Patient's Query
Hello doctor,
My mother suffers from low sodium levels. Although she tries to maintain them through a sodium-rich diet, she loses the levels when she is affected by any ailment. One doctor suggested her to use Tolsama on alternate days and monitor the serum electrolytes to check the levels and stop when they are in good range. I need a second opinion.
Hello,
Welcome to icliniq.com.
I need more information to know the main diagnosis. I would like to know why is she having low sodium levels.
As per the suggestion for Tolsama (Tolvaptan) by your physician, I assume the diagnosis to be SIADH (syndrome of inappropriate antidiuretic hormone secretion).
The first line of treatment in SIADH are
For more information consult an internal medicine physician online
Patient's Query
Thank you doctor,
She has been prescribed Myospaz D for her lower back pain that she has been experiencing. She takes two per day after food. She was also asked to take Pantocid before food. Although the pain relief is not there, she lost her appetite for the last three days and we found her serum electrolytes to be 118 against the recommended 135. She takes anxiety medicine, Prothiaden one per day.
Hello,
Welcome back to icliniq.com.
I suggest you stop Prothiaden (Dosulepin/Dothiepin and Methylcobalamin) and Myospaz D (Diclofenac and Metaxalone).
There should be water restriction. Water to only about one liter per day.
Tolsama (Tolvaptan) 15 mg once daily for 15 days. Consult your specialist doctor, discuss with him or her and with their consent take the medicine changes.
For more information consult an internal medicine physician online
Patient's Query
Thank you doctor,
How do we tackle the lower back pain during this period? She has been diagnosed with grade 1 spondylolisthesis at L4-5.
Hello,
Welcome back to icliniq.com.
I would suggest you consult a kidney specialist or a neurologist who are well trained to treat SIADH (syndrome of inappropriate antidiuretic hormone secretion) and low sodium levels.
You need to consult a physiotherapist who can help dealing with low back pain.
For more information consult an internal medicine physician online
Was this conversation helpful?
Answered byDr. Mohammed Parvez
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Dr.Dr. Siddharth Malaiya
I get random twitches in biceps, back of legs, and calf muscles. Do these indicate ALS?
After taking Haloperidol, my tic disorder got worse with anxiety. What to do?
Is it possible to detect MVP through ECG and TMT?
Does using Noctiva nasal spray reduce the sodium levels in the body?
What to do for frequent drop in sodium level?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.