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KDOQI (Kidney Disease Outcomes Quality Initiative) is world renowned for improving the diagnosis and treatment of kidney disease, these guidelines have changed the practices of healthcare professionals and improved thousands of lives.
Hyponatremia that develops slowly over time and/or is only mildly decreased is not likely to cause complications, especially if treated promptly.
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Interesting fact: in most cases, hyponatremia (low blood sodium) is more closely related to how much fluid (water) is in your body than not getting enough sodium in your diet.
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Remember, a low sodium level can be caused by many factors. So, your healthcare professional will likely order other tests and ask you questions about your medical history and recent routine to get a complete picture.
Answer a few simple questions to find out if you are one of the 33% of adults in the U.S. who is at risk for kidney disease.

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The most common reason for hyponatremia is having too much fluid (water) in the body. This dilution (watering down) effect on the blood makes the amount of sodium seem low. Another common cause is when your body loses too much sodium in the urine and/or sweat.
Your kidneys play an active role in keeping your sodium and fluid levels balanced. People with more advanced stages of chronic kidney disease (CKD) may have a hard time balancing their fluid and blood sodium levels. This can lead to hyponatremia.
A normal blood sodium level is between 135 and 145 milliequivalents/liter (mEq/L). So, hyponatremia is when the level of sodium in your blood is below 135 mEq/L.
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Implementing coping strategies and practicing self-care are essential components in effectively managing illness and promoting overall health and well-being.
On the other hand, sudden hyponatremia (dramatic drop in less than 48 hours) and/or severely decreased sodium levels can cause serious problems if left untreated, including:
Sodium levels falling just below 135 mEq/L may not warrant treatment - close follow-up and/or a recheck may be all that is needed. Prompt treatment is most important for people who have sudden hyponatremia (dramatic drop in less than 48 hours) and/or severely decreased levels.
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There are many reasons why your water and sodium levels can be out of balance. Some of the reasons that are more common for people living with kidney disease include:
Sodium is an important mineral that helps balance the amount of fluid (water) in your body. It also helps your nerves and muscles to work properly. When the sodium level in your blood is too low, extra water moves into your cells and makes them swell (get bigger). This can be dangerous, especially in the brain where there is not a lot of room to expand.
Hyponatremia treatment is highly customized and requires medical supervision. Do not attempt any treatment approaches on your own without talking to your healthcare professional first.
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Most people with mild hyponatremia may not have any symptoms. If symptoms are present, it is usually when the level of sodium in your blood goes very low or drops very fast. These symptoms can include:
More serious symptoms can happen in severe cases when the level of sodium in your blood is extremely low. These include:
A groundbreaking initiative from the National Kidney Foundation to improve chronic kidney disease (CKD) testing, recognition, and management in primary care.
NKF PEERS is a program where kidney patients, living donors, or care partners can connect over the phone with a trained mentor.
Other tests may include serum creatinine, glucose (sugar), potassium, carbon dioxide, triglycerides, and/or urine tests. When looked at together, your healthcare professional can provide you with custom guidance for resolving the issue.
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