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Doctor insights on: Herbal Treatment For Abdominal Pain Due To Lactic Acidosis

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Dr. Andrew Seibert
33 Doctors shared insights

Lactic Acidosis (Definition)

Lactic acidosis is the buildup of lactic acid in the blood, either from an increase in the body's production or the kidney being unable to remove lactic acid effectively. The most common causes are intense exercise (increased production of lactic acid) or kidney failure (unable to effectively remove lactic acid from blood). Other causes include blood infections (sepsis) and inability to ...Read more


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Can consuming alcohol while taking metformin cause lactic acidosis?

Can consuming alcohol while taking metformin cause lactic acidosis?

No: Though it is a black box warning I've not seen lactic acidosis in over 20 years in people who are not alcoholics. Talk to your doctor about how much you drink. ...Read more

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Is there anyone who can't take Lactulose everyday for constipation? I have a Heart condition. Can it cause lactic acidosis?

Is there anyone who can't take Lactulose everyday for constipation? I have a Heart condition. Can it cause lactic acidosis?

You should be fine: Lactulose is a non-absorbable sugar, and it does not contain any lactic acid. You should be fine. It cannot cause lactic acidosis. Hope that helps. ...Read more

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I'm scared to take Metaformin. I have PCOS and I'm pre diabetes because of it. What are the chances of lactic acidosis. Would I know if I had it? Thanks

I'm scared to take Metaformin. I have PCOS and I'm pre diabetes because of it. What are the chances of lactic acidosis. Would I know if I had it? Thanks

Metformin: Metformin is a commonly used and excellent drug for treatment of PCOS especially when associated with glucose intolerance/prediabetes. Lactic acid grosses is an uncommon side effect and when occurs is usually in elderly patients who may have kidney dysfunction. ...Read more

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What does doc do in case of lactic acidosis?

Determine cause: Many causes of this. Treatment is directed at the underlying cause. The underlying cause is often apparent from simple review of history and observation of patient. Common causes - hypovolemia, heart failure, sepsis, alcohol, diabetes and metformin.... ...Read more

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How common is lactic acidosis with sepsis?

How common is lactic acidosis with sepsis?

With septic shock: It is a marker for end organ damage due to inadequate oxygen reception or utilization. When sepsis progresses to shock we will follow lactate (its pka is 4, so its never really acid in the blood) as a marker of our success in getting blood and oxygen to the peripheral tissues. So... In sepsis itself (without shock) it is rare, but in septic shock lactate is almost always elevated. ...Read more

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What causes lactic acidosis and life threatening bp drop for 6hours. Icu 2 days. Unknown infection. Blood culture neg. Wbc 16 now 13 1wk later?

Lactic acidosis/ BP: Lactic acidosis + BP drop = sepsis or SIRS- systemic inflammatory response. Pain? Age? May be infection-bacteria, aerobic or anerobic, Check urine, CXR, CT for gallbladder, diverticulitis, appendicitis, abscess, pancreatitis, check for autoimmune process- allergic reaction, ischemia, thiamine def, alcohol, DM, meds: metformin, ASA, methanol, ethylene glycol, retroviral, INH, CO. F/u/ w/ doc ...Read more

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Does food change lactic acidosis levels?

Yes: Many foods are acidic in nature and so anything acidic can make an acidosis worse. Alkaline diets (increasing avocado, kale, spinach, cucumber, celery for example) can help balance and acidic condition. Meats are very acidic, by the way. ...Read more

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Can taking one Metaformin cause lactic acidosis?

Unlikely: Theoretically Metformin can cause lactic acidosis but in setting of normal kidney function it is extremely unlikely. Liver disease and concurrent alcohol use can also increase the risk. Talk to your health care provider if you have any of the above risk factors to determine the risk of lactic acidosis. ...Read more

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What is the biochemical mechanism of lactic acidosis in diabetes?

What is the biochemical mechanism of lactic acidosis in diabetes?

Lactic acidosis: Please go online to "www. Ncbi. Nlm. Nih. Gov/" and look up lactic acidosis and diabetes. It won't be easy reading but worth a look. You can also go to PubMed and search for lactic acidosis and diabetes. Take your time learning about this. ...Read more

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What's the pathophysiology of lactic acidosis in von gierki's disease?

See below: La arises from impairment of gluconeogenesis. Lactic acid is generated both in the liver and muscle and is oxidized to pyruvic acid and then converted via the gluconeogenenic pathway to g6p. Accumulation of g6p inhibits conversion of lactate to pyruvate. The Lactic Acid level rises during fasting as glucose falls. In people with gsd i, it may not fall entirely to normal even when gluc levels r nml. ...Read more

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35 yr old male. On 1500mg metformin xr and 100mg januvia for type 2 diabetes. Kidneys fine. Worried about lactic acidosis. Is it rare in my case?

Lactic acidosis: 35 M with DM II. On metformin &kanuvia worried about lactic acidosis. ANS: This is rare and would not worry about it unless you get very sick. Work on diet to decrease need for meds. Get BMI to <25 and all DM may go away. Discuss with team. ...Read more

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I drink alcohol about 2x a month probably more than a moderate amount each time. Is it safe to start metformin? I worry about lactic acidosis/fainting

Prudence advised: B"sd lactic acidosis is very rare and have never seen it in this setting - the formal recommendation to avoid the combination. More likely you might experience hypoglycemia. this would be more common in adolescents. Drinking with food would help guard against the hypoglycemia. ...Read more

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How do we treat lactic acidosis?

Lactic acidosis: Severe lactic acidosis (la) is often associated with poor prognosis. Recognition and correction of the underlying process is the major step in the treatment of this serious condition. Intravenous administration of sodium bicarbonate (sb) has been the mainstay in the treatment of lactic acidosis. Dialysis, peritoneal in particular, can also be used in some cases to avoid a massive sb load. ...Read more

Acidosis (Definition)

Normally our body chemistry is kept in a narrow range, and in particular the amount of acid in the body is kept within a narrow range. The amount of acid is measured by a value called the ph. It is normally a value between 7.35 and 7.45, values below 7.35 are considered to be "acidotic" a patient with this value of the blood chemistry ...Read more


Dr. Barry Rosen
3,168 Doctors shared insights

Abdominal Pain (Definition)

Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the ...Read more