Doctor insights on:
Hyponatremia And Hypochloremia
Hypochloremia is a low level of chloride (cl) in ones blood. A normal level of cl is 97-107 meq/l in the blood. Some auses of hypochloremia are: long periods of diarrhea, vomiting, sweating. It is also seen with the use of laxatives, diuretics, steroids and bicarbonate (sodium bicarbonate). Cl is regulated by the kidneys. If hypochloremia is present one should make sure there is not ...Read more
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Respectfully, this is a spectrum of the same problem.
When some is losing sodium through sweat and replacing losses with water (not salts + water), the salt to water ratio drops. This is called hyponatremia.
When hyponatremia develops quickly, the brain cells swell and this alters cognition and can cause a seizure. The spectrum from nausea to seizure can be considered water intoxication. ...Read more
Beer although high in sodium will not cause your body sodium to increase to normal levels assuming you are well below the 135 meq/l as the low end of normal. I would say that your sodium loss is more renal. Are you on BP meds?
You need to find out the cause of the low sodium and this may require more testing. Do not wait too long though. ...Read more
Urine electrolytes: Euvolemia means there is no evidence of dehydration nor fluid overload. Typically there is no edema in euvolemia. Hyponatremia - low serum sodium levels. One should check urine electrolytes to find out the exact reason for low serum sodium. This problem usually needs nephrologist consult. ...Read more
2 surgeries in one month for 75y old (partial and total colectomy) caused hyponatremia (128).In one month, it increased from 126 to 128.How to reach 135?
See answer: In hyponatremia, there is an imbalance of water to salt which can have many causes. Most important thing is to determine the cause or reason (s) for your hyponatremia so that appropriate targeted treatment can be recommended. In general, treatment includes water restriction and medication. You should discuss this with your doctor. ...Read more
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
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
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
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
Many pulmonary illnesses may cause a low sodium level, via induction of inappropriate SIADH. But respiratory alkalosis, by itself, should not lower the sodium level below the normal range. Often, people with respiratory alkalosis may have a lower serum chloride level, to balance for additional bicarbonate (sodium bicarbonate) ions.
Hope that helps! ...Read more
Water excess: Hi. Hyponatremia is virtually ALWAYS due to water excess, NOT sodium deficiency. Depending on how LOW below normal your sodium is, correction may have to be done fairly gradually to prevent harm. You need to see a competent diagnostician to assess your volume status (fluid overloaded, dehydrated, or normal), and causative conditions, then institute water restriction (or a vaptan drug). Good luck! ...Read more
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 ...Read more