A member asked:

I drink a lot of water throughout the day. my random urine osmolality was 910 mosml/kg. my random urine sodium was 90 mmol/l. my serum sodium is always on the low normal range and has been mildly low at times. is this siadh?

A doctor has provided 1 answer
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

You have asked this question many times. SIADH has to be ruled out when serum sodium is low and urine osmolality is high. With appropriate antidiuretic hormone function, the kidneys should be able to get rid the water, i.e. dilute the urine (osmolality of less than 100) when serum sodium is low. Medications, thyroid or adrenal problem can be the causes besides the occult source of ADH as cancer.

Answered 7/12/2023

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