Abdominal Pain In Metabolic Acidosis

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Lactic Acidosis

Type B Lactic acidosis type B is associated with certain diseases (e.g., diabetes mellitus), some drugs—notably biguanides, certain toxins, and some inborn errors of metabolism (Table I). Tissue hypoxia and hypotension are not obvious features of type B lactic acidosis but may supervene as a consequence of the acidemia. The incidence of lactic acidosis among patients with diabetes has declined since the biguanide phenformin (phenylethybiguanide) was withdrawn in many countries during the 1970s. Lactic acidosis occurred approximately 10–15 times more frequently during phenformin therapy than with metformin. An inherited inability to hydroxylate phenformin may explain the higher risk of lactic acidosis than with metformin. Lactic acidosis complicating metformin (dimethylbiguanide) occurs much less commonly, with most cases being reported among patients in whom biguanide therapy is contraindicated (e.g., renal impairment or hypoxic states). LACTIC ACIDOSIS Lactic acidosis occurs whenever lactate production exceeds its utilization. This can occur with tissue hypoxia or in nonhypoxemic conditions when cellular metabolism is impaired. Type A lactic acidosis is the hypoxic form. It ca Continue reading >>

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  1. needtolose4me2

    since last week when I messed up and had some ad carbs one day, I basically started over Tuesday. I was really good all day Tuesday and Wednesday. Wednesday night I used a ketosis stick and it came up "trace". is that normal?should it take longer to get into ketosis? I was doing good the first 3 weeks (however not measuring my ketone levels) then all of a sudden I gained 2 pounds at which point I got aggrivated and screwed up for one day. the next day I got right back in the groove. I know my carbs are low, Ihaven't gotten on a scale,but this trace amount of keytones is concerning me. DO you think I should do some kind of fast (could onl really stomach the macadamia nut one) or wait it out a bit longer?

  2. JerseyGyrl

    I would not be too concerned about the Ketosis Stix....they have been known to not be accurate. If you are drinking a lot of water (as you should be) or eating a lot of fat & protein, they can give you false readings.
    Eating something you shouldn't, can definately knock you out of ketosis. Getting back into ketosis can vary depending on the person.
    As far as "fasts" are concerned, personally, I woudn't consider a fast unless I was in a very serious stall (not losing lbs OR inches). My best advice to you is to do a clean induction (only real foods..meat,eggs,cheese, veggies, etc) and be patient. Sometimes we get so anxious to lose the unwanted pounds we forget that we didn't gain them overnite & we aren't going to lose them overnite.
    All the best to you,

  3. Tiffany_Bracelet

    For me, it depends on the amount of water and foods that I consume. Ketosis makes my mouth really dry....so I don't go into a deep ketosis like I have before with the meat/egg fast.

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When experiencing pain in your abdomen and back, people tend to think is a simple constipation however, there are more serious causes that could trigger pain in the left lower abdomen and back. Take note and next time you experience this kid of pain, youll be able to identify the symptoms of a more serious condition and eventually determine if its time to see a doctor.

7,929 Possible Causes For Acidosis + Abdominal Pain + Bronchial Spasm In Usa

Anaphylaxis Acidosis Abdominal Pain pain a weak and rapid pulse runny nose and sneezing swollen tongue or lips wheezing or difficulty breathing a sense that something is wrong with your body tingling hands,[healthline.com] pain.[medical-dictionary.thefreedictionary.com] […] reactions such as hives, flushed skin, or pale skin suddenly feeling too warm feeling like you have a lump in your throat or difficulty swallowing nausea, vomiting, or diarrhea abdominal[healthline.com] Acute Intermittent Porphyria Acute Respiratory Failure Arm Pain Arsenic Poisoning Arterial Blood pH Decreased Aspiration Pneumonia Asthenia Autonomic Neuropathy Back Pain Bilateral Diaphragmatic Elevation Blepharoptosis Brucellosis Bulbar Poliomyelitis Cardiac Arrhythmia Cerebrospinal Fluid Abnormality Cerebrospinal Fluid Protein Increased Chronic Inflammatory Demyelinating Polyneuropathy Cranial Nerve Involvement Decreased Vital Capacity Diminished Respiratory Excursion Diplopia Dysarthria Dysesthesia Encephalocele Facial Nerve Disorder Fahr's Syndrome Fecal Incontinence Fish Poisoning Flaccid Paralysis Flaccid Paralysis of the Lower Extremity Guillain-Barré Syndrome Hypercapnia Hypertension Hyporeflexia Hypo Continue reading >>

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  1. Miss_Mielle

    I'm new to Keto, 33 days in, also new to Reddit. My appetite has decreased by the week, and have to remind myself to eat at this point. My stomach will growl eventually, but I drink a gallon of water a day, so the majority of the time my stomach has water in it which I'm sure decreases the hungry feeling. I've used MFP to log my food for a long time, and every day since I started Keto, but more and more not only do I not meet the calories it gives, but I don't hit 1200 either. I'm down 13 lbs from my starting weight even though I was eating WAY more carbs when I started than I do now (started at 100g and tapered down. I average 30-40 right now). Since obviously fat loss is the goal, and I'm trying to lose 113 lbs, Does it matter how many calories I eat or whether or not I eat at all?

  2. bidnow

    Yes, calories matter. But hormones matter more. Eat low carb and low calorie and you will lose weight. Pretty simple.

  3. JuneStrawberries

    Calories do matter.
    Hit your protein macro every day. Limit carbs and use fat as a lever to keep your deficit to about 20%.
    If you eat too little, you will effectively be crash dieting - not good!

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This video relates abdominal pain according to different abdominal regions and states the most important differential diagnosis of each pain position.

What Is The Origin/mechanism Of Abdominal Pain In Diabetic Ketoacidosis?

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 also the blood compartment, resulting in hyperkalemia, paralyzing the stomach, which could become grossly dilated - that’s why we often put in a nasogastric drainage tube to prevent vomiting and aspiration - and thus cause “stomach pain”. This stomach pain in the majority of cases indeed went away after the keto-acidosis was treated and serum electrolyte levels normalized. In one patient it didn’t, she remained very, very metabolically acidotic, while blood glucose levels normalized, later we found her to have a massive and fatal intestinal infarction as the underlying reason for her keto-acidosis….. Continue reading >>

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  1. behrcole

    I just started Sunday, and I definitely have the metal taste in my mouth, but is the urine smell always supposed to happen? And if so, what does it smell like? My urine smells like normal and it isn't developing the film it is supposed to.

  2. anbeav

    No, not everyone has signs. Some call it dinosaur pee but I've never met a dinosaur, just smells like strong urine

  3. behrcole

    Yeah but I have the metal/ammonia taste, so that's a good sign I guess

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