Hyponatremia Blog

UreaTabs are 100% pure USP Urea in tablet form. They are 2.5 grams each, which means 6 tabs equals 1, 15 gram dose. UreaTabs come in bottles of 180 tablets… Read More »What are UreaTabs and are they truly tasteless? 

Primary polydipsia (formerly known as psychogenic polydipsia) is a condition characterized by excessive thirst and drinking large amounts of water.  Primary polydipsia is most often seen in people with underlying… Read More »What is Primary Polydipsia, aka Psychogenic Polydipsia aka Compulsive water drinking? 

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… 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… 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… 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… 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… 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… 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?… 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… 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… 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… Read More »The Hyponatremia Equation

PowerPoint presentation created by Dr Barry Gorlitsky on evidence based approach to Chronic Hyponatremia. Example case, prevalence, how to make the correct diagnosis of Hyponatremia and SIADH, consequences of under… Read More »Dr. Gorlitsky Chronic Hyponatremia Talk 2021

“Interestingly in the subjects with SIADH this occurred but all at a lower set point.” A great question came up via social media the other day. If I have SIADH… Read More »Why am I Still Thirsty?

Urea is a medical food, used for the treatment of Hyponatremia (low sodium). Urea works by osmosis. It draws excess water out via the kidneys, resulting in increased sodium levels without… Read More »What is UreaAide™?

The FDA defines a medical food as: “a food which is formulated to be consumed or administered enterally under the supervision of a physician and which is intended for the… Read More »What is a Medical Food?

Reset osmostat is a sub–type of SIADH (type C in the nephrology literature). It is essentially your body having a higher threshold for low sodium. In other words your body will… Read More »What is Reset Osmostat?

A study in the journal of Bone and Mineral Research published in 2010, sought to answer this very question. We already know low sodium is linked to falls and imbalance so if… Read More »Does Low Sodium Cause Weak Bones?