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Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. [1] Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of consciousness. [1] A person's breath may develop a specific "fruity" or acetone smell. [1]
The symptoms of ketoacidosis are variable depending on the underlying cause. The most common symptoms include nausea, vomiting, abdominal pain, and weakness. [1] [2] Breath may also develop the smell of acetone as it is a volatile ketone that can be exhaled.
Symptoms of DKA can be noticed within a few hours, like polyuria (excessive urine production), polydipsia (excessive thirst), Weight loss, weakness, nausea, vomiting, and deep rapid breathing (Kussmaul respiration). [14] Moreover, abdominal pain is common and may be severe.
Abdominal pain, vomiting, agitation, fast respiratory rate, specific "fruity" smell [2] Risk factors: Alcoholism, binge drinking [2] Diagnostic method: Based on symptoms [2] Differential diagnosis: Other causes of high anion gap metabolic acidosis (diabetic ketoacidosis, toxic alcohol ingestion, starvation ketosis), pancreatitis [2] [3] Treatment
Fever with abdominal pain may be a sign of an infection. Vomiting, while common in a self-limited gastroenteritis is a cause for concern if it persists more than 12 hours, and you can't keep any ...
Diabetic ketoacidosis (usually type 1) advanced enough to result in unconsciousness from a combination of a severely increased blood sugar level, dehydration and shock, and exhaustion; Hyperosmolar nonketotic coma (usually type 2) in which an extremely high blood sugar level and dehydration alone are sufficient to cause unconsciousness.
Symptoms are not specific, and diagnosis can be difficult unless patients present with clear indications for blood gas sampling. Symptoms may include palpitations, headache, altered mental status such as severe anxiety due to hypoxia, decreased visual acuity, nausea, vomiting, abdominal pain, altered appetite and weight gain, muscle weakness, bone pain, and joint pain.
Some bacterial infections cause severe abdominal pain and may persist for several weeks. [19] Children infected with rotavirus usually make a full recovery within three to eight days. [20] However, in poor countries treatment for severe infections is often out of reach and persistent diarrhea is common. [21]