Final answer:
Gout in individuals with kidney disease is often a consequence of the accumulation of uric acid in the blood due to the kidneys' reduced ability to excrete it, leading to uric acid crystals in the joints.
Step-by-step explanation:
Someone with kidney disease might get gout due to the accumulation of uric acid in the blood. When the kidneys do not function properly, they're unable to excrete uric acid effectively, leading to its build-up. This excessive uric acid can then crystallize and deposit in joints, causing the painful condition known as gout. Conditions like high non-vegetarian diets, kidney dysfunction, and certain diseases can increase uric acid levels. Conversely, dietary choices that reduce the amount of nitrogenous bases, such as avoiding tea, coffee, and chocolate, can help reduce the risk of gout. In addition, uricosuric drugs may be prescribed to help increase the excretion of uric acid in the urine.