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Doctor insights on: Metabolic Acidosis Vomiting

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Dr. Fred McCurdy
62 doctors shared insights

Metabolic Acidosis (Definition)

Metabolic acidosis occurs either from primary acid retention, renal (kidney) dysfunction/failure or bicarbonate (sodium bicarbonate) losses. Primary acid retentions cause anion-gap metabolic acidosis from these etiologies (methanol, uremia, diabetic ketoacidosis, para-aldehyde, isoniazid, lactic acidosis, ethylene glycol, salicylates). Kidney's dysfunction leads to acidosis. Finally any loss ...Read more


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How can diabetic ketoacidosis (w/ metabolic acidosis) causes respiratory failure?

Due to acidosis.,,: The metabolic acidosis causes a respiratory compensation in an attempt by the body to keep the blood ph normal. The respiratory compensation is to increase minute ventilation (both respiratory rate and volume per breath!). So, the person with severe metabolic acidosis will be breathing fast and deeply. Doing this for an extended period of time can lead to fatigue resulting in respiratory failure. ...Read more

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Respiratory acidosis and metabolic acidosis, which is worse?

Respiratory acidosis and metabolic acidosis, which is worse?

Worse acidosis: Both a respiratory (r) and metabolic acidosis (m) are bad. A r is due to retention of carbon dioxide (c) and a m is due to the presence of an organic acid. The treatment of a r is to reduce the c, blowing of c and the treatment of a m is to get rid of of the organic acid. ...Read more

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Can dehydration lead to metabolic acidosis?

It usually does: The contraction of the fluid volume caused by dehydration routinely leads to a metabolic acidosis as the metabolism begins to shift to more fat breakdown & those byproducts add to the acidity of the blood.Fluid expansion through oral or IV re-hydration can correct this quickly by exposing the blood to buffer compounds in the tissues. ...Read more

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Why does respiratory alkalosis cause hypokalemia while metabolic acidosis causes hyperkalemia?

K and alkalosis acid: Blood K is sensitive to blood pH.( hydrogen ion concentration). When H gets too high (acidosis) it moves into cells to protect from death from too much acid.. As H+ moves into cells a + ion must move out. This is usually K+. Thus hyperK. When H+ gets too low (alkalosis) in blood H+ moves from cell to blood to prevent death from low H+.. As H+ moves out of cell K+ moves in. Thus blood K goes down. ...Read more

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How are respiratory acidosis and metabolic acidosis different?

The source: Respiratory acidosis is the result of co2 build up in the blood, metabolic acidosis is the result of inability to remove acids or the addition of acids to the system. ...Read more

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What symptoms characterize metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases.This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more

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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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What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

Difference....: If your ph in your blood is lower than normal, then you have an acidosis. If the ph in your blood is higher than normal, then you have an alkalosis. To figure out if the abnormality is respiratory or metabolic, you need to know the carbon dioxide level. An arterial blood gas test would give the information needed to diagnose the disorder, including whether or not there is compensation! ...Read more

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How can metabolic acidosis cause kussmaul breathing?

How can metabolic acidosis cause kussmaul breathing?

Yes.: Kussmaul breathing is a deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis (DKA) but also renal failure. It is a form of hyperventilation, which is any breathing pattern that reduces carbon dioxide in the blood due to increased rate or depth of respiration. In metabolic acidosis, breathing is first rapid and shallow. ...Read more

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Can topamax (topiramate) cause metabolic acidosis?

Can topamax (topiramate) cause metabolic acidosis?

Yes: Among the side effects, including cognitive issues, narrow angle glaucoma, heat stroke risk in kids, kidney stones; is also, metabolic acidosis, which can potentially be life threatening. It has been associated with kidney disease, and surgery. It is advised to stop topamax (topiramate) if surgery is planned. ...Read more

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How come severe vomiting would result to metabolic acidosis?

Stomach/small intest: So while stomach has acid just after that there is bicarbonate (sodium bicarbonate) released from the small bowel (a base). This neutralizes the acid. Particularly with a large amount of vomitting, you lose a lot of electrolytes and this bicarbonate (sodium bicarbonate) and the result is a contraction metaolic acidosis. This can be very dangerous not only because of the acidosis but also because of the major electrolyte imbalances. ...Read more

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Can metabolic alkalosis cause shortness of breath?

Can metabolic alkalosis cause shortness of breath?

Alkalosis: It is not that simple to say yes or no to this question. It depends upon the cause of the metabolic alkalosis. Commonly with metabolic alkalosis as a compensatory mechanism there will be hypoventilation that could be sensed as shortness of breath but respiratory rate will be lower or shallower. ...Read more

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Why does primary hyperaldosteronism cause metabolic alkalosis?

Why does primary hyperaldosteronism cause metabolic alkalosis?

Conn 's alkalosis : Aldo moves Na from urine and K and H out into urine. Lowering H in blood makes you more alkalotic. Also as K moves out of cells to keep blood K up H moves into cells. Less H in blood = higher pH. ...Read more

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Acidosis related to rapid breathing?

Acidosis related to rapid breathing?

No: Rapid breathing causes a respiratory alkalosis, not acidosis. Patients with a metabolic acidosis may try to compensate with rapid breathing. ...Read more

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Would a normal CMP with electrolytes & kidney functioning rule out metabolic/respitory acidosis or alkalosis. ?

Need more informatio: To perform a complete analysis blood sample should include and arterial sample for blood (abg) gases which will aid in a complete analysis and possible diagnosis ...Read more

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How does primary hyperaldosteronism cause metabolic alkalosis?

How does primary hyperaldosteronism cause metabolic alkalosis?

Conn 's alkalosis : Aldo moves Na from urine and K and H out into urine. Lowering H in blood makes you more alkalotic. Also as K moves out of cells to keep blood K up H moves into cells. Less H in blood = higher pH. ...Read more

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Is serum Osmolality typically elevated in metabolic acidosis/alkalosis and ethylene glycol poisoning?

Yes: Particularly with ethylene glycol poisoning. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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Does respiratory alkalosis cause hyponatremia?

Does respiratory alkalosis cause hyponatremia?

Hyponatremia: Many pulmonary illnesses may cause a low sodium level, via induction of inappropriate SIADH. But respiratory alkalosis, by itself, should not lower the sodium level below the normal range. Often, people with respiratory alkalosis may have a lower serum chloride level, to balance for additional bicarbonate (sodium bicarbonate) ions. Hope that helps! ...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. Oscar Novick
2,118 doctors shared insights

Vomiting (Definition)

Vomiting = expulsion of stomach ...Read more