Talk to Gynecologist on High Level Of Serum Uric Acid
Asking for Self, Female, 29 years old, Karachi
AOA! I'm 34 weeks+3days pregnant with di/di twins (first pregnancy, married for 1year). At this stage of pregnancy my serum uric acid level is increased suddenly i.e., on 6th march it was 6.3 and today it is 8.2... My doctor said it will affect babies' growth so we'll go for pre term delivery... Kindly guide me if 8.2 is that high to undergo pre-term delivery and what could i do to reduce it? P.S.. i am nor diabetic niether hypertensive or aenemic... all reports are attached below...
Dr. Aruna Kumari Hira - Gynecologist
MBBS, FCPS (Obstetrics & Gynaecology) | Karachi
yes ur doctor might be right
she must have assessed u clinically n seen ur reports in detail
assess ur baby movement
needs ultrasound doppler
baby wt
if any query take all ur labs n meet another gynaecologist for just a second opinion
she can assess u clinically n wid ur labs
but I think ur doctors decision may b right
assalam o alaikum
in twin pregnancy the uric acid level is higher comparative to Singleton.
monitor your bp level
there is a risk of pre eclampsia in twin pregnancy
if u feel headache,blurring of vision,right side abdominal pain,consult your obstetrician immediately.
what about the growth scan?
Patient
Post Owner
jazakallah khair for ur kind responses doctors... the latest fwb scan was done on 6th of march (at that time the uric acid level was 6.3) and alhamdulillah everything was perfectly fine at that time... babies' weight were 1.8 & 1.9 kg respectively... AFI = 10.0 cm... BPD was 7.9 & 8.0 cm respectively... FL = 6.1 & 6.2 cm... AC = 27.5 cm... one of the baby is in cephalic position having posterior placenta and the other one is in breech position having anterior placenta... Heart rate = 144/min & 145/min regular... furthermore my bp level is normal as i do momitor it on regular basis... kindly guide me if there is any thing else i should avoid except proteins to lower the uric acid level? and what should be added to my diet to control it?
5 years ago
dear stay well hydrated
monitor bp levels
avoid high fatty foods like red meat and sugary foods and beverages. and take cherries,lemon,multivitamins
5 years ago
both of the reports are from same laboratory?
your leading twin is breech or cephalic?
if same level persist you might need early delivery after antenatal corticosteroid
what about viral markers(hep b and hel c)
repeat your LFT after 2 days
5 years ago
ok .after 2 days repeat full liver function test (LFTs),not only uric acid And share the report.
increasing level warrant preterm delivery
5 years ago
High level is the predictor of fetal compromise u need strict fetal surveillance for that u should monitor fetal r babys movement daily it will b 12 movement in 24 hours and daily CTG is baby hearts condition on a machine and restrict to protein free diet ap NY protein nhe laiany and repeat uruc acid every 72 hours if everybthing goes normal then u can wait till 37 week mean while u should receive steroids for lung maturity of ur baby
Patient
Post Owner
baby movement is fine alhamdulillah, i'll count from now onwards... my doctor already gave me 2 doses of dexamethasone injection with an interval of 24 hrs in 33rd week... what else should i avoid along with protein? and what should be added to my diet to control it?
5 years ago
U should take fresh vegies and fruits low carbohydrates and repeat uric acid on every 3 rd day and inform me and if rising u should end up your pregnancy at 37 completed week one thing more plzz do a Doppler
umbilical artery and inform me
MBBS, FCPS (Gyne & Obs) | Karachi | Book Appointment
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tc
5 years ago
Prof. Dr. Shamayela Hanif - Gynecologist
MBBS , FCPS , MRCOG (Obstetrics & Gynecology) , Diploma (Health Professions Education) , FRCOG | Lahore
861 Positive Reviews
Why was uric acid tested if you do not have blood pressure? Or do you have jointcpains
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