Top
30
Doctor insights on: Acid Base Disorders In Children

Share
2

2
In terms of acid base disorders, why does metabolic have an acute syndrome compared to respiratory having an acute and chronic phase?

In terms of acid base disorders, why does metabolic have an acute syndrome compared to respiratory having an acute and chronic phase?

Compensation: When you have a metabolic acid/base disorder, you compensate rapidly by changing your respiratory rate. When you have a respiratory acid/base disorder, it takes several days for your kidneys to compensate. ...Read more

3

3
Are acid-base metabolism disorders very serious?

Are acid-base metabolism disorders very serious?

Sometimes: There is some research that shows that certain individuals may have familial reasons for their obesity and low metabolism. ...Read more

4

4
Can dehydration cause some acid-base metabolism disorders?

Can dehydration cause some acid-base metabolism disorders?

Yes: Dehydration can result in low blood volume or hypovolemia, which affects tissue perfusion and oxygenetion. The tissues are stressed and produce acids that spill into blood, which cause acidity in the blood. The extent of acidity can be tested and give an idea of the severity of the dehydration. ...Read more

6

6
How could emphysema lead to acid-base imbalance?

How could emphysema lead to acid-base imbalance?

COPD...: Emphysema is a form of COPD. Patients with emphysema can have an increase in their carbon dioxide levels since they can't exhale the carbon dioxide normally. This in turn leads to a decrease in the blood pH. This is compensated by the kidneys by keeping bicarbonate (sodium bicarbonate) in the blood. The end result is a compensated respiratory acidosis. ...Read more

7

7
I have 5.8 uric acid base on my result in the laboratory test is this normal?

I have 5.8 uric acid base on my result in the laboratory test is this normal?

Yes: It is normal test result. If worried about Hyperucircemia or risk of Gout - anything above 6 can be concern
If any family risk - avoid obesity, avoid alcohol, red meat aged cheese, These can cause increase accumulation of " purine" as product of metabolism and causing deposits of Uric acid in joints - result id painful condition called " Gout". ...Read more

8

8
What does nacl do with regards to respiratory acidosis or any other acid-base imbalances?

What does nacl do with regards to respiratory acidosis or any other acid-base imbalances?

Acidosis: Nacl is not used to treat respiratory acidosis. In fact, large amounts of fluid containing nacl given IV can cause a metabolic acidosis. Nahco3, or sodium bicarbonate, is used to treat a certain type of metabolic acidosis (but not a respiratory acidosis). ...Read more

9

9
Does longer term MiraLax (polyethylene glycol) use cause electrolyte or acid/base balance abnormalities?

Does longer term MiraLax (polyethylene glycol) use cause electrolyte or acid/base balance abnormalities?

Here are some...: If its use just smooths stool regularity without watery diarrhea, it would not affect your electrolyte and acid/base balance. More? Ask your prescribing doctor. If unsure, test it once in 3-4 months for reassurance; that is reasonable. ...Read more

10

10
Does salt intake play a role in maintenance of systemic acid/base homeostasis?

Does salt intake play a role in maintenance of systemic acid/base homeostasis?

Indirectly, yes: Salt (sodium chloride and others, some with potassium) separates into ions in the body, and these ions play with the acidic and basic molecules in many ways. So a lack or excess of salt can change the electrolyte numbers in response to an acid/base derangement. For instance, potassium usually leaves the cells in acidosis causing an increase; if you're already deficient, that may not be noticeable. ...Read more

11

11
Can't take toprol XL because the acid base bothers my bladder but regular metoprolol isn't controlling my high tachycardia well. Any other options?

Can't take toprol XL because the acid base bothers my bladder but regular metoprolol isn't controlling my high tachycardia well. Any other options?

Yes: There are several other b-blockers that can slow your heart down (coreg, bystolic) and there are also some calcium channel blockers that do the same (diltizem and verapamil). Ask your doctor if you can try one of these. ...Read more

12

12
I have many acne, pimple. I used salicylic acid base face wash 2% and bengel proxide gel AC 2.5% at night..... Pless tell this combination really kil?

I have many acne, pimple. I used salicylic acid base face wash 2% and bengel proxide gel AC 2.5% at night..... Pless tell this combination really kil?

Monitor response: Salicylic acid based face wash and benzoyl peroxide are both routinely used in the management of acne. It can take 4-6 weeks to assess how the skin is responding to the treatment. If after 2 months of daily use this doesn't improve the acne, follow up with PCP to consider other treatment options. ...Read more

13

13
Normal CBC, CMP & electrolytes. Does this exclude acid/base problems such as metabolic acidosis or alkalosis??

Normal CBC, CMP & electrolytes. Does this exclude acid/base problems such as metabolic acidosis or alkalosis??

Sort of: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, just the fact that you are asking this question is sufficient to conclude that you do not have serious acid/base disorder. ...Read more

14

14
Can you tell me how amino acid based and steroid hormones exert their functions?

Can you tell me how amino acid based and steroid hormones exert their functions?

Receptors: Hi. All hormones interact with receptors in target tissues. For steroids, thyroid hormone, and active vitamin D, the specific receptor/hormone complex binds to regulatory elects in DNA in the nucleus and regulate transcription of specific genes. Other amino acid-based hormones (e.g., catecholamines, serotonin) bind to cell surface receptors and transmembrane signaling affects cell physiology. ...Read more

15

15
Can you recommend an over-the-counter facial peel for blackheads? Salycilic or glycolic acid based followed with a moisturizer?

Can you recommend an over-the-counter facial peel for blackheads? Salycilic or glycolic acid based followed with a moisturizer?

Peel for blackheads: Successful peel treatment of blackheads depends on the extent of blackheads and your skin tolerance. Over the counter preparations usually do not have sufficient concentration of actives to see significant improvement in a timely manner. A therapeutic facial treatment with extractions can be great to purge your skin and put you in a better state for daily skin care to keep more blackheads at bay ...Read more

19

19
Can you tell me anything about sillas disease in children?

Can you tell me anything about sillas disease in children?

See Your Doctor Now: Silas refers to Erythromelalgia, a rare disorder related to high platelet count & local circulatory anomalies. Is poorly understood but is known to precede disorders that cause abnormal increase in blood components eg. platelets, red cells. Causes redness, pain, warmth in extremities & can have serious consequences. Occurs in children & adults. See your doctor now for correct diagnosis & treatment ...Read more

20

20
Please describe the disease of children that makes them grow older 4x faster?

Please describe the disease of children that makes them grow older 4x faster?

Progeria: Affected children, however, do not become sexually mature or reproduce as a result of severe failure to thrive. ...Read more

21

21
Approximately what percent of children with disabilities have multiple disorders?

Approximately what percent of children with disabilities have multiple disorders?

Few in the beginning: Certain syndromes have multiple problems: genetic disorders affecting all organs. Secondary disorders such as obesity, osteoporosis, fractures and cancer may depend on the disease, lifestyle, and life expectancy of the original condition. Cerebral palsy may have both mental and physical components but is one disorder. Disability of hearing always comes with speech disorders.
Hope this helps! ...Read more

22

22
How can children with the rare disorder pachygyria be cured?

How can children with the rare disorder pachygyria be cured?

They aren't: This is a condition where the signals for neuronal development were not followed correctly and resulted in abnormal brain formation. This results in profound developmental impairment and intellectual difficulties. Treatment is supportive. ...Read more

23

23
Can my children get celiac disease if a adult has it is it hereditrty?

Can my children get celiac disease if a adult has it is it hereditrty?

Increased risk: There are heritable predispositions but it is still more likely the child will NOT develop the disease (4 to 1). ...Read more

24

24
What is the percentage of passing shermans disease type 2 to your children?

What is the percentage of passing shermans disease type 2 to your children?

3 to 5%: Did you mean scheuermann disease? For this diagnosis, genetic factors are more important than environmental ones, but we haven't been able to find specific genes that cause it. Most likely, it's a combo of genes and environmental influences. In conditions with this sort of multifactoral inheritance, the risk for each child of an affected parent is about 3 to 5 percent, or 1 in 20 to 1 in 30. ...Read more

25

25
Is acid reflux a serious disease?

Is acid reflux a serious disease?

Yes: Acid reflux leads to as much lost work time and impaired quality of life as heart disease or major depression. It can also lead to serious complications such as strictures or pre-cancerous changes. ...Read more

26

26
What are factitious disorders based on?

What are factitious disorders based on?

Factitious DO: Diagnosis is based on finding that the symptoms are feigned or made up, for secondary gain. ...Read more

27

27
How to diagnose an amino acid disorder?

How to diagnose an amino acid disorder?

Amino acid disorder: Take a history including detailed family history.
Do careful physical exam looking for evidence of the many amino acid disorders.
Order correct lab tests.
Happy to do 2nd opinion on this. ...Read more

28

28
Is Lyme disease more serious in children?

Is Lyme disease more serious in children?

Not necessarily: Lyme is a complex illness. Some who have it become quite ill, while others have mild symptoms. This depends on the strain of lyme bacteria, genetics of the patient, presence of co-infections like babesia & bartonella & factors that affect immune function like nutrition, parasites, heavy metals, mold exposure & stress.Thus, like adults, some children become quite ill but others have minimal symptoms. ...Read more

29

29
How common is celiac disease in children?

How common is celiac disease in children?

Maybe 1% (1 in 100): Celiac disease affects about 1 in 100 people, to about 1 in 150 people. The exact numbers are not certain, but it affects a little less than 1% of the population. ...Read more

30

30
How common are eating disorders in children?

How common are eating disorders in children?

Eating disorders: Quite common but under-reported. More so in kids with history of family discord or abuse history. ...Read more