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Doctor insights on: Pyloric Stenosis Metabolic Alkalosis

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Dr. Michael Yap
Board Certified, Nephrology and Dialysis
9 years in practice
238K people helped
1

1
What foods to eat to reverse symptoms of mild metabolic alkalosis?

Dr. Michael Yap
Board Certified, Nephrology and Dialysis
9 years in practice
238K people helped
What foods to eat to reverse symptoms of mild metabolic alkalosis?

None: Metabolic alkalosis is not a food issue, and the main treatment would be to treat the underlying cause. Are you on diuretics? Do you have associated hypertension that can point to aldosteronism? Do you have COPD and chronically retain CO2? Vomiting? Diarrhea? Each in this small list of examples requires a different approach to treatment, so you'll need a proper history and physical by your doctor. ...Read more

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Dr. Adam Levy
Board Certified
32 years in practice
698K people helped
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Dr. Adam Levy
Board Certified
32 years in practice
698K people helped
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Dr. Clarence Grim
Board Certified, Internal Medicine
52 years in practice
77K people helped
2

2
Why does primary hyperaldosteronism cause metabolic alkalosis?

Dr. Clarence Grim
Board Certified, Internal Medicine
52 years in practice
77K people helped
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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Dr. Adam Levy
Board Certified
32 years in practice
698K people helped
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Dr. Adam Levy
Board Certified
32 years in practice
698K people helped
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Dr. Clarence Grim
Board Certified, Internal Medicine
52 years in practice
77K people helped
3

3
How does primary hyperaldosteronism cause metabolic alkalosis?

Dr. Clarence Grim
Board Certified, Internal Medicine
52 years in practice
77K people helped
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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Dr. Rawhi Omar
Board Certified, Pathology
39 years in practice
814K people helped
4

4
I have determined I have metabolic alkalosis, but not too severe, from consuming too much baking soda an my face is tingling. How do I treat this?

Dr. Rawhi Omar
Board Certified, Pathology
39 years in practice
814K people helped
I have determined I have metabolic alkalosis, but not too severe, from consuming too much baking soda an my face is tingling. How do I treat this?

Maybe: I don't know what you have but if you want to neutralize the effect of a weak base then take a weak acid like ascorbic acid (vitamin C) or citric acid (lemon or orange juice) ...Read more

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Dr. Adam Levy
Board Certified
32 years in practice
698K people helped
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Dr. William Byars
Board Certified, Family Medicine
39 years in practice
852K people helped
5

5
How do you test for metabolic alkalosis? If this is confirmed how is it treated?

Dr. William Byars
Board Certified, Family Medicine
39 years in practice
852K people helped

Treat the cause: The most certain way to test for alkalosis (or acidosis) is with an arterial blood gas test. If the arterial ph is abnormally high, there is alkalosis. M. A. Typically shows an elevated serum co2 level, because of increased bicarbonate. The treatment depends on the cause of m.A. Repeated vomiting causes m.A. Because of loss of hcl (acid) from the stomach. You treat the cause of vomiting. ...Read more

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Dr. Tarek Nashawi
Board Certified, Hospital-based practice
15 years in practice
102K people helped
6
Dr. Sue Ferranti
Board Certified, Pulmonary Critical Care
24 years in practice
12M people helped
7

7
What to do if I have respiratory acidosis compensating for metabolic alkalosis or is metabolic alkalosis compensating for respiratory acidosis?

Dr. Sue Ferranti
Board Certified, Pulmonary Critical Care
24 years in practice
12M people helped
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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Dr. Ayisha Gani
Board Certified, Internal Medicine
1M people helped
8

8
Can metabolic alkalosis cause shortness of breath?

Dr. Ayisha Gani
Board Certified, Internal Medicine
1M people helped
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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Dr. Tracy Berg
Board Certified, General Surgery
27 years in practice
9M people helped
9

9
What is the result of metabolic acidosis if pyloric stenosis?

Dr. Tracy Berg
Board Certified, General Surgery
27 years in practice
9M people helped
What is the result of metabolic acidosis if pyloric stenosis?

Bowel obstruction : Then vomiting, dehydration and loss of electrolytes. Gastric contents lost as vomit include acids, leading to a metabolic alkalosis (a 'contraction' alkalosis) with hypokalemia (low potassium), the baby needs to be admitted to a hospital, have intravenous fluids, a surgical consult and surgical repair of the pylorus to relieve the stenosis. It can be performed open or laprascopic. ...Read more

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Dr. Randy Stevens
Board Certified, General Surgery
19 years in practice
1M people helped
10

10
What are the symptoms of pyloric stenosis?

Dr. Randy Stevens
Board Certified, General Surgery
19 years in practice
1M people helped
What are the symptoms of pyloric stenosis?

Projectile vomit: 1-2 month old who starts to vomit after meals. It progresses. Vomit after eating gets worse and more forceful. Sometimes more common in first born males. Ultrasound is diagnostic. Surgery only after the fluid balance is restored. Hope this helps. Laparoscopic surgery is common for this operation. ...Read more

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Dr. Adam Levy
Board Certified,
32 years in practice
698K people helped
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