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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
Would a normal CMP with electrolytes & kidney functioning rule out metabolic/respitory 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
What kind(s) of specialist(s) would be able to diagnose & treat glutamate metabolism disorders and nitrogen metabolism disorders?
1-Step Metabolomics: Any physician can order the most broad-spectrum screen for metabolic disorders: "one-step metabolomics". Here is a link to a video demonstration of the technique. http://www.jove.com/video/2014/one-step-metabolomics-carbohydrates-organic-amino-acids-quantified. ...Read moreSee 1 more doctor answer
Saves money but: Call me old fashioned but it does not mean it is such a good idea. More ok for family, general, internist, ob/gyn etc to refill antidepressants once a patient is doing well, as part of general health maintenance. I have seen enough prolonged suffering and missed opportunities to appreciate the down side. Worth it to get started with a good psychiatrist, then transition. ...Read moreSee 11 more doctor answers
Can a Doctor of Osteopathy be considered as my primary care doctor, family doctor, or as an internist? Do they prescribe HTN medications,as necessary?
Yes: Doctors of Osteopathy (D.O.) are not limited to D.O. residencies, and can train alongside allopathic physicians (M.D.) in allopathic residency programs. There has been a convergence in philosophies over the years, and the differences between a D.O and an M.D. have become much more subtle. ...Read moreSee 2 more doctor answers
Yes : The are a number of metabolic diseases and cmp can serve as a good tool in sorting many them out. The metabolic disease you are likely referring to is metabolic syndrome. The transaminases may be elevated in this condition on cmp and other labs are needed to make a textbook diagnosis. ...Read more
Life isn't so simple: There are many types of blood tests. Nobody does all the tests on each patient (that would consume all the world's medical resources). Screening tests for the more common problems or the more common blood test abnormalities are often done... and can rule out organ disorders that cause blood test abnormalities. Realize that a problem in an organ may or may not cause blood test changes. ...Read more
In untreated addison's disease, would basic metabloic panel always be abnormal? Low sodium, increased k?
Never say always: As addison's disease (primary adrenal failure) progresses, there will most likely be obvious hyponatremia and hyperkalemia. But these changes may be subtle in the early stages, and the diagnosis can be be more properly suspected with a presentation of prolonged nausea, vomiting, anorexia, weight loss, low blood pressure, and weakness. ...Read more
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
For primary care purposes if a patient has multiple chronic metabolic diseases should he see a family medicine dr. Or internal medicine dr. Whos more?
Personal choice: Personally, I would choose the doctor I felt most comfortable with, is most approachable and is a good listener. ...Read more
Whenever: You don't need a secialist in old people. ...Read more
Most!: I believe that all physicians should know how to recognize the possibility and confirm this with tests. However, as a specialist, i find my internal medicine and fp colleagues miss it frequently, even with family history. So an astute fp, im should do it regularly. If not, see a cardiologist or sports physician, or physician nutritionist to both diagnose and treat! ...Read moreSee 1 more doctor answer
Metab syndrome: An insulin-sensitizing agent, such as metformin, is often used as hyperglycemia treatment in patients with metabolic syndrome. Literature suggests that metformin may help to reverse the pathophysiologic changes of metabolic syndrome. Cannot find any evidence that Rifampin is a risk factor for metabolic syndrome. ...Read more
Why do different doctors give different fasting times for the exact same comprehensive metabolic panel? I've been told anywhere from 8 to 12 hours.
Are there any medicines that can increase metabolic rates in obese? Some doctors claim there are! What are they? Can they help with diet & exercise?
The state does: In the US, each state screens different metabolic disorders... most will screen for the most common ones like PKU. Testing is done at the state lab and abnormal results are communicated to the primary doctor and in some states to the expert panel. ...Read moreSee 3 more doctor answers
Specialist or PCP!: A good family phycisian will know your build (apple/pear), and also know your family hx. Checking b p is standard, getting your lipids interpreted, and finally your hgba1c, complete the picture. Bmis are ok, but body composition analysis is better. You should leave knowing your ideal weight. ...Read moreSee 1 more doctor answer
Much: In the 1970's, using the chemical ("metabolic") profiler for screening was "controversial." today it's cheap and is the usual way in which we pick up several common treatable diseases before symptoms occur -- the hepatitis family, alcoholic / lifestyle / medication-induced liver injury, wilson's, hemochromatosis, parathyroid disease, blood lipid problems. The key is interpreting it! ...Read moreSee 1 more doctor answer
Do i need to go to an endocrinologist to be diagnosed with metabolic syndrome or can my primary care doctor do it?
Primary doc: Pcm should be able to do this. "diagnosing" this is straightforward, but of limited utility since there is no specific treatment for the "syndrome." treatment is targeted at the individual components of the syndrome obesity, hypertension, elevated trig ( and low hdl) and elevated fasting blood glucose. ...Read moreSee 1 more doctor answer
What do you advise if doctor ordered a blood test on my daughter including a complete metabolic panel and a CBC w/diff?
Hard to say: The reasons why the tests were ordered are not available for us to review. (history, physical, docs concerns) As such, I would suggest that consulting the site is less relevant than following your docs orders. I wouldn't order the tests for fun.They would be done to rule in or rule out a specific set of concerns. ...Read more
Does serequel (anti psychotic) causes metabolic syndrome? does it lower metabolism? im a body builder. i use it to sleep. my doctor knows.
Seroquel (quetiapine) and obesity: Seroquel (quetiapine) is associated with weight gain, as are most of the newer antipsychotics. Seroquel (quetiapine) is not as bad as some others. Your "conditions" list bipolar disorder, and Seroquel (quetiapine) can be very useful for this. If you need to take Seroquel (quetiapine) for your mental health condition, and it works, then follow your doctor's advice and watch your diet / exercise carefully to avoid obesity ...Read more
My doctor ordered all these tests . What is a CBC , T4 , tsh, comp metabolic panel and lipid w/ trig & LDL ? Why do i need all of this ?
Nice question: In mathematics, the pythagorean theorem or pythagoras' theorem is a relation in euclidean geometry among the three sides of a right triangle (right-angled triangle). In terms of areas, it states: in any right-angled triangle, the area of the square whose side is the hypotenuse (the side opposite the right angle) is equal to the sum of the areas of the squares whose sides are the two legs ...Read moreSee 1 more doctor answer
An M.D. or D.O.: In the United States, a physician is a person with an M.D. Or a D.O. Degree from a medical school. A small number of physicians received their degrees in other countries that use abbreviations different from M.D. Or D.O., but they have equivalent degrees and so are also called physicians in america. There are other "healthcare practitioners" that are called doctors but are not physicians. ...Read moreSee 1 more doctor answer
Orthopedic surgeon: Scoliosis, an s-curving of the back, is usually first seen by pediatricians. They will refer such a patient if there is a problem to an orthopedic surgeon for evaluation and correction. An adult with scoliosis probably would go straight to an orthopedic surgeon. ...Read moreSee 1 more doctor answer
Compression: It is treated with a pump, compression with support hose. Internist may try water pills with some effect. I have found enzymes helpful in realist cases such as bromelain, a pineapple enzyme 3-6 a da in divided doses 1 hour before or 2 hours after meals. ...Read moreSee 1 more doctor answer
It is not legal: People with terminal illnesses need not suffer pain/ indignity. Discussing one's views re: faith, life, death, and medical care with one's doctor is very important as is having an advanced health care directive and polst made. Hospice can make the experience before natural death more humane. One need not resort in suicide; which is not legal, moral, biblical, and many think, not ethical. ...Read moreSee 2 more doctor answers