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Renal tubular acidosis - proximal |
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| Alternative Names: | Proximal renal tubular acidosis; Type II RTA; RTA - proximal; Renal tubular acidosis type II
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| Treatment: | The goal of treatment is to restore the normal pH (acid-base level) and a normal electrolyte balance to the body. This will indirectly correct bone disorders and reduce the risk of osteomalacia and osteopenia in adults. Some adults may need no treatment, but all children need alkali therapy to prevent bone disease (rickets in particular) and to permit normal growth. The underlying cause should be corrected if it can be identified.
Alkali therapy:
Alkaline medications such as sodium bicarbonate and potassium citrate are administered to correct the acidic condition of the body and to correct low potassium levels. Thiazide diuretics may indirectly increase reabsorption of bicarbonate.
Vitamin D and calcium supplements may be needed to aid in the reduction of skeletal deformities resulting from osteomalacia or rickets.
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| Expectations (prognosis): | Although the cause of proximal renal tubular acidosis may resolve spontaneously, the disorder must be treated to reduce its effects and complications, which can be permanent and/or life-threatening. Most cases resolve successfully with treatment.
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| Calling your health care provider: | Call your health care provider if symptoms indicating proximal renal tubular acidosis may be present.
Call your health care provider if new symptoms develop, including bone pain, pain in the back or flank or abdomen, skeletal deformities, increased heart rate or irregular heartbeat, muscle cramps, decreased urine output, bloody urine, or other symptoms.
Severe decrease in alertness or orientation, decreased consciousness, and seizures, are emergency symptoms that can develop.
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Review Date: 12/7/2001
Reviewed By: Andrew Koren, M.D., Department of Nephrology, NYU-Mount Sinai Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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