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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Sodium Level?

My husband has recently been told his sodium level is low. His primary Doctor has referred him to a Endocrinologist. What could be the cause of the low level? The most recent blood work was 130. All other blood work seems fine. He has high blood pressure that is currently under control with medicaton and is 40 years old.
Mon, 14 Jul 2014
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General & Family Physician 's  Response
Hello
A plasma Na concentration less than 135 nmol/L usually reflect a hypotonic state or also known as hyponatremia .
As there are so many causes of hyponatremia but in a 40 years person with hypertension may be these reasons, these include.
1 Heart failure , diagnosis can be confirmed by physical examination as well as E K G , ECHOCARDIOGRAM and treadmill test. Consult a Cardiologist and get his opinion because you are already taking drugs for hypertension.
2 The next reason of such loss of sodium may be due to diuretics ( if you are taking with high blood pressure drugs)
3 Chronic renal failure as this is most common cause in a patient having high blood pressure.
Diagnosis can be confirmed by M R I of kidneys with serum creatinine level as blood urea level.
There are so many reasons of low sodium level as hyperlipidemia, hyperproteinemia, hyperglycemia , sweating burns etc .
In my opinion consult a cardiologist and get his opinion.
Hope this information will help you.
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern for your husband and from the history given here I could say that low sodium intake may be the cause or he may be dehydrated at the time of testing blood, and nothing else, but clinical symptom is important, forget about this, take care and have a nice day.
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What Causes Low Sodium Level?

Hello A plasma Na concentration less than 135 nmol/L usually reflect a hypotonic state or also known as hyponatremia . As there are so many causes of hyponatremia but in a 40 years person with hypertension may be these reasons, these include. 1 Heart failure , diagnosis can be confirmed by physical examination as well as E K G , ECHOCARDIOGRAM and treadmill test. Consult a Cardiologist and get his opinion because you are already taking drugs for hypertension. 2 The next reason of such loss of sodium may be due to diuretics ( if you are taking with high blood pressure drugs) 3 Chronic renal failure as this is most common cause in a patient having high blood pressure. Diagnosis can be confirmed by M R I of kidneys with serum creatinine level as blood urea level. There are so many reasons of low sodium level as hyperlipidemia, hyperproteinemia, hyperglycemia , sweating burns etc . In my opinion consult a cardiologist and get his opinion. Hope this information will help you.