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I have renal tubular acidosis type 1/sjogrens, urobilinogen…

Customer Question
I have renal tubular...

I have renal tubular acidosis type 1/sjogrens

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Urobilinogen o.2e.u./dl trace protein ua, pH, Ua >=9.0 specific gravity, UA 1.015

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

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: 11 months ago.Category: Medical
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Answered in 2 hours by:
9/7/2017
Doctor: Dr Basu, Experienced Specialist replied 11 months ago
Dr Basu
Dr Basu, Experienced Specialist
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Satisfied Customers: 29,282
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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?

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Customer reply replied 11 months ago
Am I hyperkalemic or hypokalemic based on the information provided
Customer reply replied 11 months ago
Hello?
Doctor: Dr Basu, Experienced Specialist replied 11 months ago

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

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Doctor: Dr Basu, Experienced Specialist replied 11 months ago

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

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Customer reply replied 11 months 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 reply replied 11 months ago
I take 5 15 mq tablets of potassium citrate
Customer reply replied 11 months 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?
Doctor: Dr Basu, Experienced Specialist replied 11 months 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

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