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Milk-alkali syndrome is caused by excessive consumption of milk (which is high in calcium) and certain antacids, especially calcium carbonate or sodium bicarbonate (baking soda), over a long period of time.
Calcium deposits in the kidneys and in other tissues can occur in milk-alkali syndrome. Consumption of excessive amounts of vitamin D, which is usually added to milk bought at the supermarket, can worsen this condition.
In the past, milk-alkali syndrome was often a side effect of treating peptic ulcer disease with antacids containing calcium. It is rarely seen today, because newer, better medications are available for treating ulcers. A more common scenario today is when someone takes too much calcium carbonate in an attempt to prevent osteoporosis. This syndrome has been reported in persons who take as little as 2 grams of calcium per day.
The condition usually has no symptoms (asymptomatic). When symptoms do occur, they are often related to complications, such as kidney problems.
Treatment involves reducing or eliminating milk and other forms of calcium such as in antacids. If severe kidney failure has occurred, the damage may be permanent.
This condition is often reversible if kidney function remains normal. Severe prolonged cases may lead to permanent kidney failure requiring dialysis.
The most common complications include:
Contact your health care provider if:
Milk-alkali syndrome is now very uncommon because nonantacid treatments for indigestion, gastric ulcers, and peptic ulcer disease have replaced most excessive antacid use.
If you do use antacids often, don't drink large amounts of milk, and tell your doctor about your digestive problems. If you are trying to prevent osteoporosis, do not take more than 1.5 grams of calcium per day.
Wysolmerski JJ, Insogna KL. The parathyroid glands, hypercalcemia, and hypocalcemia. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 266.
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