Hello XXXXXXX

Thanks for posting on XXXXXXX

I am pleased to be able to help you with your health query,

I feel that you will be fine except for the fact that your sodium and chloride levels are a little increased so I suggest you go in for further testing with your kidneys to evaluate if they are functioning properly (i.e there is no kidney damage). The increase might just be physiological and/or temporary and you have nothing to worry about. Having abnormal EKG readings from time to time is normal (so I do agree with your health providers that you have nothing you should be worried about).

Hope this helps and wish you the best.
Dr. Nsah

---

Hello XXXXXXX

Sorry for the delay.

Everything seems normal except the Sodium and chloride levels which are quite elevated. From your results, your doctor tried to evaluate your liver function(which is normal), your kidney function (which is normal), electrolyte balance (which shows that only sodium and chloride are in disorder).
Common causes of hypernatremia (elevated sodium which goes along with chloride) include:

-- Hypovolemia
- Inadequate intake of free water associated with total body sodium depletion. Typically in elderly or otherwise disabled patients who are unable to take in water as their thirst dictates and also are sodium depleted. This is the most common cause of hypernatremia.
- Excessive losses of water from the urinary tract, which may be caused by glycosuria, or other osmotic diuretics - leads to a combination of sodium and free water losses.
- Water losses associated with extreme sweating.
Severe watery diarrhea
-- Euvolemic
- Excessive excretion of water from the kidneys caused by diabetes insipidus, which involves either inadequate production of the hormone vasopressin, from the pituitary gland or impaired responsiveness of the kidneys to vasopressin.
-- Hypervolemic
- Intake of a hypertonic fluid (a fluid with a higher concentration of solutes than the remainder of the body) with restricted free water intake. This is relatively uncommon, though it can occur after a vigorous resuscitation where a patient receives a large volume of a concentrated sodium bicarbonate solution. Ingesting seawater also causes hypernatremia because seawater is hypertonic and free water is not available. There are several recorded cases of forced ingestion of concentrated salt solution in exorcism rituals leading to death.
- Mineralcorticoid excess due to a disease state such as Conn's syndrome usually does not lead to hypernatremia unless free water intake is restricted.
I suggest you consult with an XXXXXXX medicine specialist for counseling and management. Correcting hypernatremia requires careful fluid resuscitation with combination of dextrose and normal saline.

Hope this helps

Dr. Nsah

---