In your case since they have been troubling you for more than two years, you should look at other causes of Phrenic nerve irritation like metabolic disturbances as in diabetes, smoking, alcohol intake and acidosis of kidney origin or uremia. Tumors or neighboring substances pressing on the nerve too can hiccups. A wrong sensation of something in the esophagus too behaves similarly and can be seen in GERD or reflux disease.
I think with kidney function, low Co2 indicates an underlying issue. One thing this can indicate is metabolic acidosis (build up of acid). Your doctor should discuss that with you. Is your kidney disease progressing? That would be my main question. https://www.kidney.org/atoz/content/metabolic-acidosis This really goes through a full scope of what could be wrong. https://www.webmd.
My 77 year old mum is having these symptoms and more due to metabolic acidosis. Her kidneys aren’t as good at removing acid due to her age anyway but in her case it’s the serious dehydration from toxic mould inflammation that is causing excess acid in her body. So anything that raises acid sets off these terrible attacks.
She has had tremors and facial spasms for years from higher acid levels but now the attacks have shown up.
High chloride blood levels are seen in persons who are recovering from diarrhea. They may also indicate a kidney problem or metabolic acidosis as seen in people suffering from diabetes mellitus.
You should ask your doctor and talk about your worries. A single risen blood parameter often does not say anything. Maybe it is a harmless finding. It depends on the context. What was the reason for the bloodwork? Was is a routine check? Or was it because of a medical condition?
My internal tremors from three different conditions - hypothyroidism, magnesium deficiency, metabolic acidosis (kidney issues). Heart issues with magnesium deficiency, hyperthyroidism/hypothyroidism. Numbness, tingling, permanent nerve damage due to vitamin B12 malabsorption. Also numbness/tingling with hyperthyroidism.
These include medullary calcification which is seen in renal tubular acidosis, hyperoxaluria, hypercalciuria, primary hyperparathyroidism, hypervitaminosis A and sarcoidosis. Focal calcification is seen in infections including tuberculosis and metabolic abnormalities.
I hope it helps. Take care and regards.
Your electrolyte results are great and most people would kill to have your electrolyte status.
What makes you think your Na, CL and CO2 are high when they are within the lab's ref. range?
The only concern would be the cortisol, which to my opinion should be higher in the morning
and perhaps could at least partially explain some of your symptoms.
The 4 x testing will give you a more accurate indication, since cortisol follows the circadian rhythm (24 hours) .
I have fairly recently had a number of blood tests done, and my TSH and CBC results came back normal. I also had a complete metabolic panel, and everything there was normal, with creatinine and BUN reading low. I have no history of anemia, except where readings are a little low immediately following a blood donation. I always recover within about a week or so, and don't experience any symptoms from that. (I have not had ferritin checked, and I perhaps should.
Causes of decreased CO2 is metabolic acidosis, diabetes, sleep apnea, severe diarrhea and may indicate a need for thiamine (B1). I've had metabolic acidosis due to acute kidney failure taking magnesium supplements. Even two years later my pH is very acidic. Insulin had damaged my kidney to some degree.
Junk food = high carb diet. High carb diets increase insulin. This is the perfect recipe for obesity and diabetes. 50% of diabetics will die of heart disease. Measure hip to waist ratio.
Later we found out that he died from respiratory failure, pulmonary edema, end stage chf all due to severe metabolic acidosis shock and hypoperfusion. None of this explains what happened to me. They were asking about all of his medicine and he was on the digitek and had to take some of his medicine back up to the pharmacy with like 10 pills left. I am very lost in what happened with him and would just like some closure on why he detriated so quickly.
First of all, you may have asthma, however I suspect your breathing difficulties represent what are called Kussmaul respirations, breathing and air hunger associated with metabolic acidosis. This problem is ocasionally confused with asthma, and may co-exist with asthma and/or a cardiac problem.
What you require, as of yesterday, is a glucose fasting test or an insulin clamp prototol.
Your symptoms, especially the fatigue, are associated with an insulin utilization syndrome.
I have been seeing a regular neurologist to see if she can treat my migraines and am currently on 150 mg. of Zonisamide every night to try to help that, but I am also working with Dr. Gardner at UPMC, who is a Chiari specialist. He believes it is best to eliminate all other possibilities before actually resorting to surgery to treat the Chiari, which I respect. I go back for a 6 month follow-up MRI and consult with Dr. Gardner next week.
please accept this as a starting point .anion gap points to metabolic acidosis it is normal at only ( AG 12 ) to calculate AG add together (sodium + potassium) then add (CO2 + chloride) now subtract 2nd answer from 1st answer =AG .this is for blood (serum ) . if you don't drink heavy or smoke this number becomes very diagnostic at how well the body offloads CO2 =carbon dioxide (bicarbonate same thing)
Anion Gap exists for urine also .
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