Doctor insights on:
Low Sodium Level Hctz
I may need diuretic, but hctz and metoalzone both caused hyponatremia, 125. What are available options if diuretic is needed in future?
Diuretics: If you take a diuretic (d) one of the side effects is a low sodium level, hyponatremia (h). You can try to avoid h by weighing yourself daily in the morning, at the same time, in your bed clothes and recording the date and your weight. If you lose more than 2 lbs., hold the d for just 1 day. Too rapid weight loss, i.e. > 2 lbs/day can lead to h. If h is a problem, discuss it with your physician. ...Read moreSee 2 more doctor answers
Got the results of a blood test. Low sodium and creatinine..I'm on lisinipril and hctz. Could that have caused it? Also have pain under low-right ribs
Too much alcohol: The combination of lisinopril, HCTZ, and 3 alcohol drinks a day can cause low sodium. That's too much alcohol - sorry. The pain under your right ribs may be originating in your liver or gall-bladder as both live there. That should be checked. Low creatinine (even below the lab reference) is not harmful and reflects your muscle mass and normal kidney function. (I presume you're pretty small). ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 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
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 to prevent water retention? Is sodium bicarbonate renoprotective?
Depends: 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 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 moreSee 2 more doctor answers
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
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