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
  • low, sluggish, lethargic movement
  • Breathing difficulty leading, when untreated, to an abnormal breathing pattern
  • Irregular deep, rapid breathing (Kussmaul's)
  • 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.

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, a family member, or a friend have symptoms of alcoholic ketoacidosis, seek medical attention from an emergency department.

Prevention:
Limit alcohol consumption to moderate levels.


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