Renal Tubular Disorders & Metabolic Acidosis
Precision diagnosis and management of rare tubular transport defects, RTA, and electrolyte wasting.
Renal tubules regulate the body's acid-base balance and critical electrolytes (potassium, sodium, calcium, magnesium). Defects in these tubules lead to severe growth failure, rickets, muscle weakness, and recurrent dehydration. We specialize in diagnosing Renal Tubular Acidosis (RTA), Bartter syndrome, Gitelman syndrome, and Nephrogenic Diabetes Insipidus.
Common Symptoms & When to Consult
Signs and clinical presentations evaluated by our pediatric team
Diagnostic Workup & Clinical Evaluation
Precision testing protocols avoiding unnecessary invasive tests
Simultaneous blood gas and fresh urine pH testing (Urinary Anion Gap calculation)
Fractional excretion studies of sodium, potassium, chloride, and phosphate
Ammonium excretion testing and urinary calcium-to-creatinine ratio
Screening for nephrocalcinosis (calcium deposition in kidneys) via renal ultrasound
Targeted genetic testing coordination for inherited tubulopathies when indicated
Treatment & Therapeutic Protocols
Evidence-based, child-safe management strategies
Precision oral alkali therapy (Sodium Bicarbonate, Potassium Citrate) to correct acidosis
Targeted potassium and magnesium repletion tailored to serum levels
Indomethacin or potassium-sparing diuretics for Bartter and Gitelman syndromes
Thiazide diuretics and dietary sodium reduction for Nephrogenic Diabetes Insipidus
Structured growth velocity monitoring tracking rapid catch-up growth
The Pravas Care Guarantee
“Correcting systemic acidosis in RTA allows children with severe growth failure to achieve rapid catch-up growth and heal bowed bones.”
Frequently Asked Questions
What is Renal Tubular Acidosis (RTA)?
RTA is a condition where the kidneys fail to excrete normal amounts of acid into the urine, causing the blood to become too acidic. This acidic environment leaches calcium from bones, causing stunted growth and rickets.
Can children with RTA catch up in height?
Yes! When diagnosed early and treated consistently with oral citrate or bicarbonate solution, children experience dramatic catch-up growth and reach their expected genetic adult height.
Consultation Desk
Kondapur, Hyderabad
Clinic Location
Shop no 1, above Karachi Bakery, Narsingi, Hyderabad, Telangana 500089.