Jujo Station Haru Internal Medicine Clinic: Gout & Hyperuricemia Treatment in Jujo

十条で痛風・高尿酸血症の治療｜十条駅ハル内科クリニック

"My big toe suddenly became excruciatingly painful." "My health check-up showed high uric acid levels." Gout is a disease that causes sudden, severe pain, disrupting daily life. Furthermore, even in the asymptomatic stage of hyperuricemia, if left untreated, the risk of kidney damage, urinary stones, and gout attacks increases.

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Jujo Station Haru Internal Medicine and Dermatology Clinic Waiting Area
Our clinic's waiting area. You can relax in a bright and clean space until your examination.

What is Gout and Hyperuricemia?

A uric acid level in the blood of 7.0mg/dL or higher is called hyperuricemia. When uric acid accumulates as crystals in the joints, it causes a "gout attack," characterized by sudden, severe pain. The typical symptom is the base of the big toe becoming red and swollen, accompanied by excruciating pain, hence the name gout, as it can be "painful even when the wind blows."

What to do if you have a gout attack?

If an attack occurs, please see an internist as soon as possible.

  • Anti-inflammatory painkillers (NSAIDs) or colchicine are used to suppress inflammation early.

  • During an attack, cool the affected area and rest.

  • Do not start or change uric acid-lowering drugs during an attack (this may prolong the attack).

  • Uric acid level management begins after the attack subsides.

Preventing recurrence is key to managing uric acid levels before an attack, rather than waiting until you are in pain to go to the hospital.

Lifestyle habits to lower uric acid levels

Improvement

Specific measures

Reduce purine intake

Reduce liver, dried fish, milt, shrimp, etc.

Reduce alcohol intake

Beer and sake are particularly likely to raise uric acid

Drink plenty of fluids

More than 2L per day. Promotes uric acid excretion

Reduce fructose intake

Be careful not to overconsume soft drinks and fruits

Improve obesity

Weight loss can help lower uric acid levels

Moderate exercise

Intense anaerobic exercise is counterproductive. Do aerobic exercise.

Drug therapy

If lifestyle changes alone do not lower uric acid levels, or if attacks recur or kidney function is affected, medication will be used.

Type of drug

Representative drug

Characteristics

Uric acid production inhibitors

Febuxostat, Allopurinol

Suppresses uric acid production. Easy to use even for those with poor kidney function.

Uric acid excretion promoters

Benzbromarone

Promotes uric acid excretion. Not suitable for those with urinary stones.

The goal is a uric acid level of 6.0mg/dL or less. Medication is generally required long-term, but if uric acid levels stabilize with lifestyle improvements, dose reduction may be considered.

Diseases often mistaken for gout

Sudden swelling and pain in the foot or joints can be caused by pseudogout, cellulitis, infectious arthritis, or fractures, in addition to gout. We recommend not self-diagnosing and instead visiting us for a blood test to check your uric acid levels.

Please consult us if you have any of the following:

  • Sudden redness, swelling, and pain in your big toe or joints.

  • You were told your uric acid level was 7.0 or higher during a health check-up.

  • You have had a gout attack in the past.

  • You frequently drink beer or enjoy seafood.

  • You are also concerned about your kidney values.

  • You have been prescribed uric acid medication at another clinic but have not been able to continue your visits.

Reception
Reception. Cashless payment is also available.

Flow of Consultation

  1. Online reservation or direct visit
    If you have severe pain or fever, please call us. We will guide you through the consultation process.
  2. Check-in and filling out the medical questionnaire
    Please indicate when, where, what symptoms you have, the material of any piercings you use, and any past piercing-related issues.
  3. Doctor's examination
    The doctor will visually inspect and palpate to determine the extent and severity of inflammation. If necessary, a bacterial culture test will be performed.
  4. Treatment and Prescription
    Depending on the severity, treatments such as topical/oral antibiotics, disinfection, and incision/drainage will be performed.
  5. Home care guidance
    We will thoroughly explain cleaning methods, disinfection methods, whether to remove piercings, and precautions in daily life.
  6. Payment and Departure
    We will advise you on when to visit next and how to prevent recurrence.

Clinic Hours and Access

Item Details
Clinic Name Jujo Station Haru Internal Medicine and Dermatology Clinic
Consultation Hours Monday to Sunday: Open daily from 9 AM. Wednesdays until 8 PM, Fridays and Saturdays until 9 PM, and Sundays until 7 PM.
Closed None (Irregular holidays)
Address J&MALL 1F, 2-27-1 Kami-Jujo, Kita-ku, Tokyo 114-0034
By Train/On Foot Approx. 1-2 minutes walk from JR Saikyo Line "Jujo Station", J&MALL (J-T MALL) 1st floor
By Bus Right in front of the Kokusai Kogyo Bus "Jujo Station" bus stop
By Car Please use nearby coin parking lots
Contact TEL: 03-6698-2509 ／ Official LINE:https://lin.ee/AL0fp3z
Call Us Official LINE Online Reservation (Priority Guidance)
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