Definition
Hypernatremia is a condition in which the level of sodium in the body is too high. This happens when there is an imbalance in the amount of water and sodium in the body—too little water, too much sodium. This condition may be serious. It requires care from your doctor.
Causes
The main cause of hypernatremia is having more water leave your body than enter it. This causes dehydration . A person can become dehydrated in different ways, such as:
- Drinking too little fluids
- Vomiting
- Diarrhea
- Using diuretics (medicines that increase urine output)
- Sweating a lot
- Having certain medical conditions (eg, diabetes or kidney disorder)
Risk Factors
Risk factors include:
- Not getting enough fluids
- Losing too much fluid
- Advanced age
- Having certain medical conditions (eg, diabetes or kidney disorder)
Dry mouth is a symptom of hypernatremia.
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Symptoms
Symptoms may include:
If left untreated, the condition may lead to death.
Diagnosis
Your doctor will:
- Ask about your symptoms
- Ask about your fluid intake and your urine output
- Take your medical history
- Do a physical exam
Tests may include:
- Blood test—to check the sodium levels, other salt levels, and sugar levels in your blood. Kidney function may also be checked with a blood test.
- Urine test—to check for urine sodium levels and sugar levels
Treatment
Fluid Replacement
To regain a proper balance of fluids in your body, liquid can be given to you either by mouth or through an IV (needle in your vein). The fluid will contain a specific concentration of water, sugar, and sodium. Reintroducing fluids slowly into your body will lower the sodium to a normal level. Talk with your doctor about the best treatment plan for you.
Prevention
To help reduce your chance of getting hypernatremia, take these steps:
- Stay hydrated by drinking plenty of fluids.
- Work with your doctor to manage any health conditions effectively.
Last reviewed November 2012 by Igor Puzanov, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.


