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High Blood Potassium Levels or Hyperkalemia

author avatar Dr. Eric Berg 10/11/2024

You want to have healthy levels of all electrolytes – but did you know high potassium is rarely caused by eating too much potassium? What’s more, there are usually very few hyperkalemia symptoms, so you might not even realize you have a problem.

That’s why today I want to explore hyperkalemia symptoms with you and shed light on this often-misunderstood health condition. This condition can be treated with a living kidney transplant in severe cases.

What is Hyperkalemia?

Most people don't realize this, but a whopping 98% of your body's total potassium is located inside your cells. Only about 2% circulates in your bloodstream.

Hyperkalemia is when you have too much potassium in your blood. Because we're talking about a small percentage, healthcare providers look at the bigger picture with this type of electrolyte imbalance.

You may want to consider adjusting your diet and reducing potassium foods if you're at risk.

Hyperkalemia Symptoms

Hyperkalemia is usually pretty silent. You might not even experience noticeable symptoms. And, in some cases, hyperkalemia symptoms mimic those of other health issues, so getting an accurate diagnosis from a qualified healthcare provider is important.

That said, if you do have any noticeable hyperkalemia symptoms, they may include:

  • Fatigue

  • Muscle Weakness

  • Muscle cramps or pain

  • Palpitations (a feeling that your heart is racing or pounding)

  • Nausea

  • Shortness of Breath

  • Chest pain

  • Numbness or tingling

If you suspect you’re dealing with an electrolyte imbalance, consult with your doctor for personalized guidance.

Potassium-rich foods

What Causes High Potassium Levels?

Here are common causes of high potassium levels:

Kidney Disease

Your kidneys play a huge role in filtering out excess potassium from your blood and flushing it out through your urine. However, when your kidneys are not functioning optimally (like if you have chronic kidney disease or advanced kidney disease), potassium can start to accumulate.

Other kidney problems like acute kidney injury or diabetic nephropathy can also increase your chances of having elevated potassium levels. It is crucial to understand your filtration rate and how it plays a role in this.

Medications

Believe it or not, some medications commonly prescribed to manage high blood pressure, such as ACE inhibitors or angiotensin II receptor blockers, can potentially cause potassium to be retained in the body.

Other types of drugs that can elevate potassium levels include:

  • NSAIDs

  • Certain antibiotics

  • Potassium-sparing diuretics

  • Heparin (a blood thinner)

  • Immunosuppressants (medications to reduce immune system activity)

If you suspect any medications are impacting your potassium levels, it’s essential to have an open dialogue with your healthcare provider. They can suggest alternatives or make necessary adjustments.

Adrenal Insufficiency

Adrenal insufficiency, including Addison's disease, is when your adrenal glands are not producing enough cortisol (your primary stress hormone) and often aldosterone as well (a hormone that plays a big role in fluid and electrolyte regulation).

When these hormones are low, potassium can increase.

Rhabdomyolysis

This serious condition happens when there is a breakdown of muscle tissue. As muscles break down, potassium is released into the bloodstream, sometimes leading to hyperkalemia, and possibly life-threatening complications.

Kidney transplant may be an option if this does not resolve. Trauma or crush injuries, drug or alcohol abuse, certain infections, extreme exercise or heat stroke, and some inherited muscle diseases are all potential causes of rhabdomyolysis.

This condition can be exacerbated by other risk factors such as dehydration and certain medications.

Other Causes of Hyperkalemia

Let’s look at other potential factors that could be at play:

  • Burns

  • Severe dehydration

  • Tumor Lysis Syndrome

  • Metabolic acidosis (a condition where there's too much acid in the body)

Keep in mind this isn't a complete list. Factors like genetics and overall health status can also influence the risk of developing high potassium levels.

Can Diet Affect Your Potassium Levels?

What you eat can impact your health. While excessive dietary potassium isn't usually a primary cause of hyperkalemia symptoms in healthy individuals, it’s still important to be mindful of potassium intake, especially if you have kidney problems.

This is because, in a healthy body, the excess gets flushed out via the kidneys. But, if your kidneys aren’t functioning at 100%, this might not be possible.

Potassium-rich foods to be mindful of include:

  • Bananas

  • Potatoes

  • Tomatoes

  • Oranges

  • Orange Juice

  • Avocados

  • Spinach

  • Beans

  • Salmon

What is Pseudohyperkalemia?

Let’s look at an intriguing phenomenon known as pseudohyperkalemia, a situation where blood tests might indicate higher potassium levels, even when you’re not actually experiencing hyperkalemia.

One common cause is if there's damage to the blood cells during a blood draw, causing potassium to leak out from the damaged cells and leading to inaccurate test results.

Having your blood drawn by an experienced healthcare professional is crucial. Make sure they’re using proper collection methods to minimize the likelihood of these types of false readings.

Dangers of High Potassium

High levels of potassium can potentially impact the functioning of your muscles and nerves, most notably impacting the heart’s electrical activity. Other issues that may arise include salt substitutes, as they are high in potassium.

A severely high level of potassium is a serious condition that could cause irregular heartbeats (arrhythmias), or even heart failure, so working closely with your healthcare provider is extremely important.

High potassium, if left untreated, could also lead to end-stage renal disease which would require dialysis or a transplant.

Treating Hyperkalemia

It’s always best to work with your doctor to ensure you receive appropriate hyperkalemia treatment. Depending on the underlying causes and your specific circumstances, they will likely suggest a course of action to lower your levels.

Treatment may include dietary changes, adjusting medications, or even prescribing medications that bind to potassium in your digestive system, preventing its absorption.

Hyperkalemia: The Bottom Line

If you’re dealing with high potassium levels or other electrolyte imbalances, knowing the potential causes and paying attention to your body’s signals is extremely important. Don't hesitate to reach out to your doctor for proper diagnosis, treatment, and personalized advice.

FAQs about Hyperkalemia Symptoms

What brings potassium down quickly?

Calcium gluconate, insulin, or glucose are all used in the medical setting to rapidly lower extremely elevated levels of potassium in emergent situations. It’s vital to remember self-treating without the guidance of a medical professional can be extremely dangerous.

It is crucial to consult with your healthcare provider or seek immediate medical attention in case of severe hyperkalemia symptoms.

What are the 10 signs of high potassium?

Hyperkalemia doesn’t always present noticeable symptoms. If they are present, the top 10 signs may include muscle weakness or cramps, nausea, fatigue, irregular heartbeat, chest pain, numbness, tingling, shortness of breath, palpitations, and/or a feeling of impending doom.

What are three clinical signs of hyperkalemia?

Common clinical signs healthcare providers might observe are muscle weakness or paralysis, an abnormal EKG pattern indicating irregular heartbeat, and/or decreased reflexes.

What is a critical potassium level?

A critical level of potassium is when blood levels reach 6.5 mEq/L or higher. High potassium can be life threatening.

Hyperkalemia Unveiled

Highlights the dangers of excess potassium levels, or hyperkalemia, which can lead to serious health issues, especially for those with impaired kidney function.

Common symptoms include muscle weakness, fatigue, irregular heartbeats, and in severe cases, life-threatening complications like cardiac arrest. Since the kidneys play a crucial role in regulating potassium, people with kidney problems are at higher risk.

Monitoring potassium intake and maintaining a proper diet is essential for managing kidney health. One way to support this balance is by incorporating Radish Benefits into your diet.

Radishes are naturally low in potassium and high in water content, making them a kidney-friendly food that also aids in digestion and detoxification. By being mindful of your potassium levels and integrating radishes into meals, you can help protect your kidneys and overall health.

Conclusion

Remember, managing electrolyte levels effectively and understanding hyperkalemia symptoms is crucial. Don't hesitate to reach out to your trusted healthcare provider to address concerns, find answers, and improve your well-being.


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