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How to manage hypokalemia and hematuria?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I started experiencing issues about five months ago when I went for a check-up, thinking that my problem was high blood pressure. They prescribed Losartan for my blood pressure and also medication for fatty liver. Starting about four months ago, I began losing weight and lost my appetite. Three months ago, I had a serious episode where my legs started shaking and trembling, and I could not get up. I was taken to the emergency room, where the results showed that my potassium levels were very low. They also performed a CT scan, suspecting a neurological issue, but the scan came back clear. They advised me to consult with a neurologist. I saw a neurosurgeon, and after reviewing my medical results, he stated that it did not appear to be a neurological problem.

Currently, I am taking Omeprazole and Potassium Chloride. I would like to ask what it could mean if my kidneys are dumping potassium. Recently, I have had episodes of weakness in my legs, causing me to suddenly fall. When I went to the emergency room, they found that I had very low potassium and some blood traces in my urine. My legs are also continuously twitching when pressure is applied. I am concerned and would like to understand what might be the cause of this issue.

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Regarding your symptoms, I believe you have developed acute kidney injury associated with hypokalemia (low potassium) and hematuria (blood in urine). Did you drink, smoke, or use illicit drugs? I see that you had a CT (computed tomography) scan; may I know what the result was? I do not think it is a neurological disease.

I suggest you have a renal biopsy done and let me know the result. In the meantime, please take Potassium chloride (KCL) supplements or infusion to balance your potassium levels, as this is likely responsible for the abnormal neuropathy you are experiencing.

Please let us know if you have any further queries. We would be happy to answer.

Thank you.

Medically reviewed byiCliniq medical review team

Published At April 15, 2025
Reviewed AtApril 21, 2025

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