Doctor insights on:
Medicine For Acid Base Disorders
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
Often yes: But it depends on the cause of the disorder. ...Read more
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
Blood gas: Typically a blood gas is drawn to determine your acid base status. ...Read more
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
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
Does longer term MiraLax (polyethylene glycol) use cause electrolyte or acid/base balance abnormalities?
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
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?
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
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
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
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 moreSee 1 more doctor answer
Why does marinating meats in acid-based mixtures like lemon juice or vinegar, avoid inflammation in the body?
I don't know: Try googling this or go to pubmed.Gov. Then discuss results of your research with your pcp. ...Read more
Is lactic acid based intimate hygiene wash (vagina wash) for women, good for men foreskin wash, to avoid penis foreskin itchiness ?
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?
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
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 moreSee 1 more doctor answer
Please explain difference between infectious disease doctor & a internal medicine doctor? Would be do same tests based on symptoms? Pros cons?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
No difference: Hydromet contains codeine. Follow the prescribing doctors instruction. ...Read more
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