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Bicarbonate and Chloride in Laxative Abuse!

8.8K views 3 replies 4 participants last post by  rohit39  
#1 ·
Hi all:

Just a short question, if patients come in with laxatives use and we diagnose factitious diarrhea, then the serum bicarbonate should be LOW, right? Because there is a chart in UW comparing some hypokalemia condition. And in factitious diarrhea, it says the serum bicarbonate is HIGH.

Besides, with diarrhea, our urine chloride ill be low or high? I think it would be high because in diarrhea we have metablic acidosis so we have to urinate more hydrogen and chloride?

Thank you!