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Can Vomiting Cause Metabolic Acidosis?

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What is ALKALOSIS? What does ALKALOSIS mean? ALKALOSIS meaning - ALKALOSIS pronunciation - ALKALOSIS definition - ALKALOSIS explanation - How to pronounce ALKALOSIS? Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Alkalosis is the result of a process reducing hydrogen ion concentration of arterial blood plasma (alkalemia). In contrast to acidemia (serum pH 7.35 or lower), alkalemia occurs when the serum pH is higher than normal (7.45 or higher). Alkalosis is usually divided into the categories of respiratory alkalosis and metabolic alkalosis or a combined respiratory/metabolic alkalosis. Respiratory alkalosis is caused by hyperventilation, resulting in a loss of carbon dioxide. Compensatory mechanisms for this would include increased dissociation of the carbonic acid buffering intermediate into hydrogen ions, and the related excretion of bicarbonate, both of which lower blood pH. Hyperventilation-induced alkalosis can be seen in several deadly central nervous system diseases such as strokes or Rett syndrome. Metabolic alkalosis can be caused by repeated vomiting, resulting in a loss of hydrochloric acid within the stomach content. Severe dehydration, and the consumption of alkali are other causes. It can also be caused by administration of diuretics and endocrine disorders such as Cushing's syndrome. Compensatory mechanism for metabolic alkalosis involve slowed breathing by the lungs to increase serum carbon dioxide, a condition leaning toward respiratory acidosis. As respiratory acidosis often accompanies the compensation for metabolic alkalosis, and vice versa, a delicate balance is created between these two conditions. Metabolic alkalosis is usually accompanied by low blood potassium concentration, causing, e.g., muscular weakness, muscle pain, and muscle cramps (from disturbed function of the skeletal muscles), and muscle spasms (from disturbed function of smooth muscles). It may also cause low blood calcium concentration. As the blood pH increases, blood transport proteins, such as albumin, become more ionized into anions. This causes the free calcium present in blood to bind more strongly with albumin. If severe, it may cause tetany.

Metabolic Acidosis And Alkalosis

Page Index Metabolic Acidosis. Metabolic Alkalosis Emergency Therapy Treating Metabolic Acidosis Calculating the Dose Use Half the Calculated Dose Reasons to Limit the Bicarbonate Dose: Injected into Plasma Volume Fizzes with Acid Causes Respiratory Acidosis Raises Intracellular PCO2 Subsequent Residual Changes Metabolic Acidosis. The following is a brief summary. For additional information visit: E-Medicine (Christie Thomas) or Wikepedia Etiology: There are many causes of primary metabolic acidosis and they are commonly classified by the anion gap: Metabolic Acidosis with a Normal Anion Gap: Longstanding diarrhea (bicarbonate loss) Uretero-sigmoidostomy Pancreatic fistula Renal Tubular Acidosis Intoxication, e.g., ammonium chloride, acetazolamide, bile acid sequestrants Renal failure Metabolic Acidosis with an Elevated Anion Gap: lactic acidosis ketoacidosis chronic renal failure (accumulation of sulfates, phosphates, uric acid) intoxication, e.g., salicylates, ethanol, methanol, formaldehyde, ethylene glycol, paraldehyde, INH, toluene, sulfates, metformin. rhabdomyolysis For further details visit: E-Medicine (Christie Thomas). Treating Severe Metabolic Acidosis. The ideal treatme Continue reading >>

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  1. MeepoTwin

    Strategically drinking alcohol to stay in ketosis?

    Hello everyone,
    I understand after drinking alcohol, it is metabolized as acetate. Since acetate cannot be stored, and is considered by the body to be a poison, it is metabolized with the highest priority. This means that all other macro nutrients in the blood will be stored, since the alcohol is being utilized for energy.
    With this logic in mind, if I eat carbohydrates while intoxicated, the body will not begin the process of using carbohydrates for energy because of the alcohol's acetate is currently being processed. This means the carbohydrates will directly be stored without initiating the glucose pathways.
    Does this mean I can stay in keto even after consuming carbs and sobering up since the glucose pathways never began? I do understand alcohol does have an excess amount of calories, and the calories of the carbs still count. But the question is will you stay in ketosis afterwards?
    I feel like it doesn't work this way, but at the same time, the logic seems to somehow work.
    Assuming the first few statements regarding metabolic processes are correct, does this mean you can use alcohol to stay in keto because you never utilize the glucose pathways?
    (I apologize for the lack of sources, I cannot find them at the moment)
    Thanks in advance

  2. toast.tm

    I see where you are coming from and I have been drunk and stayed in Ketosis but...
    The body would switch from using Ketones as fuel to the fuel from the alcohol - ethanol?? So if this was the case then when that runs out (you sober up) it will look for the nearest available fuel (the carbs you ate that haven’t yet been processed) so you would need to get into ketosis again.
    If you drink beer then your eating carbs with the alcohol.
    Sorry this is not a proper answer.
    When I am on Keto I drink slim line Tonic (diet) with Gin and have stayed in but didnt eat carbs.
    I love drinking but to be honest, drinking on keto sucks.

  3. Atavis

    Lol.

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Made during my first semester at medical school and in response to an online request, this video walks you through the basics of understanding the compensation of acids and bases in the body. ABG Cards for Quick Reference: https://amzn.to/2MGvjfU EKG Cards for Quick Reference: https://amzn.to/2Krefht Acid-base, Fluids and Electrolytes Made Ridiculously Simple: https://amzn.to/2KB3bug

Alkalosis

The kidneys and lungs maintain the proper balance (proper pH level) of chemicals called acids and bases in the body. Decreased carbon dioxide (an acid) level or increased bicarbonate (a base) level makes the body too alkaline, a condition called alkalosis. There are different types of alkalosis. These are described below. Respiratory alkalosis is caused by a low carbon dioxide level in the blood. This can be due to: Fever Being at a high altitude Lack of oxygen Liver disease Metabolic alkalosis is caused by too much bicarbonate in the blood. It can also occur due to certain kidney diseases. Hypochloremic alkalosis is caused by an extreme lack or loss of chloride, such as from prolonged vomiting. Hypokalemic alkalosis is caused by the kidneys' response to an extreme lack or loss of potassium. This can occur from taking certain water pills (diuretics). Compensated alkalosis occurs when the body returns the acid-base balance to normal in cases of alkalosis, but bicarbonate and carbon dioxide levels remain abnormal. Continue reading >>

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  1. Hlynn

    My boyfriend is a type 1 diabetic. Recently he went into dka due to a malfunction of his insulin pump.
    He was hospitalized in ICU. This was the first time He has ever has this and I am wondering what the after effects are and how long they take to subside. He has muscle aches, cramping, lethargy, bg levels are all over the place, he cannot sleep, chest is sore, just to name some syptoms. He is very discouraged as he is a busy person and this is taking a toll on his everyday life. I am just wondering if anyone who has type 1 diabetes and had dka can share their experience and also what I can do to help him with this. He is stressed which does not help with his bg. Any info would be greatly appreciate.

  2. jenb

    I was diagnosed T1 when I presented at the hospital in DKA. The aches and cramping were eliminated nearly as soon as they stabilized my blood sugar in the ICU. As for lack of energy, I would say it was several weeks before I had any - I felt weak as a kitten, and sleepless was definitely not a problem. Did/does he have some kind of bronchial infection? I had a sinus infection for several months prior to my visit to the hospital and needed pretty gnarly antibiotics to clear it up even after getting out of the hospital. Blood sugar normalizing took quite a while since I was new to insulin, but he may be able to bring it under control sooner as he's experienced with his pump and insulin use. You're right about stress - especially when I was just getting the hang of all this, I'd get so stressed when my BG was high that I'd send it soaring even higher! What a slog. My vision took about six weeks to normalize.
    I think the thing you can do, as my husband did for me, is keep things at home as calm as possible, help your boyfriend have some laughs, and take over whatever household chores need doing for a couple of weeks. I found that getting outside and walking really helped clear my head and sunshine made me feel so much more human.
    Hang in there....DKA is no fun for anyone, loved ones watching it happen included. He'll feel stronger soon. Let us know how you both do.
    Best,
    Jen

  3. Subby

    Hlynn said:

    My boyfriend is a type 1 diabetic. Recently he went into dka due to a malfunction of his insulin pump.
    He was hospitalized in ICU. This was the first time He has ever has this and I am wondering what the after effects are and how long they take to subside. He has muscle aches, cramping, lethargy, bg levels are all over the place, he cannot sleep, chest is sore, just to name some syptoms. He is very discouraged as he is a busy person and this is taking a toll on his everyday life. I am just wondering if anyone who has type 1 diabetes and had dka can share their experience and also what I can do to help him with this. He is stressed which does not help with his bg. Any info would be greatly appreciate.
    Hi. What kind of recently are you talking?

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Acid-base Disturbances In Gastrointestinal Disease

Acid-Base Disturbances in Gastrointestinal Disease Department of Medicine, University of Vermont College of Medicine, Burlington, Vermont Dr. F. John Gennari, 2319 Rehab, UHC Campus, Fletcher Allen Health Care, Burlington, VT 05401. Phone: 802-847-2534; Fax: 802-847-8736; E-mail: fgennari{at}uvm.edu Disruption of normal gastrointestinal function as a result of infection, hereditary or acquired diseases, or complications of surgical procedures uncovers its important role in acid-base homeostasis. Metabolic acidosis or alkalosis may occur, depending on the nature and volume of the unregulated losses that occur. Investigation into the specific pathophysiology of gastrointestinal disorders has provided important new insights into the normal physiology of ion transport along the gut and has also provided new avenues for treatment. This review provides a brief overview of normal ion transport along the gut and then discusses the pathophysiology and treatment of the metabolic acid-base disorders that occur when normal gut function is disrupted. The gastrointestinal tract is a slumbering giant with regard to acid-base homeostasis. Large amounts of H+ and HCO3 traverse the specialized epit Continue reading >>

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  1. Madmax640

    I always wondered about this. How do you loose weight if you still eat carbs and do not enter ketosis? I know that, broadly speaking, weight loss will occur from a calorie deficit, but if you are not in ketosis, how is you body getting to the fat? If it is burning glucose and glycogen, how is your body fat reduced? Thanks guys!

  2. wm1989

    You really don't have to be low carb to go into ketosis. Low enough calories will cause it to happen.

    Ketosis is not actually how you burn most of the fat. It is only a response to get energy across the blood brain barrier.

    Even during ketosis, most fat is burned through tradition fatty acid metabolism. This is why ketone production will go down the more deep into the keto diet you go. Your body gets good at using fatty acids (more mitochondria).

    Lipolysis can be triggered by glucagon (low carb and low calorie environments), testosterone, growth hormone, epinephrine... And probably others. No need to reduce carbs for the others.

    You use fat stores for energy even when gaining weight, you just add to them faster than your body uses them. Think of it as a balanced system normally. Keto diets shifts the energy usage balance sharply towards fats, also limits the body's ability to store extra fat.

  3. patron_vectras

    Ketosis is not actually how you burn most of the fat. It is only a response to get energy across the blood brain barrier.
    Is this mentioned in all the books about eating a diet not-so-rich in carbs that I have not read? Taubes, Ninoltz, etc? It isn't something I've known before just now and I watch videos and read up online, but don't have time for books.

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