Doctor insights on:
Low Sodium Extra Sharp Cheddar Cheese
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
I have hyponatremia, low chloride and high TSH 12.8. Sodium went to 116. Many hospitalizations. Take 10 1gr sodium tabs. Fluid res?
Low sodium: You need to see an endocrinologist (ea) as soon as possible. You are hypothyroid (h) with your high tsh. That could be one cause of your low sodium (ls). Ls is a life-threatening situation. See an e, get your h treated with medicine and you may stop the need for your sodium pills and avoid future hospitalizations. You will also begin to feel better. ...Read more
I have long standing hyponatremia, low chloride plus high TSH 12.8. I have been hospitalized mult times had seizure. Taking 10 1gr sodium. Fluid res?
FInd out why: I trust you are not taking a diuretic for some reason, and I trust you do not have inappropriate ADH (vasopressin) secretion due to porphyria or some other illness. Especially, I hope you don't have undiagnosed addison's disease especially with the high TSH (possible schmidt's). Have you been evaluated for one of the syndromes of renal sodium wasting? ...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
Mum had Hyponatremia sodium 108 went to ED. It was BP medication since she came out she is confused it is now 131 how long should she be confused?
1: Please call your mother's doctor!
2: Consider a consult with a Psychologist.
Please keep me posted.
PS: I have two brothers with family in London and I hope to see them in December! Can't wait. ...Read more
I have been told by my dr. Subscribed 1 gm of sodium chloride 2x's daily for chronic hyponatremia...they cause nausea-vomiting. Could I be allergic?
Wrong treatment: Hi. The treatment for hyponatremia depends on the patient's volume status (dehydrated, volume over-loaded, or normal volume status) and the underlying cause. The most common cause, SIADH, is treated with water restriction (or one of the new vaptan drugs), NOT by giving salt. Nausea and vomiting can be FROM severe hyponatremia. It wouldn't be a bad idea for you to see an endocrinologist. ...Read more
Ckd patient with hyponatremia. Is it safe to take 650 mg sodium bicarbonate with 40 mg lasix (furosemide) to prevent water retention? Is sodium bicarbonate renoprotective?
Depends: Bicarbonate (sodium bicarbonate (sodium bicarbonate)) is not reno-protective. However, high acid levels in the blood affect heart function, muscle function and kidney function. Reducing the blood acid level (seen by a rising bicarbonate (sodium bicarbonate) level or pH level) improves muscle function including the heart which improves kidney circulation. It also allows the kidneys to better control potassium levels. You can help the process by avoiding sodas! ...Read more
Could a runner running in the heat who was drinking a sport drink with only potassium chloride and carbohydrates (no sodium at all) get hyponatremia?
Yes.: Any drink that doesn't taste like the ocean is mostly water, regardless of whether it contains sodium or not. Long distance runners can be susceptible to hyponatremia, and risk factors include long distances (marathons, ultra-marathons), women, low body weight, inadequate training, and water loading before and during the race, especially if more weight is gained by water than lost by sweat. ...Read more
How much water would a person have to drink over a period of 12 hours in order to develop hyponatremia? I've drank about 9 cups of fluid in 12 hours, but I feel like that's too much. Also, I have a mildly low K level (3.2), so is that too much H2O?
Polydypsia: It is very difficult to abort normal homeostatic mechanisms in the reported manner, forcing the issue will lead to serious consequence; why do you ask?? Low K will cause cardiac and muscle problems, so stop and think. And get help ...Read more
Hyponatremia is: Very uncommon with just an episode of vomiting unless it is very prolonged, and by then most people would have sought medical attention. Heavily salted water can lead to further GI problems and further dehydration. Gatorade, pedilyte and similar preparations are safer and more effective, ...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
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
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
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
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
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
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
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
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