Here I discuss the strong link of gout with chronic kidney disease. One simple reason is that when people have kidney disease they have trouble excreting uric acid, so it can build up in the blood and increase the risk for gout. But there is also a darker side to gout— there is increasing evidence that it can actually cause both heart disease and chronic kidney disease. If you have gout, make sure you get your uric acid to < 6 mg/dl. Drink water, reduce foods rich in sugar, purines (such as seafood, liver and processed red meats), and alcohol (especially beer). Take vitamin C, drink lots of water, and choose a Mediterranean diet. If that does not control the uric acid completely, consider medications.