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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What complication could chronic kidney disease and alcoholism pose?

Answered by
Dr. Happykumar Kagathara

Gastroenterologist, Surgical

Practicing since :2006

Answered : 434 Questions

Posted on Wed, 17 May 2017 in Digestion and Bowels
Question: kindly suggest is there any complication of CKD and Sever Metabolic Acidosis due to chronic alcoholism.
Answered by Dr. Happykumar Kagathara 5 hours later
Brief Answer:
Hepato-pulmoray syndrome and hepato-renal syndrome due to cirrhosis

Detailed Answer:
1) Chronic alcoholism + breathing difficulty as a chief symptom suggest patient had either Hepato-pulmonary syndrome or pulmonary hypertension secondary to liver cirrhosis.
2) It is unlikely to have CKD in chronic alcoholism. But patient develop Hepato-renal syndrome in liver cirrhosis.
3) Chronic alcoholism is causative factor for liver cirrhosis in this patient.
4) This patient would have hepato-renal syndrome related kidney shut down which ultimately lead to anuria (urine output <50ml in 25hr) and ultimately metabolic acidosis.
5) Severe hepato-pulmonary syndrome can also lead to acidosis due to poor exchange of gas between lung and blood but this lead to respiratory acidosis not the metabolic acidosis.

Hope I answered your query. If you have any further doubt, I would be happy to help you.
Have a nice day!
Above answer was peer-reviewed by : Dr. Vaishalee Punj

The User accepted the expert's answer

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