Doctor insights on:
Diet For Renal Tubular Acidosis
That's the food.
http://www. Betterbones. Com/alkalinebalance/acidformingfoods. Aspx
http://www. Acidalkalinediet. Net/acidosis-the-kiss-of-death. Php. ...Read more
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Medical rx, no cure: Renal tubular acidosis (rta) involves failure of kidneys to acidify urine by not contributing acid or resorbing bicarbonate (sodium bicarbonate) (alkalinity). Several types are known involving proximal, distal, and combination of both tubules of kidney. Sometime inherited. Complications can include osteomalacia (adults), rockets (child), stunting of growth, damaged kidneys, stones, renal failure. Nephrologist needed. ...Read more
Nephrologist: Types 1 and 4 RTA can be treated by a nephrologist who will first identify what the underlying cause is. ...Read more
What RTA is: Renal tubular acidosis (RTA) is a disease that occurs when the kidneys fail to excrete acids into the urine, which causes a person's blood to remain too acidic. Without proper treatment, chronic acidity of the blood leads to growth retardation, kidney stones, bone disease, chronic kidney disease, and possibly total kidney failure. See a nephrologist for more information about the types of rta. ...Read more
Yes: RTA doesn't cause elevated anion gap, but other disorders that do can be present along with RTA. For example, advanced kidney failure can cause anion gap, and also cause RTA. Usually simple math will show that the anion gap doesn't completely account for the degree of acidosis, and urine tests can demonstrate presence of RTA. ...Read more
Can you tell me about the illness acidosis tubular renal? If my son would have this. Is it so dangerous in the present and in the future?
Several types: These range from mild birth defects detectable only using the lab to some serious problems that may result in skeletal growth problems and/or require medication. It's been suggested that dickens' "tiny tim" suffered one of the RTA variants. I'm glad you are taking a proactive approach and hope you will find the exact diagnosis and expected outcome -- your physician is bound by law to share this. ...Read more
Possible: There are different causes and types of rta. Vitamin d deficiency may cause it, different meds and toxins can do it, certain diseases (lupus, sjogren syndrome) may do it and finally there are some genetic causes. As you see, some of those are reversible and curable, while others (lupus, hereditary) are not, so RTA can only improve as long as the underlying cause is. ...Read more
Slowly & effectively: In response to acidosis, the kidney increases reabsorbtion of bicarbonate (sodium bicarbonate) from the tubular fluid, secretes more hydrogen ions, and generate more bicarbonate (sodium bicarbonate). Ammoniagenesis leads to increased formation of the buffering compounds. In responses to alkalosis, the kidney excretes more bicarbonate (sodium bicarbonate), decreases hydrogen ion secretion, and lowers rates of glutamine metabolism and ammonium excretion. ...Read more
Metabolic issues: The kidneys are very smart at keeping the body at the ph level. The kidneys are capable of getting rid of large amounts of acids (hydrogen ions) and reabsorbing bicarbonate (sodium bicarbonate) to keep the body in homeostasis. We excrete acid (h+) through titratable acidity and ammonium. ...Read more
Acidosis: I would go to wikipedia for a great discussion of this issue. Basically one way to excrete H ion. Do a wikipedia on Metabolic Waste ...Read more
Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more
Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates (sodium bicarbonate). Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb.!?
Here are some...: Glad to see her acidosis has been improved from taking sodium bicarbonate. Known to us, dialysis is designed for fluid overload and/or electrolyte and acid-alkaline imbalance. Do nephrologists recommend dailysis now or refer for pre-dialysis assessment? So, ask her doctors for specifics and relevance for renal tubular acidosis, dialysis, etc. Because online 400-letter does not suffice to address.. ...Read more
Diagnosed & hospitalized Apr-2 through Apr. 6 w/pyelonephritis, common bile duct dilation, dehydration, metabolic acidosis, renal cyst. Still in pain!
And pain: 55F DC from Hosp after pyelonephritis, bile duct dilation etc. Notes still in pain. Sorry about the pain you are having. You were very ill I suspect. But do you have a question? Your health care team there knows more about you than you can tell us. Therefore recommend if you have a question. You ask them. ...Read more
Renal system: Distal Good wikipedia questionGet a more detailed answer ›
Here are some...: Acute renal failure is a general term denoting kidneys not able to good enough to manage water and electrolytes due to acute conditions such as shocks from various reasons, and acute tubular necrosis denotes what can be seen in kidney tissue under microscopic exam if biopsy is done, but not necessary for almost all cases. Clinically, they all tell us kidneys not working enough from acute causes. ...Read more
What is a renal tubular cell (in clumps) with 4 to 6 hpf value? What does it indicate? Rbc is 50 hpf with occasional bacteria and +1 protein
Kidney infection or: This can be a kidney infection, a kidney stone or a tumor. You need to have your physician clarify this and maybe have you see a urologist if your culture is negative. ...Read more
Why are proximal tubular cells not affected in chronic renal failure and thereby not causing glucosuria?
Good question: Chronic renal disease is most often caused by damage to the blood vessels or the glomeruli / filters, leaving the proximal tubular cells able to work on however much filtrate is present. ...Read more
Is metformin dangerous with diet-induced (not diabetes-induced)ketosis? Like would a ketogenic diet+metf cause metabolic acidosis? (2000mgmet a day btw)
Its possible: I have many patients on metformin and in ketosis and its sometimes fine but you must watch out for hypoglycemia. For example if on a regular diet you require metformin but then then go into ketosis (which will severely reduce your' blood sugar) if you keep taking the same dose of metformin you could become hypoglycemic and this needs to be monitored by your' doctor. ...Read more
Renal diet: It depends on the degree of renal insufficiency. For mild disease, salt is the most important item to limit. As the degree of renal failure progresses, you should watch phosphorus intake and potassium intake as those are both cleared by the kidney and can lead to significant problems as they build up. Limiting salt intake to 1.5-2grams/daily is important for a healthy bp. ...Read more
Watch the salt.: Generally, dietary sodium restriction to < 2000mg daily helps control blood pressure which will help protect kidneys. Depending on the severity of kidney disease or medications that are prescribed, other diet restrictions may be necessary. Certain kidney disorders benefit from avoiding excessive protein. Diabetics need other restrictions, so talk to your doctor who knows your history and labs. ...Read more
Probably No.: Gatorade has added electrolytes which need to be accounted for in renal diets. The potassium and sodium is there a fluid restriction? Depends on how severe the renal disease. If the patient is on dialysis, all of those need to be monitored very closely. Even if not on dialysis, renal dz severe enough to require a "renal diet" probably needs to discuss gatorade w potassium and sodium levels w md. ...Read more
How critical is "renal diet" with creati. Stable at 1.4 2 to 1.57? .Solitary kidny since 1987.egfr 48. Age 68.
What's restricted?: If somebody's put you on a restricted diet like a dialysis patient, that's excessive. You're on an ACE inhibitor and if somebody's just restricting your protein and you're hungry for steak, I'd eat the steak. Your creatinine is stable. If you're a big kind of guy, you might even be okay -- when I was lifting weights daily, my creatinine ran 1.6-1.8. Enjoy being alive and basically healthy, Mike. ...Read more
Protein/Fluid Limits: The kidney is responsible for excreting waste and maintaining an electrolyte balance. Patients with kidney disease can have a decreased capacity to do the aforementioned, so "renal diets" are focused on limiting proteins (which are metabolized into kidney-excreted wastes like urea), fluids, and electrolyte fluctuations. This is analogous to "diabetic diets" controlling blood glucose fluctuations. ...Read more
Normally our body chemistry is kept in a narrow range, and in particular the amount of acid in the body is kept within a narrow range. The amount of acid is measured by a value called the ph. It is normally a value between 7.35 and 7.45, values below 7.35 are considered to be "acidotic" a patient with this value of the blood chemistry ...Read more