anyone understand low blood sodium & low blood chloride??

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Traveler
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Date Joined May 2007
Total Posts : 35859
   Posted 9/28/2009 10:39 AM (GMT -7)   
I was going through my last lab results (from Apr. 09) and came across some disconcerting info. I have decided to be nice, so only going to ask about one ting at a time!!

Under "CMP", my sodium & chloride levels are quite low. After reading on a site I found for interpreting blood test results, when these tow items are low, one of the things it can reveal is drinking too much water!! The other conditions that were mentioned did not apply to me.

I do not have an LLMD to go to & ask any questions, so I would like to hear any opinions from here.

What I find mildly disturbing about my 'possibly' drinking too much water is that I only drink approx. 50 - 70 oz. of water each day. My lips have decided to join in and 'flake' & peal as if I wasn't getting enough fluids!!!

I'm pretty sure that Lyme has now officially confused my body!!!!! UGH!!!
- Traveler
"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Neuro LD, FM, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis") & now Lyme arthritis (?).


Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35859
   Posted 9/29/2009 10:06 AM (GMT -7)   
Am I being a pain again? Are my ?'s these pretty much un-answerable???
- Traveler
"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Neuro LD, FM, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis") & now Lyme arthritis (?).


Agmaar
Regular Member


Date Joined Jan 2009
Total Posts : 376
   Posted 9/29/2009 1:10 PM (GMT -7)   
Hi Trav -
 
These things aren't necessarily Lyme related.  One of the functions of your kidneys is regulate blood sodium and potassium (electrolytes).  The kidneys are capable of conserving these over a wide range of conditions - so sometimes low Na or K doesn't show up until the underlying condition is more severe. 
 
Diuretics (like I take for BP) and drinking too much water can cause too much Na to be removed.  Since you're not drinking an excessive amout of water (hmm ... coffee, tea, and caffeine are also diuretics), it may be an indication your kidneys are not functioning optimally. 
 
I know when my Na got down to 128 mmol/DL, I felt pretty bad.   When it didn't pop back up after cutting down the diuretic, I went to a Nephrologist.
 
I now maintain Na anc Cl at the low end of the normal range.  I've also gotten away from the really tight salt control I was doing for my BP.
 
If your Na is much below 135, it should be discussed with a Dr or ARNP (doesn't need to be LLMD).  It wouldn't hurt to cut out any coffee, tea or caffeine in the mean time. 
 
Hope this helps.
Rich
 
Lyme, anxitey, depression, chronic C. Pnuemoniae
 
"... expect the unexpected ..."  (O. Wilde)
 
"I am an old man and have known a great many troubles, but most of them never happened." (Mark Twain)
 
 


Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35859
   Posted 9/29/2009 4:16 PM (GMT -7)   
Hi Agmaar!!
And thanx for the info!! I didn't really think it was related to LD, sorry for implying that. I just have NO desire to go see someone who has NO clue how tx for any issue can effect LD. It seems that most all 'docs' around here are hot to prescribe steroids for any pain that I have & I no longer have much patience for them!

I don't take any diurectics & my caffeine consumption is only my two (very precious to me - giggle!) cups of coffee in the am. I rarely drink any thing other than water w/ a touch of lemon juice the rest of the day.

And the only time I drink soda - first it has to be diet (sugar sends my intestines into a fit!), NO caffeine & 'clear' - but I only drink this when my stomach won't handle water at all.

My doc has already told me to increase my salt intake, but I still feel quite dehydrated.

I'm hoping that by correcting some of these lesser conditions, I can actually feel like doing some of the household chores (my poor hubby!!)
- Traveler
"Conditions": Lyme Disease, STARI, RMSF, Hashimoto's Thyroiditis, Neuro LD, FM, Chronic/acute EBV, IBS-C, Diverticulosis (& "itis") & now Lyme arthritis (?).


Razzle
Veteran Member


Date Joined Aug 2007
Total Posts : 4399
   Posted 9/30/2009 12:46 AM (GMT -7)   
Other causes of low sodium & chloride include prolonged diarrhea and/or vomiting, increased sweating, too many antacids (like tums, mylanta, etc.), chronic lung disease, etc. Could also be from adrenal insufficiency.
-Razzle
Chronic Lyme Disease, Chronic Bartonella (clinical dx only), Gluten & Sulfite Sensitivity, Many Food/Inhalant/Medication/Chemical Allergies & Intolerances, Asthma, Gut issues (dysmotility, non-specific inflammation), UCTD ("Secondary Lupus-Like Syndrome"), Osteoporosis, chronic Lymphopenia, etc.; G-Tube; Currently trying to wean off TPN.
Meds:  Pulmicort, IV Ceftazidime, Heparin (to flush PICC line), Claritin, Domperidone, Colloidal Silver (used topically), probiotics, Milk Thistle, homeopathy.

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