Causes of Elevated Uric Acid in the Body
Elevated uric acid levels in the blood, known as hyperuricemia, occur when your body either produces too much uric acid or fails to excrete enough of it. Uric acid is a waste product formed when the body breaks down substances called purines, which are found naturally in the body and many foods.
Here’s a breakdown of the main causes:
Diet High in Purines
Foods rich in purines can lead to an increase in uric acid production. These include:
Red meat and organ meats (liver, kidney)
Seafood (sardines, anchovies, shellfish)
Alcohol, especially beer
Sugary beverages and foods high in fructose (e.g., soda, candy)
Impaired Kidney Function
The kidneys play a key role in filtering uric acid from the blood. If kidney function is reduced, uric acid may accumulate in the body.
Chronic kidney disease
Dehydration (reduces kidney filtration)
Certain medications (like diuretics)
Obesity and Metabolic Syndrome
Being overweight can increase uric acid production and reduce its elimination through the kidneys. Obesity is also linked with:
Insulin resistance
High blood pressure
High triglyceride levels
These factors together can contribute to elevated uric acid.
Medical Conditions
Several health conditions are associated with hyperuricemia:
Gout – Caused directly by uric acid crystal buildup in joints
Type 2 Diabetes
High blood pressure (hypertension)
Hypothyroidism
Psoriasis
Leukemia or lymphoma – Due to high cell turnover
Genetics
Some people inherit a tendency to produce too much uric acid or have difficulty excreting it. A family history of gout or kidney stones increases your risk.
Medications
Certain drugs can raise uric acid levels, including:
Diuretics (water pills)
Low-dose aspirin
Immunosuppressants (like cyclosporine)
Chemotherapy drugs
Excessive Alcohol Consumption
Alcohol interferes with uric acid elimination and increases its production, particularly:
Beer (high in purines)
Spirits and wine (affect metabolism and kidney function)
Crash Dieting and Fasting
Rapid weight loss or fasting can increase the breakdown of cells, leading to more purine release and higher uric acid production.
High Fructose Intake
Fructose, found in many sweetened beverages and processed foods, increases purine metabolism and uric acid production.
Stress and Inflammation
Chronic stress and systemic inflammation can affect metabolism and kidney function, indirectly influencing uric acid levels.
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