Get Virtual Care
For Businesses
About Us
A member asked:
Have lupus & pots. having low blood pressures, lightheaded, nightsweats, extreme nigttime polyuria. md ordered 24 hr urine sodium collection. why?
5 doctors weighed in across 2 answers
POTS and sodium: Excreting less than 124 mmol per 24 hours of sodium in the urine predicts if you will respond favorably to salt supplementation. One also is advised to increase fluid intake to prevent the BP from dropping and the heart rate from rising ( typically above 120 b/m ) upon standing. If sodium is excreted in larger amounts chances are other therapies will be needed ( B blockers, fludrocortisone etc )
Answered 5/3/2016
1.4k views
To differentiate : In prerenal failure like from dehydration sodium will be too low in the urine.In true renal failure like that can happen in Lupus you will not be able to conserve the sodium and will leak . So by this test doctors can learn a lot
Answered 4/4/2016
1.4k views
Related Questions
A member asked:
I have pots and even when I lay down with perfect blood pressure and heart rate I am lightheaded, what could is be? Cerebral vasoconstriction?
A doctor has provided 1 answer
A member asked:
Have lupus & moderate microscopic blood on the past 3 UAs this year.No RBC in urine.Trace ketones.Normal blood RBC count. MD didn't seem concerned.
A doctor has provided 1 answer
A member asked:
Have lupus & moderate microscopic blood all UAs this year.No RBC in urine.Trace ketones.Normal blood RBC count. MD Just said he'd monitor. For what?
A doctor has provided 1 answer
People also searched for:
Have stable lupus but now struggling with low blood pressures, lightheadedness, and polyuria nocturia. Could these 2 be related?
I have lupus. Recent sodium level was 134 (normal is 135-145). Have been suffering from low blood pressures. Should I be concerned or not?
Have lupus. Struggle w/low bp's,fatigue,lightheaded. Also get episodes where my HR increases 30 points standing w/ massive fatigue. Tilt table was normal so I was told I do NOT have POTS but I felt ok that day. Salt.fluids & help but not enough.Help?
Have lupus both &POTS. Waking up lightheaded, lethargic with low BPs of 90/50s-60s despite florinef (fludrocortisone) & high salt diet. Might midodrine be an option?
Finished 24hr urine sodium (for POTS syndrome)& voided 3.5L.Excessive?On high salt diet, fluids & florinef.felt so lightheaded & thirsty day of test.
Didn't find what you're looking for?
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your questionMore of what we treat
Download HealthTap
Video visit and message your doctor
