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Doctor insights on: Low Sodium Levels In Cancer Patients

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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?

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

Dr. Barry Rosen
4,351 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Is there a treatment for hyponatremia (low sodium)?

Is there a treatment for hyponatremia (low sodium)?

Multiple: There are many 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 liquid 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

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I have hyponatremia, low chloride and high TSH 12.8. Sodium went to 116. Many hospitalizations. Take 10 1gr sodium tabs. Fluid res?

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

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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?

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

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How much time does it take to recover from hyponatremia (sodium deficiency)?

How much time does it take to recover from hyponatremia (sodium deficiency)?

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

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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?

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?

Confused: Two things:
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

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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?

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

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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?

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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What is the cause of hyponatremia and high urea in patient with liver chirosis and ascites?

What is the cause of hyponatremia and high urea in patient with liver chirosis and ascites?

Well...: Liver failure (as in cirrhosis) leads to fluid retention which in turn may cause sodium to drop. Urea elevations occur when the perfusion of the kidneys is not efficient, or there is a bleed in the gastrointestinal tract (as may happen in people with cirrhosis and bleeding in this area) ...Read more

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What does it mean if oxygen saturation level is low in a lung cancer patient?

What does it mean if oxygen saturation level is low in a lung cancer patient?

Several: Pneumonia and shunting.
Fluid in chest.
Air leak and pneumo.
Diffuse metastasis.

Frequently also superimposed on emphysema from smoking. ...Read more

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Is low sodium a sign of cancer?

Is low sodium a sign of cancer?

Could be: It can be a sign of an endocrine disorder in which your signals to regulate sodium may be off. There are certain conditions, such as addison's disease, in which your body cannot regulate sodium. It can be due to medications as well. It also can be associated with cancer, usually lung cancer, but you may have other symptoms such as shortness of breath or weight loss. ...Read more

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What internal cancers would cause low sodium?

What internal cancers would cause low sodium?

Lung : Any tumor that causes secretion of antidiuretic hormone secretion, adh, (vasopressin) will cause the sodium to drop. This can typically be seen in long tumors. However, it can occur with other tumors as well,. ...Read more

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Is low sodium normal in lung cancer. All other tests are fine. So us it cancet?

Is low sodium normal in lung cancer. All other tests are fine.  So us it cancet?

See below: Sometimes lung cancer produce hormones that can cause low sodium; this may be related to the cancer, often seen in a form of lung cancer called small cell lung cancer. ...Read more

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Al in hospital can't go home cuz his sodium is too low. Could his existing cronic kidney failure &stage 3 bone cancer contribute to that condition?

Al in hospital can't go home cuz his sodium is too low.  Could his existing cronic kidney failure &stage 3 bone cancer contribute to that condition?

Yes: The most common diagnosis in advanced cancer patients is syndrome of inappropriate antidiuretic hormone. This often results in low sodium. Kidney failure can also contribute to low sodium levels. ...Read more

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What's probability of lung cancer after 2 year of fatigue, HRCT showed 1 solitary sub cm lymph node. Sodium bit low. Worry sympts are paraneoplastic?

What's probability of lung cancer after 2 year of fatigue, HRCT showed 1 solitary sub cm lymph node. Sodium bit low. Worry sympts are paraneoplastic?

The CT: Was normal other than a small incidental lymph node(no lung nodules)? The probability of lung cancer is probably less than 1%. If the lymph node is otherwise normal, it is likely of little to no significance. ...Read more

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Could my water retention for last two years be due to an undetected small cell lung cancer. Sodium has also been low over this time but pet/ct clear.

Could my water retention for last two years be due to an undetected small cell lung cancer. Sodium has also been low over this time but pet/ct clear.

It is extremely: Unlikely that you would survive for two years with undetected and untreated SCLC. Therefore, it is unlikely that water retention would be caused by undetected SCLC. Low sodium and "water retention" suggests to me that you are over hydrated. Restrict your total fluid intake to <1.2 Liter/24 hours for three weeks and see if your retention resolves and your sodium improves. ...Read more

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Sodium low 132, potasium low3.4 experiencing fatigue&muscle/weight loss Any sugestions on what could be causing these? Ocult Smallcell lung cancer?

Sodium low 132, potasium low3.4 experiencing fatigue&muscle/weight loss Any sugestions on what could be causing these? Ocult Smallcell lung cancer?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are only marginally low and may be your normal. You may try drinking something like Gatorade, but for rest of the issues, you need to consult the doctor who ordered the tests as s/he know more about your health. ...Read more

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How reassured would you be that you did not have lung cancer if you had a negative CT scan but still had fatigue weightloss, thick phlegm& low sodium?

How reassured would you be that you did not have lung cancer if you had a negative CT scan but still had fatigue weightloss, thick phlegm& low sodium?

CT scans don't: Lie, and their resolution is very good. I would be 90% reassured, but II would look for other cause of your symptoms, mostly endocrinologic. Has anyone thought about Addisons disease, for example, or thyroid disorder? See an Endocrinologist as soon as you can. ...Read more

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Low sodium&fatigue&muscle loss 1year.CT scan was clear in feb16.testosterone low cortisol high. Could this be small cell lung cancer missed by CT?

Low sodium&fatigue&muscle loss 1year.CT scan was clear in feb16.testosterone low cortisol high. Could this be small cell lung cancer missed by CT?

Lo Na, testosterone: CT scan is fairly accurate. Testosterone can be low with age. Liver issues can cause low sodium low testosterone muscle wasting and fatigue. The fatigue can be from the low sodium. Cortisol may appear high due to low protein binding. Kidney disease can also affect sodium balance., as can thyroid disease. Drinking too much pure water is also a cause as is dehydration-Would f/u/ w/ endocrinology ...Read more

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Hi, for a cancer patient that is about at 3rd level going to 4th level, he is always in pain, and what are the foods that can consume?

Hi, for a cancer patient that is about at 3rd level going to 4th level, he is always in pain, and what are the foods that can consume?

Depend: Generally anything they like, talk to your oncologist, make sure. Blood count is ok if patient on chemotherapy. Kidney and liver is ok, because if organ problems then diet changes. Eating healthy diet is important, add more veggies fruits. Can always add food suppments such as. Boost ensure with high protein. ...Read more

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What does it mean when blood tests are done every ten weeks in a cancer patient and their "levels are rising".

What does it mean when blood tests are done every ten weeks in a cancer patient and their "levels are rising".

Levels rising.: I depend on what it is they are measuring. If the Hct is rising that is good. If it is the creatinine that is rising that is bad. Let's do 2nd opinion so we can get to the bottom of this. ...Read more

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Is high iron levels a sign the end is approaching for terminal cancer patient? Given 4 weeks but has now been 16. Still, mobile but slowly sleepin more

Is high iron levels a sign the end is approaching for terminal cancer patient? Given 4 weeks but has now been 16. Still, mobile but slowly sleepin more

Unlikely: High iron is not in any common prognostic database for terminal cancer patients and even these are difficult to apply to an individual patient. High iron might has too many causes in cancer. More predictive is how active the person is, what the appetite is, malnutrition level, immunity level, organ function, and so on. Many, many, other items to factor. If not on hospice, get it and ask their md. ...Read more

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What can low platlet count mean in an advanced / terminal cancer patient.?

What can low platlet count mean in an advanced / terminal cancer patient.?

It depends on many f: There are many interpretations to your question. If you can tell us two items: What type of Cancer does the patient have? What is the complete blood counts report including Hb, WBC and Platelet count. Platelet counts can be low yet quite safe unless the count is dropping below 50, 000. There is some risk of excessive bleeding once the platelet count is below 20,000. If the patient is terminal, noth ...Read more

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What's recommended as a cure for secondary level bone cancer for a 68 years old patient?

What's recommended as a cure for secondary level bone cancer for a 68 years old patient?

If I understand your: Q. You mean, a secondary bone cancer, ie, it has spread from somewhere else. So a cure is out of question.
Its treatment would be determined by the type of the primary tumor, its location, where else (besides the bone) has it spread to, eg, lungs or brain; how aggressive chemo or radiation therapy is given to him, his general condition, any other medical conditions he has; how he tolerates them? ...Read more

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Patient. 93. Very low sodium. Constantly peeing. Could the lack of sodium absorbing be causing problem?

Polyuria & low Na: Low serum sodium is unnatural and harmful, potentially. I assume you mean low serum sodium concentration. The right response IS polyuria — the renal excretion of the excess water — to raise serum sodium concentration. High blood glucose can lower serum sodium AND cause polyuria. So can potassium depletion. Some meds lower serum sodium. Diabetes insipidus causes polyuria but raises serum sodium. ...Read more

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My father is a cancer patient & he is done with his 5 cycles of chemo, i just want to ask that why his CEA level rises from 3.7 to 6.1 within 1 mnth?

My father is a cancer patient & he is done with his 5 cycles of chemo, i just want to ask that why his CEA level rises from 3.7 to 6.1 within 1 mnth?

Chemo done, etc..: This can be because the chemo. Is done. This is not only seen in cancer issues, but in smokers and other inflammatory conditions, like ulcerative colitis, pancreatitis, and crohn's disease. This is involved in cell adhesion and should not be present in adults, but as mentioned, is noted in some adult conditions. If it stays up, see your doctor for more tests, as well as your check-up. ...Read more

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Is total bilirubin level of 3.65 mg/dL considered dangerous for a liver cancer patient?

Is total bilirubin level of 3.65 mg/dL considered dangerous for a liver cancer patient?

It is all relative!: If the Cancer is involving your liver, then rising bilirubin is an indication that your tumor in the liver is quite large and progressive. This needs an aggressive search for the exact cause(?obstruction of the bile duct) which may be correctable. Ask your oncologist if he can do a local treatment for the bulky tumor.....something like SBRT or an ablative treatment(which can still be useful) ...Read more

Dr. Rex Mahnensmith
2,066 doctors shared insights

Sodium (Definition)

It's an element that is important in the cell functions ...Read more