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18 Possible Causes for Bicarbonate Decreased, Bronchospasm and Wheezing, Dysphagia

  • Gastroesophageal Reflux Disease

    Cigarette smoking can reduce the LES pressure[ 117 – 119 ] and decrease salivary bicarbonate secretion, thus reducing the physiological neutralizing effect of saliva on intraesophageal[doi.org] Outcomes selected were recurrent or persistent postoperative dysphagia and an abnormal 24-hour pH test result.[ncbi.nlm.nih.gov] […] secretion of bicarbonate by esophageal submucosal glands and attenuated ability of the cells lining the esophagus to resist acid injury. 1 Diagnosis CLINICAL PRESENTATION[aafp.org]

  • Diaphragmatic Hernia

    Hypoxia (oxygen saturation Treatment includes increased oxygen delivery (100% oxygen), decreasing the PCO2 and treating acidosis with sodium bicarbonate (0.5-1 mEq/kg) for[clinicalpainadvisor.com] Granderath FA, Schweiger UM, Kamolz T, Pointner R (2005) Dysphagia after laparoscopic antireflux surgery: a problem of hiatal closure more than a problem of the wrap.[link.springer.com]

  • Cystic Fibrosis

    Pancreatic disease As a part of normal digestion, stomach acid is neutralized by pancreatic bicarbonate, leading to the optimal pH for pancreatic enzyme action.[emedicine.medscape.com] One participant reported dysphagia but it was not clear which study group they were in ( Aris 2004 ).[doi.org] […] neurodegenerative disorder, characterized by a loss of upper and lower motor neurons in the brain and spinal cord, and leading to a progressive muscle wasting and limb paralysis, dysphagia[ncbi.nlm.nih.gov]

  • Scorpion Sting

    Hematological report showed increased neutrophils, while arterial blood gas analysis (ABG) showed decreased partial carbon dioxide (pCO 2 ), and bicarbonates and increased[casereports.in] Seventeen patients with severe P. transvaalicus scorpionism showed sensory and motor nerve stimulation, with generalised hyperaesthesia, weakness, ptosis, dysphagia, muscle[ncbi.nlm.nih.gov] Both mamba and Cape cobra bites can cause visual disturbances, ptosis and dysphagia as well as difficulty in breathing in the early stages of envenomation.[cmej.org.za]

  • Psychogenic Hyperventilation

    Compensation: Metabolic side compensates for respiratory acidosis by decreasing renal chloride excretion, leading to decreased strong-ion difference and decreased bicarbonate[clinicaladvisor.com] Wheezing may be heard because of bronchospasm from hypocarbia. Tremor, mydriasis, pallor, tachycardia, and other manifestations of anxiety can occur.[unp.me] Breath-holding (spells) Choking sensation Sighing Excludes: apnoea (of): · newborn ( P28.4 ) · sleep ( G47.3 ) · newborn (primary) ( P28.3 ) R07 Pain in throat and chest Excludes: dysphagia[apps.who.int]

  • Malignant Carcinoid Syndrome

    Review Topic QID: 100645 1 Decreased serum chromogranin A 2 Elevated serum bicarbonate 3 Elevated urinary vanillylmandelic acid 5 Elevated urinary 5-hydroxyindoleacetic acid[medbullets.com] , wheezing, pleural, peritoneal, retroperitoneal, endocardial fibrosis of the right valves and right ventricular wall, which may cause failure, carcinoid myopathy and atrophy[medical-dictionary.thefreedictionary.com] Two (or more) of the following: (1) Diaphoresis (2) Dysphagia (3) Tremor (4) Incontinence (5) Changes in level of consciousness ranging from confusion to coma (6) Mutism ([ncbi.nlm.nih.gov]

  • Myopathy, Endocrine

    Crystalloid (0.5 NS) with regular insulin (0.1 U/kg/h) is then initiated until BS decreases to 7.3, HCO3 is 18 mEq/L and BS is normal.[clinicalpainadvisor.com] Dysphagia is a common symptom in DM, PM and IBM Diagnosis confirmed by elevated CPK and biopsy.[slideplayer.com] Neck flexor weakness reflects proximal muscle weakness and may be noted in myopathies; dysphagia from bulbar weakness also can occur.[emedicine.medscape.com]

  • Extrapulmonary Alveolar Hypoventilation

    Respiratory acidosis involves a decrease in respiratory rate and/or volume (hypoventilation).[msdmanuals.com] Pulmonary fibrosis is a rare side effect of some medications Smoking Emphysema, chronic bronchitis, asthma Allergies, wheezing, family history of asthma Asthma Coronary artery[aafp.org] […] by mouse neutralization test Trivalent antitoxin Wound debridement, penicillin G (or metronidazole if penicillin allergy) Nasogastric lavage Organophosphates [ 87, 88 ] Dysphagia[aneskey.com]

  • Hypocalcemia

    RESULTS: Among controls, hypocalcemia elicited a major rise in intact PTH (iPTH) levels 4 minutes after bicarbonate infusion.[ncbi.nlm.nih.gov] ; may develop from bronchospasm Dysphagia Voice changes (due to laryngospasm) Neurologic symptoms of hypocalcemia include the following: Irritability, impaired intellectual[physio-pedia.com] Changes in smooth muscle function with low serum levels of calcium may cause irritability of the autonomic ganglia and can result in dysphagia, abdominal pain, biliary colic[web.archive.org]

  • Rare Hyperparathyroidism

    […] plasma bicarbonate with sevelamer Most effective in combination with dietary phosphate restriction Vitamin D analogues Calcitriol: 0.25-1.5 µg/d po, Paricalcitol: 5 µg/mL[enotes.tripod.com] Sudden, muscular spasms affecting the larynx (laryngospasm) and the bronchial tubes (bronchospasm) may also occur.[rarediseases.org] […] report the case of a female patient who developed hyperparathyroidism secondary to end-stage renal disease which was manifested as facial leontiasis ossea and culminated in dysphagia[karger.com]

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