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My blood tests show low potassium, 20 meq 4 times a day and

Customer Question
still slightly low. why do...
my blood tests show low potassium, 20 meq 4 times a day and still slightly low. why do i need so much potassium. 69 yr old male and viet nam vet.
JA: Is this a time sensitive issue? What type of specimen are they testing?
Customer: no, It started 1st of yhe year approx.
JA: Anything else in your medical history you think the doctor should know?
Customer: 4 years ago ,AAA withboth iliacs involved. 8.2 cm.
Submitted: 2 months ago.Category: Medical
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Answered in 1 minute by:
9/9/2017
Doctor: Dr. Arun Phophalia, Doctor replied 2 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,186
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 2 months ago

You would need a thorough work up by an endocrinologist or a nephrologist.

The causes of low potassium are;

Excessive loss of potassium by the increased excretion:

a) Mineralocorticoid excess (endogenous or exogenous) like Cushing syndrome or Primary hyperaldosteronism, most commonly from an adrenal adenoma or bilateral adrenal hyperplasia.

b) Hyperreninism from renal (kidney) artery stenosis

c) Osmotic diuresis: Mannitol

d) Increased blood sugar (hyperglycemia)

Following too may be investigated for low potassium;

a) Hypomagnesemia

b) Steroid therapy

c) Glycyrrhizic acid - contained in licorice and Chinese herbal preparations

d) Renal (kidney) tubular disorders - Type I and type II renal tubular acidosis

e) Increased gastrointestinal losses by diarrhea and vomiting

f) Genetic disorders

Following are the drugs which cause low potassium;

Drugs that can cause hypokalemia (low potassium) include the following:

  • Diuretics
  • Methylxanthines (theophylline, aminophylline, caffeine)
  • Verapamil
  • Quetiapine
  • Ampicillin, carbenicillin, high-dose penicillins
  • Bicarbonate
  • Antifungal agents (amphotericin B, azoles, echinocandins)
  • Gentamicin
  • Cisplatin

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Doctor: Dr. Arun Phophalia, Doctor replied 2 months ago

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Category: Medical
Satisfied Customers: 36,186
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Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

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