The clinical manifestations of metabolic acidosis are nonspecific. One manifestation can be hyperventilation. Other clinical manifestations involve neurological signs and symptoms and, in the young, these may include vomiting, altered consciousness, poor feeding, inappropriate behaviour and crying, slurred speech, ataxia and coma. Chronic acidosis is associated with poor growth. Making a diagnosis of acidosis is difficult at any age because of the nonspecific nature of the signs and symptoms involved. In the very young, this is compounded by difficulties in eliciting signs and symptoms in young patients. Adding to the complexity of diagnosis is that normal physiological parameters change rapidly in the developing human infant. For instance, the normal respiratory rate for an infant in the first three months of age is 35 to 55 breaths/min whereas in the older child, 14 to 22 breaths/min is normal . Crying can be a normal phenomenon or a symptom of a problem in infants. The amount of time spent crying peaks at around six weeks of age with crying for up to 3 h/day; it then decreases to approximately 1 h/day by three months of age . Sleep time also changes; in the first month of life, the average infant will sleep approximately 16 h/day, compared with 13 h/day for a one-year-old . Increased or decreased amounts of sleeping may signify a medical problem, but the diagnosis of this is difficult. Thus, due to the difficulty in diagnosis of a condition with nonspecific signs and symptoms such as metabolic acidosis in the very young, diagnosis requires clinical perception and relevant laboratory analysis. The very best pharmacy is looking forward to helping you make sure your health is in good hands no matter if you need generic prozac or any other drugs that will help you deal with your symptoms in the most efficient way.