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Metabolic Alkalosis Symptoms and Treatment Questions

Have you ever had metabolic alkalosis or wondered what causes it? Metabolic alkalosis is a metabolic condition which elevates the pH of tissue as a result of losing hydrogen ion concentration. This results in the body having a high alkaline level and a reduced amount of acid to neutralize the alkaline effects. Take a look below at the metabolic alkalosis questions that have been answered by Experts.

Can people with oxygen dependent COPD develop uncompensated metabolic alkalosis?

Mild metabolic alkalosis can be developed by oxygen dependant COPD patients. This may also cause increased levels of carbon dioxide partial pressure (pCO2) to about 50. This is known as primary respiratory acidosis with a compensatory metabolic alkalosis (this can look like blood gas). pCO2 levels can be quickly corrected if the patient is put on a ventilator however, the metabolic alkalosis will take longer to resolve. Metabolic alkalosis can basically be described as an exposed compensatory alkalosis. If the patient is taken of the ventilator the pCO2 levels will return to the level before being put on the ventilator.  If blood gases are not concluded, it can be difficult to determine if metabolic alkalosis is present.

What causes a patient to have stomach pain, vomiting and diarrhea during the day time but not at night?

This could be caused by various things like bladder stones, infections, or a bowel obstruction. Abdominal X-rays or CT scans can be performed for proper diagnosis. If the patient hasn’t had a bowel movement for more than a week, dehydration could be a possibility. Vomiting could be caused from an electrolyte imbalance or metabolic alkalosis, which can be determined by blood work. Immediate attention from an ER doctor for evaluation and abdominal X-rays is recommended. The longer this condition goes untreated the worse it will get. 

Can taking Valsartan HCTA cause calcium and Creatine Phosphakinase (CPK) levels to be high and cause metabolic alkalosis?

This medication is a mixture of Valsartan and Hydrochlorothiazide. Hydrochlorothiazide is a diuretic that can cause elevated carbon dioxide which suggests metabolic alkalosis. Hydrochlorothiazide can also cause elevated calcium levels. Dehydration caused by the diuretic can cause elevated CPK levels as well. The medication Hydrochlorothiazide should be discontinued and replaced with glumetza. A consultation with an endocrinologist to discuss these options is recommended.

What would cause vomiting and dizziness while sitting upright?

This could be a viral gastritis infection. Vomiting can lead to dehydration which then would cause dizziness. If dehydration is the cause then it is recommended to see an ER doctor for IV fluids and have BUN/Creatine levels checked. If electrolyte imbalances are the cause for the patient vomiting and BUN/Creatine levels are elevated, metabolic alkalosis can occur.

What would cause a Co2 level of 30?

While Co2 levels of 30 are slightly elevated, the situation isn't serious.This is caused from metabolic alkalosis and happens when someone losses intestinal secretions due to diarrhea and vomiting. Other causes of metabolic alkalosis include hyperventilation and the use of diuretics.

What causes high anion gap levels when sodium and potassium levels are normal?

Metabolic acidosis and metabolic alkalosis are both concerns when dealing with high anion gap levels. If the patient doesn't have either condition, a high anion gap level is insignificant. These tests are often used to diagnose metabolic acidosis and metabolic alkalosis.

What is the significance of these levels, Co2-32, anion gap-6.3, bilirubin-1.1 and alt-42?

Based on the test results, the Co2 level is high and the anion gap is low but both bilirubin and alt levels are normal. AG levels at a low score indicate alkalosis which rise Co2 and compensates for the alkalosis. There are various causes for metabolic alkalosis including but not limited to:

  •  vomiting
  •  kidney loss of hydrogen ions
  •  anti acids ingestion
  •  diuretic administration
  • adrenal gland tumors

A consultation with a doctor for further testing is recommended to see if the levels have changed.

Metabolic alkalosis is caused by too much bicarbonate blood and certain kidney diseases. Many questions and concerns arise when a patient is diagnosed with this condition. You may be familiar with this condition but need or want more information. If your questions were not answered in the above article, you can still receive online help from Experts from the comfort of your own home.

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