Conditions resulting in metabolic alkalosis include prolonged vomiting, upper duodenal obstruction, prolonged diuretic therapy (loop diuretic), cystic fibrosis, mineralocorticoid (primary and secondary hyperaldosteronism, bilateral adrenal hyperplasia), glucocorticoid excess (primary adrenal adenoma or Cushing syndrome and disease, excessive licorice ingestion, Barterr syndrome), and high doses of bicarbonate, sodium citrate, antacids, carbenicillin or penicillin.