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    Low Sodium??

    Just had a basic Dr. appointment and blood test with my PCP. Nothing is wrong and I feel ok. One thing caught the doc's attention.....my sodium was low at 128 (Standard Range in this lab is 135-145). He wants a follow up blood test and urine sample next week. My sodium usually runs a little low in the 130-135 range. What do I do to get my sodium level up? I put salt on pretty much everything at dinner. I typically swill 64oz. of water each day and don't drink coffee, tea or alcohol. Thanks!

    #2
    There are literally dozens of causes of low sodium. It would be irresponsible for us to guess what has caused yours and to recommend ways to fix it. Also suddenly changing the amount of sodium in your blood can be deadly. You should do the follow up tests your doctor recommends so they can figure out the cause and follow your doctors treatment recommendations.

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      #3
      If you have no pre-existing conditions with your kidney, heart or liver then low sodium can be attributed to drinking too much water.
      I’m assuming your creatinine level was within normal limits? And you are not taking diuretics?

      pbr
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #4
        Originally posted by SCI-Nurse View Post
        If you have no pre-existing conditions with your kidney, heart or liver then low sodium can be attributed to drinking too much water.
        I’m assuming your creatinine level was within normal limits? And you are not taking diuretics?

        pbr
        Kidneys, heart and liver are still ok. Actually my creatinine level was .32 mg/dL (Standard Range is .60-1.50 mg/dL). Over the years it has always been in the 20's and 30's. Anyway, my doc wanted me to get another blood test this week to double check and bring in a urine sample too. I typically drink 64oz of fluids daily. No booze, coffee, tea or diuretics....mostly just water. Nothing better than cold, fresh well water. Had a SCI since 1977, I'm 67 years old and feel fine.

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          #5
          Two points low from your normal and they want more money. I broke my left femur in June this year and my white blood count was 12.3 My Orthopedic doctor has said nothing about my blood they took and it was a lot Before surgery and after and said your a pretty healthy guy. Now my PMR doctor wants a blood test because it was a little high. Well hell it was after the break and the trauma and everything else that goes with it. Your blood work does move around trying to heal the break. My blood work has been fine for 10 years. They are running a lot of people for more test because they lost so much money from covid19 they looking for ways to make it up. A lot of people I know think the same thing.
          Art

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            #6
            It's good you are thinking about this. Low sodium gets more common as you get older, and it can cause problems if you don't keep an eye on it.

            My Dad has had borderline sodium for years. It is probably due to a combination of medication side effects, age related changes, drinking a lot of water etc... You need to be careful because if it drops too low it can make you feel terrible/confused/weak and can be dangerous. Whenever my Dad gets dehydrated or gets a UTI etc... it drops even lower.

            So it is good for your doctor to first make sure there isn't a new cause of lower sodium levels for you. Always review any new medications you are taking with your doctor in case those are contributing. And if there isn't an obvious cause, like with my Dad, you will probably need to start cutting down on all of that pure water you are drinking. It seems odd, but the more plan water you drink, the lower your sodium will get. My Dad is not supposed to drink plain water anymore. He drinks all sugar free sports drinks (powerade zero) that have some salts. And if he gets a fever/UTI/sick etc.. then he drinks Pedialyte (generic versions are cheaper), to prevent his sodium from dropping more. And yes, he has as much salt as he wants on food.

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              #7
              My doctor thinks I have SIADH. Basically too much water in my blood. He has instructed me to drink less fluids, Take in more salt in my diet, stop taking omeprazole and increase my intake of protein. I only drink about 64oz. of Fluids per day, I put salt on everything appropriate, Omeprazole is saving me from GERD and I believe a take in about 40 to 50 g of protein daily. If I drink less fluids it’s my belief I am going to get a UTI rather quickly. I’m going to buy some sodium tablets and take those and see how it goes.

              Comment


                #8
                after you start taking the sodium tablets for a couple of weeks, you can get your blood work rechecked to see if you sodium levels have improved
                pbr
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                  #9
                  I did not take any salt pills yet. I went for another blood test today and my sodium was up to 133. Over the past week I had 2 eggs in the morning with my usual breakfast of high protein yogurt, raisin bran, a banana and about 8 ounces of cranberry juice. I was fortunate enough to have my wife here and she cooked up scrambled eggs and sprinkled onion salt on there along with ground pepper and some sea salt. It is delicious but filling. I also drank an extra Ensure Protein drink. Oh my blood work was within normal values. For whatever reason my sodium levels are always a little low. I am sure the doctor will be satisfied with the lab results and I doubt any other steps will be necessary. I never went to the doctor much before I sustained a spinal cord injury in 1977 unless I was quite sick and I never really was. However, I always wondered if loan sodium was something common to most people with spinal cord injuries. Anyone else out there have low sodium? Thanks!

                  Comment


                  • beckman
                    beckman commented
                    Editing a comment
                    I always have low sodium at least in the last couple of years as I,ve upped my fluid intake to 4+ litres/day to hold off UTIs. I almost had shoulder surgery cancelled a couple of years ago when it fell to 125, but an internest said to just take extra salt on on my food to get it up. So I make sure to put extra salt on my food.

                    GJNl had an informative thread on his experience with low sodium.

                  #10
                  Hyponatremia (low blood sodium) is actually more common in people with SCI, especially those with higher level injuries. We don't really know why. Most people with SCI only have problems with it when their body is under some type of stress, such as immediately after surgery or when fighting off an infection. Drinking excessive amounts of water can also cause it. We rarely used salt supplements to treat it; rather we restricted water intake to 1.0-1.5 liters daily until the blood sodium levels normalized.

                  (KLD)
                  The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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