Hypertension Sufferers How Come Hyponatremia?
, my mother initially complained of headache and nausea, but a week of outpatient treatment and got 3 drugs from 3 different doctors. The situation was the same, finally hospitalized and on a CT scan there was bleeding in the brain which the doctor said was very small. But my mother’s condition is very weak, her consciousness has decreased, often sleeps and is difficult to wake up, indeed my mother has a history of hypertension, where the tension was 180/110. However, after going to the lab further, the concentration of sodium in my mother’s body was only 120mEq / L where below 136mEq / L was categorized as having Hyponatremia. Why can 2 types of diseases start / be 1 different? Even though hypertension is identical because of too much salt, this is actually a lack of salt.
Hello, Muchammad Rizqy
Thank you for your question for HealthReplies.com
Hypertension is a common disease in which blood flows through the blood vessels, at a higher than normal pressure. Often, hypertension is asymptomatic.
Blood pressure classifications for adults, according to JNC 7:
- Normal: <120 mmHg SBP and <80 mmHg DBP
- Pre-hypertension: 120-139 mmHg SBP and 80-89 mmHg DBP
- 1st degree hypertension: 140-159 mmHg SBP and 90-99 mmHg DBP
- Hypertension grade 2: ≥ 160 mmHg SBP and ≥100 mmHg DBP
It is very dangerous, for someone suffering from hypertension, because the heart is forced to pump blood more strongly throughout the body, which can lead to various complications, such as hypertensive emergencies, hypertensive urgency, kidney failure, stroke, heart attack and heart failure.
Hyponatremia is an electrolyte disorder, when the level of sodium (sodium) in the blood is lower than normal. In our bodies, sodium has many functions, including controlling water levels in the body, maintaining blood pressure, and regulating nerve and muscle performance. Some of the following symptoms can be found in someone who is suffering from hyponatremia, such as headaches, confusion, nausea, vomiting, weakness, fatigue, cramps or muscle weakness, restlessness, seizures, and decreased consciousness.
Several things can cause a person to develop hyponatremia:
1. Diarrhea or vomiting. This condition can cause the body to lose sodium.
2. Use of certain drugs. Diuretic drugs that function to remove excess salt and water from the body through urine, the amount of salt, especially sodium that is reabsorbed by the kidneys, will be reduced, this sodium also carries fluids in the blood, so that urine production increases and blood pressure decreases. Antidepressants and pain relievers can affect hormones or the kidneys in maintaining sodium levels.
3. Hormonal changes. A deficiency in adrenal hormones can affect the performance of the adrenal glands to produce hormones that maintain a balance of water, sodium and potassium levels in the body. Low thyroid hormone levels can also cause hyponatremia.
4. Certain health conditions. Heart failure, kidney problems and cirrhosis, can cause fluid buildup in the body and dissolve sodium, resulting in low sodium levels in the blood.
5. Use of illegal drugs. Amphetamines can cause a person to experience hyponatremia.
6. Syndrome of inappropriate anti-diuretic hormone (SIADH). This disease, produces large amounts of ADH, which prevents the body from excreting water normally through urine. Excess water in the body will dissolve sodium, and make the levels decrease.
7. Age who is getting older, has a higher tendency to experience hyponatremia. In the elderly, the body's ability to express thirst and control body fluid intake has decreased.
You need to explore further, are there any things that might trigger hyponatremia in your mother, because hyponatremia can be caused by many things.
Some things your mother may be able to do with mild hyponatremia:
1. Improve diet. Eat a balanced nutritious diet, multiply vegetables and fruits.
2. Adjust the type and dosage of medicines consumed according to your mother's health condition.
3. Limit your mother's fluid intake, only temporarily. Do not consume less or excessive water, know whether the body lacks fluids or not, this can be judged by thirst or by looking at the color of urine.
4. Consumption of drinks that can replace the body's lost electrolytes.
5. If your mother shows symptoms that are getting worse, until she has decreased consciousness, immediately take your mother to the nearest emergency room service, in order to get the appropriate handlers.
We recommend that you consult an Internal Medicine Specialist, so that a physical examination, laboratory examination and other necessary support can be carried out, and appropriate handling.
Thus, hopefully this is useful.
dr. Vallensia Nurdiana Febriyanti.