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My wife's sodium serium is 1. She was admitted in the

Customer Question
My wife's sodium serium...

My wife's sodium serium is 1

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

She was admitted in the hospital and received iv treatment of 100cc bolus of 3% saline tha gradually raised her sodium from 110 to 125 after 5 days. No further treatment is given her. Still in the hospital. On desmopressin nasal spray. Can she drink soda juice of 35mg to help increase her sodium level?

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Has diabetes insipidus after brain tumor surgery in 2010 and thyroid problem.

Doctor's Assistant: Are you keeping a personal medical record while dealing with this?

Yes.

Submitted: 7 months ago.Category: Medical
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Answered in 3 minutes by:
12/2/2017
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,756
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Answers here are for education and information.
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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Yes, she can drink soda juice.

Following condition can cause sodium deficiency;

1) High blood sugar (diabetes)

2) Hyperlipidemia (high cholesterol and triglycerides)

3) Paraproteinemia; increased proteins in the body

4) Medications like diuretic

5) Kidney diseases affecting renin-angiotensin system

6) Antidiuretic hormone (ADH) secretion

7) Salt-wasting nephropathy (kidney disease)

8) Liver cirrhosis,

9) Congestive heart failure,

10) Nephrotic syndrome,

11) Nonsteroidal anti-inflammatory drug (NSAID) use may increase the risk of development of hyponatremia

12) Excessive exercises

Investigations to assess the causes for low sodium are;

1) Urine osmolality

2) Serum osmolality

3) Urinary sodium concentration

4) Serum albumin,

5) Serum triglycerides,

6) Serum protein electrophoresis

7) Thyroid-stimulating hormone (TSH)

8) Serum cortisol levels

9) Serum uric acid levels

The treatment is dependent on the severity of deficiency of sodium, mode of onset and cause. If it is severe and sudden, intravenous saline drips is required, otherwise oral increased table salts with periodic monitoring of the blood levels of the sodium and management of the cause (like kidney disease will need dialysis) takes care of the deficiency.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

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