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Doctor insights on: Medicine For Acid Base Disorders

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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I have psoriasis disease since my childhood and at this years its just become appear on my nailes is there any midicine exept the salsalic acid?

I have psoriasis disease since my childhood and at this years its just become appear on my nailes is there any midicine exept the salsalic acid?

Several options: There are several options depending on the severity of the involvement. Tnf agents such as enbrel, (etanercept) Humira and others can produce dramatic improvement. Talk to a dermatologist. ...Read more

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Medicine on acid peptic disease?

Rescue vs controller: Acid reflux medications, aka heart burn meds, fall into two main groups: rescue meds that quickly neutralize acid, and controllers that block/reduce acid production in the stomach. Antacids like tums, rolaids and maalox are rescue meds. Zantac, Protonix (pantoprazole) and Prilosec are controllers, among others. Talk to your dr about gerd at your next visit. ...Read more

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Do any drugs exist for bipolar disorder that are not in the valproic acid classification?

Do any drugs exist for bipolar disorder that are not in the valproic acid classification?

Absolutely: For many patients, valroate has lots of side-effects, esp. Weight gain as well as others. Lithium, which is an element, is indicated for bipolar disorder. Other medications are carbamazapine (tegretol) and the medications in the class called second generation antipsychotics. A common problem with many medications can be weight gain issues. I always try to avoid this with my patients. ...Read more

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What OTC medicine works better than Prilosec for frequent heartburn for acid reflux disease. I have been diagnosed by endoscopy?

What OTC medicine works better than Prilosec for frequent heartburn for acid reflux disease. I have been diagnosed by endoscopy?

Tums (calcium carbonate) won't do it: Please get examined by a doc. A natural approach is to use lots of dgl. Dgl is licorice supplement but it has an enzyme removed that can raise BP licorice is eaten over a long period of time. Avoiding acid-forming foods can help and don't lie down right after eating. Peace and good health. ...Read more

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How do attention deficit disorder drugs work based upon neurotransmitter activity in the brain?

How do attention deficit disorder drugs work based upon neurotransmitter activity in the brain?

Dopamine: The stimulant medications (like Adderall (dextroamphetamine and racemic amphetamine) and ritalin), which are the best meds for adhd, work primarily by increasing the neurotransmitter Dopamine in a part of the brain called the prefrontal cortex, which controls executive functioning, which lets you plan, shift from task to task, and focus. People with adhd have a shortage of Dopamine in this area. ...Read more

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My 11yr. Old is on valproic acid for seizure disorder, she is also on I'm amoxacillin. She has a bad cough can I give her cough medicine?

My 11yr. Old is on valproic acid for seizure disorder, she is also on I'm amoxacillin. She has a bad cough can I give her cough medicine?

See below: Professionally, I do not recommend cough suppressants except as a last resort for cough that has persisted to the point of not sleeping for multiple nights. Cough is protective and keeps your airways open as well as clearing mucous and other fluid from your lungs. Keeping the cough reflex is important. However, if the trigger of the cough is mucous drainage, using Mucinex (guaifenesin) and a sudafed can help. ...Read more

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Is there any drugs that can be used to increase attension and memory in normal person that doesn't have any disease?

Is there any drugs that can be used to increase attension and memory in normal person that doesn't have any disease?

Attention: In short, no. There are no prescription medications that can be used to increase attention and memory in a normal person. There is an over the counter product that claims to improve memory and it is a phosphatidylserine product that is sold under the brand name "sharp thought".
Unfortunately, with natural products, such as this, there are very few studies that are published to guide you. ...Read more

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Does seziure disorder repeats even after taking medicines for a year?

Long term disorder: Seizure disorders, depending on cause / epilepsy / trauma history--can last years, decades, or life-long. Medications decrease the frequency and duration of seizure, but almost every patient with seizure disorder will occasionally seize. ...Read more

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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

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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

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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

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What is the best medicine for acid reflux?

What is the best medicine for acid reflux?

Zantac (ranitidine) or Pepcid: If you are just starting to be bothered by gerd, then otc zantac (ranitidine) or Pepcid should work well. Those are "h2 blockers"
a more potent class of acid-reducing medicine is the ppi class. These include Prilosec and prevacid
of course, you should do your part and decrease your intake of peppermint, chocolate, caffeine, alcohol, nicotine, spicy foods, citrus, and carbonated beverages
if none work, c ur md. ...Read more

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What kind of medicine treats autoimmune disorders?

What kind of medicine treats autoimmune disorders?

Immunosuppresents: Since autoimmune diseases are a diverse group of diseases which have in common activation of the immune system which leads to different complications (depending upon the disease) the best way to treat is to use medications which suppress the immune system (such as steroids and sometimes chemotherapy). ...Read more

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What medicines help with degenerative disc disease?

What medicines help with degenerative disc disease?

A variety: Of non steroidal anti inflammatory medication as long as there are no contraindications like allergies, use of blood thinners, kidney or liver disease or ulcer/reflux issues. Tylenol (acetaminophen) is an option. Other types of drugs like cymbalta, Elavil and neurontin/lyrica may also help. Ideally, not smoking, regular exercise and weight control are also helpful. Good levels of vitamin d also are important. ...Read more

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Can coeliac disease prevent me from studying medicine?

Can coeliac disease prevent me from studying medicine?

No!!!!!: Many people live with celiac disease and are highly functioning professionals. Strict adherence to a gluten-free diet is crucial. That also means reading labels very carefully. You should shop at the gluten-free section, available in most groceries, be under competent medical supervision. Also see www. Celiac. Nih. Gov/materials. Aspx; www. Celiac. Org/ ...Read more

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What drug is used to treat hodgkin's disease lymphoma?

What drug is used to treat hodgkin's disease lymphoma?

ABVD: Adriamycin (doxorubicin)
Bleomycin
Vinbastine
Dacarbazine

The combination of the 4, all given every 2 weeks for 8 or 12 times depending on the stage of the cancer is the gold standard ...Read more

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Should I take hyromet or a codeine-based drug for my cough?

Should I take hyromet or a codeine-based drug for my cough?

No difference: Hydromet contains codeine. Follow the prescribing doctors instruction. ...Read more