### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I recently had a routine check in with my doctor and my renal function had deteriorated some eGFR54 and Creatinine of 141. My uric acid was 7.0. I have never experienced gout symtoms. My doctor put me on 100mg of Allopurinol to try to lower my uric acid and to try to reduce or slow down renal function loss. I am 59 and have had about 10 episdodes of kidney stones since age 17. All stones have passed naturally although I had lithotripsy in 1988 to try to break up a calcified area in the upper pole of one kidney. I have been on Allopurinol for 2 weeks and I am noticing some mild but noticeable tingling/pins and needles mostly in my hands/fingers and forearm but also a little bit in my legs and feet. The tingling is not major or particularly bothersome but it is noticeable. I do not seem to have any rash or swelling. Should I worry about the tingling or just monitor and see if it goes away or gets worse?

### output:

His may suggest to manage uric acid by diet management, avoiding, red wine, red meat, bakery products etc. Consult a diet chart recommended for gout patients. It could be that your uric acid is high due to poor kidney clearance and not gout itself.die tic restrictions of red meat etc. will take load off the kidneys. Take plenty of water orally, get serum sodium and potassium levels in serum tested for any overload due to salt. A simple diuretics like actor 20 mg daily may improve kidney clearance. After following this regime for a week get uric acid tested again, im sure it shall come down and allopurinol may then be given up after consulting treating physician. Tingling and numbness in poor kidney function is common. Take methycobalamin 1500 I u. And folic acid tabs additionally it will help. Reduce table salt in diet. If still uric acid remains high maybe allopurinol and another med. Colchicine for uric acid may have to give.