How Does Ketoacidosis Cause Abdominal Pain

Share on facebook

Diabetic Ketoacidosis

Abbas E. Kitabchi, PhD., MD., FACP, FACE Professor of Medicine & Molecular Sciences and Maston K. Callison Professor in the Division of Endocrinology, Diabetes & Metabolism UT Health Science Center, 920 Madison Ave., 300A, Memphis, TN 38163 Aidar R. Gosmanov, M.D., Ph.D., D.M.Sc. Assistant Professor of Medicine, Division of Endocrinology, Diabetes & Metabolism, The University of Tennessee Health Science Center, 920 Madison Avenue, Suite 300A, Memphis, TN 38163 Clinical Recognition Omission of insulin and infection are the two most common precipitants of DKA. Non-compliance may account for up to 44% of DKA presentations; while infection is less frequently observed in DKA patients. Acute medical illnesses involving the cardiovascular system (myocardial infarction, stroke, acute thrombosis) and gastrointestinal tract (bleeding, pancreatitis), diseases of endocrine axis (acromegaly, Cushing`s syndrome, hyperthyroidism) and impaired thermo-regulation or recent surgical procedures can contribute to the development of DKA by causing dehydration, increase in insulin counter-regulatory hormones, and worsening of peripheral insulin resistance. Medications such as diuretics, beta-blockers, co Continue reading >>

Share on facebook

Popular Questions

  1. Janet McKenzie

    Diarrhea does not cause abdominal pain. Diarrhea and abdominal pain are symptoms. When they occur together, they often have the same cause. The cause could be an infection, food poisoning or some other bowel condition, such as irritable bowel syndrome or inflammatory bowel disease.

  2. John Gaudino

    Abdominal pain has an incredibly broad differential diagnosis that is medical jargon for possible causes. One of the problems is that abdominal pain and pain in the thorax in general (that is essentially between your pelvis and your shoulders) is sometimes "referred pain" which is a situation of where it hurts is not necessarily always where the problem is because of the way the nerves run/are located. example although the appendix is on the right side often people have pain on the left with appendicitis -another example would be gallstones in the gall bladder which can cause pain in the shoulder or opposite side shoulder.
    In terms of diarrhea it is generally an attempt by your body to expel something. This can be toxins from food poisoning or caused by inflammation from the stomach flu which is essentially a viral infection or even parasites and/or worms. Inflammation of course is never comfortable . Depending on what you eat and what's inside your intestines it can be made much worse. For instance when you have a stomach flu and there is inflammation already eating dairy products will generally make it worse .this is also true with diarrhea you drink sugary drinks. Because of the high concentration of sugar inside your intestines water will flow into the intestinal tract to try and equalize the amount of sugar inside your intestines with the fluid outside your intestines ultimately causing more fluid in the bowel and more diarrhea
    You can also have spasms in the bowels. The way your intestines move food and material through the intestinal tract is through muscular contraction ( and example of this is just before a bowel movement it is what a person experiences and then knows they have to go to the bathroom). The bowel has several layers including a layer of muscles . When they cramp or contract with strong amplitude/strength it can be painful just the way contractions during childbirth are painful. Muscle cramps and contractions often are not very pleasant.
    It can also be the infection itself . Certain bacteria give off toxins that cause pain and inflammation
    if you do have diarrhea best advice is to keep yourself hydrated . Being dehydrated alone will cause you to feel MUCH worse .
    Briefly I wanted to touch on over-the-counter remedies. The typical things like Imodium which essentially paralyzes those intestinal muscles and although it provides symptomatic relief does nothing for the underlying cause.
    It can in fact actually make it worse if there is an endotoxin or toxin given off by this bacteria or whatever the infective agent or causative agent is normally it would be expelled but if you have paralyzed your intestines the toxin is simply sitting there and will be reabsorbed making the whole thing worse although temporarily making your intestinal cramps better
    Pepto-Bismol (bismuth subsalicylate) is a nice remedy unfortunately it is also a salicylate . The reason we don't give aspirin to children with viral infections or even adults with viral infections is something called rye syndrome which is fairly uncommon and rare but can be very deadly .
    Pepto-Bismol being a salicylate sort of counts as the same as aspirin although Pepto-Bismol has a unique effect in that it actually binds things up instead of paralyzing your gut. it is limited because it is a salicylate. I would be remiss if I did not also mention rather unusual but dramatic adverse reaction from bismuth subsalicylate- black hairy tongue syndrome is a reversible condition which is exactly what it sounds like but can be very frightening and have dramatic appearance.
    You can also use a specific type of clay you may be able to find at a local health food store known as bentonite.
    Follow the directions make sure you drink plenty of water with it. It is fairly miraculous and a few years back there was an outbreak of a stomach flu here in the Seattle area and I happened to be practicing at an urgent care at the time and was simply giving out doses of bentonite since nothing else seemed to work. the bentonite works much like the mechanism of action of the Pepto-Bismol but it is NOT a salicylate and so is acceptable to use. The caveat is not to take it around other medicines being a clay it absorbs pretty much everything and will absorb and bind up most medications so make sure that if you take it that it is separated by several hours from any other medication.
    Of course always be sure to consult your physician or other healthcare provider . The only other thing I would mention if you have diarrhea is to consider probiotics unfortunately that is an entirely other discussion there are different strains for different things and one size does not always fit all.
    Yogurt generally does not have enough organisms to really do much of anything and you will need to get a concentrated source of them again at a drugstore pharmacy or health food store. If taking antibiotics taking probiotics can often be frustrating experience since each dose of antibiotics you are killing off the good bacteria you just tried to replace in your intestines. Fortunately antibiotics only kill bacteria they do NOT kill fungus.
    There is a probiotic YEAST known as Saccharomyces boulardii which is commonly available at most drugstores at least here in the United States as well as health and nutritional stores. because the antibiotic does not kill the yeast you were able to replace the good bacteria in your gut with a good fungal infection . This particular yeast also has a very unique property in that it can actually help reduce or even prevent a very specific infection caused by taking antibiotics called Clostridium difficile ("C. diff) or antibiotic associated diarrhea.
    if you have diarrhea over a long period of time you may have more serious diseases like ulcerative colitis, Crohn's disease or inflammatory bowel disease as well as dozens of other possible conditions . again it's always important to see your doctor or other healthcare professional . They are tests he or she can run and can perform a physical exam.
    Hope this helps.
    Be Well !

  3. Edward Moseley

    Colitis, or inflammation of the colon/lower gastrointestinal tract, is a common cause of loose stools.

  4. -> Continue reading
read more close

Related Articles

  • How Does Ketoacidosis Cause Abdominal Pain

    Abstract BACKGROUND: The aim of the study was to evaluate the incidence and prognosis of abdominal pain in patients with diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic state (HHS). Abdominal pain, sometimes mimicking an acute abdomen, is a frequent manifestation in patients with DKA. The prevalence and clinical significance of gastrointestinal symptoms including abdominal pain in HHS have not been prospectively evaluated. M ...

    ketosis Jan 3, 2018
  • Why Does Metabolic Acidosis Cause Abdominal Pain

    (Department of Nephrology, Jerry L Pettis VA Medical Center, Loma Linda, USA) BACKGROUND: Hyperphosphatemia is a common problem in patients with kidney failure. It is usually mild and rarely severe enough to cause metabolic acidosis on its own. Besides kidney failure, use of phosphate containing enemas, rhabdomyolysis, and tumor lysis syndrome are common causes of severe hyperphosphatemia. CASE REPORT: A 74-year-old man with a history of diabetes ...

    ketosis Dec 26, 2017
  • Why Does Dka Cause Abdominal Pain

    Other than all papers I could find citing the depth of the keto-acidosis (and not the height of the blood glucose levels) correlating with abdominal pain, nothing else to explain how these two are linked. Decades ago, I was taught that because of the keto-acidosis causing a shift of intracellular potassium (having been exchanged for H+ protons of which in keto-acidosis there were too many of in the extracellular fluid) to the extracellular, so al ...

    ketosis Jan 4, 2018
  • How Does Acidosis Cause Abdominal Pain

    Practice Essentials Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria. Signs and symptoms The most common early symptoms of DKA are the insidious increase in polydipsia and polyuri ...

    ketosis Dec 30, 2017
  • Diabetic Ketoacidosis Abdominal Pain Mechanism

    Print Overview Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. The condition develops when your body can't produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as fuel. This process ...

    diabetes Dec 27, 2017
  • Will Diabetes Cause Abdominal Pain

    "Gastro" means stomach and "paresis" means impairment or paralysis. Diabetic gastropathy is a term for the spectrum of neuromuscular abnormalities of the stomach caused by diabetes. The abnormalities include gastric-dysrhythmias, antral hypomotility, incoordination of antroduodenal contractions and gastroparesis. Quick Stomach Anatomy Lesson The stomach is a neuromusclar organ that receives the food we ingest, mixes the food with acid and pepsin, ...

    diabetes Dec 29, 2017

Popular Articles

More in ketosis

Whoops, looks like something went wrong.