Guest guest Posted January 28, 2004 Report Share Posted January 28, 2004 -- Knowledge wise... I'm not so sure--LOL! The whole acid-base thing is mind boggling, and I know I have forgotten a lot. You have recent " lived experience " . But what you described in makes sense according to acid-base balance " rules " . It sounds like 's kidneys did just what they were made to do. BTW, Arterial pH of 7.59 is quite scary. (as I'm sure you know) The key word in your post is " compensatory process " . Compensated acidosis/alkalosis is somewhat of a different species of the same animal, if that makes sense. Then we can throw comp respiratory alkalosis in there vs. compensated metabolic acidosis... nah, let's not!! How long did it take for him to go from severe acidosis before admission to alkalosis? Not minutes, I'll bet. More like hours or even days. The other thing is... was in a very stressed situation. Under normal circumstances, I would still doubt the correlation would be that meaningful. The ranges are so different -- blood pH being very narrow between acid and alkaline (0.5 on either side of neutral) and urine being quite wide (about 2.0 on either side). But, you know, exceptions to the " rules " certainly do happen. The biggest problem with medicine is that it is based totally on statistics... which it has to be. But, we need to recognize that because something is statistically so, it doesn't apply to everybody...just the majority. Also, when 's urine was highly alkaline and correlated with the motor status, did you have a blood pH value to compare? Depending on when you tested, compared to when the status occurred, it could be very reasonable to see alkalinity in the urine because of chemicals released during the continued muscle activity. I guess my whole point in jumping in here is that I don't want to see anyone misled by potentially false information. People's actual experience is always valuable. At home, even if a correlation is seen between alkaline urine and seizure activity, you don't know what actual blood acidity is at the time. Testing urine ketones has been the ONLY way to test for blood acidity, routinely on the diet. Even then, the correlation between urine and blood is not exact, but it's but it's much closer than pH. Now that we can test blood ketones at home, the opportunity avails itself to get a much closer value, yet. Leita-- the multistix are used mainly in the clinical laboratory or doctor's office to do routine urinalysis... a basic screening test for overall health. ANY abnormality needs further investigation to determine if it is significant or not. Not all the squares are really needed for keto... but they are there. Most keto teams don't care about urine pH because in normal folks, it usually acidic. In ketosis it is usually acidic, too, but there could be exceptions. That would not necessarily mean that blood is also alkaline. It's the kidney's job under most circumstances to excrete an acid urine. The most important square is ketones, obviously. The other two that are helpful are blood (for detetction of possible kidney stones forming) and specific gravity (urine concentration). I use ketostix (one square for ketones) twice a day. I use multistix once a week to screen for blood. To my knowledge, there is no single test strip for blood. If there was, I would use it instead. If I need specific gravity (for instance, when my daughter is sick and I'm concerned about dehydration, I use a refractometer that I borrowed from a lab. If you want to test for urine pH, go to your pharmacy or Wal-Mart and buy pH paper. It comes on a roll that you can tear a piece off or in strips. There is a guide on the package similar to the one on the multistix can. Considerably less expensive than the sticks! Remember, you should test it fresh or the results mean nothing. Cammie Quote Link to comment Share on other sites More sharing options...
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