Medical App & Medical Advice with Hello Doctor

Are your potassium levels off?

Potassium, just like other minerals play an integral part in how your body functions. Unfortunately, your body can’t produce potassium on its own, so it must come from your diet.

Potassium is also known as an electrolyte. Electrolytes assist your body with essential functions, including:

  • Digestion
  • Blood pressure
  • Muscle contractions
  • Nerve impulses
  • Maintaining water balance
  • Heart rhythm
  • pH balance

Taking in too much or too little potassium could lead to serious health problems. A potassium deficiency is called hypokalaemia and an overload is known as hyperkalaemia.

Hypokalaemia

Potassium deficiency is often caused by an underlying condition. Common ones could include:

  • Magnesium deficiency
  • Regularly using penicillin-based antibiotics
  • Kidney disease
  • Vomiting, diarrhoea and excessive sweating

Symptoms of hypokalaemia vary depending on the severity of the deficiency. If it’s temporary, you may not have any symptoms. For example, you could experience a temporary potassium deficiency after a workout. Once you eat and drink enough water, it should stabilise.

Symptoms of hypokalaemia include:

  • Muscle spasms or cramping
  • Irregular heartbeat
  • Extreme fatigue
  • Weakness
  • Constipation
  • Nausea and vomiting

Treating hypokalaemia

A potassium deficiency is usually diagnosed with a blood test. If your doctor finds that you have hypokalaemia, potassium supplements are usually the first line of treatment.
If your kidneys are healthy, then supplements would usually be effective. For a severe potassium deficiency, you may need IV treatment (delivers fluid medication directly into a vein).
If there’s too much sodium in your body, you may also be given diuretics (water pills which help you urinate) to help balance out the electrolyte levels.

Hyperkalaemia

Too much potassium in the body is rare, particularly if you eat a balanced diet. The most common symptom of too much potassium, is an abnormal heartbeat.

Some of the risk factors for hyperkalaemia include:

  • Kidney disease
  • Too much exercise
  • Chemotherapy
  • Taking too many potassium supplements
  • Diabetes
  • Severe burns

If you have mild hyperkalaemia, your doctor may prescribe medication that will give your body a potassium boost.

Severe cases require more treatment and could involve kidney dialysis to remove excess potassium. This procedure is usually used in cases of kidney failure. Insulin or glucose may also be recommended. These help to transport potassium from the blood to your cells for removal.

The final word on potassium

If you don’t have any of the risk factors for hypokalaemia or hyperkalaemia, then changes in body potassium shouldn’t be a concern. Having healthy kidneys should also be enough to regulate your potassium levels.

If you have any conditions that could affect your potassium levels they should be monitored. Talk to your doctor if you suspect a deficiency or overdose, along with any unusual symptoms.

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Is salt really causing hypertension?

Salt has long been labelled a hypertension villain, but the link between the two isn’t so clear-cut, a new study finds.

The recommended daily sodium intake is 2 300 milligrams. This is equal to about five grams (one teaspoon) of salt per day. However, findings from a 16-year study call this into question.

The scientific findings

Lynn L. Moore, an associate professor of medicine at Boston University School of Medicine in Massachusetts, and her team analysed data from more than 2 000 men and women between the ages of 30 and 64 years old.

At the start of the study, all the participants had normal blood pressure. But as the trial went on, the researchers found that participants who took in less than 2 500 milligrams of sodium a day had higher blood pressure than those who had higher amounts of sodium.

Even though the results seem counterintuitive, they support the belief that there’s a relationship between sodium and cardiovascular risk. This means that both low-sodium and very high-sodium diets carry a higher risk for heart disease.

“We saw no evidence that diets lower in sodium had any long-term beneficial effects on blood pressure,” says Professor Moore. “Our findings add to growing evidence that current recommendations for sodium intake may be misguided.”

Potassium power

Sodium isn’t the only dietary factor in blood pressure. The study also underlines the importance of potassium.

The researchers found that people with the lowest blood pressure had the highest intake of sodium and potassium, and those with the highest blood pressure had the lowest intake of sodium and potassium.

Similar effects were seen with magnesium and calcium; higher levels were linked to lower blood pressure, and vice versa.

With this study, Moore hopes to play a part in shifting dietary decisions, and refocus “on the importance of increasing intakes of foods rich in potassium, calcium, and magnesium for the purpose of maintaining a healthy blood pressure.”

Sugar worse than salt

Never mind salt; research suggests that sugar has a bigger impact on blood pressure. According to findings published in Open Heart, sugar may be more strongly and directly linked to hypertension and the risk of developing cardiovascular problems. The study found that:

  • A high sugar intake increases systolic blood pressure.
  • People who consume 10-25% of their calories from added sugars have a 30% increased risk of death from cardiovascular disease. Those who consume 25% or more of their calories from sugar face an almost threefold risk.
  • Table sugar is made up of glucose and fructose. A high-fructose diet for just two weeks increases systolic blood pressure and diastolic blood pressure. Excessive fructose also raises heart rate, triglycerides (bad fats in the blood), and cholesterol levels.

This doesn’t mean that salt is entirely off the hook. It just means the picture is a bit more complicated than that. General rule of thumb: keep your salt intake low, but also remember to add some healthy potassium and magnesium through green plants, and a healthy dose of veggies. Here’s how:

Control the pressure

Other than watching your salt and sugar intake:

  • Eat at least five portions of fruits and vegetables daily. A diet high in whole fruits and veg has been shown to lower blood pressure.
  • Use herbs and spices to season your food. In doing so, you won’t need to use as much sugar and salt to make your food taste delicious.
  • Exercise for at least 30 minutes every day. Being more active can lower your systolic blood pressure by an average of 4 to 9 mm Hg. That’s as good as some blood pressure medications.

References