DRTA - Distal Renal Tubular Acidosis

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
I am 32 year old unmarried female from Delhi ,India suffering from Distal Renal Tubular Acidosis(Type-1) since birth but it has been diagnosed only in 1999,doctors advised me to soda bicarb, have been taking that since sep'99, have a very weak & tiny structure, weight 36 kg height 4'11", have been experiencing severe pain in my knees and feet since the last 8 months, don't feel any strength in my knees, can't withstand any jerk, although the blood calcium, sodium, uric acid level are o.k. now, urine & blood pH also o.k. blood potassium a little low 3.0, I experience severe contractions, cramps in my hands & legs. can u help me get relived from this severe pains in my legs. I have pains in my whole backbone and also in my hands and generally feel very weak and tired all the time. Can't do any strenuous job, can't even sing out loud(not able to do my singing lessons lately). There is no history of such disease in our family although during my birth my mother was not very well. Have history of multiple fractures and sprains in hands & legs in my childhood, can u help me please...
Answer
Your blood potassium is low which could be leading to cramps and weakness. You need to take potassium supplements such as Pot Chlor 5ml twice a day to increase your potassium back to normal. Since you also have a history of multiple fractures in childhood, it would be worthwhile to get X rays of your knees (especially since you have excessive pains in the knees) to look for osteomalcia i.e. decrease calcium deposition in the bone. Since your serum calcium is normal, if your X rays show osteomalacia, you may need to take cholecalciferol i.e. Vitamin D3 supplements. You should be doing much better with these supplements. Back to All Questions

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