4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Dear sir; Many thanks for your reply about my daughter who suffer from RTA ... Her blood tests revealed that (PH : 7.53 & Ca ++ : 4.4 ) ...I just want to ask about some points to be clear for me : 1-When Ca++ precipitated in kidney? If its level increases in blood, PH is acidic or alkaline? 2-In case of my daughter, I'll just supply her with Ca++ till it reaches its normal level or continue? 3-what could I do to adjust PH?? 4-what about vitamin D? Is it ok to supply her with or not?? MANY ADVANCED THANKS FOR YOUR EFFORTS....
Answer
A low calcium has to be correlated with the phosphorus levels and alkaline phosphates levels. If there is any evidence of vitamin D deficiency from these parameters, vitamin D in high dosed may have to be supplemented along with the calcium. Also there are several calcium salts available and one may have to select according again the calcium, phosphorus and alkaline phosphates levels. Consult your pediatric nephrologists and do not try to give anything on your own as calcium in the wrong doses may also further cause kidney problems.
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