The sudden and severe joint pain is the main symptom of high uric acid. This pain often occurs at night and can be very severe, disrupting daily activities. The big toe is the joint most commonly affected, but other joints such as the knees, ankles, hands, and elbows can also be affected.

Tophi are hard lumps that form under the skin due to the accumulation of uric acid crystals. Tophi usually appear around joints, ears, or fingers. Although not always painful, tophi can cause deformities and limited mobility if left untreated.

he translation of the given 'Bahasa' text to 'English' while preserving any html tags is as follows: High levels of uric acid can also affect kidney function. Uric acid can accumulate in the kidneys and form kidney stones, which can cause back pain, blood in urine, and urinary tract infections. In severe cases, kidney stones can cause permanent damage to the kidneys