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Commentary - (2023) Volume 7, Issue 2

If Hypernatremia Persists Despite Adequate Access to Water, Additional Diagnostic Procedures are Required
Yesim Erbil*
Department of Oncology and Nuclear Medicine, Cairo University, Egypt
*Correspondence: Yesim Erbil, Department of Oncology and Nuclear Medicine, Cairo University, Egypt, Email:

Received: 31-May-2023, Manuscript No. IPJDRE-23-16902; Editor assigned: 02-Jun-2023, Pre QC No. IPJDRE-23-16902; Reviewed: 16-Jun-2023, QC No. IPJDRE-23-16902; Revised: 21-Jun-2023, Manuscript No. IPJDRE-23-16902; Published: 28-Jun-2023, DOI: 10.36648/ipjdre.7.2.20


A common electrolyte problem, hypernatremia is characterized by a rise in serum sodium fixation above 145 mmol/L either inordinate sodium admission or net water shortfall cause hypernatremia. Babies and old individuals with physical or neurological hindrances are bound to encounter it. Prior to adjusting the free water shortfall, recognizing intense and persistent beginning hypernatremia is fundamental. Typically, hypernatremia is accompanied by nonspecific symptoms. Anorexia, restlessness, nausea, and vomiting are some of the early symptoms. Adjusted mental status, laziness or irritability, and, finally, drowsiness or unconsciousness follows these side effects. Tremor, hyperreflexia, ataxia, and twitching are musculoskeletal system symptoms. In hypernatremia, the sodium level in the blood is too high. Drying out, which can be welcomed on by various variables, like not drinking an adequate number of liquids, the runs, kidney brokenness, and diuretics, is the primary side effect of hypernatremia. Unreasonable thirst is the principal side effect of hypernatremia. Laziness, or outrageous weariness and absence of energy, and perhaps disarray are extra side effects. In more severe cases, muscle twitching or spasms may also occur. Because of the rapid removal of water from the intracellular space caused by the high extracellular sodium fixation, hypertonic saline is a viable and possibly life-saving treatment for cerebral edema caused by hypernatremia. The diagnosis is made through the use of serum sodium testing. To determine whether there is also volume depletion or overload, a physical examination is performed. Patients who do not respond to straightforward rehydration and whose hypernatremia persists despite having adequate access to water require additional diagnostic testing. The greatest risk factor is being older than 65. Additionally, a mental or physical disability may result in diminished thirst expression, impaired thirst sensation, and/or reduced access to water. Several simultaneous factors frequently result in hypernatremia. One of the most serious complications of hypernatremia is a ruptured blood vessel in your brain. A subdural or subarachnoid hemorrhage, another type of brain bleeding, can cause permanent brain damage or even death. Merge food sources with potassium like sweet potatoes, potatoes, greens, tomatoes and lower-sodium pureed tomatoes, white beans, kidney beans, non-fat yogurt, oranges, bananas and melon. Potassium assists counter the effects of sodium and may help with cutting down your circulatory strain. In the treatment of hypernatremia, hypotonic solutions like 5% dextrose in water (D5W) or, in rare cases, hemodialysis are used to lower serum sodium concentration (Na). Patients with hypernatremia and ECF volume overload (excess total body sodium content) can replace the free water deficit with 5% dextrose in water (D/W), which can be supplemented with a loop diuretic. Inhibits sodium reabsorption in the distal tubules, resulting in increased discharge of sodium, water, potassium, and hydrogen particles. Sports beverages or electrolyte arrangements might assist you with getting more sodium assuming that you’re dried out or perspiring excessively and have low sodium levels. Sugar, water, and electrolytes like chloride, sodium, and potassium make up these drinks. Since the kidney can create hypertonic pee, ordinary saline doesn’t regularly bring about hypernatremia. Hypernatremia might result from delayed organization of ordinary saline to a seriously got dried out patient.



Conflict Of Interest

The authors declare that they have no conflict of interest.

Citation: Erbil Y (2023) If Hypernatremia Persists Despite Adequate Access to Water, Additional Diagnostic Procedures are Required. J Diab Res Endocrinol. 7:20.

Copyright: ©2023 Erbil Y. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.