A member asked:

Im a 30 year old male. i had a high random urine sodium level of 80 mmol/l. my sodium blood tests have always been low or low normal the past few years. could this be a low aldosterone problem or a hormone problem or low cortisol?

2 doctors weighed in across 2 answers
Dr. Samuel Galima answered

Specializes in Family Medicine

The differential diagnosis for hyponatremia is very broad and requires a complete metabolic panel, serum and urine osmolality measurement, and urine sodium level. Total body water needs to be assessed. High urine sodium is usually related to renal loss (due to medications) or renal failure. Adrenal insufficiency is seen with high urine osmolality and urine sodium over 20 mEq/L.

Answered 1/1/2023

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Could be any of those things or your urine test might be wrong. Get that repeated and if still abnormal pl see an endocrinologist

Answered 1/2/2023

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