I have been noticing swelling in my left foot that increases during the day and stays until I go to bed. There is also mild swelling in my right foot. My height is 5 ft 5.5 inches, weight 67 kg, and I am not diabetic (HbA1c is 5). However, my uric acid level is high at 9.4. I consulted a doctor who prescribed Febustat 40, Uprise D3 60K, Supracal HD, and Neurobion Forte. I have been on these medicines for the past two days but have not seen any relief yet. I was also advised to consult a cardiologist. My BP is normal, and I do not have any discomfort otherwise. I walk briskly for an hour every morning, though I am mostly sedentary during the rest of the day. I have been following a Keto diet for almost a year, during which my diabetes reversed and I lost 21 kg rapidly, all within a few weeks. I am now maintaining my weight with the same diet. I would like to get advice from a Keto friendly doctor regarding my swelling issue.

Answered by 1 Apollo Doctors

Dr Bhanu Prakash

General Practitioner

MBBS
AFIH
Advanced certificate in critical care medicine
Fellowship in critical care medicine
10+ Yrs

Consult Now

Swelling and high uric acid indicate possible gout/fluid retention. Keto diet may raise uric acid, hydrate well. Continue Febustat, elevate feet. Do KFT, Doppler Ultrasound Legs. See cardiologist if swelling worsens.

Dr. Bhanu Suggests...

Take a RENAL PROFILE/KIDNEY FUNCTION TEST (RFT/KFT) Test

Book RENAL PROFILE/KIDNEY FUNCTION TEST (RFT/KFT) Test

Answered 12/09/2025

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Hi, I am 37 years old and have uric acid levels around 6.5 to 8 mg/dl with ups and downs. I generally take Zyloric 100 mg twice a day. My test reports are as follows: on 12th July 7 mg/dl, on 23rd July 6.01 mg/dl (while taking Zyloric 100 mg twice a day), and on 18th August 9.5 mg/dl. Creatinine is 1.01 mg/dl. I have recently lost 12 kg in the last 50 days through diet and exercise. During the last two reports, I was on a keto diet with over 90 percent vegetarian food. I am confused about why my uric acid has risen. I consumed spinach, mushrooms, paneer, cauliflower, and other vegetables three times a week, along with flax seeds, chia seeds, and watermelon seeds. Some sources say spinach and mushrooms can raise uric acid, while others say they do not. I am finding it difficult to control my uric acid without identifying the reason. Could you please guide me on how to control it and suggest remedies? Thank you.

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