Why Do Dka Patients Vomit

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Abdominal Pain In Patients With Hyperglycemic Crises.

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. MATERIALS AND METHODS: This is a prospectively collected evaluation of 200 consecutive patients with hyperglycemic crises admitted to a large inner-city teaching hospital in Atlanta, GA.We analyzed the admission clinical characteristics, laboratory studies, and hospital course of 189 consecutive episodes of DKA and 11 cases of HHS during a 13-month period starting in October 1995. RESULTS: Abdominal pain occurred in 86 of 189 patients with DKA (46%). In 30 patients, the cause of abdominal pain was considered to be secondary to the precipitating cause of metabolic decompensation. Five of them required surgical intervention including 1 patient with Fournier's necrotizing fasciitis, 1 with cholecystitis, 1 with acute appendicitis, and 2 patient Continue reading >>

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Popular Questions

  1. AMZMD

    The human body is in a constant process of maintaining equilibrium. The byproducts of burning fat for energy (ketones) are deposited in the blood for excretion. As the ketones build up in your system, the pH of your blood drops and you become acidotic. As stated above, your body is trying to maintain equilibrium, so it will do certain things to eliminate as much acid from your system as possible, as quickly as possible. One way is to vomit, which dumps huge amounts of H+ instantly. Other reactions are increased respirations to eliminate CO2, as well as dumping the ketones and H+ out through your urine.
    As a side note, the dumping of H+ through urine causes the retention of potassium and you become hyperkalemic (aka "too-much-potassium-emia"). This inhibits myocardial function and can put you into cardiac arrest. This is why extreme no-carb diets are a very bad thing!
    Hope that helps!

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