I am out of the clinic every day, writing papers, but also to the heart to do science popularization of rheumatology and immunology Dr. He Yi, recently I received a netizen letter, saying that her boyfriend is 21 years old, has HUA (hyperuricemia), asked me if I want to break up.
HUA (hyperuricemia) is not PUA (brainwashing of the opposite sex), not the hyaluronic acid that "punches the face", the uric acid in the blood, and the cause of gout.
In 2020, that is, this year, the number of people with high uric acid in the mainland will be close to 200 million, and the number of people with gout will exceed 20 million, and the disease is getting younger. Clinical data show that more than half of the patients with gout under the age of 25 are, that is, if you meet 10 cute little brothers, one of them will be a patient with high uric acid, and gout may occur at any time [1].
Shouldn't young people fall in love with love? When did it become so realistic? In addition to the car house now even the high uric acid is a hand reason?
As a punk doctor, I have to talk to you today about whether you can't have love without HUA?
That said, the little sister and boyfriend asked above went on a trip together after eye-catching and were preparing to eat a meal of Hesse. As a result, he suffered a gout attack and lay in bed unable to take care of herself, and she began a life journey that needed to take care of patients before she was married.
Confused, she posted a message on her social media account, and the horror story came: 1280 messages in the comment area advised her to break up: "He can't get tired, can't hike, can't eat seafood and drink beer", "Gout attack can't walk at all, loses labor", "He can't cure, lifelong disease." "Marry him and you will become the main labor force in the family", "Gout will be inherited, you will harm your children", "The medicine for gout is very expensive, not the second generation of the rich, hurry up and dump it."
After reading these messages, this little sister was afraid, and what she was most afraid of was not the future, but the present, because there was a comment that said: He will be ED because of gout.
According to the plot arrangement, you must ask, what is ED?
A: The academic name of ED is sexual dysfunction.
Some self-media said that a paper published by domestic researchers in the Journal of Sexual Medicine in 2016 showed that high uric acid may affect sexual function. As a punk I immediately flipped through the relevant journals.[2]
First of all, this is a survey of 251 "no" men and 252 people who did not say "no", found that the uric acid of no way is high, but did not say other reasons, one is that the sample is small, the other reason is not clear, but it is possible, not certain, but many people feel justified, they believe it.
Many times, data can only provide us with correlation, but correlation is not causation.
For example, overeating and inactivity can easily lead to > obesity, hyperuricemia, hyperlipidemia, high blood pressure, and ED. These are the results of overeating and no exercise, and we can say that high uric acid and ED are related, but we cannot say that they have a causal relationship.
Secondly, there are many causes of ED, and some studies believe that it is due to vascular endothelial dysfunction. Simply put, your blood circulation is not good, and you can't use it if you want to use your little brother.
High uric acid produces a large number of free radicals (the function of free radicals, simply put, will corrode blood vessels, so that the elasticity of blood vessels weakens and inflammation leads to hardening, similar to water pipe rust), but there are many reasons that affect blood circulation, such as you play games all day long, do not eat or exercise will also be affected. It's not so much that high uric acid makes you bad, but that playing games breaks you down.
Image source: Stand Cool Helo
Another point is that if you suffer from hyperuricemia and take the wrong medicine, it may indeed lead to a decrease in desire, and even have the personal problems that the little sister is worried about, so gout must not take the medicine indiscriminately, and must follow the doctor's advice.
This horrific love story is made up of comments, such as: worry that he will inherit the next generation, worry that his parents will object when he knows that his boyfriend has gout, worry that he will not be able to walk and take care of it, worry that he can no longer eat hot pot seafood, and even worry that the gout attack will make his joints deformed and disabled, kidney failure, uremia...
All of these worries are deserved, but not a reason for you to give up.
I can tell you responsibly: HUA is not a horror story, the keyboard man's comments are, not afraid of no culture, afraid of what others say you believe.
(Other messages from netizens about the love story of the boyfriend with high uric acid.) Source: Little Red Book)
I have many patients are very young, may be broken feet or have a serious illness on the acute gout attack, they come to see me will also ask some strange questions, here I will answer everyone's worries:
01 Worry about heredity
The references in most literature to gout genetic predisposition, family history and close relatives suffering from gout are only manifestations of gout inheritance and are not directly related to congenital genetic factors. Even if the purine metabolism process leads to excessive uric acid synthesis and causes gout, it is mostly caused by acquired factors.
02 Long-term medicine is expensive
The price of domestic non-bustistat is more expensive, and it used to cost about 800 yuan per month, which is not affordable for all patients. But now the price has been reduced, drastically, and it costs no more than 200 yuan per month.
03 Can not walk to take care of
Gout attacks last for several days to weeks and can be relieved on their own, generally without obvious sequelae, or left local skin pigmentation, desquamation and itching, etc., and then enter asymptomatic intermittent period, which lasts for months, years or more than ten years after recurrence, and most patients relapse within 1 year.
Image source: Stand Cool Helo
04 Fear of not being cured
Whether gout can be cured, need to see what stage, in the early and middle stages can be completely cured, gout is not incurable, but depends on whether your diet and living habits can be well controlled.
If you hold seafood in your left hand and a wine bottle in your right hand, and you eat and drink while asking the doctor why gout can't be cured, then this is really... The gods can't help it, friend.
05 Kidney failure, uremia, joint deformation and disability...
These are the consequences of self-abandonment, lack of treatment, and laissez-faire. If your boyfriend is neither therapeutic nor troublesome, I advise you to break up early, you are not a, why bother yourself.
I believe that the vast majority of people who leave messages to persuade this girl to break up are out of goodwill and their own experiences, but kindness and enthusiasm can not be taken as medicine, gout is a disease, can be treated and controlled, but also because it is a disease, so there are symptoms, but also its terrible.
If someone you like unfortunately has gout, you have to know that the disease is treatable, and even a small number of people can be cured.
If you really like this little brother, gout is just a small stumbling block on your love path, just kick it away.
Of course, this is also a test to judge whether he loves you or not, whether he will change his lifestyle because of you, start to do exercise, control diet, control his mouth, open his legs, drink more water, and manage his body for a long time and strictly.
If he wants to, then even if there is love with HUA, you are worth cherishing.
Image source: Stand Cool Helo
Contributing Author: He Yi | Deputy Chief Physician of the Department of Rheumatology and Immunology, The Third Affiliated Hospital of Southern Medical University
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[1] (Source: In 2012, Peking Union Medical College Hospital collected the clinical data of a total of 324 gout patients in the past four years, and systematically analyzed the patients' living habits and clinical data.) The results suggest that the population of gout patients is younger, and the proportion of young patients exceeds that of middle-aged and elderly patients by 54% ()
[2]（WASHINGTON, D.C.—Elevated serum uric acid levels may be a marker for an increased risk of erectile dysfunction (ED), Iranian researchers reported at the American Urological Association 2011 annual meeting；Serum Uric Acid Is Associated with Erectile Dysfunction: A Population-Based Cross-Sectional Study in Chinese Men）
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Editor: Wu Jiaxiang
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