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Does Ketoacidosis Cause Pain

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Diabetic Ketoacidosis

Initial Evaluation Initial evaluation of patients with DKA includes diagnosis and treatment of precipitating factors (Table 14–18). The most common precipitating factor is infection, followed by noncompliance with insulin therapy.3 While insulin pump therapy has been implicated as a risk factor for DKA in the past, most recent studies show that with proper education and practice using the pump, the frequency of DKA is the same for patients on pump and injection therapy.19 Common causes by frequency Other causes Selected drugs that may contribute to diabetic ketoacidosis Infection, particularly pneumonia, urinary tract infection, and sepsis4 Inadequate insulin treatment or noncompliance4 New-onset diabetes4 Cardiovascular disease, particularly myocardial infarction5 Acanthosis nigricans6 Acromegaly7 Arterial thrombosis, including mesenteric and iliac5 Cerebrovascular accident5 Hemochromatosis8 Hyperthyroidism9 Pancreatitis10 Pregnancy11 Atypical antipsychotic agents12 Corticosteroids13 FK50614 Glucagon15 Interferon16 Sympathomimetic agents including albuterol (Ventolin), dopamine (Intropin), dobutamine (Dobutrex), terbutaline (Bricanyl),17 and ritodrine (Yutopar)18 DIFFERENTIAL DI Continue reading >>

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Popular Questions

  1. Clare R

    Burned esophagus after DKA

    I tried "Asking an Expert" but no answer yet on this… I need some advice here.
    I went into DKA over this past weekend. The vomiting burned my esophagus to the point that I can't eat regular foods because it hurts so bad. Has anyone experienced this? How long does the pain last? Any suggestions on how I can relieve the pain in the meantime? It's frustrating… swallowing food causes burning pain all the way from my throat down to my stomach.

  2. sandyfrazzini

    I did have that after one episode of DKA several years ago, only it was like everything I ate would give me really bad acid reflux. I don't recall a sore throat, but what I did have lasted a few weeks and was a real pain. Good luck to you, hope you are feeling better soon.

  3. Clare R

    All they gave me for the esophagus pain in the hospital was aluminum hydroxide (kinda like MOM) and it didn't help. And then they'd bring me a bunch of things I couldn't eat. I did my best and ate what I could, but that wasn't much. Even water was hard to get down. I don't have a problem with Vicodin… I've taken it plenty of times without withdrawal effects. I'm not sure if throat spray would work, unless I maybe took a swig of it before eating, but I doubt that's recommended.

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