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Dr. Cameron
Dr. Cameron, Doctor
Category: Health
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Experience:  American Board Certified in Emergency Medicine and Ivy League trained
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Age 74, Sodium level is fluctuating, it drops to 115. Then

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Age 74, Sodium level is fluctuating, it drops to 115. Then Sodium drip is given to increase sodium to 145, sometimes it reaches 154, but then it drops to 125 in 2-3days time. Where do we check.
What tests have been done?
Customer: replied 2 years ago.

For Kidney, MRI of Brain

Did you get your ADH level checked
Customer: replied 2 years ago.

Its for my father. He is in hospital. He was taking Bicalutamide 50mg for last 2months. For last 10 days sodium fluctuation is started

did HE get serum ADH level checked
Customer: replied 2 years ago.


Hi Kumar
Well, there is a whole algorithm in which you investigate hyponatremia, which is low sodium.
one of the major causes includes syndrom of inappropriate ADH secretion.
He needs to have these levels checked. They can be caused by problems in the brain, usually seen on MRI, but also by undiagnosed lung cancer

Other causes would be hypothyroidism, Addison's diease, congestive heart failure, and medication.

You need to consider these possibilities and test for them

I hope that this helped

please leave positive feedback if it did :-)
Customer: replied 2 years ago.

MRI has been done and nothing found. You mean it could be progression of cardiovascular

yes and other hormonal problems, like ADH

please positive feedback if this helped.
Customer: replied 2 years ago.

Is there any side effect of Bicalutamide 50mg taken for prostrate treatment, which could have lowered Aldosterone secretion

Unlikely. Only 0.37% of people report that.

please positive feedback if this helped.
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Customer: replied 2 years ago.

Can I continue later after having more test results, also ADH

I don't understand
Customer: replied 2 years ago.

Because the diagnosis is not completed, so can I continue on the same subject after getting more test results

You can ask related follow up questions after an accept.
Customer: replied 2 years ago.

After logging in to my account where do I see for follow up option

just type to the inital question
Customer: replied 2 years ago.

Thanks for your help, I will contact tomorrow

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