Top
30
Doctor insights on: Hyponatremia

Share
Dr. Lawrence Kessler
4 Doctors shared insights

Hyponatremia (Overview)

Normal sodium range from 135 to 145. Low sodium (hyponatremia) is less than 135. Some may have no symptoms at slight decrease in sodium level especially if the level dropped slowly. Rapid decrease or large drop in levels can cause confusion, seizures, coma and even death. Labs should always be rechecked to exclude false abnormal level.


1

1
What is hyponatremia?

What is hyponatremia?

Low sodium in blood: Having low sodium (na) levels in blood is called hyponatremia, usually seen in hospital patients caused by prolonged IV fluid administration, certain tumors use of diuretics etc. ...Read more

Dr. Lawrence Kessler
4 Doctors shared insights

Hyponatremia (Overview)

Normal sodium range from 135 to 145. Low sodium (hyponatremia) is less than 135. Some may have no symptoms at slight decrease in sodium level especially if the level dropped slowly. Rapid decrease or large drop in levels can cause confusion, seizures, coma and even death. Labs should always be rechecked to exclude false abnormal level.


2

2
What's hyponatremia about?

What's hyponatremia about?

See below: Hyponatremia or low sodium level has many causes. Low levels may be asymptomatic or accompanied by non specific symptoms like generalized weakness, and changes in mentation and cognitive function and in severe or rapid lowering of sodium cause seizures. ...Read more

3

3
Can you explain hyponatremia?

Can you explain hyponatremia?

Low Sodium in Blood: Although the term hyponatremia means "low sodium in blood", it is caused by abnormal handling of water by the kidneys. Reabsorption of water in the kidneys rely on a hormone called ADH (vasopressin) produced in the brain and there are instances where a high concentration is secreted either appropriately (e.g. severe volume contraction) or inapproprately (e.g. medication causing SIADH (vasopressin)). ...Read more

4

4
What's exertional hyponatremia?

What's exertional hyponatremia?

Excess water: Exertional hyponatremia generally occurs when a person loses excessive amounts of both water and electrolytes (usually through profuse sweating during heavy exercise or warm temperatures). Instead of replacing both, the individual only replaces the water component resulting in relatively excess water in the body. This may result in impairment in brain function due to changes in brain cells. ...Read more

5

5
How do you manage hyponatremia?

How do you manage hyponatremia?

Depends: Hi. Hyponatremia (lo Na) can be seen with normal, low, or high circulating blood volume. How it is treated depends on the clinical setting (blood loss/hypovolemia, congestive heart failure, normal blood vol.). If you can specify (e.g., CHF, SIADH, etc), we could be of greater assistance. The standard for SIADH is fluid restriction (sucks) or more recently, a vaptan drug. Good luck. ...Read more

6

6
What is euvolemic hyponatremia?

What is euvolemic hyponatremia?

Low sodium: Euvolemia means you are neither fluid overloaded nor dehydrated. Hypontremia is a difficult medical problem. Some people develop low sodium in the blood as the kidneys are absorbing more water than they should. There are several tests to be done, to figure out the reason. You must contact your doctor for futher advice and tests. ...Read more

7

7
Acute hyponatremia is caused by?

Acute hyponatremia is caused by?

Excess water: The inability of the body to lose excess water is the leading cause. Low na is a serious condition which requires investigation and treatment. ...Read more

8

8
What causes hyponatremia in summer?

What causes hyponatremia in summer?

Too much water: Hyponatremia is a disorder of water balance. In the summer as you describe it would because most likely by in excess of water ingestion, or dehydration overall. Excess water consumption can actually be dangerous, and there have been several deaths in marathon runners from drinking too much water. ...Read more

9

9
Who is most at risk for hyponatremia?

Who is most at risk for hyponatremia?

Elderly and children: Hyponatremia or low salt level in the blood can cause confusion among other problems. Everyone whose blood sodium drops low enough (especially if a drastic shift) will be symptomatic but the elderly and young children are most vulnerable both to having the condition and being symptomatic. ...Read more

10

10
How much time does hyponatremia last?

How much time does hyponatremia last?

Hyponatremia time: Hyponatremia (H) lasts as long as it is not treated. If one has H due to sodium (S) loss due to diuretics, unless the diuretics are stopped and more S is given to the patient, the S will not improve. If the H gets worse, then the patient may have a seizure and/or die. H can be a serious illness is therapy is started early and appropriately. ...Read more

11

11
What is clinically-induced hyponatremia?

What is clinically-induced hyponatremia?

Please clarify: Hi. We do not induce hyponatremia, we treat it. I don't know what you mean by "clinically-induced" hyponatremia. The causes of hyponatremia, and the approach to treating it, depend on whether the circulating blood volume is low, normal, or high. Please clarify your situation with a little information (volume status, heart status, cancer, etc). Good luck! ...Read more

12

12
What is clinically-induced hyponatremia?

What is clinically-induced hyponatremia?

Hyponatremia: There are many causes of hyponatremia and the diagnosis should have been made at your last doctor visit. Depending on what your doctor has found taking a history, doing a physical exam, and ordering labs, he/she will refer you to the most appropriate specialist. ...Read more

13

13
What other conditions may cause hyponatremia?

Los serum sodium: Many conditions can cause hyponatremia (h).
Some are, antidepressants, diuretics, cirrhosis of the liver, fluid retention seen in kidney and congestive heart failure, syndrome of inappropriate ADH (vasopressin) secretion addison's disease. Vomiting and too much water intake. H can be a life threatening condition if the sodium gets too low. Go see a doctor to find out the cause and the treatment of h. ...Read more

14

14
How about the use of tolvapta in hyponatremia?

How about the use of tolvapta in hyponatremia?

Tolvaptan: Tolvaptan can be used in treating euvolemic or hypervolemic hyponatremia and it may provide some benefit in that fluid restriction can be eased. However, the high cost and the concern for liver toxicity limit its widespread use. Also it should not be used for more than 30 days to minimize the risk of liver toxicity. ...Read more

15

15
What is the definition or description of: hyponatremia?

What is the definition or description of: hyponatremia?

Low serum sodium: Electrolyte disturbance in which the sodium concentration in the serum is lower than normal ie usually lower than 135. It is usually an abnormality of water balance rather than sodium balance. Symptoms include confusion, delirium, lack of coordination, and severe cases can be life threatening. ...Read more

16

16
What are symptom of hyponatremia and how we can treat it?!?

What are symptom of hyponatremia and how we can treat it?!?

Here are some to. ..: First, always do best we can to figure out what cause hyponatremia. Second, decide if symptoms are urgent or chronic. If urgent, give IV infusion of Normal Saline or higher concentratee NaCl under close monitoring clinical Sx & electrolyte; if chronic, give optional IV NaCl infusion and watch. But either way & conditions, always look into how to correct its underlying causes for long-term care... ...Read more

17

17
Does anyone know the long term implications of hyponatremia?

Does anyone know the long term implications of hyponatremia?

Seizures and Death: Without adequate treatment, hyponatremia has serious complications. This condition can lead to mental fatigue, seizures and eventually death. Therefore it must be treated aggressively once diagnosed by a healthcare professional. ...Read more

18

18
Does 'asymptomatic hyponatremia' exist?

Does 'asymptomatic hyponatremia' exist?

Yes: This is explained in my prior answer on this topic, but the summary is that if the hyponatremia occurs slowly, it, ay be entirely a symptomatic, and found simply as a laboratory finding. Still, the cause should be sought. ...Read more

19

19
What causes hyponatremia and hyperkalemia?

What causes hyponatremia and hyperkalemia?

Hyponatremia: The answers to your questions cannot fit in allotted space. For the causes of hyponatremia go to this link:

http://www. Mayoclinic. Org/diseases-conditions/hyponatremia/basics/causes/con-20031445

for the causes of hyperkalemia go to this link:

http://www. Mayoclinic. Org/symptoms/hyperkalemia/basics/causes/sym-20050776

good luck. ...Read more

20

20
Is it possible to get hyponatremia from dehydration?

Is it possible to get hyponatremia from dehydration?

Definitely: Hyponatremia means you have a low sodium level. One way is through dehydration. Dehydration causes hyponatremia usually when a patient is taking a diuretic like hctz (hydrochlorothiazide) or lasix. In this situation, a patient urinates out much more sodium than water. Once this excess sodium is released and the patient's bloodwork is check, there will be much more water than sodium and the pt has hyponatremia. ...Read more

21

21
What are the effects of hypernatremia and hyponatremia?

What are the effects of hypernatremia and hyponatremia?

Big topic: Hi. For hypernatremia (hi Na) the body is always hypovolemic and dehydrated. This can result in organ hypoperfusion and tissue damage. For hyponatremia (lo Na), volume status could be low, normal, or high, and needs to be assessed. Lo Na should not be completely normalized rapidly because of possible brain damage due to osmotic shifts (the pons is a classically described site). Need more room! ;-) ...Read more

22

22
What is the difference between hyponatremia and hypernatremia?

What is the difference between hyponatremia and hypernatremia?

High/Low Sodium: Hyponatremia means an individual has too little sodium in thier body. Hypernatremia means they have too much sodium in their body. Either condition can be dangerous to an individual if left untreated. ...Read more

23

23
What is the most common etiology of hyponatremia once you have ruled out medication and fluid overload?

Kidney disease: If you don't have too much water, and your salt intake is adequate (you only need 100 mg of sodium per day, average american diet is 3000-10, 000 mg per day), then evaluate the kidneys. Sounds like they are leaking sodium. ...Read more

24

24
Should we drink more water during hyponatremia?

Should we drink more water during hyponatremia?

Usu not plain h2O: Hyponatremia refers to low blood sodium concentration, and there are many types, but all can be cosidered low sodium relative to high water content in blood. Some is related to dehydration, and can be treated by hydration with water*sodium (like saline iv). Other types are pure excess water, and treatment includes restricting. ...Read more

25

25
What are the most common treatments for hyponatremia?

What are the most common treatments for hyponatremia?

Water restriction: The first line therapy would be to restrict your free water intake each day. You may also be prescribed a higher salt diet or even salt tablets. ...Read more

26

26
Could drinking 80 oz. Of water a day cause hyponatremia?

Could drinking 80 oz. Of water a day cause hyponatremia?

Depends: In a person with normal kidney function, the exceess/unneccessary/free water is easily excreted.

In patients with abnormal function (low gfr), patients with dehydration (excess water reabsorption), patients taking certain diuretics, on certain medications or in certain diseases, the absorption of water can be increased inappropriately. ...Read more

27

27
Does having siadh/hyponatremia make you extremely tired?

Definitely,: If you're not receiving the correct treatment and you're electrolytes and fluid balance are not correct. Luckily, your doctor can test you and treat you appropriately to get things back to normal. ...Read more

29

29
Is there a treatment for hyponatremia (low sodium)?

Is there a treatment for hyponatremia (low sodium)?

Multiple: There are many different types of treatment. However the treatment varies depending on what type of hyponatremia you have. If you have hyponatremia from dehydration, you must have a liquids that have salt (ckn broth or normal saline) in them. If you had hyponatremia because you retain too much fluid, then you must use a water pill to get rid of the excess water and improve your serum sodium. ...Read more

30

30
How hyponatremia is associated with hypothyroidism?

How hyponatremia is associated with hypothyroidism?

Pituitary gland: There is an unusual type of hypothyroidism (primary) that is caused from a pituitary deficiency and also a type of hyponatriema (low sodium) that is caused from a pituitary deficiency, secondary adrenal insufficiency, caused by deficiency of acth (produced by the pituitary gland) so that is where the connection may be- rare. Recent research suggests very little association. Good health. ...Read more