Low potassium < Steroids to stop,
Good Day again XXXX!
Thank you for asking. My name is Dr S Khan and and i would like to help you with your underlying cause for this episodic drop in potassium resulting in these symptoms which are a classic presentation of hypokalemia
in emergency medicine.
Miss XXXX i recall you as a sarcoid patient asking for relief of dyspnea , if so one sure reason i can say in your cse of hypokalemia is Steroids which you used like candies for sarcoidosis
.But any ho lets talk about possibilities
Such symptoms occur as a result of constellation of symptoms that involve the GI, renal, musculoskeletal, cardiac, and nervous systems and then it can be said for sure what is causing the low potassium. I am afraid it will need a lot of work up to reach the cause as it has many
Renal losses of potassium occurs by
1-Renal tubular acidosis
GI losses (source may be medical or psychiatric , ie, anorexia or bulimia)
1-Vomiting or nasogastric suctioning
3-Enemas or laxative use
Medication effects Involve
Diuretics (most common cause)
Steroids ( Most probable in your case as you have used them for your sarcoidosis)
So my advice , you need a triad of internist, nephrologist
and a psychiatrist
to reach a diagnosis.
Hope XXXX You got your help. Kindly keep me posted about your follow ups. I would love to be of some help.
Dont forget to close the discussion please and rate the answer as per your experience.
Dr S Khan