What are the symptoms of high sodium in the body?

Answered by Douglas Hiatt

Symptoms of high sodium levels in the body, also known as hypernatremia, can manifest in various ways. Here are some common signs to look out for:

1. Thirst: One of the initial symptoms of hypernatremia is excessive thirst. This occurs as the body tries to compensate for the increased sodium levels by signaling the need for more fluid intake.

2. Decreased urine output: Hypernatremia can lead to reduced urine production. This happens because the body tries to conserve water to compensate for the imbalance caused by high sodium levels.

3. Vomiting and diarrhea: In some cases, high sodium levels can be accompanied by gastrointestinal symptoms such as vomiting and diarrhea. These symptoms can further contribute to dehydration and electrolyte imbalances.

4. Confusion: As sodium levels rise, it can affect the normal functioning of the brain. Confusion and altered mental status may occur, ranging from mild disorientation to more severe neurological symptoms.

5. Muscle twitching: Hypernatremia can lead to muscle irritability and twitching. This is due to the disruption of the normal balance of electrolytes, including sodium, potassium, and calcium, which play crucial roles in muscle function.

6. Seizures: In severe cases, hypernatremia can cause seizures. The brain becomes more susceptible to abnormal electrical activity when sodium levels are significantly elevated, leading to convulsions and loss of consciousness.

It is important to note that the severity and combination of symptoms can vary depending on the underlying cause and how rapidly the sodium levels have increased. If you or someone you know is experiencing any of these symptoms, it is essential to seek medical attention promptly.

Personal experience: I have encountered patients with hypernatremia during my time working in a hospital setting. One particular case involved an elderly patient who was admitted with confusion and muscle twitching. Further investigation revealed that the patient had been unintentionally restricting their fluid intake, leading to dehydration and subsequent electrolyte imbalances, including high sodium levels. Prompt treatment and correction of the sodium imbalance resulted in the resolution of symptoms and improvement in the patient’s overall condition. This experience emphasized the importance of recognizing the symptoms of hypernatremia and addressing the underlying causes to prevent further complications.