posted
I went to the doctor today because my kidneys and liver hurt.
They took blood and urine.
Blood results will take a week but my urine showed I am extremely dehydrated- which is insane because I drink fluids non-stop. (Seriously, people make fun of me for constantly sucking down water.)
And I have lost over 20lbs in the last 3 months and haven't done anything different... this is also very weird because I haven't been able to lose weigh at all since lyme. I gained a ton and now I'm losing a ton for no reason.
They also said I have ketones in my urine.
Has anyone else had ketones in urine?
Posts: 428 | From Midwest | Registered: Dec 2012
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Carol in PA
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posted
During prolonged fasting or starvation, the body uses fats for energy, instead of the usual glucose.
The ketone body acetoacetate will slowly decarboxylate into acetone, a volatile compound that is both metabolized as an energy source and lost in the breath and urine.
When I worked in the hospital, sometimes the diabetic patients went into ketosis, which we could tell by the ketones in the urine and the sweet odor on the breath.
This is related to insulin resistance and diabetes. It's why you were losing weight.
Posts: 6947 | From Lancaster, PA | Registered: Feb 2004
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Diabetes is one of the things they said they are looking at in the blood test but can lyme cause diabetes?
No one in my family has diabetes...but most have thyroid issues- although all my tests have been normal for thyroid.
Posts: 428 | From Midwest | Registered: Dec 2012
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surprise
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posted
Do you think it's the excess salt from salt/C?
You mentioned dehydration- just wondering.
-------------------- Lyme positive PCR blood, and positive Bartonella henselae Igenex, 2011. low positive Fry biofilm test, 2012. Update 7/16- After extensive treatments, doing okay! Posts: 2518 | From USA | Registered: Nov 2011
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glm1111
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posted
I would stop the salt/c if you think you may be dehydrated and see what the blood tests show. Maybe try a parasite cleanse for now if you are not already doing one.
The salt/c should not make you dehydrated if you are drinking enough water. Salt should help you hold water. Maybe something else going on.
Gael
-------------------- PARASITES/WORMS ARE NOW RECOGNIZED AS THE NUMBER 1 CO-INFECTION IN LYME DISEASE BY ILADS* Posts: 6418 | From philadelphia pa | Registered: Jul 2008
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posted
thanks Gael. That's kind of what my husband was saying- he said isn't salt one of things you take for dehydration?
And it's only been 3 days since I upped the salt/c and I am nowhere close to consuming maximum salt amount per day and at 2,000mg of c that's still a lower dosage too.
I think i will take yoru advice and wait to keep going on salt/c until the test gets back.
Posts: 428 | From Midwest | Registered: Dec 2012
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My doctor didn't suggest anything for dehydration. She just said my urine was "dry" and when I asked what that meant and she said "extremely dehydrated."
I showed her my empty water bottle and told her I had downed the entire thing on the way to her office. I am constantly thirsty and drinking-
A friend and I figured out once that i drink around 144 oz of water a day (6 refills of 24 ounce water bottle) so I don't see how I could be dehydrated.
I 've asked doctors about being thirsty but none have ever seemed concerend.
This is also weird because my urine is/was very light. And I always thought dehydration was marked by darker urine.
As far as diet, I am still treating thrush and I definitely have decreased sugar since November, but I never gave up all foods with sugar/carbs completely. I didn't do the detox phase because I didn't want to herx.
But I cut out refined sugar and got more vigilant about gluten
Could just decreasing my sugar intake do this?
Posts: 428 | From Midwest | Registered: Dec 2012
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posted
It is possible for a low carb diet to induce ketosis. I'm not sure how low in carbs you would have to be though.
From Wiki:
"...this article focuses on diets that reduce (nutritive) carbohydrate intake sufficiently to significantly reduce insulin production and to encourage ketosis (production of ketones to be used as energy in place of glucose)."
posted
Thank you VW! That article really put my mind at ease. I'm still eating non gluten grains and some fruit but maybe my ketones are totally normal due to my decreasing sugars and the pain I'm having is a kidney herx from salt/c.
still leaves dehydration, but if i was dehydrated enough for it to be worrisome you would think I would need fluids or something...
Carol in PA
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posted
quote:Originally posted by daynise: Diabetes is one of the things they said they are looking at in the blood test but can lyme cause diabetes?
...but most have thyroid issues...
. From my observations, the Lyme bacteria can do something to the endocrine glands that leads to diabetes.
Most of the people I've seen with thyroid problems have other Lyme symptoms too. The thyroid is an endocrine gland and is affected by the HPA axis (hypothalamus - pituitary - adrenal glands).
They don't KNOW what causes these diseases, so if you asked your doctor if Lyme causes them, he'd say no.
I'm not a researcher and I have no proof, but I can't believe that a researcher somewhere hasn't thought of this.
Actually, they may be getting closer. I read an article a year or two ago, about researchers who cured an animal's diabetes by giving antibiotics.
Posts: 6947 | From Lancaster, PA | Registered: Feb 2004
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MichaelTampa
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posted
Yes, lyme can cause insulin resistance (and eventually diabetes).
Posts: 1927 | From se usa | Registered: Mar 2010
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posted
Thank you Michael. Using the words "insulin resistance" I was able to find a lot more information online.
My kidneys still hurt- in the front now- and I feel like my blood sugar is jacked. But I'm trying to just breathe deep and relax until I find out what's going on.
Carol- That's what I don't get. Why can't they just say "we aren't sure." or "we don't know." Instead of "No. It can't be lyme related."
I really wish I was already established with a lyme doc. The doc I saw yesterday flatly told me that she will not help treat lyme so I need to find specialists for anything lyme related- like i'm supposed to know what is and isn't on my own.
We are still looking for a PCP that will at least take into account my whole health picture. I don't know why it has to be so difficult.
Hopefully the blood work comes back soon.
Posts: 428 | From Midwest | Registered: Dec 2012
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posted
Blood work and labs came back this afternoon. Everything is normal or on the low end of normal except: Low BUN Low BUN/creatine ratio Low specific gravity? Ketones +1
I went back in and saw a different doctor yesterday because the pain is radiating to the front and I have headache and diarrhea. Yesterday she was talking about cancer or adrenal insufficiency because of my sudden weight loss and ketones and that the labs show no diabetes.
I cried all night long and called in to work today. I was so upset. But today they are saying don't worry about ketones unless pain gets worse. In two weeks they will check everything again and if I'm still dropping weight and spilling ketones they will do a CT scan of my abdomen to look for a "mass" that could be causing my pain.
But this dcotor said she'd bet money that it's just my lyme manifesting new symptoms. She was much more thorough and did not shy away from lyme so I am scheduling with her in the future.
I called an ND in the area who treats lyme to see if I could start treating adrenals anyway- I've been told for years I have adrenal fatigue due to trauma and illness- but I've not really done anythign for it. So I have no idea what to make of any of this. I guess I'll just wait and see.
posted
Dehydration and not enough caloric intake will cause ketones in urine. Look up ketoacidosis....are you getting enough carbohydrates in your diet?
Your results show MILD ketones in urine....try increasing your fluid intake and that may help your BUN and ketones as well. Make sure you are getting enough calories.
Posts: 747 | From Utah | Registered: Apr 2010
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Yes, that's what they said- that the ketones were mild. Does that mean I don't have to worry? I wish they wouldn't have brought up cancer before having the results back. That really jacked me up.
The thing is I drink at between 144-240 ounces of water a day. I am constantly thirsty. I have taking in this much water since I was a teenager- I always have to have water with me.
Also, we went through my diet yesterday and the doc is convinced I am getting enough carbohydrates and fat- she said that's why she recommended a CT if I'm still dropping weight and spilling ketones.
I don't think I have a mass though...I think it might be adrenals... That would actually explain some of the other weird symptoms I'm having too.
And I'm so stressed out and I've been through some severe non-lyme trauma this past year. Can stress alone make you spill ketones?
I got set up with the ND for next wednesday so maybe I'll start feeling better soon.
Posts: 428 | From Midwest | Registered: Dec 2012
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