A Student Ate 108 Gummy Antacids For Breakfast. This Is What Happened To Her Kidneys.

Patient JT Portrayed by Joanna Ferbrache
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Case from 2019 seen by a colleague of mine on US east coast. See references below for more information on the disease state.

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These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet.

Peptic Ulcers need to be diagnosed by a clinician and appropriate treatment needs to be monitored. Psychiatric signs and symptoms from antibiotics are a rare reaction and should be monitored by a physician. This does not mean to avoid antibiotics, the benefit in the face of a bacterial infection generally outweighs the risk, at the discretion of the prescribing physician for the specific patient's illness. Milk Alkali Syndrome has been increasing in incidence over the last decade, despite H2 Antagonist and Proton Pump Inhibitor over-the-counter availability in the United States. This could be due to the common use of over-the-counter preparations of calcium for the prevention and treatment of osteoporosis in post-menopausal women. Calcium carbonate is also frequently prescribed to patients with chronic kidney disease for the prevention of secondary hyperparathyroidism. Milk-alkali syndrome now accounts for more than 10% of the cases of hypercalcemia and is the third most common cause of hypercalcemia in hospitalized patients. See references below for more information.

References:

Rare Causes of Hypercalcemia: 2021 Update. https://academic.oup.com/jcem/advance-article-abstract/doi/10.1210/clinem/dgab504/6317644?redirectedFrom=fulltext

A review of antibiotics, d and the gut microbiome. https://www.sciencedirect.com/science/article/abs/pii/S0165178119303701

Milk-Alkali Syndrome. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664604/#R7

Extreme metabolic alkalosis in intensive care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856150/

Second Messengers. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4968160/

Hypercalcemia. https://www.physio-pedia.com/Hypercalcemia#cite_note-p2-2

Effects of Ca2+ and Mg2+ on Neuronal Excitability. http://pittmedneuro.com/ions.html

Calcium block of Na+ channels and its effect on closing rate. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC22436/#B6

The dual role of calcium: Pore blocker and modulator of gating. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC34267/

Nephrolithiasis secondary to inherited defects in the thick ascending loop of henle and connecting tubules. https://www.researchgate.net/figure/Schematic-representation-of-a-TALH-cell-NKCC2-Na-K-2Cl-cotransporter-ROMK-renal-outer_fig1_329073769

Видео A Student Ate 108 Gummy Antacids For Breakfast. This Is What Happened To Her Kidneys. канала Chubbyemu