Nephrologist (Kidney Specialist) Questions Low Sodium

Can low sodium affect my kidneys?

I was hospitalized last week due to low sodium and dehydration. I was given drips and am now better. Can my kidneys be affected by this in the long run?

6 Answers

If the initial dehydration resulted in acute kidney injury, there is some risk for chronic kidney disease. An isolated incidence of low sodium will not cause kidney injury.
Yes. Follow up with a nephrologist. Your whole body can be affected by chronic low sodium levels.
If your creatinine (blood test for kidneys) returned to normal then you should not have any long term damage
The low sodium should not directly affect your kidneys but the dehydration raises some complicated questions. It is difficult to determine dehydration but if you are truly dehydrated then it might affect kidney function that can be reversed. There is a question of whether you have an outmoded term called cerebral salt eating or more appropriately renal salt wasting. Treatment is to give salt water. Be careful of diagnosis of SIADH that is more commonly diagnosed but are fluid restricted because they have too much water in their body.
You could also be dehydrated with normal kidneys where treatment is to five salt water. In the end there should not be any damage to your kidneys, just increase your salt and water intake if you are truly dehydrated
Not really, but from now on, drink enough water every day, that’s good for the kidneys.
Visit your doctor to keep track of your electrolytes