LabSense

Sodium Low (Hyponatremia): Types, Causes, and Safety Checks

8/31/2025

Hyponatremia means low serum sodium. Searches include "sodium 127", "SIADH diet", "low sodium symptoms". Determining chronicity, volume status, and serum/urine osmolality guides care.

Common causes by bucket

  • SIADH: pain, nausea, SSRIs, pulmonary or CNS disease; urine osmolality often high.
  • Diuretics, especially thiazides.
  • Hypervolemic: heart failure, cirrhosis, kidney failure.
  • Primary polydipsia or very low solute intake ("tea and toast", beer potomania).
  • Hyperglycemia: correct sodium for glucose to avoid misinterpretation.

Safety notes (education)

  • Rapid correction can cause osmotic demyelination; management requires clinician oversight.
  • Seek urgent care for seizures, severe vomiting, confusion, or rapidly worsening symptoms.

Educational use only. Not medical advice.

Educational information only — not a diagnosis, treatment, or prescription.