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    Alcoholic ketoacidosis

    Definition

    Alcoholic ketoacidosis is an accumulation of ketones (a type of acid) in the blood, caused by excessive alcohol consumption.

    Alternative Names

    Ketoacidosis - alcoholic

    Causes

    This disorder can be a complication of alcohol use, especially excessive alcohol use.

    Symptoms

    • Fatigue
    • Slow, sluggish, lethargic movement
    • Breathing difficulty leading, when untreated, to an abnormal breathing pattern
    • Irregular deep, rapid breathing (Kussmaul's sign)
    • Loss of appetite
    • Nausea and vomiting
    • Abdominal pain
    • Symptoms of dehydration, such as dizziness and light-headedness
    • Confusion
    • Agitation
    • Changes in mental activity leading to loss of consciousness

    Exams and Tests

    • Blood and urine tests for excess acids, or ketones, in the body
    • Blood chemistry tests
    • Tests to quantify the amount of alcohol in the blood

    Treatment

    Treatment in the hospital with intravenous fluids and frequent blood draws may be necessary to reverse the acidosis. Occasionally patients require intensive care unit stays.

    Outlook (Prognosis)

    Prompt medical attention improves the overall prognosis of this condition.

    Possible Complications

    This can be a life-threatening disorder.

    When to Contact a Medical Professional

    If you or someone else experience symptoms of alcoholic ketoacidosis, seek medical attention from an emergency department.

    Prevention

    Limit alcohol consumption to moderate levels.


    Review Date: 6/3/2005
    Reviewed By: Thomas A. Owens, M.D., Departments of Internal Medicine and Pediatrics, Duke University Medical Center, Durham, NC. Review provided by VeriMed Healthcare Network.
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