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Chronic low sodium
My mom has chronic low sodium. Blood work done on Sept 6 was 120 meq/L and yesterday's blood work showed slight increase of 124 meq/L. She takes 6 salt pills a day. 1 glass of electrolyte solution. Her chronic low sodium has resulted in muscle weakness in right arm, confusion. Taken to the ICU last week for that. Is there a way to administer Saline (0.9%) at home?. She also has hypothyroidism for which takes Thyroxine. I suspect (not a doctor) that she might have SIADH (Syndrom of Inappropriate Antidieurtic Hormone Secretion) which causes water retention. Is there a complete blood/urine panel we can do investigate the reason for low sodium.
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Dr. Ameet Thakkar
General Physician
34 yrs exp
Mumbai
The following laboratory tests may be helpful in the diagnosis of SIADH:
Serum sodium, potassium, chloride, and bicarbonate
Plasma osmolality
Serum creatinine
Blood urea nitrogen
Blood glucose
Urine osmolality
Serum uric acid
Serum cortisol
Thyroid-stimulating hormone
ALSO
The basic diagnostic criteria is as under:
Laboratory findings in diagnosis of SIADH include:
Euvolemic hyponatremia 40 mEq/L with normal dietary salt intake.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.