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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29251
Experience:  MD
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I have renal tubular acidosis type 1/sjogrens, urobilinogen

Customer Question

I have renal tubular acidosis type 1/sjogrens
JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?
Customer: urobilinogen o.2e.u./dl trace protein ua, pH, Ua >=9.0 specific gravity, UA 1.015
JA: Anything else in your medical history you think the doctor should know?
Customer: Rheumatoid arthritis,sjogrens, ankylosis spondylitis, von willebrand's, Bertolotti's syndrome, anemia,honestly the list goes on and on.I'm andodd ball. but ami hypokalemic?
Submitted: 1 month ago.
Category: Medical
Expert:  Dr Basu replied 1 month ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

What is your question regarding your medical conditions?

Customer: replied 1 month ago.
Am I hyperkalemic or hypokalemic based on the information provided
Customer: replied 1 month ago.
Expert:  Dr Basu replied 1 month ago.

Hi you did not post your potassium level --do you have serum chem result?

Expert:  Dr Basu replied 1 month ago.

Given that your urine pH is more than 5.5 ( 9 i your case) this is likely distal RTA no doubt.

Customer: replied 1 month ago.
Potassium 3.5 calcium serum 9.2 collected on 8/17 my urine collected on 8/17 was within range on that date. On 9/5 I saw my Rheumatologist and said I could have a bladder infection or it's my RTA. My results from Cedar's are the first ones I sent you from 9/5 my pH,UA being 9.0 is too high. So what does that mean? I'm usually too low
Customer: replied 1 month ago.
I take 5 15 mq tablets of potassium citrate
Customer: replied 1 month ago.
Am I hyper or hypokalemic? With my 9.o pH my husband is on a flight from Australia and I need to know if I should go to the ER. I'm aware that I have RTA. My question really hasn't been answered. Is my 9.0 pH too high. Should I be concerned?
Expert:  Dr Basu replied 1 month ago.

Hyperkalemic means high potassium level.

Hypokalemic means low potassium level.

Potassium level changes with serum pH not with urine pH.

pH of 9 may be suggestive of hypokalemia since it means alkaline pH.

Hence you should go to the ER for blood tests for confirmation.

Best wishes