What Is Hyperuricemia, and How Does It Lead to Gout? - #15276

I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.

Graduating with an MD in Ayurvedic Medicine from the All India Institute of Medical Sciences (AIIMS) in 2008, he brings over 15 years of expertise in integrative healthcare. Specializing in complex chronic conditions, including autoimmune disorders, metabolic syndromes, and digestive health, he uses a patient-centered approach that focuses on root causes. Certified in Panchakarma Therapy and Rasayana (rejuvenation), he is known for combining traditional Ayurvedic practices with modern diagnostics. Actively involved in research, he has contributed to studies on Ayurveda’s role in managing diabetes, stress, and immunity. A sought-after speaker at wellness conferences, he practices at a reputable Ayurvedic wellness center, dedicated to advancing Ayurveda’s role in holistic health and preventive care.

I am an Ayurvedic physician with over 10 years of clinical experience, dedicated to providing authentic and result-oriented Ayurvedic treatments. Over the years, I have had the opportunity to consult and successfully treat more than 4,000 to 5,000 patients suffering from a variety of health concerns. My primary focus has been on managing joint disorders, including conditions like osteoarthritis, rheumatoid arthritis, and other degenerative joint diseases. In addition, I specialize in treating women’s health issues such as PCOD, female infertility, menstrual irregularities, and obesity, helping many patients overcome these challenges and achieve improved health naturally. My clinical practice also covers the management of respiratory conditions like asthma, chronic skin diseases such as psoriasis, and metabolic disorders including fatty liver disease. I approach each case by carefully diagnosing the root cause and customizing treatment protocols based on classical Ayurvedic principles. I consistently integrate Panchakarma therapies, herbal formulations, diet corrections, and lifestyle guidance to ensure holistic and sustainable healing. Throughout my journey, I have remained committed to restoring the natural balance of health in my patients, empowering them to lead healthier and more fulfilling lives. I strive to deliver treatments that are personalized, effective, and aligned with the rich heritage of Ayurveda.

I am Vaidya Atul Painuli, currently working as an Ayurvedic Consultant at Patanjali Chikitsalaya, Delhi... been here a while now. My focus from the start—over 10+ yrs in this field—has been to stay true to what Ayurveda *actually* is, not just surface-level remedies or buzzwords. I’ve treated a wide mix of patients, from people battling chronic illnesses to those just looking to fix their lifestyle before it leads to disease (which is v underrated tbh). During these years, I kinda shaped my practice around the idea that one solution never fits all. Whether it’s diabetes, gut disorders, stress-related problems or hormone issues—everything goes back to the root, the *nidana*. I usually go with classic Ayurvedic meds, but I mix it up with Panchakarma, diet tweaks and daily routine correction, depending on the case. Most of the time, ppl don’t even realize how much their habits are feeding into the problem. It’s not just about herbs or massages... though those are important too. At Patanjali Chikitsalaya, I see patients from literally all walks of life—office-goers, elderly, even young kids sometimes. Everyone’s got something diff going on, which keeps me grounded. What I try to do is not just treat the symptoms but help ppl *see* what’s happening in their bodies and minds. Like Ayurveda says—if your digestion, sleep and emotions are off... then eventually health’s gonna wobble. I don’t promise quick results but I do stay with my patients through the process, adjusting things based on how they respond. That part makes a big difference I think. For me, Ayurveda isn’t a “last resort” kinda thing—it’s a system that can prevent 80% of the lifestyle diseases ppl suffer from today, if done right. My goal? Just to keep doing this in a way that feels real, grounded, and actually helps ppl—not overwhelm them with too much jargon or fear. Just practical, clean, honest healing.

I am Dr. Deepali Goswami, BAMS graduate n working mainly around women's health. Right now m running my own clinic where i treat all kind of gyne problems—from irregular periods to PCOD, white discharge, fertility-related issues, menopausal symptoms n lot more that affects everyday life of females. I usually try to keep the language simple while dealing with patients cause honestly half of them come already confused or like really scared of what's happening inside their body... and if I use too much technical terms it just make it worse. I’ve been practicing in this space for couple of years now—don’t remember the exact month, maybe two or three year back? but anyway, what matters is I’ve seen how many of these problems get ignored till they turn serious. That’s something I feel strongly about. My goal is to help women understand their symptoms early and explain how Ayurveda can help gently but properly, whether it’s hormonal stuff or pain or cycle issues. I use classic Ayurvedic concepts like dosha analysis, ritucharya, n yoni vyapad chikitsa wherever it fits, but sometimes modern lifestyle really needs to be factored in too. Like if someone working night shift, no point telling them to wake up at 5am and do abhyanga daily—it won’t work. I’m practical about it. Anyway, I try my best to create a space where women feel heard. Lot of them said nobody actually explained them what’s going on before. And that’s like the saddest part. I feel my biggest strength is really just listening n tailoring the treatment to her routine, diet n stress pattern. Some cases are harder of course... things don’t always go fast, esp when it’s been neglected for yrs. But then Ayurveda’s not magic. It takes a little time—but results feel real n lasting when done right.

ChatGPT said: I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.

I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.

I am someone who kinda learned early that medicine isn’t just about protocols or pills—like, it’s more about people, right? I did my BAMS with proper grounding in both classical Ayurveda and also the basics of modern med, which honestly helped me see both sides better. During internship, I got to work 6 months at Civil Hospital Sonipat—very clinical, very fast paced—and the other 6 at our own Ayurvedic hospital in the college. That mix showed me how blending traditional and integrative care isn't just theory, it actually works with real patients. After that I joined Kbir Wellness, an Ayurvedic aushdhalaya setup, where I dived into Naadi Pariksha—like really deep. It’s weird how much you can tell from pulse if you just listen right?? Doing regular consultations there sharpened my sense of prakriti, vikriti and how doshas show up subtle first. I used classical Ayurvedic texts to shape treatment plans, but always kept the patient’s routine, mental space and capacity in mind. Also I was part of some health camps around Karnal and Panipat—especially in govt schools and remote areas. That part really stays with me. You get to help ppl who dont usually have access to consistent care, and you start valuing simple awareness more than anything. I kinda think prevention should be a bigger focus in Ayurveda, like we keep talking about root cause but don’t always reach people before it gets worse. My whole method is pretty much built around that—root-cause treatment, yes, but also guiding patients on how to live with their body instead of fighting symptoms all the time. I rely a lot on traditional diagnostics like Naadi, but I mix that with practical therapies they can actually follow. No point in giving hard-to-do regimens if someone’s already overwhelmed. I keep it flexible. Most of my plans include dietary changes, natural formulations, lifestyle corrections and sometimes breathwork, daily rhythms and all that. I’m not here to just “treat illness”—what I really aim for is helping someone feel like they’ve got a handle on their own health again. That shift from just surviving to kinda thriving... that’s what I look for in every case.

I am practicing Ayurveda since 3 years now, and tbh even though that number looks small on paper—it sure feels way more intense when you think of the daily exposure to different conditions, people, energies. I focus mainly on holistic wellness, with a strong bend toward balancing the body-mind equation. Sometimes ppl ask if I only give herbs but truthfully it’s more about understanding the why behind the illness... not just the what. My work usually involve personalized treatment planning, where I mix classical Ayurvedic concepts—like dosha analysis, ahara-vihara (diet & lifestyle), and detox via Panchakarma—based on how the person is living right now. That dynamic bit matters. One patient with acidity might need total food overhaul. Another? Just better sleep and breath practices. I learnt to not jump into “fixing” unless I’m hearing fully. The past 3 years taught me to observe subtle signs more deeply. Like the small fatigue before full-blown fatigue. I don’t claim big breakthroughs, but I’ve seen lives shift—chronic migraines fading, IBS calming down, periods regularising, skin healing slowly from inside-out. And that feels huge. Every day kinda grows me. Whether it’s a simple consultation, or longer therapies, I try to keep things real, rooted, and not rushed. And yes there’s still lot to explore. But I’m in this for the long run and I want ppl to know that healing doesn’t mean perfection—it just means balance, awareness, and the willingness to start.

I am Dr. Arun Desai, working in Ayurveda for 19+ years now, both online and offline. My clinic, Ayur Sanjivani, is at #44 B 1, Opp Adarsh Laundry, beside Tej Residency, near Kavalemath Somwaar Peth Cross in Tilakwadi, Belgaum – bit of a long address but patients seem to find it just fine. Over time I’ve learned that people today want relief fast but still safe and lasting. That’s where I mix the depth of classical Ayurveda with practical tweaks to suit this fast moving lifestyle. I don’t like giving something that just masks a symptom – I want to get to the root cause whenever possible. At the clinic, I try to keep things warm and easy to talk, not a stiff doctor’s table vibe. Whether it’s diagnosis, a Panchakarma session, or simple counseling, I want patients to feel they can ask anything, even small doubts. Education matters too – when someone understands why a certain diet or lifestyle change is needed, they actually follow it better. Treatments may include herbal formulations, diet charts, yoga routines, exercise plans, detox, anti-stress work – all depending on their prakruti and condition. Over the years, I’ve treated people from many walks of life – each case different, which keeps me learning. Some come for joint pain, some for skin problems, others for lifestyle disorders like diabetes or high BP. I still follow authentic Ayurvedic principles but adapt them so they work in today’s reality. And yes, I’m always updating my knowledge, making sure the practice stays ethical and effective, because for me, Ayurveda isn’t just treatment – it’s a way to help someone rebuild their health from inside out.

I am a Senior Ayurveda Physician with over 28 years of clinical experience dedicated to the principles and practice of authentic Ayurvedic medicine. Throughout my journey, I have had the privilege of treating more than 100,000 patients through both in-person consultations and online platforms. My approach is deeply rooted in classical Ayurvedic diagnostics—such as Nadi Pariksha (pulse examination), Roga-Rogi Pariksha (patient and disease evaluation), and a personalized assessment of prakriti (body constitution). Over the years, I have successfully managed a wide range of health conditions across all age groups—from acute infections and digestive issues to chronic and lifestyle disorders such as arthritis, diabetes, respiratory ailments, hormonal imbalances, and autoimmune conditions. I place strong emphasis on individualized care, combining herbal formulations, Panchakarma detox therapies, and dietary and lifestyle guidance to ensure long-term healing and disease prevention. My extensive experience also includes addressing complex, chronic illnesses that require a deep understanding of both the pathology and the patient’s overall constitution. I have worked with patients who had previously struggled with little success in other systems of medicine, and have guided many toward sustainable recovery and improved quality of life. Whether treating elderly patients with degenerative disorders or young adults facing hormonal or metabolic challenges, I strive to offer care that is compassionate, comprehensive, and evidence-informed. My goal is to empower patients with Ayurvedic wisdom so they can take an active role in their healing journey. I continue to remain updated with the evolving landscape of integrative health and value the importance of patient education, ethical practice, and consistent follow-up. For me, Ayurveda is not just a profession, but a lifelong commitment to restoring balance and promoting well-being, one patient at a time.