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Starvation Ketoacidosis Symptoms

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Alcoholic Ketoacidosis

Increased production of ketone bodies due to: Dehydration (nausea/vomiting, ADH inhibition) leads to increased stress hormone production leading to ketone formation Depleted glycogen stores in the liver (malnutrition/decrease carbohydrate intake) Elevated ratio of NADH/NAD due to ethanol metabolism Increased free fatty acid production Elevated NADH/NAD ratio leads to the predominate production of β–hydroxybutyrate (BHB) over acetoacetate (AcAc) Dehydration Fever absent unless there is an underlying infection Tachycardia (common) due to: Dehydration with associated orthostatic changes Concurrent alcohol withdrawal Tachypnea: Common Deep, rapid, Kussmaul respirations frequently present Nausea and vomiting Abdominal pain (nausea, vomiting, and abdominal pain are the most common symptoms): Usually diffuse with nonspecific tenderness Epigastric pain common Rebound tenderness, abdominal distension, hypoactive bowel sounds uncommon Mandates a search for an alternative, coexistent illness Decreased urinary output from hypovolemia Mental status: Minimally altered as a result of hypovolemia and possibly intoxication Altered mental status mandates a search for other associated conditions s Continue reading >>

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Popular Questions

  1. jonikeffer

    I just started low-carbing on the recommendation of my PCP (doctor) who said he had lost "50 lbs in 4 mos". Now since he is male, I would never expect those kinds of results, but since he really wanted me to try it, I am. The huge problem I am having is eating *enough* calories. He said to keep the carbs under 100 per day, I'm averaging between 30-50 right now. I am never hungry, I have to force myself to eat every 3 hrs even thought I don't want to. I've never had such a struggle getting myself to eat. This was only my first week but my appetite PLUMMETED immediately and I know I'm really not eating enough. I'm trying to incorporate more fruit and veg in the hopes I can cram that in without it making me feel so full, even though I know people advocate those to *help* you feel full. I'm eating 800-900 cals a day this week, and getting that much in is truly a struggle. To give you a contrast, over a year ago, when I was dutifully logging and exercising and eating healthy carbs like whole grains, I would eat 1300-1400 net carbs, so 1700-1800 on a typical day when I burned 400 from exercise. I lost some weight but *very* slowly.
    Today was day 6 for low-carbs, and I was suddenly (like overnight) SO fatigued. I was expecting this a few days ago, and I'm wondering if my liver just ran out glycogen now, and this is the "crash", or if it's because I'm not eating enough of anything. Earlier in the week I was getting in some moderate exercise still, but I can barely lift a muscle today. :P
    Has anyone had this problem while low-carbing...not wanting to eat much at all? And is what I'm feeling today that conversion point ,where my body is out of "easy fuel" and maybe switching to using fat, vs. just too little food altogther? Thoughts?

  2. jonikeffer

    WOW, am I really the only person on this whole site who has had this problem? :O

  3. Paco4gsc

    WOW, am I really the only person on this whole site who has had this problem? :O
    Yes...jk. I honestly don't really know much about diets like low carb, but if the restriction is only <100g / day, you could try adding some nuts to the mix. One serving of nuts is not too filling (about 1/4 cup) and usually has at least 200 calories and very little carbs.

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