metabolic acidosis

[sailor334]

had a blood test and the doctor refered me to a endorcrinology he said I had hypokalaemic metabolic acidosis. I have an appointment in 3 month time. I was at work when he called so couldn't ask questions. Does anyone have this? I have diahorrea most days (have done for years had a camera to explore etc) I sweat a lot and am tired a lot other than that I feel well. He said I had low potassium and to eat potassium rich foods. I'm a bit worried and finding google confusing. Do I have kidney disease?

[Michael__S]

We can't diagnose you but AFAIK metabolic acidosis may damage your kidney and is indeed a source of concern with CKD. That doesn't necessarily mean that you have a kidney disease. Again I am not an expert but the advice you received appear to make sense, getting a hold of a registered dietician will give you more clarity on this.

What is alkaline or acidic is a bit more tricky but the simplified 1920-ish formula had potassium on the alkaline side, phosphorus and protein on the acidic side. You still need protein and phosphorus but should avoid excess, something to work with an RD. Where it can get confusing is that AFAIK something acidic like lemon juice end up bein alkaline once metabolized.

So assuming that fruits and veggies is alkaline is pretty much a safe bet. They also happen to contain potassium.

I hope this help.

[Sophiebun11]

Hi Sailor,

As I'm sure the Dr. mentioned the hypokalaemic metabolic acidosis is mostly likely from your chronic diarrhea since it's an electrolyte imbalance problem.

If the cause of the diarrhea is diagnosed and controlled the problem may reverse itself. That may be why the 3 month check up to see how things are progressing. I take it this is something new, or has your PCP been following you for a while?

Your kidneys may be having trouble removing the extra electrolytes but that is not the same as CKD or it could turn into CKD from the comorbid condition with the electrolytes. Do you know if your eGFR was low, and creatinine high, that would indicate CKD. You could get kidney damage from the low electrolytes being a chronic condition.

Why not call the Endocrinologist's office and ask to speak to his office nurse to explain the lab tests. If he doesn't have an office nurse, tell the receptionist that you were at work when the Dr. called and need some questions answered before the next appt. in 3 months. Leave some times when it's best for you to be reached and write down your questions ahead of the phone call or ahead of your next appt.

Good luck getting answers and treatment.