Recently Answered Questions
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How is frequent drop in sodium level treated?
Query: Hello doctor, My father is out of coma and on regular physiotherapy. However, we have a major concern now with frequent drop in his sodium level. Every five to six days his sodium level drops to 110-120. When that happens, his consciousness level goes down and stops body movement or response. He is ... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry to note that he is having problems with sodium levels. I suggest the following. Disturbances in sodium level indicate that there has been damage to the brain structures (hypothalamus) that control the levels of sodium in the blood. One should ident... Read Full »
Can Tolsama be used to correct sodium levels?
Query: Hello doctor,My mother suffers from low sodium levels. Although she tries to maintain them through a sodium-rich diet, she loses the levels when she is affected by any ailment. One doctor suggested her to use Tolsama on alternate days and monitor the serum electrolytes to check the levels and stop w... Read Full »
Answer: Hello, Welcome to icliniq.com. I need more information to know the main diagnosis. I would like to know why is she having low sodium levels. As per the suggestion for Tolsama (Tolvaptan) by your physician, I assume the diagnosis to be SIADH (syndrome of inappropriate antidiuretic hormone secretio... Read Full »
How to improve low sodium levels after a brain aneurysm repair surgery?
Query: 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... Read Full »
Answer: 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 nor... Read Full »
Query: Hello doctor, One of my relative is 61-year-old and was diagnosed with lymphoma last year. He had chemotherapy and radiation for around seven months, and his previous PET scan four months ago showed no signs of cancer. He was good until last month's end. This month, his sodium level dropped, and he ... Read Full »
Answer: Hello, Welcome to icliniq.com. Multiple factors could lead to low sodium, such as poor nutrition, dehydration, side effects of earlier cancer treatment, comorbidities like high blood pressure and associated treatment, etc. Thus there is a possibility it not be related to the previous lymphoma. How... Read Full »
Is it advisable to give more water for a cancer patient with low sodium?
Query: Hi doctor, My dad has been diagnosed with aggressive mesothelioma cancer. He is very frail, and on leaving the hospital, he suffered from low sodium. He constantly asks for water, and I am unsure whether we are giving him enough to drink or giving him too much. His urine output is usually from 500 m... Read Full »
Answer: Hello, Welcome to icliniq.com. The water he drinks will not affect the drain output unless the heart failure component is there. However, when sodium is low, we usually restrict water intake depending on the cause of less sodium. Has he received chemotherapy? Your intake should be based on outpu... Read Full »
Do my mother's symptoms indicate stroke?
Query: Hi doctor, My 58 years old mother is under treatment for hypothyroidism, hypertension, osteoarthritis of knee joints, and mild anemia. Her hemoglobin is 10.5 to 11.0 g/dL. She is currently on the following medicines, Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3, Uprise XT, and Folvite. Six months back... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for your question. You have described your mother's symptoms very well. The "reeling in the head and shaking" with change is position or posture is a typical symptom of orthostatic hypotension. There is an easy bedside test that you could also perfo... Read Full »
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... Read Full »
Will vitamin B12 deficiency result in random twitches?
Query: Hello doctor, I am a 39-year-old male. I am inquiring about some symptoms that I have been having for about two weeks. I have had random muscle twitches throughout the day. It seems to have started in my right biceps. Sometimes, I will feel it in my left biceps, back of my leg, and calf. I was rece... Read Full »
Answer: Hello, Welcome to icliniq.com. There are many causes of muscle twitches, the common ones being anxiety, low potassium and also low sodium. In fact, muscle twitches can occur despite all the parameters being normal as well. Since, you said you were admitted for low sodium level, may I ask if the do... Read Full »
Why does my father keep having unconcious episodes?
Query: Hi doctor, My father is 55 years old. He is good in terms of his health and weight. He recently had a large AVM rupture and he was flown to the nearest hospital. He had a craniotomy to remove AVM and the ICH caused a large stroke. He was left paralyzed on his right side with the capability to speak,... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. When the cortical damage is widespread, the consciousness is impaired. Your father has come out from the deep unconsciousness, he is recovering now. During recovery, this sort of episodes are common and gradually the frequency of this episode would come down. Other factor... Read Full »
Is low blood pressure of 102/72 anything to worry about?
Query: Hello doctor, Is low blood pressure of 102/72 anything to worry about? Read Full »
Answer: Hello, Welcome to icliniq.com. No, low blood pressure is not to be worried much but you should take little high protein diet and sodium diet. Keep an active lifestyle and eat lots of fruits and vegetables to maintain good blood pressure and keep away the weakness. Keep getting your blood parameter... Read Full »