1. < MAC & Bronchiectasis

Low sodium blood level

Posted by spider109 @spider109, Sep 5 4:53am

Has any out there with ILD experienced low sodium levels in blood work? That’s what I’m dealing with currently. I went to my local hospital ER on 8/19/24. My sodium level showed 122. I believe normal is minimal of 136. I was admitted for 24 hours and given salt tablets every 4 hours, total of 3-4. and at discharge my level was 132. I might add also with fluid restriction so I don’t urinate as much as I was on a diuretic which I stopped. 13 days later blood work showed sodium back down to 125. My PCP thinks this is due to my ILD (NSIP with fibrosis & Bronchiectasis) back on fluid restriction of 1 liter of fluid per day, add salt to daily diet, referral to nephrologist for consultation. This makes it harder for airway clearance with the fluid restriction. Any advice out there!!!

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mariegrace | @mariegrace | Nov 30 11:19am
In reply to @spider109 "I just got out of the hospital for 3 days for low sodium in blood. My..." + (show)
@spider109

I just got out of the hospital for 3 days for low sodium in blood. My Pulmonologist sent a sputum sample to Mayo in Rochester after my 1st time with low sodium in August ( November low sodium was my second incident) and it came back negative for MAC. I have BE and Pulmonary Fibrosis. I was drinking a lot of water to help keep the mucus thinned, and the hospital had a nephrologist (Kidney Doctor) see me who determined that because of my lung diseases it triggered the release of a hormone in my body to have my kidney retain as much water as possible to help the injured organ (Lungs) I think he called it SGIH hormone or something like that. I was put on fluids restriction of 60Oz max per day, salt tablets twice per day and furosemide 20 mg once per day. When I went into the hospital my sodium was 122. (Minimum normal is 136) after 3 days I was up to 133, and discharged on the 13th. Keeping the same treatment at home my blood test on the 25th sodium was at 137. So I believe the Kidney Dr. was right on with his diagnosis. Good luck with your situation.

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Hi spider
Same with me. I see a neprologist every 6 months and check my Na level. I have to restrict 1000cc/day. I love salt so use salt on my food.
I also was given salt tablets in hospital last year.
Good luck
MG

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1 reply
spider109 | @spider109 | Nov 30 4:15pm
In reply to @mariegrace "Hi spider Same with me. I see a neprologist every 6 months and check my Na..." + (show)
@mariegrace

Hi spider
Same with me. I see a neprologist every 6 months and check my Na level. I have to restrict 1000cc/day. I love salt so use salt on my food.
I also was given salt tablets in hospital last year.
Good luck
MG

Jump to this post

Does the 1000 cc of fluid equal 60oz? Also do you take the salt tablets every day? I take one in am and one in pm. 1 gram each. Plus can salt my food liberally. My problem is I have a lot of mucus with my BE, so it’s imperative to stay hydrated to help thin the mucus!!! But that makes it kinda hard being on a fluid restriction

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1 reply
mariegrace | @mariegrace | Nov 30 4:31pm
In reply to @spider109 "Does the 1000 cc of fluid equal 60oz? Also do you take the salt tablets every..." + (show)
@spider109

Does the 1000 cc of fluid equal 60oz? Also do you take the salt tablets every day? I take one in am and one in pm. 1 gram each. Plus can salt my food liberally. My problem is I have a lot of mucus with my BE, so it’s imperative to stay hydrated to help thin the mucus!!! But that makes it kinda hard being on a fluid restriction

Jump to this post

No 60oz is 1800cc
I dont take saly tablets only when i was in hospital when my Na was 126. Now its about 133.
My mucous is thick so I wish i could drink more!
Tough challenge because I love NYC water

REPLY
spider109 | @spider109 | Nov 30 4:41pm

You must have to nebulize 3 times a day at least!!

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