+Daniela Jaramillo Ramírez Good to hear- thanks

Daniela Jaramillo Ramírez

What kind of doctor would be able to diagnose disturbances in my osmilality?? Endocrinologist???

What dietary advice would you give to achieve peak osmilality???

+Merlin Samuelkutty your doing a great job! Keep with it and knowledge will be yours!

+Irina Kim Thanks for the good suggestion on a pharm series!

+nastaran p Good to hear- thank you for the comment

You can find more of our videos at MedCram.com. This is part of a three-part series on Hyponatremia.

Abdelwahab Naas i was looking for this comment

You should seek medical attention immediately.

Same here!! When I got to the emergency room I couldn't turn my head without feeling I would fall down ! Our normal sodium count is 135, i was at 113, as soon as they saw that I was rushed back to a room and admitted, three days latter and I went home with the knowledge that I have hyponatremia , what made my situation worse is my doctor did not do any blood work 3 years ago , he just thought, hey another h.b.p. case! So he gave me lisinoprl with a hydro stripper,( removes sodium by increasing water loss) this just made it worse for my situation, now he's afraid I'll sue, i almost died because of that, i was told that my body was going into protection mode, if I had waited much longer to go in I wouldn't have made it!! Please check your sodium level if you haven't already ! Hope your back to normal!

Sorry, now I see did do blood work! I dont know what they could be thinking ! It's very dangerous to increase sodium to fast, or, too much! They are unfit to care for people!

Majid Khan incompletely understood, but the syndrome of inappropriate antidiuretic hormone secretion is felt to play a significant role possibly secondary to inflammatory mediators (cytokines etc)

eldwin suputro good

No, it is not. Ringer lactato (Hartman solution) is the best choice.

Jon Goh could be if osmolar gap typically very similar numbers between measured serum osmolality and calculated osmolality. Other minor contributors to osmolality not typically factored in due to negligible contribution to osmolality

They are at Medcram.com

MedCram - Medical Lectures Explained CLEARLY ah thank you!

+Nudist Priest 1.25 liters is not a dangerous amount of water. Look for something else with consultation with a physician.

swish007 How quickly did symptoms set on?

well i was feeling nauseous the day before but ok.. apparently it had been a slow buildup over a week or so where i was drinking lots of liquids (including diuretics) and taking a water-retention pill or whatever. so then basically i woke up that day feeling really weird and bad but not quite sure if it was something that warranted a trip to the doctor. but i started looking up my symptoms online and saw that it could be really serious so i got a bit freaked out which made me feel worse. then i told my mom i think i needed to go to the hospital (at this point i was having trouble talking and my breathing was off) and she was like well lets go to the urgent care (after trying to call my family dr and the pharmacist.. no help from either). so we went to urgent care and they looked at me and said i needed to go to the hospital. at this point i was in a LOT of discomfort.. and i want to say it was early afternoon. then when i got to the ER i had to wait like almost 2 hours in the waiting room and i kept getting worse and worse. it got so bad i couldn't sit still.. i had to get up and pace but i was so exhausted i felt bad when i walked around. then it just devolved into me rocking myself in a chair while the ER workers ignored me. after the fact i realized they may very well have thought i was withdrawing from some heavy-duty opiates or something because it seems like the symptoms would be similar. anyways i want to say maybe 4 or 5pm i finally saw the nurse who checked my blood and pretty soon after started me on a sodium iv. when the sodium started going into my system the pain got WAY worse for some reason. but at least the nurse bothered to tell me that no, i wasn't dying and i'd be alright. i just had super-low sodium levels. so that made me feel better mentally.. but i was still in the worst pain and discomfort that i think i've ever experienced and it didn't seem like it would ever end. every minute felt like an hour. i was too weak to stand up but i couldn't handle laying in the bed so i would alternate between laying in the fetal position and sitting up with my elbows on my knees and my head down. then finally they gave me some pain killers but it only gave me a little relief and then i started feeling really bad again. (this was after i saw the ER dr who basically just told me what i knew and said he would get me some pain killers). then a bit later a more awesome nurse came in and gave me some much stronger pain killers and some valium. which did help me feel better.. but then a couple hours later i was feeling bad again. not nearly as bad as before but still like i wanted to crawl out of my own skin. then they wanted me to stay overnight and they put me in an overnight room and gave me more morphine and i FINALLY felt better for a short while.. and there was such a release of tension that i got really emotional.. because i had been like straining all day it felt like. so then the discomfort came back and i asked for more pain killers but the nurses refused and even gave me that attitude like i was a drug addict for asking which i didn't care for. and so then i decided to have my sis drive me back home because no way was i staying. and at that point i had regained all my motor functions and my brain felt normal so i was sure i'd be fine. and sure enough i went home, had the best sleep of my life and woke up not only feeling better, but a LOT better than normal. i guess the iv just did its job super well or something lol. but yeah it was crazy

Oh ok, reason I asked is cause I was using a tredmill with a friend, I had about maybe 2 bottles of water, or maybe just a bottle and a half, during the 20 min workout, and he told me about this whole overhydrating thing after and I've been in anxiety mode since....its been roughly about 50 min since the workout and I feel pretty fine. I feel like id have to drink like 4 bottles and run a marathon to get a life theatening case of it though, or am I just telling myself that...

yeah you would know if you were starting to feel like you had it lol. i mean the early feeling was like i was coming down with a weird flu. and like i said i felt it probably more than a day before the sh%t hit the fan

swish007 i mean i drank. a couple bottles speed walking on a tredmil, pretty sure athletic causes are more like chugging a litre or so while running a marathon

TheTypicalCyclone well that’s good news

Yeah, you should never consume a lot of water in a short amount of time. It can cause hyponatremia.

Youll have to call poison control asap. There have been case reports of drinking that much water turning young men gay. Goodluck and keep us posted.

lmao.

Glenda Williams Yes.

Thank you for the comment, Yes, I meant to say 135 mmol/L (not mg/L)...We have an annotation on the video (but apparently annotations are not visible on mobile devices).