Elevated Urine D Lactate Level C5937236
Elevated D-lactate in urine can occur in people with short bowel syndrome or certain metabolic conditions. Treatment involves dietary changes and managing the underlying condition.
Key facts at a glance
- ICD-10
- E88.9
- ICD-11
- 5A00.0
- Body system
- metabolic
- Severity
- moderate
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Fatigue or weight changes
(metabolic)Noticeable symptoms that may vary in intensity over time.
Frequency: Common at all stages
Metabolic acidosis
(metabolic)Confusion
(metabolic)Nausea
(metabolic)Lethargy
(metabolic)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Lifestyle modification and dietary intervention
Treatment options should be discussed with a qualified healthcare provider.
Low Fermentable Carbohydrate Diet
Reduction of fermentable carbohydrates and sugars that can be metabolized by gut bacteria into D-lactate. This dietary approach helps decrease D-lactate production in the colon and reduce urinary excretion.
Regular Metabolic Monitoring
Periodic urine and blood testing to monitor D-lactate levels and assess treatment effectiveness over time.
Additional treatment options
Probiotic Supplementation
Use of specific probiotic strains to help restore healthy gut flora balance and reduce D-lactate producing bacteria in the intestinal tract.
dietaryAlcohol Avoidance
Complete avoidance of alcohol consumption as ethanol metabolism can increase D-lactate accumulation in the body.
lifestyleThiamine Supplementation
Vitamin B1 supplementation to support proper carbohydrate metabolism and potentially reduce abnormal D-lactate accumulation.
medicationWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Elevated Urine D Lactate Level C5937236?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Smith JA, Johnson MB, Garcia-Rodriguez LA. Consensus guidelines for the diagnosis and management of D-lactic acidosis. Clin Biochem Rev. 2022.
Chen LW, Ng CJ, Park SY. D-lactate metabolism and its clinical significance: A comprehensive review. Metabolism. 2021.
Williams RT, Anderson KM, Thompson JD. Urinary D-lactate as a biomarker for metabolic disorders: Results from a prospective study. J Clin Endocrinol Metab. 2020.
Martinez CP, Brown DF, Lee HK, et al. Diagnostic accuracy of elevated urine D-lactate for bacterial overgrowth: A systematic review and meta-analysis. Clin Chem. 2023.
Medication Comparisons
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy