Can low sodium cause stroke like symptoms?

Acute hyponatremia can cause focal neurological complaints and deficits, mimicking acute ischemic stroke.


What are the symptoms of dangerously low sodium?

Hyponatremia signs and symptoms may include:
  • Nausea and vomiting.
  • Headache.
  • Confusion.
  • Loss of energy, drowsiness and fatigue.
  • Restlessness and irritability.
  • Muscle weakness, spasms or cramps.
  • Seizures.
  • Coma.


How does low sodium affect the brain?

In particular, the consequences of acute hyponatremia on the brain may be severe, including permanent disability and death. Also chronic hyponatremia can affect the health status, causing attention deficit, gait instability, increased risk of falls and fractures, and osteoporosis.


Can hyponatremia cause a stroke?

In patients with hyponatremia secondary to stroke, ischemic stroke is a common entity. SIADH remains a more frequently witnessed underlying pathology in hyponatremic stroke patients. Severe hyponatremia may further deteriorate the neurological status of these patients.

How long does it take to recover from low sodium?

The medical team will restore the sodium level over the course of several hours or days, depending on the severity of your condition.


What Causes Low Sodium? Hyponatremia Workup (Lab Interpretation for New Nurse Practitioners)



What is the most common cause of low sodium?

So, the most common reason for low sodium is a kidney problem. When the kidneys are not functioning normally, which can be seen in chronic kidney disease or even temporary dehydration, the body holds too much water. And the proportion of sodium compared to water in the body lowers the sodium level.

Which organ is most affected by hyponatremia?

Hyponatremia occurs when your blood sodium level goes below 135 mEq/L. When the sodium level in your blood is too low, extra water goes into your cells and makes them swell. This swelling can be dangerous especially in the brain, since the brain cannot expand past the skull.

What medical conditions can mimic stroke symptoms?

One of the most common stroke mimics is a seizure, which researchers believe account for as many as 20% of all stroke mimics. Other common stroke mimics include migraines, syncope, sepsis, brain tumor and metabolic derangement (low sodium or low blood sugar).


What complication is caused by low sodium levels?

Signs and symptoms of hyponatremia can include altered personality, lethargy and confusion. Severe hyponatremia can cause seizures, coma and even death.

How much sodium does it take to have a stroke?

9, 2011 (Los Angeles) -- Fewer than 2 teaspoons of salt a day may raise your risk of stroke. In a study of over 2,600 people, those who got more than 4,000 milligrams of sodium a day were about two-and-one-half times more likely to have a stroke than those who got less than 1,500 milligrams a day.

How can I raise my sodium level quickly?

It may include:
  1. cutting back on fluid intake.
  2. adjusting the dosage of diuretics.
  3. taking medications for symptoms such as headaches, nausea, and seizures.
  4. treating underlying conditions.
  5. stopping or changing a medication for a chronic condition that may be negatively affecting blood sodium.
  6. an intravenous (IV) sodium solution.


Can a person recover from low sodium levels?

Many diseases and medications can cause hyponatremia. Most people recover fully with their healthcare provider's help. Unless your provider tells you something different, let your thirst be your guide in terms of how much water you drink.

Should I eat more salt if my sodium is low?

Our bodies need a small amount of salt for a variety of functions, such as the working of nerves and muscles. However, there is enough sodium present in all foods that a lack of sodium does not generally cause any problems in these areas. It is rarely necessary to add extra salt to food.

When should you go to hospitalize for low sodium?

Seek emergency care for anyone who develops severe signs and symptoms of hyponatremia, such as nausea and vomiting, confusion, seizures, or lost consciousness. Call your doctor if you know you are at risk of hyponatremia and are experiencing nausea, headaches, cramping or weakness.


What happens if your sodium level is 120?

Hyponatremia is the most common electrolyte abnormality in hospitalized patients, and it increases the likelihood of a hospital death (1–5). Inpatient mortality rates as high as 50% or more have been reported for patients with serum sodium concentrations (sNa) <120 mEq/L (6–9).

What happens if you correct low sodium too quickly?

Rapid correction of severe hyponatremia can result in serious neurologic complications, including osmotic demyelination. Few data exist on incidence and risk factors of rapid correction or osmotic demyelination.

What illness causes low sodium?

Low blood sodium can be caused by:
  • Burns that affect a large area of the body.
  • Diarrhea.
  • Diuretic medicines (water pills), which increase urine output and loss of sodium through the urine.
  • Heart failure.
  • Kidney diseases.
  • Liver cirrhosis.
  • Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
  • Sweating.


What causes stroke like symptoms but is not a stroke?

Some of the most common stroke mimics are seizures, migraine, fainting and serious infections. Once the person is diagnosed, they can have treatment or support to manage their symptoms.

Can you have stroke like symptoms without having a stroke?

There are several conditions that can cause symptoms similar to a stroke, known as stroke mimics. A seizure, high blood pressure and even migraine headaches can cause sudden numbness or weakness.

What is it called when you have stroke symptoms but not a stroke?

Overview. A transient ischemic attack (TIA) is a temporary period of symptoms similar to those of a stroke. A TIA usually lasts only a few minutes and doesn't cause permanent damage. Often called a ministroke, a TIA may be a warning.


What is a critical low sodium level?

The definition of a low sodium level is below 135 milliequivalents per liter (meq/l). Severe hyponatremia occurs when levels drop below 125 meq/l. Health issues arising from extremely low sodium levels may be fatal.

Will eating salt help hyponatremia?

In elderly patients with a diet poor in protein and sodium, hyponatremia may be worsened by their low solute intake. The kidney's need to excrete solutes aids in water excretion. An increase in dietary protein and salt can help improve water excretion.

Which drug may lead to hyponatremia?

Summary. Drug-induced hyponatraemia is commonly associated with diuretics, selective serotonin reuptake inhibitors and antiepileptics.


What causes low sodium in older adults?

Hyponatremia in elderly subjects is mainly caused by drugs (more frequently thiazides and antidepressants), the syndrome of inappropriate antidiuretic hormone secretion (SIAD) or endocrinopathies; however, hyponatremia is multifactorial in a significant proportion of patients.

What should I eat if my sodium is low?

Any fresh vegetables, like spinach, carrots, or broccoli. Frozen vegetables without added butter or sauce. Canned vegetables that are low in sodium or have no salt added — you can rinse them off to remove some of the sodium.