Concerns Regarding Low Sodium Bicarbonate Levels
I am a 30-year-old female, standing 5 feet 4 inches and weighing 200 pounds. My current medications include Imitrex and Adderall, but I have recently discontinued Seroquel. Occasionally, I also use Albuterol as I've been experiencing some shortness of breath. Is further monitoring necessary in this situation? Current lab results show my sodium bicarbonate level is 18 and chloride is at 112, with all other values from my comprehensive metabolic panel falling within the normal range. I have experienced some diarrhea, although I wouldn’t classify it as severe. Additionally, I have been feeling stomach discomfort and nausea, which I attribute to having ceased Seroquel. My diet tends to be quite acidic, and I haven’t been very active, although I am making an effort to exercise more lately. Since I've had a history of kidney stones, I’m unsure if this indicates renal tubular acidosis, or if these issues are more related to my lifestyle choices.
Answers (1)
6/19/2025, 2:40:41 PM
OpenHealth AI
It sounds like you're dealing with some complex symptoms, including low sodium bicarbonate levels and gastrointestinal issues. Let’s break this down and outline some priority actions you can take.
Main Points
- Your low sodium bicarbonate level (18) may indicate an underlying issue that needs attention, especially in the context of your symptoms.
- The combination of diarrhea, stomach discomfort, and a history of kidney stones suggests that lifestyle factors may be contributing.
- While further monitoring may be beneficial, there are immediate steps you can take to manage your health effectively.
Explanation
Sodium bicarbonate is crucial for maintaining your body’s acid-base balance. A low level can be associated with metabolic acidosis, which can arise from various factors including chronic diarrhea, high acidity in your diet, or certain medication discontinuation. Your stomach discomfort and nausea may indeed relate to stopping Seroquel, but the symptoms you're experiencing could also stem from lifestyle choices, especially your diet and activity level.
Given your concern about renal tubular acidosis and your history of kidney stones, it is understandable to want clarity on your health status.
Next Steps
-
Monitor Symptoms: Keep a detailed log of your symptoms, tracking when they occur, their intensity, and any related food or physical activity. This can help identify triggers.
-
Dietary Adjustments: Aim to balance your diet. Incorporate more alkaline foods (like fruits, vegetables, and whole grains) and reduce acidic foods (like processed meats, sugars, and fast food). Staying hydrated can also help.
-
Increase Activity Gradually: Continue your efforts to be more active. Start with light exercises and increase gradually, based on what feels comfortable. This can help manage health issues related to weight and metabolism.
-
Consider a Potassium and Sodium-Rich Diet: Foods high in potassium (like bananas, avocados, and spinach) and low in sodium can be beneficial. However, consult a healthcare provider about specific dietary needs due to your history of kidney stones.
-
Regularly Review Medications: Since you are taking Imitrex (for migraines) and Adderall (for ADHD), keep track of how these medications interact with your symptoms. Discuss any concerns, especially the use of Albuterol for breath issues, with a healthcare professional.
-
Follow-Up Testing: If symptoms persist or worsen, consider planning for repeat testing of your bicarbonate levels and possibly consult a healthcare professional to explore further.
If your symptoms of diarrhea or nausea worsen, or you experience significant changes in your health, it’s important to seek medical attention promptly.
Let me know if you need more information or have specific questions about any of these steps!
Related Questions
Ongoing Symptoms Post-Concussion: Seeking Insights
Hello everyone, I’m a 25-year-old male and experienced a significant car accident about two and a half years ago. Although I didn't black out during the incident, I felt disoriented and unsettled immediately afterward. Since that day, my health has noticeably deteriorated, and I'm attempting to discern whether my current struggles are commonplace or if something more serious might be overlooked. Here’s what I've been grappling with: I endure daily headaches that typically originate in the back of my head or neck, gradually migrating towards my temples or eyes. Conditions that intensify these headaches include bright screens, excessive light, noise, and bustling surroundings. When I attempt to power through the discomfort, I sometimes see halos around lights or experience visual static. Mentally, I find myself exhausted very quickly. Concentrating becomes a challenge, and I frequently lose track of my thoughts or encounter difficulty finding the right words. Engaging in conversations or attending meetings can drain me significantly. Additionally, I become easily overwhelmed, especially in loud or crowded situations. Tinnitus is another issue I face, as the ringing in my ears is a constant presence. Since the incident, I’ve noticed weakness in my left hand; my ring and pinky fingers often curl up like claws. An electromyography (EMG) test revealed damage to the ulnar nerve, which accounts for some of this phenomenon. Unfortunately, it hasn't improved, impacting my ability to type, grip objects, and carry out everyday tasks. I also experience occasional facial twitching, jaw tightness, and short bouts where different parts of my body feel weak or tremble, but these symptoms are temporary. Fatigue is a significant battle for me. I struggle with poor sleep quality, waking up feeling unrested, and sometimes experiencing anxiety first thing in the morning. Even on days when the pain level is tolerable, my energy depletion restricts my activities. Here’s a summary of what medical evaluations have revealed: • My brain scans returned normal results, revealing only minor, nonspecific findings like white matter changes in certain regions. • The blood vessels in my brain appeared healthy. • EEG results indicated some slowing but no evidence of seizures. • More invasive tests ruled out any major health concerns. • Mild sleep apnea was detected. • Cognitive assessments showed deficits in attention, processing speed, and memory. • Eye examinations indicated challenges with tracking and focusing post-injury. What has proven somewhat beneficial includes: • Migraine medication has helped lessen the severity of my headaches. • Telecommuting allows me to take frequent breaks. • Engaging in occupational, speech, and vision therapy whenever possible has been somewhat advantageous. I maintain a full-time job, but managing it drains a considerable amount of my energy, leaving little for family interactions, social engagements, or time for recovery. I’m at a stage where I’m seeking clarification on several points: 1. Is it common for post-concussion symptoms to persist for such an extended period despite normal scan results? 2. When is it appropriate to seek an alternative explanation rather than accepting a diagnosis of merely post-concussion syndrome, stress, or anxiety? 3. Is it typical for fatigue to be the most pronounced and debilitating symptom? 4. Are there often overlooked aspects, such as sleep quality, visual processing, nerve health, or nervous system function, that should be reevaluated? I’m not seeking a diagnosis—just some insight. I want to determine whether I’m on a reasonable track or if I should be considering different inquiries. Thank you to all who have taken the time to read my message.
Excruciating Nerve Sensitivity
Greetings, everyone. I recently underwent surgery to address a cervical rib issue on the left side, utilizing the transaxillary method. Today marks ten days since the procedure was performed last Wednesday. I was discharged from the hospital Saturday morning and felt fine initially, aside from the typical discomfort associated with surgery such as pain, numbness, and some swelling in my left arm, which limited mobility. My surgeon assured me this was normal. However, come Monday morning, I experienced a sudden sensation that I initially thought was pain in my left hand, predominantly affecting my pinky, ring, and middle fingers, extending to my arm and shoulder. A visit to the doctor clarified that this was not just pain—I was experiencing hypersensitivity, specifically involving the ulnar nerve. A week has passed, and the intensity of the hypersensitivity is unmanageable. It feels as if my hand is simultaneously being burned, stabbed, and electrocuted. I have been prescribed medication like pregabalin, yet it only provides temporary relief lasting no more than an hour or two. While the swelling in my arm has subsided, the hypersensitivity and numbness continue unabated. Although I can move my arm and hand to a degree, my strength is noticeably reduced, which may be a lingering effect from the surgery. I was concerned there might be a hematoma at the incision site irritating the brachial plexus, but an ultrasound revealed no signs of blood accumulation. I'm currently in a challenging predicament and would deeply appreciate any suggestions or remedies you might offer, as the discomfort has become unbearable; at this point, I'd even consider amputation of my arm over enduring this agony.
[30M] Intermittent Crackling Noise from Chest Area
Hello everyone, I've been experiencing a crackling sound that occurs occasionally when I laugh heartily or cough. It seems to originate from my chest, but I'm not entirely sure if it might also be related to my throat. Interestingly, there’s no mucus or phlegm that surfaces when this happens. Despite my attempts, I can’t reproduce the sound by quickly exhaling or taking deep breaths. I don't struggle with wheezing or experience shortness of breath. There’s a persistent cough I’ve had since dealing with the flu last December, but I can recall having these sounds before that incident. Additionally, I suffered from asthma as a child, which I suspect could be a contributing factor. I'm planning to schedule an appointment with my primary care physician for a comprehensive evaluation, ideally including an X-ray. Meanwhile, I would greatly appreciate any advice or insights you might have. Thank you in advance!
Should I Seek Medical Attention?
At 22 years old, I am a female who has been on medications like duloxetine, lamotrigine, and hydroxyzine for several years. I have managed to keep my Graves' disease under control, but I have reasons to believe I may also be experiencing symptoms of POTS (Postural Orthostatic Tachycardia Syndrome). Last year, I was scheduled to consult a neurologist regarding hand tremors and the possibility of fibromyalgia. Unfortunately, I could not continue my treatment after relocating and losing my health insurance. Just 15 minutes ago, I fainted. Prior to that incident, I was feeling unwell—dizzy, my vision was blurry, and I experienced a whooshing sensation along with heat in my ears. My face and arms also felt tingly. After fainting, I experienced a heavy, aching sensation in my head, and I still have a headache now. Additionally, I’ve been waking up with headaches for a couple of days. I want to know if it's advisable to go to the emergency room. It's important to note that this isn’t my first fainting spell; I had one incident years back, which helped me recognize the signs when it started happening. At that time, I was lifting a heavy bed frame, and when I began to feel faint, I tried to sit down but stood back up to assist, and that’s when I lost consciousness. I’m unsure how long I was out, but I initially thought I was just sleeping before realizing what had happened when I regained awareness.
Seeking Guidance for My Mother's Sudden Hearing Loss Case
I am looking for advice regarding my mother's situation with sudden sensorineural hearing loss (SSNHL). **Patient Overview:** - **Age:** 48 years - **Gender:** Female - **Medical Issues:** Hypothyroidism and overweight (approximately 95 kg at the onset) - **Treatment:** Thyroid medication (25 mcg taken daily) **Medical Background:** In November 2025, my mother experienced an abrupt hearing loss in her right ear accompanied by dizziness and nausea. We consulted several ENT specialists within approximately 36 hours following the onset of her symptoms. She received a diagnosis of SSNHL but unfortunately, she did not undergo intratympanic steroid injections during the critical first 24 hours that could have aided her recovery. Despite receiving subsequent treatment, she has not regained hearing in her affected ear. **Examination Results:** - **Audiogram:** Loss of approximately 100 dB in the right ear; left ear shows normal hearing. - **Brain MRI:** A normal scan was conducted previously, ruling out tumors. - **Laboratory Tests:** Recent blood tests (including thyroid function, HbA1c, renal and liver function tests, CBC, etc.) show elevated TSH (6.73) and a HbA1c of 8.5%. We are currently preparing for a contrast MRI to eliminate the possibility of a vestibular schwannoma or nerve issues. **Current Condition:** The hearing loss persists in her right ear. She is feeling anxious about the upcoming contrast MRI, which involves gadolinium injection. However, she has started making positive lifestyle changes and has lost about 4.5 kg over the past two months, adhering to a protein-rich diet and a walking regimen. **My Inquiries:** 1. Is it still beneficial to perform a contrast MRI several months after the initial SSNHL diagnosis, considering that a normal MRI has already been completed? 2. For cases such as this—severe SSNHL with delayed steroid intervention—are there realistic prospects for hearing recovery at a later date? 3. Are there any additional tests or treatments that should be taken into account at this stage? 4. For family gatherings where loud music will be present, would high-quality earplugs or noise-canceling earbuds be a good option to safeguard her healthier ear? 5. Is it advisable for her to continue with whey protein supplementation and the weight-loss plan? 6. What should we prioritize for long-term management: hearing aids, rehabilitation, regular monitoring, etc.? I recognize that the chances of recovery may be slim, but I want to ensure we are covering all bases and that her care plan is appropriate. I appreciate any insights or suggestions you can offer. Thank you for your assistance!