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Metabolic acidosis - high anion gap

Discussion in 'Cardiovascular and exercise physiology (CPET)' started by Hutan, Sep 19, 2018.

  1. Hutan

    Hutan Moderator Staff Member

    Messages:
    26,850
    Location:
    Aotearoa New Zealand
    Looking over my blood tests, I see that the two times (a few years ago) my anion gap was calculated it was just above the normal range (e.g 18 when the range is 8 to 16). My son's anion gap was similarly at the high end of normal.

    A high anion gap suggests that the blood is too acid - i.e. acidosis.


    And my low levels of albumin might be making the anion gap appear more normal than it is.

    https://adc.bmj.com/content/87/6/526

    Has anyone identified a similar problem?
     
    AliceLily, MEMarge, Simone and 3 others like this.
  2. AndyPandy

    AndyPandy Senior Member (Voting Rights)

    Messages:
    217
    Location:
    Australia
    @Hutan

    I vaguely remember looking at this with my own results a while back. I’m too sick to check just now but will do so when I’m up to it and let you know.
     
    MeSci, Hutan and andypants like this.
  3. Simone

    Simone Senior Member (Voting Rights)

    Messages:
    445
    Location:
    Australia
    I can’t remember the details (I’d have to look at my old tests), but my ME/CFS doctor looks at the anion gap and has found that patients often have acidosis.
     
    Hutan, MeSci and andypants like this.
  4. MeSci

    MeSci Senior Member (Voting Rights)

    Messages:
    4,492
    Location:
    Cornwall, UK
    I think that's why I take sodium bicarbonate. Unfortunately my brain doesn't work very well currently (for the last 2 and a half years) but I'm sure I've written plenty of coherent stuff on Phoenix Rising.
     
    Hutan, MEMarge, Webdog and 1 other person like this.
  5. chelby

    chelby Established Member

    Messages:
    20
    Yes, I got high anion gap metabolic acidosis and was admitted for 3 days with it.
     
    Hutan likes this.

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