Exercise Associated Hyponatremia (EAH) is defined as a serum sodium level below 135 meq/L during or within 24 hours after prolonged physical activity.1 A study from the New England Journal of Medicine in Boston Marathon runners found 13% had a… Read More »What is Exercise Associated Hyponatremia and How do I Prevent it?
SIADH stands for the Syndrome of Inappropriate Anti-Diuretic Hormone secretion. What that means is your body is secreting an excess of the hormone that causes a concentrated urine. This concentrated urine will in turn not allow the body to excrete… Read More »What exactly is SIADH?
In June 2022 a nice retrospective analysis was published, documenting 48 patients diagnosed with SIADH/Hyponatremia. The study period took place from November 2015 until April 2022. The most common causes of SIADH were cancer, followed by medications and idiopathic. The… Read More »Urea for the treatment of SIADH: a review of the article in Nature Scientific reports from June 2022.
“In tea and toast it all comes down to too much tea and not enough [avocado] toast.” While there are many etiologies for why folks become Hyponatremic, few are more fascinating than the infamous tea and toast. This condition has… Read More »What is Tea and Toast Hyponatremia?
Cramping on Dialysis is a common issue for patients. The usual causes are: High fluid gains in between sessions Shortened time on Dialysis High salt intake leading to high fluid intake Low Blood Pressure Missing treatments1,2 In regards to above… Read More »Why Am I Cramping on Dialysis, and Is There Anything I Can Do About It?
We had a great question come up recently where a client asked… How can I take UreaAide™ if I have a sensitive stomach? Here’s what we said. Hi Dee thanks for reaching out. We see this from time to time… Read More »How Can I Take UreaAide™ if I Have a Sensitive Stomach?
If your doctor is unsure why your sodium is low, but has done a thorough workup (see below) then you most likely have Idiopathic SIADH. What is Idiopathic SIADH? Idiopathic SIADH means we don’t (yet) know what is causing… Read More »What if My Doctor Does Not Know Why My Sodium Is Low?
As a Nephrologist treating all sorts of ailments, we often need to counsel on the merits of fluid restriction. Many of our patients are surprised to hear a kidney doctor ask to drink LESS WATER. “Wait, you want me to… Read More »Top Tips When You Have to Fluid Restrict
A common question that often comes up is, could my medications be causing the Hyponatremia? The short answer is yes, possibly. While medications like hydrochlorothiazide (HCTZ) are notorious in causing low sodium, other medications are less commonly known, but may… Read More »Could My Medication be Causing My Hyponatremia? The Top 10 + Medications that Cause Low Sodium.
The hyponatremia, AKA Edelman equation, is what actually determines the blood sodium level. It’s straightforward and simple on the surface but imperative to understand in order to make sense of the overall Hyponatremia construct. The simplified Edelman equation is as… Read More »The Hyponatremia Equation