Metabolic acidosis is an acid base disorder characterized by excess acid and deficient bicarbonate caused by an underlying non respiratory disorder.
A primary decrease in plasma causes ph to fall. It can occur with increased production of a nonvolatile acid (such as lactic acid). Decreased renal clearance of a nonvolatile acid, or loss of HCO3. Symptoms result from action of compensatory mechanisms in the lungs, kidneys, and cells.
Causes of metabolic acidosis
Metabolic acidosis commonly results from excessive fat metabolism in the absence of usable carbohydrates. This can be caused by diabetic ketoacidosis, chronic alcoholism, malnutrition, or a low-carbohydrate, high-fat diet-all of which produce more ketoacids than the metabolic process can handle.
Other conditions may also be responsible for metabolic acidosis. In anaerobic carbohydrate metabolism, decreased tissue oxygenation or perfusion-as in cardiac pump failure after myocardial infraction, pulmonary or hepatic disease, shock, or anemia-forces a shift from aerobic to anaerobic metabolism, causing a corresponding increase in lactic acid level.
Underexcretion of metabolized acids or an inability to conserve base due to renal insufficiency and failure (renal acidosis) results in excess acid accumulation or defiant base bicarbonate. Diarrheam, intestinal malabsorption, or loss of sodium bicarbonate from the intestine causes the bicarbonate buffer system to shift to the acidic side.
Salicylate intoxication (overuse of aspirin), exogenous poisoning or, less frequently, Addison’s disease may produce acid-base imbalance.
Hypoaldosteronism, or the use of potassium-sparing diuretics, inhibit distal tubular secretion of acid and potassium.
Symptoms of metabolic acidosis
- Nausea and vomiting
- Pain in abdomen
- General malaise
- CNS depression
- Decreasing levels of consciousness
- Warm, flushed skin
Investigations in case of metabolic acidosis
- Labs-CBCD, lytes, urea, Cr, glucose, lactate, ketone, serum alcohol/methanol, serum osmolity, urinalysis, urine lytes.
- Urine oxalate crystels-if ethylene glycol ingestion.
Homeopathic treatment for metabolic acidosis symptoms
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat metabolic acidosis symptoms but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat metabolic acidosis symptoms that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of metabolic acidosis symptoms:
Crataegus, Gelsemium, Aconite, Kali Brom, Carbo Veg, Phosphorous, Sepia, Rhus Tox, Mercurius, Nitric Acid, Calcaria Carb, Phosphoric Acid, Bryonia, Sulphur, Arsenic Album, Agaricus, and many other medicines.
My blood tests show high serum chloride of 109. Is it worrisome? Do I need treatment?