Doctor insights on:
Parkinsons Disease Low Sodium
No.: A low Dopamine level is typically associated with parkinson's disease. Low serotonin is typically associated with depression. It is not as straightforward as it may seem since receptor density, number of particular neurons, and neuron connectivity matter as well, but the first two sentences here are a good start. ...Read more
In untreated addison's disease, would basic metabloic panel always be abnormal? Low sodium, increased k?
Never say always: As addison's disease (primary adrenal failure) progresses, there will most likely be obvious hyponatremia and hyperkalemia. But these changes may be subtle in the early stages, and the diagnosis can be be more properly suspected with a presentation of prolonged nausea, vomiting, anorexia, weight loss, low blood pressure, and weakness. ...Read moreSee 1 more doctor answer
Rare: Low potassium is not a common association with lupus. Medicines like water pill used to treat kidney disease caused by lupus can lead to potassium loss in the urine. Rarely lupus can affect tubules in the kidney that handles potassium and cause potassium loss ...Read moreSee 2 more doctor answers
Why do you ask?: Wilson's disease is a deadly genetic disease involving the liver and brain; you either have it or you don't, and any practicing physician can make the call. This isn't how it presents but if you're concerned, ask. "Wilson's syndrome" is a fad diagnosis involving thyroid, promoted by an individual without credentials, and anyone who reads the symptom list will usually think they have it. ...Read more
Minor mystery: Copper is low because ceruloplasmin is low; most copper in the blood is carried on the protein. Nobody really knows why ceruloplasmin tends to be low in Wilson's, and I hope that you also know that in about 30% of Wilson's patients it is not low at all, making is a very poor screening test. ...Read moreSee 1 more doctor answer
Grandma has high ast, k, neutrophils edema low platelet count macrocytic anemia hypothyrodism Alzheimer's she can't concentrate what can this be?
Doctor for Grandma: Your grandma needs to see a doctor, possibly a geriatrician. She has multiple problems which can result in difficulty concentrating. Of course alzheimer's will cause this, but she may have more acute problems (like infection, etc) which can worsen it. If she's examined and something is found that can be treated, she may be better able to concentrate. ...Read more
What autoimmune Disease can mimic hypokalemic periodic paralysis (carbs exercise emotion- triggers) low t3 (liothyronine) (t4 normal,TSH normal-low) hypoglycemia?
In some cases but...: Noted lyme specialist raphael stricker discovered that many lyme patients have a low cd57 count (this is a subset of a type of white blood cell called natural killer cells) and that the level often increases as patents improve. However, not all lyme patients have low cd57 counts. A low cd57 may be supportive of a lyme diagnosis but a high level in no way rules it out. See my comment for more info:. ...Read more
Is potassium bicarbonate (sodium bicarbonate) better than p.chloride in pt with recurring metabolic acidosis? Pot. has been low & magnesium goes low then borderline high
See below: Addison's disease is a state of low cortisol or hypocortisolism. In addition to cortsiol, the adrenal galnd also produces a very important hormone called aldosterone. The latter is responsible for reabsorbing sodium from the urine in exchange for potassium. If such hormone is not produced in sufficient quantity (either isolated or in conjunction with cortisol), potassium levels go up. ...Read moreSee 1 more doctor answer
Low sodium: Low serum sodium concentrations in circulating blood sure can lead to seizures. If serum sodium concentrations drop fast, then brain sweiling happens rapidly with compression of brain matter. Seizure, coma, brain herniation can result. Low serum sodium concentrations are not induced by low sodium diets. Please don't confuse these. ...Read more
Basal ganglia: The area of the brain called basal ganglia has a lot of neurotransmitters like dopamine--some parkinson pt present with dystonia---when parkinson advance and people become rigid they get to be off and on--dystonic alternate with excessive movements. ...Read moreSee 1 more doctor answer
Blood co2 low ~15 on arb with low aldosterone. Neph prescribed sodium bicarb but cardiologist does not recommend. High phos, k. Is calcium bicarb ok?
Details, details: You can't really expect someone to recommend how to treat you by looking at a few numbers. You have to sit down with a doc face-to-face with whatever info you have and discuss your situation with him/her. This is not to be done in 400 spaces. You noted that 2 doc's you spoke to had differing opinions! What is that telling you! ...Read more
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