Jul 25, 2000
I have read in some of your response to ask our doctors about lactate level? My question is why? what will it tell us?
Thank a lot
Response from Dr. Hellerstein
Good question. Blood lactate level is not something that doctors usually worry about or check.
The reason in HIV-infection is that a class of antiviral agents (nucleoside reverse-transriptase inhibitors, or NRTI's) are associated with a syndrome that includes lactic acidosis. The syndrome also includes abdominal pain, nausea, fatigue, loss of body fat, and other symptoms, in many people on NRTI's.
If the lactate is high, it means 2 things. First, that the NRTI may be causing symptoms (if they are present). And, second, that the lactate itself can lead to problems. Values greater than 2 or 3 mmole/L are high (fasting values are simplest to interpret); greater than 5 is reason to worry about complications resulting; and greater than 10 or 15 can cause very serious medical problems, including death.
So measuring lactate is worthwhile, in the proper patient.
Marc Hellerstein, M.D., Ph.D.
Drinking Diet Soda Vs. Water
weight loss please help
- How Long Do The Glands Stay Swollen During The Acute Stage Of Hiv?
- What Do Non-reactive Results Mean On Hiv Testing?
- How Does The Hiv Virus Affect The Helper T Cell?
- Can You Get Hiv From Drinking Blood?
- Can Magnesium Help Heal Peripheral Neuropathy?
- Are Swollen Thyroid Glands A Symptom Of Aids?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.