Nutrition Therapy for Urolithiasis by Patrick Lowry & Kristina L. Penniston

Author:Patrick Lowry & Kristina L. Penniston
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

2. Chronic diarrheal states : The laboratory findings in a patient with a chronic diarrheal disorder are similar to the patients with enteric hyperoxaluria. Bicarbonate reabsorption occurs in the colon; and since diarrhea shortens the transit time through the colon, bicarbonate is not effectively absorbed. This bicarbonate wasting leads to a chronic metabolic acidosis and a subsequent decrease in urinary citrate excretion. Consequently, these patients will likely demonstrate moderate decreases in urinary citrate excretion with associated low urine volumes due to the fluid losses associated with diarrhea [7].

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