Treatment consists of oral bicarbonate supplementation. However, this will increase urinary bicarbonate wasting and may well promote a bicarbonate diuresis. The amount of bicarbonate given may have to be very large to stay ahead of the urinary losses. Correction with oral bicarbonate may exacerbate urinary potassium losses and precipitate hypokalemia. As with dRTA, reversal of the chronic acidosis should reverse bone demineralization. Thiazide diuretics can also be used as a treatment by making use of contraction alkalosis caused by them.
Proximal renal tubular acidosis
Distal renal tubular acidosis
Renal tubular acidosis
Inborn errors of renal tubular transport
Isotonic hyponatremia
Cystinuria
Hypotonic hyponatremia
Primary hyperoxaluria