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Metabolic Acidosis Tips

What Should You Know About Renal Tubular Acidosis?

Dr. Sonia Sharma 86% (10 ratings)
Fellowship- IPNA(Pediatric Nephrologist), Fellowship- ISPN, Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
What Should You Know About Renal Tubular Acidosis?

Renal Tubular Acidosis is a medical condition. When the kidney is unable to acidify urine, it leads to the accumulation of acid in the body. Usually, when blood is filtered by the kidney, it passes through the tubules of the nephrons (the functional unit of the kidney).

Before it flows into the bladder from the kidney, the urine undergoes an exchange of salts, acids and other solutes. Renal tubular acidosis results in the formation of excessive amounts of acid because the kidneys cannot drain them. This may happen because the kidneys cannot reabsorb the alkaline bicarbonate ions from the urine in the early segment of the nephron or because of inadequate production of acidic hydrogen ions in the latter half of the nephron.

Renal Tubular Acidosis is simply associated with abnormal urinary acidification. Other functions of the kidneys remain unimpaired.
There are several different types of renal tubular acidosis-

• Distal Renal Tubular Acidosis (RTA)
This is the most fundamental form of RTA. It is characterized when the hydrogen ions are not secreted into the lumen of the nephron by the alpha-intercalated cells of the medullary collective duct of the distal nephron. When this happens the pH of urine cannot be brought down below 5.3. Renal excretion is inhibited and hydrogen ions are not eliminated which leads to academia. At the same time, Potassium ions cannot be absorbed by the cell which leads to hypokalemia. The end result is protein retention and potassium excretion. Distal RTA can lead to the urinary stone formation, calcium deposits in the kidney, rickets and osteomalacia and Sjogren’s syndrome.

• Proximal RTA
When proximal tubular cells reabsorb 85% of filtered bicarbonates and 60% of filtered sodium from the urine, then this again leads to academia. The distal intercalated cells, however, function normally and so the academia is not as severe as in case of Distal RTA. The alpha-intercalated cells can acidify urine to a pH of 5.3 or less because they produce hydrogen ions. Proximal RTA is also associated with Fanconi Syndrome which is characterized by aminoaciduria, uricosuria, glucosuria, and tubular proteinuria.

• Combined distal and proximal RTA
Inherited carbonic anhydrase II deficit leads to combined distal and proximal RTA. This is accompanied by osteopetrosis, cerebral calcification, and renal tubular acidosis. Cases of combined distal and proximal RTA are very rare.

How is RTA understood?
The following steps are applied to analyze Renal Tubular Acidosis-
• Determining the anion gap in acidosis. The normal Anion Gap is 8-12 (4-6 mEq/L)
• Separating the renal from the extrarenal causes of normal anion gap acidosis
• Classifying the types of RTA
• If it is distal RTA, further tests will be necessary to support the diagnosis

How is RTA diagnosed?
Three types of tests can reveal if a person is affected by Renal Tubular Acidosis-
• Urine test
• Acid load test
• Physical examination

Treatment of RTA-
Doctors prescribe either or both of the following two types of therapies-

Alkali therapy- The pH level of urine is restored and electrolytes are balanced
Vitamin D supplements- If RTA leads to bone deformities or rickets, your doctor will prescribe vitamin supplements to strengthen your bones.

Timely diagnosis can prevent the effects of Renal tubular Acidosis from becoming compounded. With the right medication, a person can lead a healthy normal life.

2747 people found this helpful

How to Boost Your Metabolism

Dr. Kritika Bhola 91% (400 ratings)
BHOM, MD - Alternate Medicine, Diploma in Weight Loss, Diploma in Nutrition, DNHE
Dietitian/Nutritionist, Delhi
How to Boost Your Metabolism

A lot of diets claim to help ‘boost’ metabolism – but can you really do anything to help your body burn calories faster?

Let us understand a little about how your metabolism works. The metabolic process involves a complex network of hormones and enzymes that not only convert food into fuel, but also affect how efficiently you burn that fuel. How fast you burn calories is influenced by your age ; your gender  and proportion of lean body mass . So some people have high metabolic rate as compared to others.

Even though you are not born with “skinny genes” , you can still speed up your metabolism i.e.  increase your body’s ability to burn calories faster.

Exercise.  Working out builds muscle. Muscle speeds metabolism. As the body works more efficiently, it processes food faster.

Besides exercise there are other things which boost up your metabolim.

  1.  Spices: Research has found  red peppers  can rev up your metabolism, while also helping you feel full.  Hot sauce, hot peppers, ginger, cloves, cayenne, coriander, bay leaves, and dry mustard share this capacity to boost metabolism.

 

2. Caffeinate: Coffee, tea, or other caffeinated (but low or no-calorie) beverages may also help burn calories faster. In fact, caffeine may boost your metabolic rate for up to three hours after consumption. But don’t overdo caffeine if it gives you the jitters or keeps you up at night. For most people, 3-4 cups per day is tolerable.

 

3. Stay Hydrated: Even mild dehydration has been found to decrease your metabolic rate by 2%, so staying well hydrated is an easy way to help boost overall metabolic rate. People who drink either eight or twelve  glasses of water a day have higher metabolic rates than those who have four.

 

4. Eat More Often:   Small, frequent meals help keep your metabolism  high , and that means you’ll burn more calories overall. When you put too many hours between meals, your metabolism actually slows down to compensate. If you then eat a huge meal — at the same time your metabolism is functioning as if you’re starving — your body wants to hold on to every calorie. While this won’t make much difference on an occasional basis, it can become more difficult to lose weight or maintain weight a healthy weight if you frequently skip meals.

3 people found this helpful

Boost Your Metabolism

Dr. Tariq Khan 90% (109 ratings)
BHMS, M.D.
Homeopath, Gorakhpur
Boost Your Metabolism
  1. Take proper sleep of eight hours.
  2. Drink plenty of water, if you don't like plain water add cucumber, lemon, pineapple, mint etc to add flavor.
  3. Add chilli peppers to your regular diet.
  4. Dont skip your regular meals.
  5. Take low carbs.
8 people found this helpful

Metabolism boosting foods

Dt. Neha Suryawanshi 97% (15574 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Metabolism boosting foods
Metabolism boosting foods

1. Cocoa
2. Water
3. Blueberries
4. Flax
5. Sweet potato
6. Avocado
7. Tomato
8. Yogurt
9. Cinnamon
10. Garlic
11. Beans
12. Lemon
13. Almond
14. Apple
15. Egg white
16. Soybean
17. Ginger
18. Brussel sprout
19. Spinach
20. Fish
21. Olive oil
22. Oats
23. Cottage cheese
24. Chick peas
25. Lima beans.

55 people found this helpful

Metabolic training

Dr. P Nagaraj 89% (3801 ratings)
FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Metabolic training
Metabolic training

Metabolic training is basically about giving people fitness that is time effective which helps them burn fat get lean muscle and improve cardio vascular health. The key about metabolic is taking multiple pieces of fitness techniques combining them together in a way that is fast.
53 people found this helpful

Improvement In Metabolic Rate

Dt. Ms. Archana Desai 88% (10 ratings)
BSc - Dietitics / Nutrition, P.G.In Dietitics
Dietitian/Nutritionist, Mumbai
Improvement In Metabolic Rate

To slow down your metabolic rate and put on weight quickly, you can make sure that breakfast, lunch and dinner are huge and well spaced out.

2 people found this helpful

Enhancing Your Metabolism!

Dt. Neha Suryawanshi 97% (15574 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Enhancing Your Metabolism!

Enhancing Your Metabolism!

What is metabolism and how does it affect you?

Dr. Sreepada Kameswara 92% (12908 ratings)
DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
What is metabolism and how does it affect you?
The food you take every day has to be absorbed in the system to give you energy to work, for your growth and for building the defence system to fight diseases.
Metabolism is the word used to indicate the chemical changes which take place in the body necessary for fulfilment of its vital functions.
The rate of metabolism is high when you are physically and mentally very active. Normally, your daily activity starts in the morning hours and therefore, don’t miss your breakfast.
Similarly, your rate of metabolism is the lowest in the night when you rest physically and mentally. Accordingly, your night meal has to be light and early so that it is mostly digested before you go to sleep. Avoid late night dinners.
With this kind of balancing, you can be free from OBESITY
76 people found this helpful

Body metabolism is a reflection of our diet

Dr. Rahul Poddar 93% (735 ratings)
MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Body metabolism is a reflection of our diet
Eat green vegetables more and more in each meal to for balancing your metabolism.
93 people found this helpful

Body metabolism is a reflection of our diet

Dr. Rahul Poddar 93% (735 ratings)
MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Body metabolism is a reflection of our diet
Drink more water for proper functioning of heart, kidneys and skin.
41 people found this helpful
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