RTA patient with unusual lab results

For context I have some rare mixed type of Renal Tubular acidosis, and I'm taking 90 ml potassium citrate of potassium citrate daily.

I have spent the last week with constant dry nausea, migraines and fatigue, usually migraines that cause all this are common for me but these ones idk how felt different, lasting longer and mostly pain was not as high as it gets byt it was constant sometimes even painkillers didn't work, on top of all thesebI wasn't able to focus on studies or anything. And last night I felt like my heart was pounding, it didn't felt like it was beating very fast, it felt like it was beating very strongly.

I had electrolytes tests done yesterday and today got the results. Bicarbs are at 10.1 mmol/L (usually it stays between 11 and 14) . Potassium in 3.7 mmol/L (this is highish for me cuz it often falls below 3.5), sodium is 135 mmol/L and chloride is 112 mmol/L (both as they are usually). Usually bicarb and potassium levels are low together. Couldn't get creatinine done.

Now idk what to do, I will likely go to a dr soon

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u/legspinner1004 — 3 days ago

Chiltan Hzarganji national Park in Balochistan

📸: Syed Rizwan Mehboob

Here you can see the Chiltan Markhor (where there are those star things are). Chiltan Markhors are natural hybrids of Sindh Ibex (Capra aegagrus blythi) and Suleiman Markhor (Capra falconeri jerdoni)

Also Almond, Ash, Pistachio, etc plants are visible.

u/legspinner1004 — 4 days ago

جشنِ آزادی مبارک 🤍💚🇵🇰

These are few Iconic species found in Pakistan

  1. Markhor, our national Animal.

  2. Shaheen, the fastest animal on earth.

  3. Saw scaler viper, poses deadly venom and rubbs its scales as a warning, Astola island has a unique subspecies.

  4. Bhulan, symbol of the Indus

  5. Common Jasmine, our national Flower.

  6. Lecaimmeria pakistanica, a lichen forming fungus discovered in Azad Kashmir.

u/legspinner1004 — 6 days ago

A goat k8lled by a leopard

📸: Syef Rizwan Mehboob

Leopards hang their prey on trees to keep them out of range of scavengers.

u/legspinner1004 — 1 month ago