Alcoholic ketoacidosis

About Alcoholic ketoacidosis

Produces too many ketones in the blood resulting in the blood becoming too acidotic. The syndrome occurs most often in people that drink very heavily (binge drinking), don't eat and have persistent vomiting. The vomiting can result in severe dehydration, which can worsen the effects of the acidosis.

Symptoms

Vomiting, abdominal pain, diarrhea, confusion, seizures, shortness of breath, and fainting.

Tests & Diagnostics

A history and physical exam will be performed along with other tests, which usually include: a complete blood count, electrolytes, blood acidity level, and liver function tests.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), EKG, Lipase, Urinalysis (UA), X-ray.

Conventional treatment summary

Treatment consists of the infusion of an intravenous sugar solution to re-establish the normal metabolism of glucose and to reverse the dehydration. Thiamine (vitamin B1) and other vitamins are also given intravenously. Alcohol and Drug Helpline: (800)821-4357 Al-Anon (888)425-2666

Medical specialties

Internal Medicine · Pediatrics

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Alcoholic ketoacidosis.