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140 Possible Causes for Bicarbonate Decreased, Dysphagia, Muscle Cramp

  • Glycogen Storage Disease Type 2

    cramps Progressive muscle weakness (including the respiratory muscles), which increases the risk of pneumonia.[] Progressive respiratory insufficiency Chronic CO 2 retention (elevated arterial pCO 2 and serum bicarbonate concentration) and hypoxemia (decreased arterial pO 2 and oxygen[] Oropharyngeal dysphagia in infants and children with infantile Pompe disease. Dysphagia. 2009 Sep 10. [Medline]. Musumeci O, la Marca G, Spada M, et al.[]

  • Respiratory Alkalosis

    […] weakness, unsteady gait PAIN /DISCOMFORT May report: Muscle spasms/cramps, epigastric pain, precordial pain (tightness) RESPIRATION May report: Dyspnea History of asthma,[] Measurement of the serum bicarbonate permits definitive diagnosis: acute respiratory alkalosis: serum bicarbonate decreases by 2 mM for every 10 mmHg (or 1.33kPa) decrease[] Often, UVFP is associated with dysphagia, specifically with liquids, because the resultant glottal incompetence can lead to aspiration.[]

  • Amyotrophic Lateral Sclerosis Type 1

    cramping urinary frequency or incontinence (late findings) sensory remains normal Physical exam neck ptosis (neck drop) due to neck extensor weakness manual muscle testing[] Relation to poor nutrition Bicarbonate: High Creatine: Low CK decline: More rapid Alkaline phosphatase: Increasing Albumin: Decreasing EMG Low CMAPs Decrement on RNS SFEMG[] Clinical manifestations include progressive weakness, atrophy, fasciculation, hyperreflexia, dysarthria, dysphagia, and eventual paralysis of respiratory function.[]

  • Gastroesophageal Reflux Disease

    If a patient has taken a PPI daily for more than 1 year and is experiencing muscle cramps, palpitations, tremor, and/or dizziness, consider recommending rmagnesium levels[] Cigarette smoking can reduce the LES pressure[ 117 – 119 ] and decrease salivary bicarbonate secretion, thus reducing the physiological neutralizing effect of saliva on intraesophageal[] Outcomes selected were recurrent or persistent postoperative dysphagia and an abnormal 24-hour pH test result.[]

  • Hyponatremia

    Anthropomorphic characteristics, exercise time, and post-exercise ratings of thermal sensation, perceived exertion and muscle cramp were similar for LC, AM and CON.[] 15% to 20%, hyperchloremic acidosis, decreased serum bicarbonate level, potassium abnormalities (type dependent) Correct acidosis, sodium bicarbonate Salt-wasting nephropathies[] The symptoms of this condition include dysphagia, pain in the joints or dysarthria, seizures, confusion, loss of consciousness and paralysis of all four limbs.[]

  • Amyotrophic Lateral Sclerosis Type 4

    Frequent, albeit unspecific, symptoms are weight loss and muscle cramps.[] Relation to poor nutrition Bicarbonate: High Creatine: Low CK decline: More rapid Alkaline phosphatase: Increasing Albumin: Decreasing EMG Low CMAPs Decrement on RNS SFEMG[] Fortunately, bulbar and respiratory muscles are spared, so ALS4 patients don't develop dysarthria, dysphagia, and respiratory failure.[]

  • Electrolyte Imbalance

    Muscle cramps often occur in middle-aged and older people and are common in athletes.[] Drugs that may decrease bicarbonate (total CO 2 ) levels include methicillin, nitrofurantoin, tetracycline, thiazide diuretics, and triamterene.[] […] irritability with tremors, increased reflexes, convulsions, positive chvostek's and trousseau's signs, tachycardia, elevated BP, dysrythmias, vertigo, confusion, anorexia, dysphagia[]

  • Myopathy, Endocrine

    Adrenal insufficiency produces generalized weakness, muscle cramping, and fatigue in 50 per cent of patients. Some patients also develop hyperkalemic paralysis.[] 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.[] Dysphagia is a common symptom in DM, PM and IBM Diagnosis confirmed by elevated CPK and biopsy.[]

  • Hypocalcemia

    cramps, abdominal cramps, and overly active reflexes).[] RESULTS: Among controls, hypocalcemia elicited a major rise in intact PTH (iPTH) levels 4 minutes after bicarbonate infusion.[] […] the fingers and toes Muscle cramps, particularly in the back and lower extremities; may progress to carpopedal spasm (ie, tetany) Wheezing; may develop from bronchospasm Dysphagia[]

  • Gastropathy

    Nausea Vomiting Other symptoms may sometimes appear: Mild fever Headache Muscle pain Symptoms of gastroenteritis usually last 24 to 72 hours.[] Thus, inhibition of COX by NSAIDs reduces prostaglandin synthesis, thereby diminishing mucosal blood flow and decreasing mucus and bicarbonate secretion.[] […] gastritis and gastroenteritis may affect all age groups and present with failure to thrive (in children), abdominal pain, irritability, gastric dysmotility, vomiting, diarrhoea, dysphagia[]

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