Fermentable carbohydrates patients

For a full cavity to develop, the process of demineralization has to occur at a faster rate than remineralization, and to be able to continue unchecked [29-32]. The pathological factors that promote this include the continued presence of acidogenic bacteria, repeated consumption of fermentable carbohydrates and also, in some patients, reduced sahvary function [32]. 

Lactic acidosis can occur in patients with SBS and may result in symptoms of ataxia and dehrium. D-Lactic acid is produced by the fermentation of malabsorbed carbohydrates by colonic bacteria, and increased concentrations are associated with small bowel bacterial overgrowth. " The diagnosis of D-lactic acidosis should be considered in patients with a functional colon who have an unexplained metabolic acidosis and an elevated anion gap. ... 

Clinicians who used test meals discovered that carbohydrates ferment in neutral gastric contents, with the production of lactic acid. Because acid secretion is reduced in patients with cancer of the stomach and because Oppler-Boas bacteria flourish in neutral gastric contents, the test for lactic acid in recovered test meals was for a while an important diagnostic procedure. Discovery of this source of lactic acid helped lay to rest the repeated assertion that the gastric mucosa secretes lactic instead of hydrochloric acid. 

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