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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!

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Dr. Barry Rosen
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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 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.

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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.

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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?

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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!

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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.

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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.

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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.

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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)

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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.

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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.

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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, .

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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.

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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.

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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 in shape, it is likely of little to no significance.

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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.

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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.

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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.

Dr. Rex Mahnensmith
2,056 Doctors shared insights

Sodium (Definition)

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