You are the best teacher I’ve had! You explain so well and make it understandable....THANK YOU ...I AM GRATEFUL TO YOU.

You are the best teacher I’ve had! You explain so well and make it understandable "

Thank you very much. This very nice, organized, simple & clear!!

It was never this simple. Loved your video thanks

Thank you very much....it's short and sweet, please make more informative medical videos...

Absolutely excellent. Thank you.

thank you for explaining this to me better than my doctor

you are amazing, please don't stop making videos, thank you very much

thank you very much Dr for the excellent explaination and instruction !!!!

You’re a gem. Thankyou

I love how you teach. It has helped me learn a lot. Thank you 🙏🏼

Outstanding explanation. Concise , well structured,very informative and makes a complex topic simple and easy to understand. Thank-you Dr. Fazakas!

@totalmominc

2 жыл бұрын

very well structured

Thank You! Now I understand!

DR ANDARAS i appreciate your effort...very informative clip

Very nice! It is very valuable to know your way around hyponatremia ;)

Thank you so much dr, very clear and easy to understand 🤩❤️❤️

You are genius. Thank you very much.

Wow!! Great information!! Thank you.

thank you for useful and thorough information.

Very effective teaching! Thank you Doctor!

I had a severe case in March 2022. But symptoms were just weakness and sleepiness. I did fall once and was unable to get up. Once in the ER, it was determined my sodium level was 99.All my vital organs were failing as well as eyesight and hearing. I was in ICU for 10 days. This was all due to a combination of prescription medications. This did have some negative impact on me but I am still here.

@freedomwarrior5087

Ай бұрын

If you took any of the c19 shots it was most likely from that, I hear this as well as other things very often. Of course a combination of Rx drugs won't help either.

excellent presentation! thank you.

Informative presentation 👍

expertly done! Saviour!!

Best explanation ever.thnks doc

thank you so much . your video really helped me

Thanks for the useful video...

This is amazing thank you

very good teaching, thank yout

Excellent sir

Very informative and helpful information, my aged mother has this chronic problem. I give her two capsules filled with table salt along with her lunch and dinner. She feels very thirsty and drinks lot of water. Some how she is in mild condition. Thanks for this video, it helped me to understand her medical condition in a better way.

@karimnagarvideos8371

4 жыл бұрын

Could u pls tell me what are her sodium levels?

@protusdsouza6159

4 жыл бұрын

@@karimnagarvideos8371 At present her sodium serum is at 134.7meq/L Chloride serum is at 97.5mEq/L.

Very well explained

Thank you very informative

Very well explained 👍👍👍

Very good class...

well done, thank you

Outstanding!!!!

my god this channel is good

Thank you so much for your helps to understanding about lower sodium…. I am sooo glad that I went to hospital on time … cause my sodium was only 115, but now I am 133

Thanks sir you are a best teacher

my wife kept on drinking water always carrying a water bottle, she started getting 5-6 times a night going to the toilet and she also had 2 heavy saunas a week, she then started sweating at night in bed and her body get hot, which was not normal. she started showing signs of confusion, her intellect would run out of energy and she would space out and just stare. she then had some extremely emotional disturbing events in her family which played on her mind. she also had a love to eat a kilo of blue berries a day. ok ... this went on until she went to her family's place and started to deteriorate ... I was suspicious of the fact that she might have been loosing too much sodium electrolytes at this stage... and pressed for a blood test. the first one the doctor said nothing, she then went to another doctor who said she was exceptionally deficient and gave her d3 sodium and potassium.... in high dosages... a week later her Family put her in a psychiatric clinic… had a tendency to ignore assault deficiency and her readings appeared as 136 for sodium, I'm assuming that by that stage sodium had increased in her blood, but the damage had been done. Could you shed any light on to such conditions?

Thank u so much sir Love from India

finally i understood....thank you...i was so confused all day

Very useful video, thank you! Could dizziness and fatigue alone be a symptom of hyponatremia?

thanks true doctor

Thank you!!!

Thank you!!

I was at 121. My only symptom was acute confusion. I called a friend to take me to the hospital because I knew I was in trouble. I really don't remember much of anything about my treatment.

The way he say : YOU WILL KILL THE PATIENT lol .. much love .. beautiful lecture

thank you

thank you !!!

Good explanation doc.. Thanks a lot.. Last night I rushed ER.. I vomit and feel dizziness. the doctor told me I was in low sodium.. This was my new case because almost cause of my dizzy because of low hemoglobin.. Sometimes low sugar.. Maybe doc because of evit 400...i take only last week... Did I contenue my vitamin (evit 400)? Thanks

Thanks for sharing this fantastic video Doctor. If I completley quit using salt today will I get hyponatremia? Also what are some advantages of someone quitting using any salt in foods? Can it cause electrolyte imbalance in my brain? Thanks

Thank you Dr

Thank you , you helped me clarify a lot about hyponatremia

In case of Chronic Severe, if 300ml 3% hypertonic Saline does not treat the sodium level, what should be done?

If: 1. Chronic 2. Severe 3. Mild How would the treatment be?

Hi Dr Andreas, I took a laxative called sodium picosulfate and since then I am experiencing lots of water retention, cramps, muscle pain and weakness, insomnia. My guess is hyponatremia and hypokalemia. I went to doctors here in Mexico but they are not familiarized, what can I do? Ingest more salt ? Please help

In our hospital they give 0,9 % NaCl for mild and moderate hyponaträmia. Look also what chlorid makes. Is there also hypochlorämie?

Hi Dr, In my case, I am having symptoms of fatigue, numbness in my left arm and leg, sometimes shortness of breath, headache and dizziness. My blood pressure is around 115/78 to 98/68 since more then a week now. I am trying to eat and drink salty but I still lose water quickly. I am somebody who don’t like IVN solutions but is it after all an urgent signes that needs me to go to hospital ? Thanks a lot. God bless you !

Potassium 6.5 and sodium 126, what is the cause.

I have had my sodium Na+ test recently. The reading was 128. I wonder whether my result was due frequent urination the night before the test or not. On the night before the test, I drank 500 ml of coconut water before going to bed. The next day, while waiting for my blood to be extracted, I also drank about 1.5 litres of warm water. I wonder whether because of the above my result was affected. The following afternoon, the clinic contacted me. They advised me to go to the hospital immediately. After thorough investigation, the doctor extracted my blood. The new test reading was 136. Note: I didn't discuss or forget to discuss with the doctor about the frequent urination and drinking excess water.

@KCZ94

4 жыл бұрын

That much of derangement is normal after high intake of fluid prior to investigation.

Hi Dr , may I know how long do we need to repeat the sodium level after sodium correction ? Is it right after correction has been done ?

But you can't discontinue a drug you have been prescribed and been dependent on for eons. That's my problem; the drug causes low sodium but I can't get it treated with a saline solution apparently, 'cos it eventually regulates itself. But it's constantly going out of balance and causes many problems for me.

@subhasishm1234

6 ай бұрын

@julie5668 how are you coping now? Pls reply, the major problem we are facing with our mother is confusion

it's been 2 or 3 days just cramps no headache no vomiting nausea only when i eat something the cramps come back ?

Hyponatremia has 3 classifications. Hypotonic, isotonic and hypertonic. The first approach should be correct the water level rather than correcting the serum sodium.

@drandrasfazakas

4 жыл бұрын

If you have severe symptoms and levels of less than 120 then you should absolutely not correct water level by drinking less or diuretics. You need as quickly as possible normalize the sodium, but maximum 6mmol/day. Correcting water can be done when the levels are near normal and the patient have very mild symptoms.

@OK-wb1dy

2 жыл бұрын

My Na level was 100. I was not given the 3% 100 ml solution. I was not given any treatment apart from being sent to an exercise physiologist who in turn strongly counselled me to drink “… lots and lots…” of water . And now I’m swollen and full of water everywhere. :(

Thanks for the video.. It was simple and neat.. Does volume status matter in the treatment?

@davidowusu7035

5 жыл бұрын

Sure, his lecture is mainly on isotonic hypokalemia

Nice video. But what about the use of normosaline in hypoNa? It would be nice to do a video about managing the three types of hypoNa (hypovolemic, euvolemic and hypervolemic). I m doin my internship right now and have to deal with hypoNa nearly every day. It would be nice to have another video:)

@drandrasfazakas

5 жыл бұрын

This is a good question. First of all, normal 0,9% Saline solution should be given to patients with "true volume depletion" with signs of hypovolemia like low blood pressure or postural hypotension. These include for example patients with diarrhea, vomiting, and diuretic therapy etc. BUT the reason why I don´t emphasize that, is because hypertonic 3% saline solution should be given to all patients with either acute (

@lakshsharma5772

4 жыл бұрын

Amazing sir

@Thebillionairetraderinvestor

3 жыл бұрын

Pls help 🙏🙏my father suffering from hypo natremia,don't know the cause

do you have a book or reference for the computations.?

I feel like I'm going to die based upon this video

Why dislikes ? Thank you so much doc

Where is your other video on OS Syndrom?

3% looml NS over 10 min maximum 300 ml in every case acute or chronic with symptom. In chronic case these treatment may lead to chronic pontine demyelination or not?

Great plz make more videos

excellent

how do you ask those questions to a confused patient ? are you expecting to get an accurate answer from that patient. there is need to get collateral history

Thanks for such a concise video sir. I have only one question: Why does correcting hypokalemia will cause increase in sodium ? Can you kindly explain that part ?

Can Hydroxyzine Famotidine clonidine or buspirone cause it? And should I restrict myself to 1500ml a day?.

I drink 8 to 9liters a day , and i always have headache, and dehydrated .

Should you not give fluid resuscitation in the case of hypovolaemic hyponatraemia?

Sir, why Acute No symptom, we cannot use 50ml/10mn more than 3 times per day? Thx in advance.

Can an ARB BP medication called olmasartan cause low salt??? Mine is 134 and has been on every lab that I've had in past three hospital over last 3 years and all times at my Dr's office visits

Thanks

Beautifully explained 👌

Thank you great information i been in and oit from the emergency last 5 weeks my sodium level been under 120

@petesahli3967

4 жыл бұрын

I was at 113! Scared the hell out of me, felt like i was going to die ! any lower and i would have! Take care of yourself

@tradeeasily7773

4 жыл бұрын

@@petesahli3967 dear wot woz ur aprox BP at dat time?? High too high or low?

@petesahli3967

4 жыл бұрын

faizan ali hope your doing well during the corona virus! My B.P. was 189 / 153 !

@petesahli3967

4 жыл бұрын

Adar Adan remember to NOT drink too much water ! Doing so dilutes the sodium in the blood! You can get hypernatremia from too little water,a recommend amount is about 2 litres per day but your level maybe different! I take 400 mg.of magnesium each day because I have hyponatremia!

Dr. How lactate measuring device measures blood sodium level? Would you clarify this topic?

Sir. your lecture made my day..

But i have a fever and how can i know it's just fever symptoms or hyponatremia because i dont have all the symptoms of hyponatremia

I am 133. What going to happen? I’ve had headaches, and cramps.

Good!

My dad has 127 he’s got unbearable excessive thirst he can’t sleep he’s in lots of distress!! Hospital sent him home? on lots of tab but wondering if omeprozal causing it

Also does Low Sodium always effect the color of urine.

I see your video hyponatremai I have same symtoms so test my blood please tell me the blood test name ??

my mother is hospitalized they put the shunt and she is TB patient .but the issue is low sodium .2 day's mother look's better and.third day she is down with low sodium .any advice please

I recently had 1 kidney removal no diabetes, 8/31 21 I now have hypo or low sodium I've been having all of the chronic mild type, my Dr said nothing about my labs also function at 59 wat do I do my physiatrist caught it please respond thank you

I have this Hyponatraemia 126 mmol/L .....but i am getting scared to get the treatments... can u please help me understand the side effects of that treatment

When do you check de levels of soidum after giving the bolus? How long do you wait? I mean u dont do it immediately right?

@drandrasfazakas

4 жыл бұрын

I give the bolus when the level is less than 120 or when the patient has severe symptoms of hyponatremia. In this case I measure the sodium level to get above 120 or until the patient is symptom free. BuT I never increase it more than 6mmol/24. I usually wait 30min in between. But as I said,.only when severe symptoms or less than 120. Otherwise I measure it the next day.

I drank a lot of water and my head hurts. What should I do?

Hello doc can I ask? Because my mother get rush to the hospital last month ang then they said that my mother had a low sodium. Doc can I ask how can we we measure the sodium level of my mother?

Thanks for nice presentation, My question is if u don't have 3% saline you have 0.9% how do you calculate

@gamma-girl

2 жыл бұрын

1 amp of 50 meq of Sodium Bicarbonate over 5 minutes