Talk:Hyponatremia
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[edit] Not opposite of dehydration?
Someone wrote that hyponatremia was the opposite of dehydration, but that's not correct. A dehydrated person can be either hyponatremic or hypernatremic. I've removed that, but obviously the topic calls for a fuller treatment. - Nunh-huh 02:27, 17 May 2004 (UTC)
- Hyponatremia may eventually lead to dehydration, due to osmosis balancing the high salinity of cells with the low salinity of the blood. Dehydration does not cause hyponatremia. --[[User:Eequor|ηυωρ]] 17:01, 18 Sep 2004 (UTC)
- "Hyponatremia may eventually lead to dehydration, due to osmosis balancing the high salinity of cells with the low salinity of the blood." This is utter rubbish!
- "Dehydration does not cause hyponatremia." This is correct. Dehydration alone would cause hypernatremia. Axl 21:52, 30 Dec 2004 (UTC)
[edit] Speedy deletion
For some reason, this page has been listed as a candidate for speedy deletion. There is no reason to delete this page. Hyponatremia is a fairly common medical disorder. Sure, the page might require considerable work, but it shouldn't be deleted! -- FirstPrinciples 05:55, Sep 13, 2004 (UTC)
- OK, it is no longer being deleted... what was that all about? -- FirstPrinciples 06:00, Sep 13, 2004 (UTC)
[edit] Survivor of hyponatremia
The cause was the drug Trileptal, meds for an anxiety condition. The hyponatremia is a common side effect not mentioned to me by my Psych Dr. All I noticed was over a two week period of time it became harder and harder to pass urine; even when the urge would get me out of bed in the middle of the night.
When I noticed that my blood pressure was dangerously high, feelings of nausea, no appetite, no thirst, dizziness and inability to walk without holding onto walls, I drove myself to the Dr. and saw the Nurse Practioner who quickly called in another staff Dr on duty. That Dr.concerned my condition needed immediate testing beyond what was available in his office, had a family member come get me and take me to the emergency room. The Emergency Room Dr. had a cat scan done of my brain concerned about my headache, decided my 188/110 blood pressure was due to the headache. He sent me home with Vicodin for the headache.
I continued to monitor the BP and the next night when it was 192/112, I suggested to my husband that I needed a second opinion. He said the BP machine had to be wrong and we went to bed for the night.
The next day I drove myself to my regular Dr, who immediately demanded my husband come get me and take me to the hospital or she was calling an ambulance to take me. My bed was waiting and admitting was done at my bedside. A neurologist, a kidney specialist, an on call Dr and nurses, nurses assistants and others surrounded my bed and things got interesting.
My Dr. specifically ordered no-I.V. fluids, but being Hosp. procedure, the hospital nurse insisted (against my protests) on starting a saline drip. I don't remember much after that as I slept a lot in-between normal vitals, and ocassional taking of my regular meds from home list. They did an abdominal ultrasound looking for enlarged organs since my abdomen was distended. They did a MRI on my brain looking for signs of stroke, all were negative.
The removal of the offending drug, Trileptal, caused a great improvement and three days later I was home trying to regain strength and ability to think straight and walk straight. I look forward to getting strong enough to start an exercise routine, lots of sunshine, etc. to get healthy so I won't need anxiety drugs anymore.
[edit] Merge with water intoxication?
I'm wondering if someone can tell there difference, I've heard professionals refer to these as the same thing. As far as I can tell, any difference would be that water intoxication is just one method of contracting hyponatremia, but it still makes sense to me to merge it into this as a cause. Tyciol 21:08, 16 July 2006 (UTC)
[edit] Women and Children
Removed the following from a paragraph on a different subject. Please put it back in a better place, and cite if possible.
- Women and children are at higher risk for death with this problem; for women it's because estrogen and progesterone can interfere with the brain's ability to remove sodium (the body's tissues try to remove some of the sodium to alleviate the swelling), and for children there's not enough room in their skulls because their brains grow to full size before their skulls do and so there's less room for the brain to swell up in and their brains will herniate faster (I heard an expert on the radio, KCBS, Jan 14, 2007). —The preceding unsigned comment was added by 198.99.123.63 (talk) 20:10, 15 January 2007 (UTC).
[edit] "Hold your wee for a Wii"
My addition of the contest name was not intended to suggest that not urinating is a cause of hyponatremia. Rather, I merely intended to add a fact to the entry. I apologize if the edit seemed misleading. Bigsnake 19 00:24, 19 January 2007 (UTC)
- Actually, I did not mean to imply that the 'entry' was misleading, but rather that the association of the contest name and the condition was misleading to others. Hopefully, its been clarified.Dan Levy 00:55, 19 January 2007 (UTC)
- As far as the request for citation, I personally think that its a bit out of the scope of the article. I can say with confidence that refraining from voiding does not contribute to hyponatremia because the bladder lining is totally impermeable to water, and neither salts nor water go back into the bloodstream once they are in the bladder. That said, I am unaware of any reference that would specifically address this issue.Dan Levy 00:53, 19 January 2007 (UTC)