In: Endocrinology: Adult and Pediatric. Some hormones affect your sodium levels. Hyponatremia treatment is aimed at addressing the underlying cause, if possible.If you have moderate, chronic hyponatremia due to your diet, diuretics or drinking too much water, your doctor may recommend temporarily cutting back on fluids. How can I prevent a recurrence of this condition? Have your symptoms been getting any better or worse since they first developed? Severe sodium deficiency requires treatment with … There are two reliable ways to know how much water you should have: your thirst and the color of your urine. Depending on the extent and duration of these signs and symptoms, your doctor may recommend seeking immediate medical care. Hyponatremia. In an emergency setting, low sodium is most often treated with the introduction of a sodium chloride solution into the bloodstream through intravenous (IV) delivery. Some are mild, but others can be serious and even life-threatening. In: Conn's Current Therapy 2017. is there a treatment for hyponatremia (low sodium)? Headaches 2. Irritability 5. Always talk with your doctor about the risks of a new medication. Water pills (diuretics) and some antidepressants and pain medications can make you pee or sweat more. IV infusion with a sodium solution to slowly raise levels in your blood over a few days Prescription medications to control problems l ike headache s, nausea, or seizures Hyponatremia Complications Intravenous (IV) treatment with a base called sodium bicarbonate is one way to balance acids in the blood. However, because the signs and symptoms of hyponatremia occur in many conditions, it's impossible to diagnose the condition based on a physical exam alone. Treatment depends on the cause. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Do you use recreational drugs? If you get hyponatremia often (chronic hyponatremia), your sodium levels are likely to drop very slowly over a few days and you're less likely to have complications. If a person has a mild case of hyponatremia, there may not be any significant signs or symptoms associated with it, or the symptoms may initially be subtle. A condition called SIADH (syndrome of inappropriate antidiuretic hormone) can make you retain water. If you take diuretics, your doctor may make a change in your treatment so the sodium in your blood can go back to a normal level. Because the symptoms of hyponatremia can vary so much from person to person, your doctor will probably order blood and urine tests to confirm the diagnosis. This content does not have an Arabic version. But with acute hyponatremia, your sodium levels drop very quickly. Sodium-Infused Juices. Know the symptoms of hyponatremia. If you drink too much water when you do something that’s physically very hard -- like a marathon -- you may be more likely to develop hyponatremia. Have you started taking any new medications? If you have moderate, chronic hyponatremia due to your diet, diuretics or drinking too much water, your doctor may recommend temporarily cutting back on fluids. To confirm low blood sodium, your doctor will order blood tests and urine tests. Since older adults are usually more likely to take certain medications or develop chronic diseases, they’re generally more likely to get hyponatremia. What are your symptoms and when did they start? Do I need to make any changes to how much fluid I usually drink? A single copy of these materials may be reprinted for noncommercial personal use only. Jameson JL, et al., eds. It ‘s used to treat conditions that cause acidosis through bicarbonate (base) loss. https://www.kidney.org/atoz/content/hyponatremia. Hypervolemic hyponatremia may be caused by congestive heart failure, liver cirrhosis, and renal disease. The severity of the symptoms depends on how low the sodium levels are in the bloodstream and how quickly they fall. If yes, has it gotten progressively worse? If sodium loss progresses or drops rapidly, several symptoms can occur including:2 1. changes in personality like confusion, irritability, restlessness, or a short temper 2. fatigue, lethargy, and drowsiness 3. headache 4. convulsions and seizures 5. feeling nauseous or vomitin… Have you felt faint, had seizures or lost consciousness? Hyponatremia (low blood sodium) is a condition that means you don’t have enough sodium in your blood. Sodium concentration is higher in the bloodstream than inside cells. A sample of your urine is collected and is sent to a lab for tests. This content does not have an English version. Pay attention to how much water you’re taking in, especially if you take part in high-intensity physical activities. Accessed April 6, 2018. A condition called SIADH (syndrome of inappropriate antidiuretic hormone) can make you retain water. Treatment of Low Sodium in the Elderly. It can happen because of certain medical conditions, some medicines you might be taking, or if you drink, Hormone imbalances. But if you’re not working out really hard or for a long period of time, you might not need them. In people who use diuretics, which eliminate excess sodium and fluid, reducing the dosage helps keep sodium levels within the normal range. Kengne FG, et al. This can cause: You’re at higher risk of getting brain damage from hyponatremia if you’re a woman who hasn’t gone through menopause. How is hyponatremia treated? Accessed April 6, 2018. Heart failure and kidney or liver disease can affect the amount of fluids in your body, and in turn, your level of sodium. Your blood sodium level is normal if it’s 135 to 145 milliequivalents per liter (mEq/L). Drinks enriched with sodium such as … But they’ll need to see your test results to make sure you have hyponatremia. These drinks have electrolytes that include sodium. Mayo Clinic, Rochester, Minn. April 18, 2018. Following a heart-healthy diet made up of high-fiber, low-cholesterol and low-sodium foods will help you maintain or reach a healthy body weight. If you have a medical condition that increases your risk of hyponatremia or you take diuretic medications, be aware of the signs and symptoms of low blood sodium. Hyponatremia and the brain. Nippoldt TB (expert opinion). Options include: Seek emergency care for anyone who develops severe signs and symptoms of hyponatremia, such as nausea and vomiting, confusion, seizures, or lost consciousness. 2. Most cases of prolonged hyponatremia in the elderly are related to medication. It usually happens when people drink too much during endurance events like marathons or triathlons, and also lose sodium through their sweat. Have your symptoms included weakness, fatigue or lethargy? Treatment depends on the … Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. If you know you are at risk of hyponatremia and start seeing symptoms, call your doctor. Have you had nausea, vomiting or diarrhea? Mayo Clinic is a not-for-profit organization. You may not have any symptoms if your hyponatremia is very mild. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. National Kidney Foundation: “Electrolyte Imbalance.”, Medscape: “How does ecstasy, or MDMA, induce hyponatremia?” “What causes hypervolemic hypernatremia?”, UpToDate: “Treatment of central diabetes insipidus.”, American Journal of Medicine: “Hyponatremia as a Result of Posttraumatic Primary Polydipsia.”. Hyponatremia is a low sodium concentration in the blood. This can lead to many problems. Symptoms of low sodium may include:2 1. These include: Medications. Therefore the medication should be changed to drugs that do not … Hyponatremia refers to a low concentration of sodium in the blood and occurs when athletes … It can dilute the amount of sodium in your blood. It is generally defined as a sodium concentration of less than 135 mmol/L (135 mEq/L), with severe hyponatremia being below 120 … Advertising revenue supports our not-for-profit mission. It can also happen if you take the drugs that make the condition more likely. Eating low sodium … Considered one of the mineral salts or electrolytes, treatment for low sodium responsible for maintaining fluid and electrical balance in the body due to its … Your doctor will be able to tell you whether your level is too low. If your doctor thinks you drink too much water, you may need to cut back. © 2005 - 2020 WebMD LLC. Hyponatremia treatment is aimed at addressing the underlying cause, if possible. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Muscle cramps 6. Health problems. The hormones aldosterone (made in the adrenal gland) and anti-diuretic hormone (ADH) or vasopressin (made in the pituitary) adjust the way the kidneys deal with water and sodium to maintain the appropr… Hormone imbalances. You’re probably getting enough water if you don’t feel thirsty and your urine is a pale yellow color. Intravenous fluids. https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hyponatremia. Seek emergency care if you have: There are a lot of reasons your sodium level might get too low. Nausea and vomiting 3. There are several ways you may be able to prevent hyponatremia: If you have a condition that can lead to low blood sodium, like adrenal gland insufficiency, make sure you get it treated. Kidney International Reports. Some hormones affect your sodium levels. In many cases, blood sodium levels fall gradually, producing only mild symptoms as the body has time to make adjustments. If it’s below 135 mEq/L, it’s hyponatremia. Hyponatremia (low blood sodium) Treatment Mild chronic hyponatremia may not require treatment other than adjustments in diet, lifestyle, or medications. Consider Adjusting Your Diet. Low blood sodium in older adults: A concern? These drinks have, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter. He or she may also suggest adjusting your diuretic use to increase the level of sodium in your blood.If you have severe, acute hyponatremia, you'll need more-aggressive treatment. If you have severe, acute hyponatremia, you'll need more-aggressive treatment. Differentiating between euvolemia and hypovolemia can … Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Drinking too much water. Generally, low sodium is asymptomatic (does not produce symptoms), when it is mild or related to your diet. You need some sodium in your bloodstream to control how much water is in and around the cells in your body. They may ask you about your medical history and then do a physical examination. If your thyroid hormone is too low, it can also affect your sodium level. And a condition called Addison’s disease can affect the hormones that help keep your electrolytes in check. Dr. Ramin Rafie answered 17 years experience Geriatrics Water restrictions: There are 2 ways of treating this 1- restricting water intake 2- taking … Hyponatremia can be classified according to the volume status of the patient as hypovolemic, hypervolemic, or euvolemic. This site complies with the HONcode standard for trustworthy health information: verify here. Regulatory mechanisms help control and maintain sodium levels. You may need to stay in the hospital and have: IV infusion with a sodium solution to slowly raise levels in your blood over a few days, Prescription medications to control problems like headaches, nausea, or seizures. How soon do you expect my symptoms will begin to improve? Doctors think this may be because of how female sex hormones affect sodium levels. Â. Include high-fiber foods. 1. Accessed April 6, 2018. And a condition called Addison’s disease can affect the hormones that help keep your, Syndrome of inappropriate antidiuretic hormone secretion, Because the symptoms of hyponatremia can vary so much from person to person, your doctor will probably order blood and, Prescription medications to control problems l, If you have a condition that can lead to low, Ask your doctor if you should drink sports beverages instead of water while doing intense physical activities. This illegal amphetamine has been linked to serious cases of hyponatremia. Common causes include medications and the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. If your symptoms are severe, you may need immediate care. Diffic… If you have time to prepare, here's some information to help you get ready for your appointment, and what to expect from your doctor. Symptoms usually appear when your level of sodium suddenly rises or drops. It is used in the treatment of diarrhea, muscle cramps, dehydration, and fever due to its property of holding water in the body … Ask your doctor if you should drink sports beverages instead of water while doing intense physical activities. Regulate Body Fluids. What's the most likely cause of my symptoms? If you consume very high amounts of hydrating foods plus water, but … Have your symptoms included any mental changes, such as feeling confused, agitated or depressed? Have you had a headache? One such essential nutrient is sodium. Hyponatremia and hypernatremia. Fatigue 4. Since so many different things can cause hyponatremia, your treatment depends on the cause. Hyponatremia. 3. For severe or acute hyponatremia, treatment … Sodium and water levels in the body are tightly regulated to keep it functioning normally. The following measures may help you prevent hyponatremia: 1. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 6, 2018. Your doctor will start by asking about your medical history and doing a physical examination. If your hyponatremia came on suddenly and it’s severe, you’ll need emergency treatment to boost your sodium level and monitoring to make sure that it happens safely. Symptoms are more serious when blood sodium … Your doctor may ask: Mayo Clinic does not endorse companies or products. 2018;3:24. Hyponatremia. Balancing Your Fluid Intake and Output Limit your water intake to 1–1.5 L (34–51 fl oz) per day if … Hyponatremia (low blood sodium) is a condition that means you don’t have enough sodium in your blood. Additional treatment … Call your doctor if you know you are at risk of hyponatremia and are experiencing nausea, headaches, cramping or weakness. The treatment for critically low sodium levels usually includes reducing the fluid intake, treating the symptoms themselves, and adjusting the dosage of diuretics or any other medications that might be causing the symptoms in the first place. How low is too low? With the help of sodium, the body controls blood pressure and blood volume. It can happen because of certain medical conditions, some medicines you might be taking, or if you drink too much water. He or she may also suggest adjusting your diuretic use to increase the level of sodium in your blood. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Learn more about low sodium levels, risk factors, prevention and treatment here.Even low sodium foods can help combat hyponatremia while also preventing going overboard on sodium. Because of the low sodium, the amount of water in your body rises and causes your cells to swell. Watch for them if you take “water pills” (diuretics, which make you lose water) or have a condition that can put you at risk for it. Getting treatment for conditions that contribute to hyponatremia, such as adrenal gland insufficiency, can help prevent low blood sodium. All rights reserved. Educate yourself. WebMD does not provide medical advice, diagnosis or treatment. Philadelphia, Pa.: Saunders Elsevier; 2016. https://www.clinicalkey.com. Treatment of low blood sodium involves intravenous fluid and electrolyte replacement, medications to manage the symptoms of hyponatremia, as well as any treatments for the underlying … Merck Manual Professional Version. Sodium is an essential mineral—your body needs it and can't make it—so the only way to get it is through your food or by intravenous (IV) infusion in an emergency situation. For hyponatremia, some basic questions to ask your doctor include: Being ready to answer your doctor's questions may reserve time to go over any points you want to talk about in-depth. Individuals with severe symptoms often require hospitalization and an intravenous (IV) sodium treatment to get their sodium levels back to normal. Trouble concentrating 7. National Kidney Foundation. Urine sodium is a test that checks the level of sodium in your urine. Bope ET, et al. It may include: cutting back on fluid intake adjusting the dosage of diuretics taking medications for symptoms such as headaches, nausea, and seizures treating underlying conditions … That can affect your sodium level. There are some suggestions for low sodium treatment at home, which also may help to prevent levels from dropping. But at any age, you’re more likely to get it if you have certain conditions, including: Syndrome of inappropriate antidiuretic hormone secretion (SIADH), Primary polydipsia, a psychiatric condition that makes you want to drink lots of waterÂ. All rights reserved. 2. Bouts of chronic, severe diarrhea or vomiting can deplete your body of fluids and sodium.Â. Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter. 7th ed. Options include: 1. Treat associated conditions. Make a donation. Ecstasy/molly (MDMA). If yes, which drugs? They may also require drugs to treat … Should drink sports beverages instead of water in your blood low-sodium foods will help you maintain reach. And duration of these signs and symptoms, call your doctor will order blood tests and urine tests personal... Most likely cause of my symptoms to increase the level of sodium, amount. Bloodstream to control how much water, you might be taking, if. Likely to get hyponatremia will begin to improve include high-fiber foods of the low sodium concentration is higher in bloodstream! Events like marathons or triathlons, and renal disease diuretics ) and some antidepressants pain... 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