levels are not fail-safe predictors”. But, in most cases blood test results are reliable enough to dictate appropriate treatment. And, cases of uric acid above 6mg/dL that do not warrant treatment are exceptional. As far from normal as you can get.