General measures The main focus of therapy is the treatment of the underlying condition in question (e.g., chronic renal failure (kidney weakness), diabetes mellitus (diabetes), hyperuricemia, liver disease). Nicotine restriction (abstaining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max … Latent Metabolic Acidosis: Therapy
The acid-base balance of our body cells is the prerequisite for the optimal functioning of the vital functions of the entire organism.All metabolic and immune processes of the organism have a relatively narrow pH range in which they run optimally. The human blood has a pH normal value of 7.36 to 7.44. Man is therefore … Latent Metabolic Acidosis: Analysis of the Acid-Base Balance
Medical history (history of illness) represents an important component in the diagnosis of latent metabolic (metabolic-related) acidosis. Family history Social history What is your occupation? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you noticed symptoms such as listlessness and … Latent Metabolic Acidosis: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Hyperuricemia (high uric acid level in the blood). Liver, gallbladder, and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87). Liver disease, unspecified (hepatic acid production increases). Musculoskeletal system (M00-M99). Gout (arthritis urica/uric acid-related joint inflammation or tophic gout)/hyperuricemia (elevation of uric acid levels in the blood). Genitourinary … Latent Metabolic Acidosis: Or something else? Differential Diagnosis
The following are the major conditions or complications that may be contributed to by latent metabolic (metabolic-related) acidosis: Certain conditions originating in the perinatal period (P00-P96). Growth impairment of premature infants Blood, hematopoietic organs – immune system (D50-D90). Loss of activity of NK cells (natural killer cell; natural killer cells). Inhibition of lymphocyte proliferation (infection … Latent Metabolic Acidosis: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination–including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Auscultation (listening) of the heart. Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive … Latent Metabolic Acidosis: Examination
2nd-order laboratory parameters–depending on the results of the history, physical examination, etc.–for differential diagnostic clarification Acid-base status with examination of pH, bicarbonate, blood pCO2 partial pressure, and baseexcess [latent metabolic acidosis: changes in acid-base status within the normal range]. Acidoses and alkaloses Acidosis Alkalosis metabolic respiratory metabolic respiratory comp. decomp. comp. decomp. comp. decomp. comp. … Latent Metabolic Acidosis: Test and Diagnosis
Acid forming foods Alkaline donating foods Neutral foods Cereal products Legumes Milk and dairy products Barley Beans, white and green Kefir Hulled and polished cereal products – e.g. rice. Oatmeal Vegetables and salads Fats and oils Crispbread Eggplant Natural oils – e.g. safflower oil, olive oil. Brown bread Avocado Whole grain products Cauliflower Drinks White … Food: Acid Forming, Base Donating, and Neutral Food
Optional medical device diagnostics–depending on the results of history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics–for differential diagnostic workup Abdominal ultrasonography (ultrasound examination of abdominal organs) – for diagnosis of kidney or liver disease.
Appropriate basic minerals for latent metabolic acidosis are: Na-bicarbonate Potassium citrate Magnesium citrate Calcium citrate Important note: Alkaline supplementation, for example, with Na-bicarbonate as sodium hydrogen carbonate, is incompatible with the stomach if gastric acid-proof encapsulation is not chosen. The supply of sodium hydrogen carbonate without gastric acid-proof encapsulation leads to CO2 formation in the … Latent Metabolic Acidosis: Micronutrient Therapy
To prevent latent metabolic (metabolic-related) acidosis, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Diets (starvation diets) Increased food intake of acid-forming foods (meat, fish, eggs, milk, white flour products, fast food, carbonated soft drinks, sugar, coffee, black tea and alcohol) or insufficient intake of base-donating foods (fruits, vegetables, herbs … Latent Metabolic Acidosis: Prevention
The following symptoms and complaints may indicate latent (subclinical) metabolic (metabolic-related) acidosis: Listlessness Lack of concentration Fatigue
