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56 Possible Causes for Bicarbonate Decreased, Dysphagia, Recurrent Pneumonia

  • 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] Some of these atypical symptoms may include: Laryngitis-Chronic Cough-Hoarseness or Voice Disturbances Bronchitis and/or Asthma Recurrent Pneumonia Sleep Apnea Acid erosion[stretta-therapy.com]

  • 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]

  • Peptic Esophagitis

    […] phlegm, frequent throat clearing, dry mouth, coated tongue, sensation of a lump in the throat, throat tickle, dysphagia, chronic sore throat, nocturnal cough, chronic or recurrent[hon.ch] […] may show a decreased salivary bicarbonate response to acid perfusion challenge to the distal esophagus.[nature.com] Typical symptoms include pyrosis, dysphagia and regurgitation.[symptoma.com]

  • Esophageal Ulcer

    Case presentation The patient was a teenager with CF who suffered for several years from right lower lobe consolidation, as a result of recurrent Pseudomonas aeruginosa pneumonia[bmcpediatr.biomedcentral.com] Esophageal involvement of multiple myeloma should be kept in mind in patients presenting with dysphagia.[ncbi.nlm.nih.gov] Odynophagia, retrosternal chest pain and dysphagia were the usual presenting symptoms. The typical endoscopic finding was that of discrete ulcers in the mid-esophagus.[ncbi.nlm.nih.gov]

  • Cystic Fibrosis

    Symptoms usually appear in childhood and include meconium ileus, poor growth despite good appetite, malabsorption and foul bulky stools, chronic bronchitis with cough, recurrent[icd9data.com] 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]

  • Radiation Pneumonitis

    The patient was given 4% sodium bicarbonate gargle and oral nystatin prophylaxis to prevent fungal infection.[alliedacademies.org] Its incidence is greater with higher radiation dose and concurrent chemotherapy. 25, 26 Early symptoms, usually following two to three weeks of treatment, include dysphagia[aafp.org] Recurrent pneumonia. Pneumothorax. Pulmonary fibrosis. Cor pulmonale. Chronic obstructive pulmonary disease.[patient.info]

  • Bilateral Vocal Cord Paralysis

    This procedure has been shown to improve vocal quality and prevent recurrent aspiration pneumonia in individuals with unilateral vocal cord paralysis.[aetna.com] […] level decreased from 39.8 to 25.6 mEq/L in five days.[ncbi.nlm.nih.gov] In terms of bulbar palsy as a presenting symptom, dysarthria and dysphagia are of common features.[ncbi.nlm.nih.gov]

  • Eructation

    pneumonia frequent ear infections Excessive burping linked with swallowing too much air Barrett’s and Cancer.[telefot.eu] The composition of this gaseous mixture is further altered in the duodenum, where the bicarbonate in the biliary and pancreatic secretions reacts with the hydrochloric and[ncbi.nlm.nih.gov] Dysphagia. 2016 Apr;31(2):121-33. doi: 10.1007/s00455-015-9674-6. Epub 2015 Dec 22.[ncbi.nlm.nih.gov]

  • Diabetic Enteropathy

    […] attacks of bronchitis and may have chronic sinusitis, bronchiectasis, and recurrent pneumonia.[annsaudimed.net] […] secretion of bicarbonate from parotid glands.[aafp.org] Common complaints may include dysphagia, early satiety, reflux, constipation, abdominal pain, nausea, vomiting, and diarrhea.[journal.diabetes.org]

  • Ileus

    […] progressive small bowel narrowing appearing initially as transient bowel passage disturbances associated with oral feeding and finally as ileus [1 3, 5, 6, 9] as well as recurrent[journals.viamedica.pl] This contributes to regeneration of bicarbonate, correction of metabolic acidosis, and decrease in plasma anion gap.[doi.org] If they leak, intoxication will occur. [ 8 ] Presentation [ 2, 3 ] The typical clinical symptoms associated with obstruction include nausea, vomiting, dysphagia, abdominal[patient.info]

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