Doctor insights on:
Low Sodium Soft Drinks
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
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
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
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
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
Other than medical conditions & lotta meds. I have LOW sodium. I only drink diet soda (which HAS sodium) 12-14 cans daily! Why would sodium b low??
Too much soda: That is far too much soda. It's making your sodium low based on how your kidneys will handle the soda you are drinking. Your body very tightly regulates your sodium, so you will mostly just pee out the sodium. However, if you drink more volume of liquid than your kidneys can get rid of, then you end up holding on to the fluid and this dilutes the sodium you have in your body. ...Read more
Low Na V-8: No. Veggies are better but not as convent. What are you trying to do? Happy to do 2nd opinion. ...Read more
I'm having my bmp (sma7) retested due to low sodium and elevated creatinine I drank an"emergency c" drink at 4:40am and a glass of water. This ok?
Yes: That should not have an appreciable effect on the results. ...Read more
I saw a cardiologist everything looks great except He recommends I drink salt water? For low BP if I want Why is this? He said something about sodium?
I have low laying Sodium 135-138 how quick during workout or drinking too much can they fall? I get cold during workout and dizzy after drinking a lot
Hyponatremia: Low sodium can occur rather quickly with excessive salt loss from perspiration, vomiting, diarrhea, excessive urination or from dilution due to drinking excessive amounts of water. Slower causes are from glandular problems like adrenal or pituitary problems. So the two mechanisms are loss of sodium and retention of too much water which dilutes the sodium level. ...Read more
I know it's not good. Drink diet pop all day. But Y would my labs show LOW sodium (129) low bun/creatine ratio? I drink lot of sodium?? Neuro confused
Tumors on adrenals - does drinking gatorade and adding salt to everything alter your aldesterone levels? Show low sodium in blood work.
May help will not cu: You need cure, hormone producing tumors do cause electrolyte imbalance, problem has to be corrected, most of them are amenable for surgical cure, gatorade will provide 250 mg of sodium, 30 gm of carbohydrate added calories may not be good, if you need sodium add more salt in your diet speak to you doctor for long term solution of your problem. ...Read more
Morning blood test show sodium normal, pm blood tests sodium low 130. No excessive drinking & urine volume low until early am bladder is full. Ideas?
Probably normal: Officially normal sodium (Na) is 135-145 mEq/L. "Low 130s" implies your might be something like 131-134, right? Exact Na level varies pretty widely over the course of the day, and this amount of variation probably is entirely normal. If you have no other evidence of heart, kidney, or liver disease, this probably is nothing to worry about. If you do have such problems, discuss with your doctor. ...Read more
Test shows I have low sodium ct, would drinking gatorade/powerade instead of water help or do I have to cut back fluid? I get thirsty from working out
Yes: And regular amounts of salt in your food. Don't overdo it though ...Read more
What could be the cause of chronic dehydration with slightly low potassium and sodium? I drink 90oz of water a day and put salt on almost all my food.
Fluid balance: The explanation may be complex. Albuterol in high doses can cause low blood potassium. Otherwise, if you are drinking over 90 oz fluid per day and adding salt, and are still appearing dehydrated to your practitioner, then you must be losing fluid and some Na and K from your body somewhere. Possibilities are GI, skin, or kidneys. Some kidney dz cause just that: fluid loss, Na loss, and K loss. ...Read more
I've had severe hyperhidrosis as long as I can remember. Now have low blood volume and potassium defiency (not from diet). I drink a lot of water but might I be losing too much sodium and potassium?
Hyperhydrosis: Fluid balance is tricky. One mustaumtain a salt balance to hold any water that one drinks. Body weight divide in half should be a good estimate of your daily intake of water. Urine should be clear, salt should be present in diet. No caffeine for sure! If you still have your symptoms you should see your physician as there are other causes of salt or other mineral imbalances. Hope this helps. ...Read more
If my electrolyte levels and sodium levels were normal, is drinking 1.5 gallons of water safe per day.?
No!: If you have them checked every day and they stay normal (which they won't) then fine. Otherwise, this is an extremely silly and dangerous idea. Why on earth would you want to do this? People die from the electrolyte imbalances they get from, for example, trying to get around a drug screen by drinking this much water. If someone recommended this for any reason, they are very misguided. Don't! ...Read more
Hyponatermia on 200mg spironolactone. I drink around 1.5 gallons and eat about 2, 300mg sodium a day. What could I change to help?
Plan with doctor: You need to plan your regimen together with your doctor because hyponatremia - AND correcting it when not done right - can be serious. Possible approaches your doctor might take may include reducing your water intake, changing your spironolactone dose or salt intake, or both. But it really does need to be closely coordinated with your doctor - there’s no getting around it. ...Read more