Hyponatremia Center - Porterville, CAPorterville Internist Doctors for HyponatremiaType of Physician: Internist What is a Internist? A certification by the Board of Internal Medicine; practitioners provide long-term, comprehensive care in the office and the hospital, managing both common illnesses and complex problems for adolescents, adults, and the elderly. General internists are trained in primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and treatment of problems of the eyes, ears, skin, nervous system and reproductive organs. All internists are trained in the subspecialty areas of internal medicine including emergency internal medicine and critical care. Internists consult with surgeons when surgical management is indicated, and often act as consultants to other specialists. Specialty: Internal Medicine Common Name: Internist Doctors in Porterville *![]() Jae R Kim MD ![]() Vladimir Kroupa MD ![]() Drs Pagulayan-Sy & Menor ![]() Drs Pagulayan-Sy & Menor ![]() Harpreet S Sandhu ![]() Brian A Reyes MD ![]() Elif Tokcan MD ![]() Melody G Dumlao MD ![]() Sierra Foothills Medical Group Inc ![]() Ravi A Reddy MD ![]() Vinay Buttan MD ![]() David Heaney MD ![]() VMC Lindsay Medical Group ![]() VMC Lindsay Medical Group ![]() Pixley Medical Clinic ![]() Jatinder Chopra MD ![]() Parmod Kumar MD ![]() Ching-Tsungr Chiu MD ![]() Tulare Community Health Clinic ![]() Tulare Community Health Clinic ![]() Tulare Community Health Clinic ![]() Tulare Community Health Clinic ![]() Tulare Community Health Clinic ![]() Tulare Community Health Clinic ![]() Anil Patel MD ![]() Magdy Maksy MD ![]() Dennis Johnson MD ![]() Arturo Abalos MD ![]() Kern Valley State Prison - Medical Department ![]() Central Cardiology Medical Clinic ![]() Kern Valley State Prison - Medical Department ![]() Kern Valley State Prison - Medical Department ![]() Drs Bansal & Patel ![]() Drs Bansal & Patel ![]() Jaime De La Cerna MD ![]() Renal Medical Group ![]() Drs Bansal & Patel ![]() Family Healthcare Network ![]() Ricardo Bernadino MD ![]() Alberto L Acevedo MD ![]() Chandrasekaran Clinic ![]() Gursharan S Saini MD FCCP ![]() Min Shung Wu MD ![]() Thanit Hasadsri MD ![]() Elsa L Lerro MD ![]() Onsy I Said MD ![]() Harvey J Hecht MD ![]() Tulare County Health & Human Services ![]() Adolph Nava MD ![]() Visalia Medical Clinic Inc ![]() Visalia Medical Clinic Inc ![]() Visalia Medical Clinic Inc ![]() Visalia Medical Clinic Inc ![]() Visalia Medical Clinic Inc ![]() Manabir Singh MD ![]() Yong Hwang MD ![]() Glenn C Kissinger MD ![]() Dinuba Rural Health Medical Center ![]() Sarvamitra Awasthi MD ![]() Jae J Kim MD ![]() Central Cardiology Medical Clinic ![]() St Therese Medical Group ![]() Kern Integrity Medical Group ![]() Kenneth K C Hsu MD ![]() Kaiser Permanente Bakersfield ![]() David C Dougherty MD ![]() Kaiser Permanente Stockdale & Bakers Rds ![]() Jacquelyn Kotarac MD ![]() Anil Mehta MD ![]() Edward L Nichols MD ![]() Howard H Nizar MD ![]() Central Cardiology Medical Clinic ![]() Central Cardiology Medical Clinic ![]() Denis E Maddox MD ![]() Central Cardiology Medical Clinic ![]() Manick Bhardwaj MD ![]() San Joaquin Valley Pulmonary Medical Group ![]() Fakhruddin Hasta MD ![]() San Joaquin Valley Pulmonary Medical Group ![]() San Joaquin Valley Pulmonary Medical Group ![]() San Joaquin Valley Pulmonary Medical Group ![]() San Joaquin Valley Pulmonary Medical Group ![]() Esmail Nadjmabadi MD ![]() Arete Healthcare ![]() Valdez & Remmes MDs ![]() Kern Faculty Medical Group ![]() James E Dean MD ![]() Kern Faculty Medical Group ![]() James E Dean MD ![]() Barbara L Ackerman MD & Daniel L Engeberg MD ![]() David F Glossbrenner MD ![]() Kern Faculty Medical Group ![]() Kern Faculty Medical Group ![]() Highgrove Medical Center ![]() Highgrove Medical Center ![]() Highgrove Medical Center ![]() Nancy M McNamara MD ![]() Highgrove Medical Center ![]() Nadim W Sarkies MD ![]() The Heart Center Porterville, CaliforniaUpcoming Local Events2012-06-02
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Hyponatremia (Low Blood Sodium)Read the Hyponatremia (Low Blood Sodium) article » What is hyponatremia (low blood sodium)?Hyponatremia refers to a lower-than-normal level of sodium in the blood. Sodium is essential for many body functions including the maintenance of fluid balance, regulation of blood pressure, and normal function of the nervous system. Hyponatremia has sometimes been referred to as "water intoxication," especially when it is due to the consumption of excess water, for example during strenuous exercise, without adequate replacement of sodium. Sodium is the major positively charged ion (cation) in the fluid outside of cells of the body. The chemical notation for sodium is Na. When combined with chloride (Cl), the resulting substance is table salt (NaCl). The normal blood sodium level is 135 - 145 milliEquivalents/liter (mEq/L), or in international units, 135 - 145 millimoles/liter (mmol/L). Results may vary slightly among different laboratories.
What causes hyponatremia (low blood sodium)?A low sodium level in the blood may result from excess water or fluid in the body, diluting the normal amount of sodium so that the concentration appears low. This type of hyponatremia can be the result of chronic conditions such as kidney failure (when excess fluid cannot be efficiently excreted) and congestive heart failure, in which excess fluid accumulates in the body. SIADH (syndrome of inappropriate anti-diuretic hormone) is a disease whereby the body produces too much anti-diuretic hormone (ADH), resulting in retention of water in the body. Consuming excess water, for example during strenuous exercise, without adequate replacement of sodium, can also result in hyponatremia. Hyponatremia can also result when sodium is lost from the body or when both sodium and fluid are lost from the body, for example, during prolonged sweating and severe vomiting or diarrhea. Medical conditions that can sometimes be associate... Recommended Reading Related to Hyponatremia (Low Blood Sodium)What is a urinalysis?A urinalysis is simply an analysis of the urine. It is a very common test that can be performed in many healthcare settings including doctors' offices, urgent care facilities, laboratories, and hospitals. It is performed by collecting a urine sample from the patient in a specimen cup. Usually only small amounts (30-60 ml's) may be required for urinalysis testing. The sample can be either analyzed in the medical clinic or sent to a laboratory to perform the tests. Urinalysis is abbreviated UA. Urine can be evaluated by its physical appearance (color, cloudiness, odor, clarity), or macroscopic analysis. It can be also analyzed based on its chemical and molecular properties or microscopic assessment. Urinalysis is ordered by doctors for a number of reasons, as follows:
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