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911Doctor
911Doctor, Doctor
Category: Health
Satisfied Customers: 5094
Experience:  Board Certified Emergency Physician
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I have had a blood test and it has shown low levels of sodium

Resolved Question:

I have had a blood test and it has shown low levels of sodium in my kidneys...i think they were 133mM- is this something i should be concenred about? i have anxiety also and it really is not helping me :( i am scared i am going to develop kidney failure or something...please help?
My doctor has requested i take another blood test.
Submitted: 2 years ago.
Category: Health
Expert:  911Doctor replied 2 years ago.

911Doctor :

Hello and welcome to JustAnswer,

911Doctor :

no

911Doctor :

in fact

911Doctor :

if you took the test again in an hour or two and depending on when your last salt intake or water intake or alcohol intake was the sodium could be 129 or 143.

911Doctor :

this particular lab value changes quite a bit throughout the day.

911Doctor :

you have nothing to be concerned about

911Doctor :

especially regarding your kidneys

911Doctor :

because this sodium lab is a measure of sodium in the blood

911Doctor :

and does not give us any indication of kidney function

911Doctor :

that value is called the 'creatinine level'

Customer:

but the doc said its a level of salt in my kidneys :S

911Doctor :

and at age 23, unless you have some congenital kidney problem, there is no need to worry

911Doctor :

i do not understand your last sentence

911Doctor :

you said the value was 133

Customer:

when i got my blood test results back...

Customer:

the lasdy had told me that the level of salt in my kidneys were slightly low

Customer:

yeah around that

911Doctor :

there is no salt 'in your kidneys'

911Doctor :

it's in the blood and the urine

911Doctor :

and this value, 133, is nothing to be concerned about.... nothing at all

Customer:

oh i see....so why did she say that lol

911Doctor :

probably thought she was making things 'easy to understand' but she confused you instead

Customer:

don't the kidneys have some sort of role regarding sodium

911Doctor :

absolutely

911Doctor :

and it is quite complicated

Customer:

do you mind if i ask u something else...

Customer:

i have one more concern which has been worrying me

911Doctor :

but kidney function is not followed by checking sodium levels

911Doctor :

in for a penny in for a pound

Customer:

oh i see

911Doctor :

what i mean is, go ahead.

Customer:

okay soo...i have had random chest pains

911Doctor :

it's not your heart

911Doctor :

it is your anxiety

911Doctor :

is that your question?

Customer:

yh lol

Customer:

but its jus i know im feeling something

Customer:

its not a 'phantom pain'

911Doctor :

no

Customer:

its this dull striking pain

911Doctor :

'phantom pain' is after amputation

Customer:

i mean i know im not imagining it lol

911Doctor :

and at age 23 99999 chances out of 100000 it's not your heart

911Doctor :

and since it is not your heart

911Doctor :

the question of WHAT it is is less important

Customer:

ah i see

911Doctor :

because almost all other causes of chest pain in a woman of your age are not dangerous

Customer:

i see...

911Doctor :

though you might want to get an EKG and echocardiogram

Customer:

thats the thing....

Customer:

i have done

911Doctor :

as you could well have mitral valve prolapse, which is also benign, but would explain some of your symptoms

Customer:

i collapsed two weeks ago in the underground...

Customer:

n the ambulance came

Customer:

n they did an ECG

911Doctor :

good

Customer:

they said my heart was fine

911Doctor :

an EKG can't tell you that

Customer:

but this chest pain is still annoying

911Doctor :

but it can indicate that it is likely fine

911Doctor :

I'm sure it is

Customer:

can it also tell if you have like a pulmonary embolisim (out of curiosity)

911Doctor :

so you should see a cardiologist and get an echocardiogram and exam.

Customer:

lol

911Doctor :

sometimes it can tell

911Doctor :

but if you had collapsed from PE you would be dead and we wouldn't be having this chat

911Doctor :

and pain from a PE does not come and go

Customer:

u see the reason y i have so many concerns...

911Doctor :

it simply comes on and stays if it does not kill you first

Customer:

is bcos a couple friends of mine passed away last year

911Doctor :

thta's understandable

911Doctor :

but how would that relate to you?

Customer:

a good rfiend passed away after having a c-section

911Doctor :

same question from my side, how does that relate to you except for it being a tragedy?

Customer:

and she had a blood clott travel to her heart

Customer:

its jus a fear

Customer:

a mental thing

911Doctor :

that's correct, it is just a fear and a mental thing.

Customer:

similary i have become really scared of going to sleep...

911Doctor :

and that's probably where i would suggest you invest some time... counselling

Customer:

as someone i know of died in his sleep :(

911Doctor :

that will not make your symptoms better.

911Doctor :

again, how does this relate to you?

911Doctor :

because this kind of thiking never ends

Customer:

well i think...if he cna jus fall asleep and pass away (due to nothing)

Customer:

then the same could happen to me

911Doctor :

someone i know died while crossing the street, while flying on an airplane, while tying shoelaces, while swimming, while watching TV etc....

911Doctor :

as an Emergency Doctor I have seen most of these things.

Customer:

his post mortem revealed that he died of 'natural causes'

911Doctor :

we all die

911Doctor :

that is a fact

Customer:

does that mean he died of literally 'nothing'

911Doctor :

you have a psychological problem, not a physical one, though checking with a cardiologist would be reasonable

911Doctor :

no

911Doctor :

it does not

911Doctor :

how old was he

911Doctor :

?

Customer:

20

Customer:

very young....he played basketball

Customer:

but i do know he had sleeping problems

Customer:

apparently he would sleep from 8am-12pm each day and stay up for the rest of the hours

911Doctor :

then all the autopsy means is that they couldn't find the cause.

911Doctor :

there is always a cause.

Customer:

i see

Customer:

it was really sad for me to hear :(

Customer:

and as u can imagin it affected my anxiety really badly

Customer:

i am waiting to have CBT

911Doctor :

that sounds like a fantastic answer for you.

Customer:

lol

Customer:

can i ask where you are from?

Customer:

are u a uk doc?

911Doctor :

American

Customer:

oh cool!

911Doctor :

it's 110 degrees outside right now!

Customer:

haha

Customer:

where in the states?

Customer:

i have a couple friends from NYC and chatanooga

911Doctor :

I'm not too far from Chattanooga

Customer:

oh nice!

Customer:

my name is XXXXX XXXXX

911Doctor :

call me john

Customer:

i am from London...south East London

Customer:

in a place called Elephant and Castle :)

911Doctor :

never heard of that one!

Customer:

yeah! ..its not posh or anything

Customer:

little bit of a rough area...

Customer:

london has allt hese strange names for areas

Customer:

like ....Catford

Customer:

or Horse guard parade

Customer:

Oxford Circus

Customer:

can i ask u something else

911Doctor :

in for a penny in for a pound

911Doctor :

go ahead

Customer:

u see i wish i could tlk to my doc about all these things but i feel shy to ask them...

Customer:

okay so another problem i have has to do with my eyes...

Customer:

i see alot of 'floaters'

Customer:

and is it normal to stare at the tv and then when u look away u see like patterns or or faint colours sometimes :S

911Doctor :

you should see an eye doctor

Customer:

is that bad

911Doctor :

the last question's answer is 'yes', it's called 'ghosting' by most folks

Customer:

or should i say somethng to worry about

911Doctor :

no

911Doctor :

it's normal

911Doctor :

no

911Doctor :

it's not

Customer:

bcos i know i stare too hard sometimes

Customer:

and i dnt wear my glasses as much as i should do lol

911Doctor :

no issues

911Doctor :

that's no problem for your eyes especially at age 23

Customer:

so all these worries and issues...there jus all own to my anxiety? : /

Customer:

down~

Customer:

i experience shallow breathing alot with anxiety :(

911Doctor :

which is quite common

Customer:

it scares me

911Doctor :

i really must go

911Doctor :

i have other customers waiting

Customer:

oh okay im so sorry

Customer:

u were most helpful tho john!

Customer:

can we tlk again some time?

911Doctor :

I'm very glad to hear that

911Doctor :

anytime

911Doctor :

simply start your question with 'for 911 doc'

Customer:

excellent

Customer:

once again thankyou so much..much appreciated

911Doctor :

good,

911Doctor :

have a great evening

Customer:

u too xxxxx

911Doctor :

and i always appreciate good feedback

911Doctor :

cheerio!

911Doctor, Doctor
Category: Health
Satisfied Customers: 5094
Experience: Board Certified Emergency Physician
911Doctor and 10 other Health Specialists are ready to help you

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911Doctor
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