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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Urologist
Category: Urology
Satisfied Customers: 52334
Experience:  MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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I was wondering if you could help me work out if I had

Customer Question

Hello - I was wondering if you could help me work out if I had hypovolemic hypernatremia?
Submitted: 23 days ago.
Category: Urology
Customer: replied 23 days ago.
hello?
Expert:  Dr. Arun Phophalia replied 23 days ago.

Is this a sudden issue or happens recurrently?

Customer: replied 23 days ago.
this is something I am wondering if I experienced at the end of June
Customer: replied 23 days ago.
I woke up with a feeling of headache and thirst
Customer: replied 23 days ago.
I was also tired and lethargic
but I was 23 weeks pregnant but these symptoms were different to ones I have experienced before
Customer: replied 23 days ago.
I had a salty meal the evening before and not a lot of water
Expert:  Dr. Arun Phophalia replied 23 days ago.

Hypovolemic hypernatremia occurs when there is increased physical activity or excessive sweating and you may not drink water adequately or water has fewer electrolytes.

Customer: replied 23 days ago.
I had not had an increase in physical activity or excessive sweating at all
Customer: replied 23 days ago.
I had not experienced any fluid loss
Expert:  Dr. Arun Phophalia replied 23 days ago.

Usually, drinking a solution like Pedialyte will take care of it.

Did you do your blood work for sodium and was it raised that time?

Customer: replied 23 days ago.
just excess dietary salt and limited water intake
Customer: replied 23 days ago.
I had no blood work done for sodium at the time
Customer: replied 23 days ago.
do you think it's likely that I had it?
Expert:  Dr. Arun Phophalia replied 23 days ago.

That might be the culprit.

Customer: replied 23 days ago.
what might be the culprit?
Expert:  Dr. Arun Phophalia replied 23 days ago.

The main cause of hypernatremia usually involves dehydration due to an impaired thirst mechanism or limited access to water. The disorder can also result from diarrhea or vomiting, taking diuretics, or having a high fever.

Expert:  Dr. Arun Phophalia replied 23 days ago.

The culprit;

Increased salt intake and less water consumption as you mentioned.

Customer: replied 23 days ago.
would I have felt really ill if I had it?
Expert:  Dr. Arun Phophalia replied 23 days ago.

It is difficult to say; just by the symptoms.

Documentation has to be by blood work.

Customer: replied 23 days ago.
ok -I guess I will never know
Expert:  Dr. Arun Phophalia replied 23 days ago.

There is no way only symptoms can conclude this kind of diagnosis. It is only lab work that can do it.