Hao Yun's wonderful life - Blood pressure is not normal and uric acid is rising

This is the 5272nd article of Da Yi Xiao Hu

Hao Yun, a fund manager in his 40s, has settled down in a first-tier city through his own efforts. He was once a model of success in the eyes of his fellow villagers, but now he is struggling to find the direction to move forward in the storm of life, trying to regain the balance and peace of life.

Hao Yun in the hospital seemed to have his IQ lowered. Even for the payment step, he still needed Gu Mingming to click, which made him speechless because his old classmate was obviously very intelligent.

"Lao Hao, come here, scan the code with your phone."

“Ababa…Alipay or WeChat?”

"Old Hao, give me the Chinese medicine prescription."

“Ah baba…what’s the recipe? Give me something without a recipe…oh oh oh, this paper!?”

"Lao Hao, come on, fill in an address."

"What address?"

"Your home address, I'll make the Chinese medicine for you and send it to you by express delivery!"

"Aba Aba... Room 909, 6th floor, No. 188 Zhongcun Road, at the door!"

"What else can you do besides Aba Aba?"

"Aba Aba... There are children sleeping at home, please don't knock on the door!"

6

"Old Gu, what should I do next?" Hao Yun was much more normal after leaving the hospital. At least he was no longer nervous. He immediately asked, "Your senior sister said to eat something light. What should I eat?"

"Avoid spicy and greasy food, eat less snacks and exercise more." Gu Mingming said it casually as if it was a conditioned reflex.

"Speak human language." Hao Yun was obviously a little angry.

Gu Mingming looked at Hao Yun's anxious look, and he probably thought his blood pressure was about to rise. He immediately put on a smile and said in a coaxing tone, "Just don't eat whatever you like to eat or think is delicious, okay?"

Hao Yun remained silent. Gu Mingming thought it would be a good idea to help his old classmate analyze his daily eating habits, so he said, "How about this, tell me what you ate last night."

"Didn't I eat with you last night? It was our class reunion."

"That's it, I forgot about this." After two seconds of awkward silence, Gu Mingming switched to a look of looking at a moron and pretended to be calm and said, "I don't know what went into your mouth, tell me the name of the dish!"

"I ate some lobster, some Buddha Jumps Over the Wall, some grouper, and some beef cubes. Don't tell me, this seafood is not very delicious. I didn't feel full after eating it. The beef is still delicious. It's so juicy and fragrant!"

“Stop! You need to stop all this.” Gu Mingming interrupted him while he was reading the menu before he could finish.

“But aren’t fish and shrimp high-protein foods? I see people who work out also eat steak and the like?” Hao Yun began to refute. Perhaps because he was away from the depressing environment of the hospital, his IQ recovered a little.

"Brother, how do people who work out eat? They don't add any sauce." Gu Mingming thought to himself: He is really being stubborn.

"Oh, then what can I eat?" Hao Yun asked in a pleading tone.

“Boiled vegetables.”

"Boiled fish, boiled beef?" Hao Yun seemed to have grasped a life-saving straw.

"Haha." Gu Mingming gave him a look that said, "What are you thinking?"

"Or I'll just get high blood pressure..." Hao Yun said frustratedly.

The two separated at the subway station and agreed to have their blood drawn for a test the next day, Monday. On the way, Hao Yun sent a WeChat message to his wife: "Wife, I was diagnosed with high blood pressure today. I will have to eat boiled vegetables from now on."

"Go tell your mother!" The wife on WeChat exuded cold anger.

"I'm just asking for permission from my beloved wife." Although they had just had an argument a few days ago, Hao Yun, who had regained his senses, was still begging for mercy from his wife.

"Oh." This means that the wife's attitude is starting to improve.

"I'll queue up for you to buy that internet-famous afternoon tea set called 'Stay with You Forever', okay?"

"OK (emoji)". This means the wife is in a good mood.

"Okay!"

The next day was Monday.

"Old Gu, I'm sorry, I have a meeting this morning. How about I come tomorrow?"

"hehe."

Day 3.

"Mr. Gu, I'm sorry, I have to meet a client today. How about I come tomorrow?"

"hehe."

Day 4.

"Are you coming?"

"Come."

Gu Mingming thought that this was just like Liu Bei inviting Zhuge Liang to join him. The financial industry was really competitive. Fortunately, he studied medicine. Although he didn't have much money, at least he could have a stable income.

On Thursday morning, Hao Yun just stopped working and was about to open his phone to watch some short videos when he saw a message from an old classmate on WeChat.

Gu Mingming: "You're fine, but your uric acid is a little high." Then there were a few screenshots of his test results from yesterday. Although Hao Yun didn't quite understand the test results, he could still tell if there were any arrows. On several reports, only the uric acid indicator had an upward arrow.

"My uric acid level is 648, what do you think?" [1]

"It's high enough to buy a set in the game."

“So awesome?!”

Hao Yun remembered the physical examination arranged by the company at the beginning of this year. He quickly flipped through his mobile phone for about ten minutes, found the PDF of his physical examination report this year in the file transfer assistant, and sent it to Gu Mingming.

"Mine wasn't high before. Look, there's no arrow in my uric acid level." Hao Yun said unconvinced.

"The standard for hyperuricemia is greater than 420. Yours is 419. How close is it to the passing line?"

"Well, I didn't care since there was no arrow."

"What did you do the night before that your uric acid level is so high?" Gu Mingming started the online consultation.

"Entertaining clients."

"Are you eating seafood and drinking alcohol?" Replied immediately.

"You are really good at judging people." The WeChat message exudes a mysterious aura of metaphysics.

"By the way, have you measured your blood pressure these days? Have you taken the Chinese medicine my senior sister prescribed for you?" Gu Mingming's continuous soul-searching questioning left Hao Yun speechless.

"Ah Ba, Ah Ba, I'm busy... I took the medicine and slept much better. Later, I felt better and forgot to drink it twice a day. But this medicine is really bitter. Can I stop drinking it now that I feel better? There are still several days of it in the refrigerator!"

Gu Mingming was somewhat helpless. He had just agreed to follow the dietary restrictions, self-monitoring, and taking medication on time and in fixed amounts this Sunday, but he had forgotten them the moment he turned around. As a doctor, he hated those who did not follow the doctor's orders, but as a friend, he could only think of another way to help Hao Yun control his condition.

"How about this, I'll send you some information. You must pay attention to your diet! Also, measure your blood pressure every day and send it to me or my senior sister. Come back for a follow-up visit after taking the Chinese medicine!" After taking care of these, Gu Mingming forwarded an article he had just pushed last week, which was a popular science picture and text about the healthy diet of people with high uric acid. This is the general trend at present. Doctors also have to be slash youth. Good wine needs to be packaged and promoted.

Hao Yun clicked on the push notification, which said, for example: For food cooking methods, try to choose low-fat and low-salt methods such as steaming and boiling. For breakfast, choose whole-wheat bread, eggs and milk. For lunch and dinner, mainly vegetables, with a small amount of lean meat and fish. Avoid eating seafood, animal offal and beans and other high-purine foods, especially meat soup. Drink more water, quit smoking and drinking, and increase exercise.

He couldn't help but feel a little overwhelmed. He clearly didn't have any symptoms [2]. So his uric acid level was high. As he walked out of the office, he sent a WeChat message: "I don't feel sick. You don't have to be so strict, right?"

“Pull the push to the end.”

At the end of the push, it was written: ... Most patients with hyperuricemia may not have any symptoms in the early stages, but after an attack, the probability of recurrence is high...

"Mom!" Hao Yun called his mother.

Please listen to the next episode to know what happens next.

Popular Science Knowledge Points

【1】Under normal purine diet, fasting blood uric acid levels on two different days:

Men: >420 μmol/L (7.0 mg/dl);

For women, hyperuricemia can be diagnosed when the level is >360 μmol/L (6.0 mg/dl).

It should be noted that there may be some differences between different testing methods and testing institutions, but they are generally around the above reference values. Hyperuricemia is a disease caused by purine metabolism disorder. Long-term hyperuricemia may lead to gout, kidney damage and other complications.

【2】Hyperuricemia may have the following symptoms at different stages:

Asymptomatic period : Most patients with hyperuricemia may not have any symptoms in the early stages, and elevated blood uric acid levels are only discovered accidentally during physical examinations or examinations for other diseases.

Acute arthritis stage (gout attack stage) :

1. Joint pain: It often occurs suddenly at midnight or early in the morning. The pain is severe and feels like tearing, cutting or biting, which is unbearable. The first attack often involves a single joint, with the first metatarsophalangeal joint being the most common (accounting for about 50% - 90%), which is also known as the joint at the base of the big toe. The second most common joints are the dorsum of the foot, heel, ankle, knee, etc.

2. Redness, swelling, heat and pain in the joints: The affected joints become noticeably red and swollen, the skin temperature rises, and movement is restricted.

3. Time of attack: The attack is self-limited and usually resolves on its own within a few days or 2 weeks, but it is easy to relapse.

Chronic arthritis stage : joint deformity, tophi formation

Symptoms of kidney disease

Author: Gu Jiaming

Reviewer: Zhao Jiajing