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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, incidence, and risk factors:

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


Signs 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.



Support Groups:



Expectations (prognosis):

Prompt medical attention improves the overall prognosis of this condition.



Complications:

This can be a life-threatening disorder.



Calling your health care provider:

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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