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Doctor insights on: Hyperemesis Gravidarum Electrolytes Abnormal

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What causes ketonuria (4+) and hypotension (BP 95/49, pulse 105) in pregnancy (22wks)? Fainting spells, palpitations, headaches, nausea/vomiting, fatigue. Not dehydrated (normal urine color).

What causes ketonuria (4+) and hypotension (BP 95/49, pulse 105) in pregnancy (22wks)? Fainting spells, palpitations, headaches, nausea/vomiting, fatigue. Not dehydrated (normal urine color).

GET CARE NOW!: These are NOT normal normal signs or symptoms of pregnancy. In fact, this is an extremely serious situation, until proven otherwise, by a medical professional. You MUST get evaluated NOW! ...Read more

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Dr. Jeffrey Wint
49 doctors shared insights

Severe Vomiting (Definition)

"Severe vomiting can mean that: You vomit more than 10 times in 24 hours. For at least 24 hours, you vomit every time you try to drink something. The vomit shoots out in large amounts and with ...Read more


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Early pregnancy craving gatorade..Is this normal?

Early pregnancy craving gatorade..Is this normal?

Cravings may occur.: Early pregnancy sxs can include: no period, breast swelling ; tenderness w darkened areolas, thin, white ; milky vaginal discharge, fatigue, ^ urination frequency, constipation, bloating, heartburn, backache, cramping, headache, food cravings or aversions, ^ sense of smell, enlarged waist, feeling faint/dizzy, mood swings, ^ gas, insomnia, gagging more easily ; yawning. ...Read more

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Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?

Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?

Respiratory distress: Hello, no RR but must be raised. The resp alkalosis is compensated. He has COPD & prob chronic compensated resp alkalosis. He has ? p'monia. If he has acute METABOLIC alkalosis he is not going to be able to correct with lungs, he is prob at max resp rate and pCO2 is nl and O2 at 72% He is on edge and needs to be admitted and most likely intubated and cause of metabolic alkalosis treated.thx ...Read more

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What causes anemia during pregnancy?

What causes anemia during pregnancy?

Dilution, iron def.: As the baby grows and the uterus enlarges, more blood volume is needed. The number of red cells increases, but the plasma (liquid part of blood) increases even more, so the red cells get diluted. If there isn't enough iron in a woman's system to make the extra red cells, anemia will be more pronounced. If you are anemic to begin with before pregnancy, it will be worse while pregnant. ...Read more

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Fetal lung fluid & urine make amniotic fluid, right? So what caused oligohydramnios?

Fetal lung fluid & urine make amniotic fluid, right? So what caused oligohydramnios?

Decreased perfusion: Oligo can be either loss of fluid or decreased production. A stressed infant will shunt oxygenated blood to more vital organs, less renal perfusion, therefore less urine produced. Anything that decreases placental perfusion can cause it (abruption or placental separation, poor implantation, vascular problems, clots, uterine abnls, etc). There are too many causes to list here, ask your ob. ...Read more

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Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?

Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?

Not DI?: Diabetes insipidus is characterized by large amounts of dilute urine usually accompanied by very high serum sodium levels. Hydration and replacement of DDAVP (desmopressin) are the treatment. Consuming salt wouldn't help and could worsen the problem. ...Read more

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Abdominal cramping, fast heart rate, nausea, vomiting, dierreha, high blood sugar, low iron/anemic, blood in urine, hurts eat/drink?

Abdominal cramping, fast heart rate, nausea, vomiting, dierreha, high blood sugar, low iron/anemic, blood in urine, hurts eat/drink?

See md NOW: What are you waiting for? Don't waste time getting online advice from people who can't examine you. Go now. ...Read more

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Wilson disease?? Hospitalized with hypokalemic parlaysis, alt & ast elevated, bradycardia. Now hypoglycemic, high Uric acid urine and low T3 (liothyronine).

Wilson disease?? Hospitalized with hypokalemic parlaysis, alt & ast elevated, bradycardia. Now hypoglycemic, high Uric acid urine and low T3 (liothyronine).

Too complicated: Your health issues are too complicated to be properly addressed in this forum. It is imperative that you keep in touch with your doctor who has more information about your health. ...Read more

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Serum folate (folic acid) 5.0 ng/ml hct 23% vitamin B12 78 pg/ml MCV 116 fl 1, what does this mean?

Serum folate (folic acid) 5.0 ng/ml hct 23% vitamin B12 78 pg/ml MCV 116 fl 1, what does this mean?

Low B12: And your severe anemia and very large red blood cells (high MCV) are probably the result. If you are a vegetarian, please reconsider or get with someone who can guide you about the supplements you need. If not, and you feel healthy otherwise, it's likely you have a problem absorbing vitamin B12, and will need injections frequently to fix the anemia and avoid permanent brain damage. It's serious. ...Read more

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Symptoms are high blood pressure, rapid heart rate, nausea, vomiting, right side abdominal pain, elevated liver enzymes, blood in urine, weight loss?

Symptoms are high blood pressure, rapid heart rate, nausea, vomiting, right side abdominal pain, elevated liver enzymes, blood in urine, weight loss?

Rapid heart rate: You need to get to an emergency room for an evaluation for all of your seriious complaints. Your nausea and vomiting could be related to the cause of your elevated liver enzymes. You rapid heart rate may be symptom of dehydration and given the list of complaints you have, some of which are serious, you need to head for the nearest er as soon as possible to prevent a serious event from developing. ...Read more

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Low phosphorus levels during a kidney stone episode. Is this normal w/ stones? All other bloodwork is normal? What causes this?

Low phosphorus levels during a kidney stone episode. Is this normal w/ stones? All other bloodwork is normal? What causes this?

Low phosphorus : How much below normal was your blood phosphours (p) level? A common major cause of a low serum p is hyperparathyroidism (h). The major route of p excretion in normal patients is the urine, and urinary p is increased in h patients. Other causes of low p are alcoholism, decreased dietary intake of p in protein and vit d intoxication. Ask the doctor who ordered your blood for more info about our p. ...Read more

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Is extreme thirst normal through IVF pregnancy?

Is extreme thirst normal through IVF pregnancy?

No: There is no reason to have extreme thirst. Are you eating high salt diet and that would trigger thirst. If you are pregnant and very thirst then a simple lab test and urine may be warranted. Also you may need your blood sugar tested. Suggest contact your OB. ...Read more

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45yo; preg; due 10-16; 1 prev mscrg; MTHFR compound heterozygs; thyroid Gravesish but normal TSH/FT3/FT4. Do I need heparin? Any MTHFR ob in KC, MO?

45yo; preg; due 10-16; 1 prev mscrg; MTHFR compound heterozygs; thyroid Gravesish but normal TSH/FT3/FT4. Do I need heparin? Any MTHFR ob in KC, MO?

Prob not : Of course your doctor will need to review your complete history but those who are heterozygous for MTHFR do not require Heparin. Homozygous patients with elevated fasting homocysteine do. Not sure what "gravesish" means so that should be clarified at your visit ...Read more

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What can cause low t3, (liothyronine) hypoglycemia, hypokalemic periodic paralysis, weakness, jaundice in hands, extreme fatigue, hot flashes, numbness, bradycardia ?

What can cause low t3, (liothyronine) hypoglycemia, hypokalemic periodic paralysis, weakness, jaundice in hands, extreme fatigue, hot flashes, numbness, bradycardia ?

Sounds complex: This is a perfect question for HealthTap Prime, cuz each of these Sx need follow-up questions. 1st, low T3 (liothyronine) but what's the free T4? Hypokalemic Periodic Paralysis is associated w/ hypothyroidism. Do u have diabetes? Adrenal gland being affected? U seem to have some autoimmune phenomenon including jaundice (hepatitis). Does lupus run in ur family? Very strange mix of symptoms. Talk 2 a doc for Diagn ...Read more

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Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Pregnancy 15 week,  ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more

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I have Hypokalemic period parlaysis. Taking 120-140 meq of K can this cause increased urination and thirst?

I have Hypokalemic period parlaysis. Taking 120-140 meq of K can this cause increased urination and thirst?

Hypokalemia: The increased urination and thirst may be related to your glucose levels. Fluctuations in glucose can affect your K. Are you diabetic? You should be under medical care until your electrolyte and glucose levels are normal. Good luck ...Read more

Dr. Jeffrey Stevens
1 doctor shared a insight

Electrolytes Abnormal (Definition)

After extended throwing up, or prolonged diarrhea, it is possible to develop abnormal electrolyte levels in the blood - such as potassium, ...Read more


Dr. Jennifer Niebyl
98 doctors shared insights

Hyperemesis Gravidarum (Definition)

A condition in pregnant women where nausea and vomiting are more extreme or persistent than ...Read more