Fluid and electrolyte imbalance occurs when there is a loss of fluid due to vomiting and diarrhea. People with malnutrition have a greater chance to have fluid and electrolyte imbalance. Electrolytes, such as sodium, potassium, and calcium, aid in maintaining homeostasis in the body. Disturbance in the level of electrolytes can cause arrhythmias (irregularity in heart rhythm) and brain herniation.
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What causes low sodium and chloride levels?
Query: Hello doctor, I recently had a blood test done for my liver or kidney concerns as I had abdomen pain and bloating. I was fasting for the test. And I was found to have low chloride and sodium. Should I get some scans as the next step? Thanks. Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you had a history of abdominal pain, bloating before six days and undergone liver and renal function tests. According to the investigation reports, all results are normal, except serum... Read Full »
Can Metrogyl cause tingling sensation in hands and feet?
Query: Hello doctor, I took the antibiotic Metrogyl for a bacterial vaginosis infection. It was a seven day course which I completed four days back. Since then, I have had a tingling sensation in my hands and feet and a sort of achy numbness in my arms and legs. I had a blood test a week ago for something ... Read Full »
Answer: Hi, Welcome to icliniq.com. Regarding your concern, I would explain that your symptoms could be related to Metronidazole adverse effect. You should know that this drug can cause neuropathy as a possible adverse effect. For this reason, I recommend consulting with your attending doctor and performin... Read Full »
I had a tingling in my left foot. Does this sound like MS?
Query: Hi doctor, For a couple of weeks, I had a tingling in my left foot (under the pinky toe). Then one day after, the sensation was positioned in my right foot. It lasted for about two days, and then I had no symptoms. Now after a week, suddenly while reading, I notice the (vague) tingling sensation und... Read Full »
Answer: Hello, Welcome to icliniq.com. Your symptoms are not suggestive of MS (multiple sclerosis). So, you should not worry about this disorder. An electrolyte imbalance or a pinched nerve could lead to such complaints. For this reason, I would recommend performing some tests if the problem persists: 1. A... Read Full »
Can diarrhea cause fluid and electrolyte imbalance and fatigue?
Query: Hello doctor, I started feeling fatigued and nauseous three days ago. I threw up once three days and the nausea went away shortly after. Yesterday morning I started having diarrhea. I went to the bathroom 15 to 20 times for diarrhea despite taking Pepto-Bismol several times. I am still having diarr... Read Full »
Answer: Hi, Welcome to icliniq.com. You have lost quite a bit of fluid. You need to get rehydrated again. If your loose motion has not stopped, you need to take tablet Loperamide once, and you need IV (intra-venous) saline to bring your BP (bloodpressure) up. It is better to get to the ER (emergency room) a... Read Full »
How to treat feet and ankle swelling due to a heart problem?
Query: Hi doctor,My mother is 62 years old. She has a severe heart problem. She has high blood pressure for a long time but she is not taking any medication. Now her feet and ankles are swollen. The doctor suggested her to take Triforge 5/160 12.5 mg with Loprin 75 mg. Her blood pressure is under control n... Read Full »
Answer: Hi, Welcome to icliniq.com. Your mother is taking good medicines. In this age, medicines can cause electrolyte imbalance and renal function impairment. So blood urea, creatinine, and electrolytes should be taken after starting this medicine within a week. Swelling of feet can occur due to righ... Read Full »
My son has diarrhea after having certain types of meals. Why?
Query: Hello doctor, Hope you are doing fine. My son consulted a doctor for diarrheal syndrome. He suffers from diarrhea after having certain types of meals and also when he drinks a glass of wine or beer. Attached to this message, you will find his recent laboratory test results. His liver values seem to ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I have gone through the reports (attachments removed to protect the patient's identity) and found some important things regarding his liver and lipid profile. He has a bad lipid profile. It is bad because he has to keep an eye on this i... Read Full »
Why is there a minor change in my ECG?
Query: Hi doctor, I went for an annual health checkup and found there was a minor change in the ECG. I am 28 years old. My weight is 80 kg and height is 163 cm. My BMI is 30 and waist circumference is 90. My BP is 130/90 mmHg. I am also attaching my ECG report to you. I need your suggestion. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Your age is 28 and you are obese. Your electrocardiogram (ECG) is normal and no need to worry. The minor changes are hyperacute T waves that may be due to increased potassium levels in blood, but no need to worry. There is day-to-day variation in potassium levels dependi... Read Full »
What could present as body tremors with dizzy spells?
Query: Hi doctor, I am 48 years old. I have two problems which I believe are related. One of the symptoms would be internal tremors/vibrations, which started as a slight twitch in my left foot and progressed to the whole body and has recently started down the right leg. It is very annoying. I spent a bit ... Read Full »
Answer: Hello,Welcome to icliniq.com.Do you have any investigations or an MRI brain with you? Do you suffer from any rigidity, athetosis, and tremors in the hands? Are there any bladder or micturition problems? Do you take any pills for hypertension or diabetes?Without examination and investigations, it is ... Read Full »
Are my weakness and confusion due to low sugar or stroke?
Query: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke? Read Full »
Answer: Hello, Welcome to icliniq.com. This could be a sign of: Dehydration. Urinary tract infection. Excessive fatigue. Alcohol. Marijuana and other substances intoxication or withdrawal. Postictal state (seizure). Electrolyte disturbances. Others would also include infection of the central nervous syst... Read Full »
What could be done for the semi-conscious state of my mother-in-law?
Query: Hello doctor, This query concerns my mother in law. She has an imbalance of sodium due to which she becomes semi-conscious. Her condition has not improved since more than six months now. When I enquired with her doctor, he says that her health will remain this way throughout her life. She was oper... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I have seen the reports attached by you (attachment removed to protect patient identity). Your mother in law is diagnosed with multiple conditions such as hypertension, diabetes mellitus, left ventricular dysfunction ... Read Full »