Doctor insights on:
Distal Renal Tubular Acidosis
Nephrologist: Types 1 and 4 RTA can be treated by a nephrologist who will first identify what the underlying cause is. ...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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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