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.