electrolyte imbalance , hyponatriemia

my father is 74 and suffering from cardiac and diabetic problem with specially cervical nerve compression on c3-c4, 5-6 6-7 also.
Last auguest28, 2010 I have checked his sodium and potasium level and I found that is hyponatrimic and his na+ level is on 116. I have tried all suggestion from here dr in india as it on my place. But still his na+ level is not coming at normal level.
Presently his na level is 123 mmol/l. he is taking orally 5-8 gm pure salt  in water.
some more deatils:
weight 100 kg
obese
liver and kidney function test is right.
cbc reports are normal.
urine out put nearly 4 liter
intake fluid : nearly 4 liter
spot urine sodium was last month: 35mmol/l
sleep apnea is present due to obesity
cardiac problem two year back doing angiography and there was bloackage in veins.no possible cabg due to diabetes and age.
also suffering from chf , prsently edema on both legs.
not moving due to      cervical compression.

please suggest diagnosis test  and treatment.


What should I do in this position.
If you know some solution please tell me.
I will thankful for it.
thanks v

[Tuckamore]

Hello V,

Welcome to the Caregivers Forum. I am not an expert but I have some concerns about your post.

The normal range for blood sodium levels in the USA is 135 to 145 milliequivalents per liter (mEq/L). His sodium is not significantly low.

No one should be drinking salt in there water. This is VERY dangerous given his history of CHF. This will cause fluid to build up in his tissues, including those around his heart and lings. Unless this has been prescribed by a physician please stop this practice immediately!!!

He is probably being prescribed a diuretic which will decrease his potassium and sodium levels. K+ replacements can bring up these levels. Please talk to his PCP or seek another opinion. My heart goes out to both of you.

Best of Luck to You and your Dad.

Please Take Care,
~Tuck

[sintu7]

thanks, thanks for your opinion and concern for question. tuck he is not taking any diuratic medicine.