Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Hyponatremia Symptoms While Treating Hypothyroidism
Question: Need URGENT ANSWER. My Direct Premium Query to Dr XXXXXXX Heijebu,upon receiving your email.We highly seek your help in your issue.I have persistently getting low sodium levels in the blood.This has been happening since 2 years.I do not have any symptoms.Initially my doctor said ,it is because of hypothyroidism.I am on eltroxin 50 since 1 year.but another doctor said it is not because of this thyroid problem, since I have euthyroid status now and that problem existed even before diagnosing hypothyroidism primary.I do not have BPH.I even stopped taking hydrochlorthiazide 1 year ago ,when doctors said it is due to diuretics.But still it is not resolved.I am totally confused.I have levels of sodium around 115 meq/l.I know this is severe hyponatremia ,but no symptoms.I read about the symptoms of severe hyponatremia, but I do not have them.I am afraid.What could be the reason, I have got all scans -CT, USA,MRI as normal.My kidney tests are also normal.Please guide me, I am fear struck.My epeilepsy scan also normal.My doctors are clueless of my condition,they are finding it surprised and no ideas??????My BP is 130/80 pr 66,ecg with lvh may be due to htn I do not know.Normal bowel ,no excess urine,no bph.my brother has bph i do not have it..Need your urgent answer and guidance.i am deeply troubled. respond at YYYY@YYYY
Brief Answer:
Need further tests.
Detailed Answer:
Hello, Sir.
I understand your concern.
I have gone through your query in detail.
The cause of hyponatremia in your case need further evaluation.
The possibility of hypothyroidism and hydrochlorothiazide related hyponatremia can be reasonably ruled out based on the explanations offered by your doctors which seem prudent and scientific.
Since you are asymptomatic, there is no much need to worry.
But it is very important that sodium levels are therapeutically increased once the cause is found out.
For this, I advise you to get the following tests.
1.Urine and Plasma Osm.
2.24 Hr-Urine electrolytes.
These tests are important in determining therapeutic components.
Post your further queries if any,
Thank you.
Need further tests.
Detailed Answer:
Hello, Sir.
I understand your concern.
I have gone through your query in detail.
The cause of hyponatremia in your case need further evaluation.
The possibility of hypothyroidism and hydrochlorothiazide related hyponatremia can be reasonably ruled out based on the explanations offered by your doctors which seem prudent and scientific.
Since you are asymptomatic, there is no much need to worry.
But it is very important that sodium levels are therapeutically increased once the cause is found out.
For this, I advise you to get the following tests.
1.Urine and Plasma Osm.
2.24 Hr-Urine electrolytes.
These tests are important in determining therapeutic components.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doctor,I am taking Telma for BP.WHATS YOUR OPINION?iS IT A SAFE DRUG IN MY CASE?
Brief Answer:
Telma is safe drug.
Detailed Answer:
Hi Sir,
Yes you can take Tab.Telma as suggested by your doctor.
Its relatively a safe drug.
Exercise and diet restriction will be helpful.
Post your further queries if any,
Thank you.
Telma is safe drug.
Detailed Answer:
Hi Sir,
Yes you can take Tab.Telma as suggested by your doctor.
Its relatively a safe drug.
Exercise and diet restriction will be helpful.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my urine sodium results are out-high sodium and high osm,low plasma osm.what it means?
Brief Answer:
Drug induced SIADH.
Detailed Answer:
Hi Sir,
I understand your concern.
This could be due to Drug induced SIADH (valproate induced).
Nothing to worry.No need of any treatment.
Water restriction will be helpful.
Post your further queries if any,
Thank you.
Drug induced SIADH.
Detailed Answer:
Hi Sir,
I understand your concern.
This could be due to Drug induced SIADH (valproate induced).
Nothing to worry.No need of any treatment.
Water restriction will be helpful.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you so much for your prompt answr.should i stop taking valparin?
Brief Answer:
Continue taking Valparin.
Detailed Answer:
Hi Sir,
I understand your concern.
No Sir,you shouldn't stop Valproate.
Discontinuing Valproate may precipitate seizures in your case.
Nothing to worry.Water restriction will normalize urinary osmolarity.
Post your further queries if any,
Thank you.
Continue taking Valparin.
Detailed Answer:
Hi Sir,
I understand your concern.
No Sir,you shouldn't stop Valproate.
Discontinuing Valproate may precipitate seizures in your case.
Nothing to worry.Water restriction will normalize urinary osmolarity.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is this valproate toxicity or side effects?i am confussed?please tell
Brief Answer:
Its not toxic effect of the drug
Detailed Answer:
Hi Sir,
Its not toxic effect,
Its side effect of the drug.
But drug advantage overcomes side effects.
So don't worry.
Post your further queries if any,
Thank you.
Its not toxic effect of the drug
Detailed Answer:
Hi Sir,
Its not toxic effect,
Its side effect of the drug.
But drug advantage overcomes side effects.
So don't worry.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
how do i know that i am receving right dose?my doctor gave me 300 mgplease guide
Brief Answer:
Serum valproate can be helpful.
Detailed Answer:
Hi Sir,
Yes you can get Serum Valproate levels.
It will detect drug distribution in the body.
Post your further queries if any,
Thank you.
Serum valproate can be helpful.
Detailed Answer:
Hi Sir,
Yes you can get Serum Valproate levels.
It will detect drug distribution in the body.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you, i will get tests and get back to you,is excess adh disease curable with medicals
Brief Answer:
SIADH is curable.
Detailed Answer:
Hi Sir,
Yes its absolutely curable.
Water restriction will be sufficient in your case.
Post your further queries if any,
Thank you.
SIADH is curable.
Detailed Answer:
Hi Sir,
Yes its absolutely curable.
Water restriction will be sufficient in your case.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dr XXXXXXX thank you,i want to know how much water should i take daily,any specific i dink 3-4 liters everyday along with buttermilk at night
Brief Answer:
Please provide your weight sir.
Detailed Answer:
Hi Sir,
I can guide you better if you provide me your weight.
Post your further queries if any,
Thank you.
Please provide your weight sir.
Detailed Answer:
Hi Sir,
I can guide you better if you provide me your weight.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir, my weight is 61kgs.please suggest.
Brief Answer:
Approximately 1.5-2liters can be consumed per day.
Detailed Answer:
Hi Sir,
Thank you for the information.
You need to take exactly 1.5 liters of water including buttermilk, fruit juices for your body weight.
Post your further queries if any,
Thank you.
Approximately 1.5-2liters can be consumed per day.
Detailed Answer:
Hi Sir,
Thank you for the information.
You need to take exactly 1.5 liters of water including buttermilk, fruit juices for your body weight.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
other doctor suggested me tolvaptan on this site?do you think i need it.i read many side eeffects in it?any commenrts
Brief Answer:
You may not need Tolvaptan.
Detailed Answer:
Hi Sir,
Yes vaptans are used for treating SIADH.
But in your case Water restriction for 2-3 months alone will be sufficient.
Repeat Urine analysis after 3 months.
Post your further queries if any,
Thank you.
You may not need Tolvaptan.
Detailed Answer:
Hi Sir,
Yes vaptans are used for treating SIADH.
But in your case Water restriction for 2-3 months alone will be sufficient.
Repeat Urine analysis after 3 months.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
regarding my seizures, how often should i take eeg?please answer this is out of context
Brief Answer:
EEG is not needed routinely.
Detailed Answer:
Hi Sir,
I understand your concern.
EEG is not needed on routine basis in asymptomatic cases.
Instead CT scan can be helpful once in 3 years.
Post your further queries if any,
Thank you.
EEG is not needed routinely.
Detailed Answer:
Hi Sir,
I understand your concern.
EEG is not needed on routine basis in asymptomatic cases.
Instead CT scan can be helpful once in 3 years.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can i take phenytoin instead of valparin.it was initially given to me when i has fits?your comments?
Brief Answer:
Valparin is safer drug.
Detailed Answer:
Hi Sir,
I understand your query.
Phenytoin has long term side effects.So better avoid it.
Valparin is best drug for maintenance in seizure treatment.
So better continue with Valproate.
Post your further queries if any,
Thank you.
Valparin is safer drug.
Detailed Answer:
Hi Sir,
I understand your query.
Phenytoin has long term side effects.So better avoid it.
Valparin is best drug for maintenance in seizure treatment.
So better continue with Valproate.
Post your further queries if any,
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
You are Welcome Sir.
Detailed Answer:
You are Welcome Sir.
You are Welcome Sir.
Detailed Answer:
You are Welcome Sir.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
