Bridgette — Health Story ni Juan dela Cruz

Uric acid at target (5.4 mg/dL)

Zero flares in 4 months

Holiday season: flare risk counseling due

Kidney function stable (eGFR 92)

AI Summary, Updated Sep 2, 2026

Juan's gout is well-controlled on allopurinol 200mg. His uric acid dropped 44.9% over 4 months (9.8 to 5.4), now below the 6.0 target. CRP normalized from 28 to 3 mg/L, confirming inflammation resolution. Zero flares since the initial episode. He eliminated beer, reduced organ meats and lechon, and started a walking routine (3x/week, 30 min). He lost 3kg (BMI 27.8 to 26.1). Kidney function remains stable (creatinine 0.9, eGFR 92). Key risk: holiday season. Proactive counseling about pulutan and alcohol before November gatherings would be valuable. Next labs due December 2026.

Key Lab Results (Most Recent: Sep 2, 2026)

Uric Acid

5.4

mg/dL (ref: 3.5 to 7.2)

44.9% improvement

CRP

3.0

mg/L (ref: below 10)

Normalized

Creatinine

0.9

mg/dL (ref: 0.7 to 1.3)

Stable

eGFR

mL/min (ref: above 90)

Normal

BMI

26.1

kg/m2 (target: below 25)

Down from 27.8

HbA1c

5.6%

(ref: below 5.7)

Normal

Uric Acid Trend

Target: below 6.0 mg/dL

44.9% improvement. Target reached at Visit 3.

CRP (Inflammation)

2883 mg/L

Creatinine (Kidney)

1.01.00.9 mg/dL

Clinical Timeline

May 20, 2026

Initial Consult, Dr. Reyes (Rheumatology), The Medical City QC

S: Acute left big toe pain x 3 days. Ate lechon + beer last weekend. FHx: gout (father).
O: UA 9.8, CRP 28, Cr 1.0, eGFR 92. Podagra left 1st MTP.
A: Acute gouty arthritis, hyperuricemia.
P: Colchicine 0.6mg BID x 7d. Start allopurinol 100mg after flare. Diet counseling. Recheck 6 wks.

July 1, 2026

Follow-up, Dr. Reyes (Rheumatology)

S: No flare. Tolerated meds. "Tinanggal ko na 'yung beer."
O: UA 7.8 (down from 9.8), CRP 8, Cr 1.0. No joint swelling.
A: Hyperuricemia improving.
P: Increase allopurinol to 200mg. Continue hydration. Recheck 8 wks. Target: below 6.0.

September 2, 2026

Follow-up, Dr. Reyes (Rheumatology)

S: Zero flares in 4 mos. Lost 3kg. "Nawala na 'yung takot ko sa gout, Doc."
O: UA 5.4 (TARGET MET), CRP 3, Cr 0.9. BMI 26.1 (prev 27.8).
A: Gout well-controlled. UA at goal. Inflammation resolved.
P: Maintain allopurinol 200mg. Continue lifestyle changes. Recheck 3 mos. Excellent progress.

Current Medications

💊

Allopurinol 200mg

Once daily, Started June 2026

Active

💊

Colchicine 0.6mg

As needed for flares, Started May 2026

PRN

Past Medications

💊

Allopurinol 100mg

Once daily, May 2026 to June 2026

Titrated up

💊

Colchicine 0.6mg BID

Twice daily x 7 days, May 2026 (acute flare)

Completed

💊

Naproxen 500mg

As needed, May 2026 (pain during flare)

Discontinued

Current Supplements

Vitamin C 500mg

Once daily, Started June 2026

Active

Fish Oil (Omega-3) 1000mg

Once daily, Started July 2026

Active

Cherry Extract 500mg

Twice daily, Started June 2026, for uric acid support

Active

Lifestyle Summary (Last 30 Days)

Avg. Daily Calories

1,820

kcal/day

-320 from baseline

Avg. Sleep

6.8

hours/night

+0.5 hrs from baseline

Weekly Activity

3.2

sessions/week

30-min walks, new habit

Recent Food Log (Purine Tracking)

Sep 1 Tinolang manok, brown rice, kangkong Low purine

Aug 30 Grilled chicken breast, salad, water Low purine

Aug 28 Sinigang na hipon, white rice, calamansi Moderate

Aug 25 Adobong manok, brown rice, sitaw Low purine

Aug 22 Kare-kare, bagoong (small), white rice Moderate

Aug 18 Lechon kawali (small portion), pinakbet High purine

Note: Purine levels are AI-analyzed based on logged meals. These are estimates, not clinical measurements. Please discuss dietary patterns with the patient during consultation for personalized guidance.

Overall Health Trends (6-Month Overview)

Uric Acid (mg/dL) -44.9%

9.87.85.4

CRP / Inflammation (mg/L) -89.3%

2883.0

Weight (kg) -3 kg

79 kg76 kg

Gout Flares Controlled