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Doctor insights on: What Is The Result Of Metabolic Acidosis In Pyloric Stenosis

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What is the result of metabolic acidosis if pyloric stenosis?

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. 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 come severe vomiting would result to metabolic acidosis?

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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What problems can result from a late diagnosis of pyloric stenosis in infants?

What problems can result from a late diagnosis of pyloric stenosis in infants?

Severe dehydration: If a baby has delayed diagnosis of pyloric stenosis the baby may have profound dehydration and metabolic alkalosis. Thankfully with directed rehydration over hours to days this can be corrected and then the baby can undergo surgery to repair the problem. ...Read more

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Abg result: mixed metabolic acidosis and respiratory alkalosis with more than adequate oxygenation. What's the meaning of this? Thank you.

Abg result: mixed metabolic acidosis and respiratory alkalosis with more than adequate oxygenation.  What's the meaning of this? Thank you.

Acid-base disorder: To give a clear answer we need to have the actual values for the ph, pco2, and the tco2 (usually called bicarbonate). A mixed disorder needs to be broken into the primary disorder and then if other disorders are present, are they primary or secondary. Normal oxygenation not relevant to this problem. Could be anxiety or medication for the resp alkalosis with a secondary hyperchloremic "acidosis". ...Read more

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Why do only male children get pyloric stenosis?

Why do only male children get pyloric stenosis?

Not quite accurate: Hypertrophic pyloric stenosis (hps) occurs in girl babies, too, but it is 5 times more common in boys than girls. It is also 5 times more common in whites than blacks. So, the most common baby with hps is a white boy baby. No one really knows why. It probably has some genetic basis. ...Read more

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Can you tell me anything about pyloric stenosis?

Can you tell me anything about pyloric stenosis?

Somethings: Approximately 95% of infantile hypertrophic pyloric stenosis cases are diagnosed in those aged 3-12 weeks. It is more common in first-born white males. It also has predominance in children of affected parents (as many as 7%).More males than females.Marked hypertrophy and hyperplasia of the 2 muscular layers of the pylorus occurs, leading to narrowing of the gastric antrum and elongation of pylorus. ...Read more

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What are some possible complications after pyloric stenosis?

What are some possible complications after pyloric stenosis?

Usually few, if any: Pyloric stenosis surgery very seldom has complications. Generic complications can occur, such as wound infection or minor scarring. The key problem to recognize and fix during the operation is perforation of the duodenal mucosa. One cuts thru the thickened pyloric muscle fibers to open up the outlet of the stomach, but if one cuts all the way into the lumen, it must be recognized and repaired. ...Read more

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Could metabolic acidosis be one possible cause of rosacea ?

Could metabolic acidosis be one possible cause of rosacea ?

Not likely: Rosacea is usually caused by or aggravated by Sun or wind exposure, spices, and alcohol but metabolic acidosis is not usually a cause but I don't know whether it would aggravate it. A dermatologist is best qualified to answer your question and treat rosacea. ...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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Could use expert help with why a fever causes metabolic acidosis?

Could use expert help with why a fever causes metabolic acidosis?

Doesn't: Fever by itself will not cause a metabolic acidosis. But when associated with sepsis can be due to lactic acidosis, with starvation ketoacidosis. Infections are frequently associated with these conditions very ill patients, this is not your every day fever. ...Read more

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What lab values correspond with the diagnosis of pyloric stenosis?

Electrolyte changes: In a baby with hypertrophic pyloric stenosis, the lab abnormalities are a result of vomiting up hydrochloric acid and malnutrition. The chloride level goes down, the bicarbonate (sodium bicarbonate) level goes up, and the potassium level can go down. If the diagnosis is made quickly, the labs may not be abnormal. If the baby has been vomiting a long time, the electolyte derangements can be severe. ...Read more

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My uncle went in the ER with severe metabolic acidosis. What is that?

Acidosis: Metabolic acidosis (ma) is seen when one's kidneys can’t get rid of acid buildup or when one's body gets rid of too much base. It is a very serious condition and requires hospitalization. More information as to the cause of it, in your uncle's case, should come from either your uncle or his physicians. ...Read more

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How does the renal system compensates for metabolic acidosis and alkalosis?

How does the renal system compensates for metabolic acidosis and alkalosis?

Slowly & effectively: In response to acidosis, the kidney increases reabsorbtion of bicarbonate (sodium bicarbonate) from the tubular fluid, secretes more hydrogen ions, and generate more bicarbonate (sodium bicarbonate). Ammoniagenesis leads to increased formation of the buffering compounds. In responses to alkalosis, the kidney excretes more bicarbonate (sodium bicarbonate), decreases hydrogen ion secretion, and lowers rates of glutamine metabolism and ammonium excretion. ...Read more

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Why is my pyloric stenosis scar red?

Why is my pyloric stenosis scar red?

Depends: Several factors may affect the color of a scar. Sun exposure especially if summertime and located in area likely to get sun such as abdomen . Irritation, medications are just a few. Usually it is transient and benign in nature. Is scar hypertrophic? ...Read more

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What is high anion gap metabolic acidosis?

Metabolic acidosis: A high anion gap acidosis, (h), is an acidosis with a low carbon dioxide (c) and a normal chloride. This low c indicates the presence of an organic acid, such as lactic acid. H is seen in sepsis and diabetic ketoacidosis, among other conditions. It is a serious condition that requires immediate medical therapy to resolve it, as it is often life-threatening. ...Read more

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What does this mean "high anion gap metabolic acidosis"?

Anion gap: The anion gap is a calculation in which you subtract the sum of the negative ions in the blood (chloride, bicarbonate) from the sum of the positive ions (sodium, potassium). Often potassium is left out because it has only a very small effect. A normal gap is < 11. If the result of the subtraction is > 11 you have a high anion gap acidosis, which means some other acid is causing acidosis (ketoacids. ...Read more

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Does pyloric stenosis lead to a long term eating disorder?

Does pyloric stenosis lead to a long term eating disorder?

See below: Pyloric stenosis is one of the few medical causes that are ruled out before a diagnosis of an eating disorder is made. Having pyloric stenosis can result in a person losing weight like someone with anorexia but doesn't have the behavioral problems. ...Read more

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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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How long does vomiting associated with pyloric stenosis last?

Till after surgery: Once pyloric stenosis is surgically corrected the baby can resume feeding several hours after surgery. Vomiting should be cured unless infant is overfed. ...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

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


Pyloric Stenosis (Definition)

A condition in which the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. It happens usually between two to eight weeks of age. ...Read more