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Warning-sign checks

Alkalosis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Emergency symptoms include severe breathing difficulty, chest pain, fainting, a seizure, marked confusion, stroke-like symptoms, or a rapid or irregular heartbeat with dizziness.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact a healthcare professional promptly if vomiting continues, you cannot keep fluids down, muscle weakness worsens, or palpitations keep returning.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up depends on the cause.

    A short-lived episode from an identified and corrected problem may only require repeat electrolyte or blood gas testing.

    Ongoing vomiting, diuretic use, kidney disease, or a suspected hormone disorder may require closer monitoring.

    At follow-up, a clinician may review symptoms, blood pressure, hydration, medication use, kidney function, and electrolyte levels.

    Bring a complete list of prescription medicines, over-the-counter products, antacids, and supplements.

    Mention any use of baking soda or products containing bicarbonate or carbonate.

Every sign above is quoted from the sofidex article on Alkalosis. If you are not sure, err upward — it is always reasonable to be checked.