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What Causes Concentrated Urine With Crystals Post Alcohol Withdrawal?

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Posted on Fri, 14 Oct 2016
Question: Hi Doctor, My son is an acute alcoholic
He ha quit after seeing his dad die of it, and is 33 yo. The urine is hazy, yellow with a
pH 6, moderate calcium oxalate crystals.

He has a Aat/alt of 42/83
Sedimentation rate (ESR) of 26
C-Reactive Protein of 7.4
Low heart disease risk
Blood pressure, however, 145/ 106
33 yr old male. 6'7" good diet except for high salt intake which he has stopped

Thank you for your help,
XXXX XXXXXXX
doctor
Answered by Dr. Dr. Matt Wachsman (44 minutes later)
Brief Answer:
depends on when he quit alcohol

Detailed Answer:
this MIGHT be signs of mild to moderate alcohol withdrawal. If someone just stopped alcohol hours ago and has elevated pulse, agitation, blood pressure, liver functions, that person MIGHT be going into withdrawal

If someone quit years ago, he might have some (mild) liver disease and (mild) hypertension.

In between is in between.

concentrated urine with crystals implies some dehydration treatable with a bit of water/hydration.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (27 minutes later)
He quit 1 month ago.
I am concerned about the adt/alt ratio and the c- reactive protein.
Sorry .. One more thing. He has been a serious alcoholic since his teens ( vodka and wine)And for nearly 8 years, he has been an acute alcoholic a bottle of vodka and 3+ full bottles of wine daily,..he works from home usually.
doctor
Answered by Dr. Dr. Matt Wachsman (14 minutes later)
Brief Answer:
ok... several points.

Detailed Answer:
The elevation of the liver enzymes is minimal.

With liver disease there are three categories and only the severe one affects life expectancy. The ratio is consistent with alcohol and mostly elevations are only soon after alcohol BUT with a lot of previous alcohol the liver stays a bit injured. Doesn't necessarily indicate much. BUT certainly addiction should be addressed.

Several things are likely to be helpful. There are three FDA approved medications for alcoholism. Each is about 25% improved outcome. 12 step programs also are often helpful. In individual cases there might be a role for counseling on an individual basis. Mostly, not effective.

C reactive protein is elevated a lot. It, and the ESR, are signs of any inflammation. A previous history of alcohol enough to produce healing cirrhosis can certainly cause mild elevations of both.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4207 Questions

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What Causes Concentrated Urine With Crystals Post Alcohol Withdrawal?

Brief Answer: depends on when he quit alcohol Detailed Answer: this MIGHT be signs of mild to moderate alcohol withdrawal. If someone just stopped alcohol hours ago and has elevated pulse, agitation, blood pressure, liver functions, that person MIGHT be going into withdrawal If someone quit years ago, he might have some (mild) liver disease and (mild) hypertension. In between is in between. concentrated urine with crystals implies some dehydration treatable with a bit of water/hydration.