Electrolyte Imbalance

What is Electrolyte Imbalance?

An electrolyte imbalance is when the concentrations of certain blood minerals are either higher or lower than they should to be for contributing to important body processes. There are 6 primary subsets of electrolyte imbalances:

hyponatremia / hypernatremia - low or high blood sodium levels

hypocalcemia / hypercalcemia - low or high blood calcium levels

hypokalemia / hyperkalemia - low or high blood potassium levels

hypomagnesemia / hypermagnesemia - low or high blood magnesium levels

hypochloremia / hyperchloremia - low or high blood chlorine levels

hypophosphatemia / hyperphosphatemia - low or high blood phosphate levels

It is possible to have different electrolyte imbalances occurring at the same time, and they are more common for elderly people or anyone who is critically ill. Severe electrolyte imbalances may leads to serious health risks if the imbalance is uncorrected.

What Causes Electrolyte Imbalance?


Electrolyte imbalances are most often caused medical conditions, disease, medication use, sickness or illness, dietary choices, malnutrition, dehydration, vitamin deficiencies, autoimmune conditions, or alcohol abuse. People with poor blood circulation may be more prone to having electrolyte imbalances, and hyponatremia may be seen more regularly in people who participate in high-endurance athletics.

Type 2 diabetics are more likely to have hypomagnesemia, and individuals who get too much salt in their diet are at greater risk for both hypernatremia and hyperchloremia. Malnutrition is a leading factor in hypophosphatemia, and people who need to be on heart failure prevent medications (Beta, Angiotensin-II receptor blockers) will be more likely to have hyperkalemia.

Electrolyte Imbalance Symptoms

The most common electrolyte imbalance symptoms are fatigue, confusion, headache, dizziness, nausea and vomiting, frequent urination, elevated heart rate, constipation muscle cramps and weakness, incoordination when walking, and bone pain. Experiencing any of these symptoms will be based on the type of electrolyte imbalance, and some of them will not be associated with certain types. In severe cases electrolyte imbalances may cause heart rhythm abnormalities, seizures, or coma.

Electrolyte Imbalance Treatment

The standard approach to electrolyte imbalance treatment is to provide oral supplementation of the minerals that are deficient in the blood. It may also be beneficial to increase or decrease the amounts of certain foods in your diet to address electrolyte imbalances. For more common ones like low blood sodium and low blood magnesium a person can often quickly remedy their imbalance by drinking an electrolyte sports drink.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

Signs & Symptoms

  • Irregular heartbeat
  • Fatigue
  • Convulsions or seizures
  • Nausea
  • Vomiting
  • Diarrhea or constipation
  • Muscle cramping or weakness
  • Confusion
  • Blood pressure changes
  • Headaches
  • Numbness or tingling
  • Shortness of breath
  • Swelling

Anatomy

  • Blood plasma
  • Muscles
  • Nerves
  • Heart
  • Kidneys
  • Lungs
  • Bones
  • Intestines

Cause

  • Dehydration
  • Kidney disease
  • Prolonged vomiting or diarrhea
  • Certain medications (e.g., diuretics)
  • Heart failure
  • Liver disease
  • Hormonal imbalances
  • Infections
  • Poor dietary intake
  • Excessive sweating
  • Burns or severe injuries

Diagnosis

  • Blood tests (electrolyte panel)
  • Urine tests
  • Electrocardiogram (ECG)
  • Physical examination
  • Medical history review
  • Imaging tests (e.g., chest X-ray)
  • Hormone level tests
  • Arterial blood gas analysis

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