Q. How to improve low sodium levels after a brain aneurysm repair surgery?

Answered by
Dr. Shaikh Sadaf
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 07, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

My father underwent a brain aneurysm repair one and a half years ago, after which, he is having a constant loss of sodium. He is taking one Tolsama 15 mg tablet every alternate day to stabilize his sodium levels. He is also currently taking Encorate Chrono 500, Absolut 3G, Nexfolin and Tamlocept D. I enquired with the neurosurgeon about this, as it is unusual for the sodium loss to continue for such an extended period post-surgery. I was told to contact an endocrinologist for my concerns. What do you suggest to reduce this prolonged sodium loss?

#

Hello,

Welcome to icliniq.com.

  • I read your query about your father and it appears that he has SIADH (syndrome of inappropriate antidiuretic hormone secretion).
  • It commonly occurs after a brain surgery, due to excessive fluids and use of diuretics. The sodium levels usually return to normal soon, but in some elderly patients, it does not stabilize as they are less likely to suppress AVP (arginine vasopressin), the hormone causing diuresis.
  • I suggest he continue with Tolsama 15 mg (Tolvaptan) as it is given for the treatment of resistant hyponatremia.
  • As for the other endocrine related factors, he can have these tests done:
  1. Plasma and serum osmolalities and biochemistry.
  2. Thyroid function tests.
  3. Synacthen test.
  4. Chest x-ray.

I would like to add that these tests will only confirm his diagnosis and the treatment plan is likely to be the same. Hope this helps.

For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist



Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I get random twitches in biceps, back of legs, and calf muscles. Do these indicate ALS?

I was recently admitted because my sodium was 120 and with admission I got back to normal ... There are many causes of muscle twitches, the common ones being anxiety, low potassium and also ...   Read full

Why does lung cancer medicine hamper aneurysm treatment?

Hello doctor, My friend has a brain aneurysm and lung cancer ... Now, the medicine for lung cancer is hampering the aneurysm ...   Read full

Does using Noctiva nasal spray reduce the sodium levels in the body?

I have read that using Noctiva can lower the sodium present in the body ... I tested my sodium level before eight months ... Do I need to check my ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Alzheimer's Disease - an Overview
Alzheimer's is a neurodegenerative condition that can seriously hamper one's day to day activities and quality of life. ...  Read more»
My father is experiencing hospital delirium after ankle surgery. Please help.
Hi doctor, I am concerned about drug interaction for my father. He is experiencing hospital delirium after surgery. My ...  Read more»
Is there a chance for dengue reattack in the same season?
Hi doctor, I was diagnosed with dengue towards the end of last month. I was hospitalized for five days. I went through...  Read more»

Ask your health query to a doctor online?

Ask an Endocrinologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.