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Living with Bartter syndrome

A group of kidney conditions that upset the body's balance of potassium, salt, and related minerals.

Understanding Bartter syndrome

Bartter syndrome is a group of very similar kidney disorders that cause an imbalance of potassium, sodium, chloride, and related substances in the body.

Some forms are apparent before birth, with extra amniotic fluid. Starting in infancy, children may not grow and gain weight as expected and lose extra salt in the urine, leading to dehydration, constipation, and extra urine. Calcium loss can weaken bones, and calcium can build up in the kidneys. Low potassium can cause muscle weakness, cramps, and tiredness. Hearing loss is rare.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short stature
  • Poor growth and weight gain (failure to thrive)
  • Dehydration and extra urine
  • Muscle weakness, cramps, and fatigue
  • Low potassium in the blood
  • Calcium buildup in the kidneys

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Kidney Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of Bartter syndrome do I or my child have?
Can genetic testing find the gene involved?
How should potassium, salt, and hearing be monitored?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant, Autosomal Recessive, X-Linked

Changes in genes (also called variants) cause this condition, and there are several types by gene. GARD lists autosomal dominant, autosomal recessive, and X-linked inheritance.

GeneticKidney

Also known as: aldosteronism with hyperplasia of the adrenal cortex; bartter disease; bartter syndrome with hypercalciuria and nephrocalcinosis; bartter's syndrome; hypokalemic alkalosis; renal tubular normotensive hypokalemic alkalosis with hypercalciuria

Patient organizations

Source: NIH GARD · Bartter syndromeGARD ID 5893 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Bartter syndrome.

Explore the Bartter syndrome blog

Explore research for Bartter syndrome

Explore actively recruiting Bartter syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Bartter syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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