Hyperkalemia is a condition in which you have too much potassium in your blood. Most potassium in the body (98%) is found within cells and organs. Only a small amount circulates in the bloodstream. Potassium helps nerve and muscle cells, including those in the heart, function properly. Your kidneys usually maintain levels of potassium in the blood. But if you have kidney disease, the most common cause of hyperkalemia, potassium levels can build up.
Medications or diet may also affect the amount of potassium in the blood. Hyperkalemia can be life threatening and must be treated promptly.
Sometimes hyperkalemia has no symptoms. Other times you may experience symptoms such as:
Hyperkalemia has many causes, including:
You may not be feeling any effects of hyperkalemia. Your health care provider may discover it during a routine blood test or electrocardiogram. Hyperkalemia can cause life-threatening complications without warning. If you experience symptoms of hyperkalemia, you should call 911 or get to an emergency room. If you have severe hyperkalemia, you will be admitted to the hospital to stabilize your condition, and for further tests.
Your doctor will prescribe medications to take care of the immediate problem, but more tests may be needed to determine the underlying cause. If the medications do not lower the potassium level in your blood, your provider may recommend dialysis.
Medications used to treat hyperkalemia are meant to stabilize heart function, promote the movement of potassium from the bloodstream back into the cells, and encourage the excretion of excess potassium. Hemodialysis is the most reliable tool for removing potassium from the body in patients with kidney failure.
Alternative therapies can help treat the underlying cause once your condition has been stabilized. Make sure to tell your medical providers about any alternative therapies or supplements you may be using. If you are pregnant, or thinking about becoming pregnant, do not use any CAM therapies unless directed to do so by your physician.
Following these nutritional tips may help reduce symptoms:
Herbs are a way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to diagnose your problem before starting treatment. You may use herbs as dried extracts (capsules, powders, or teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). People with a history of alcoholism should not take tinctures. Unless otherwise indicated, make teas with 1 tsp. herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. Tinctures may be used singly or in combination as noted. If you are pregnant or nursing, speak to your doctor before taking any herbal products.
Hyperkalemia should only be treated by trained medical specialists. If a patient wishes to use herbal therapies, they must first consult with a medical herbalist and all of their providers. DO NOT use herbs on your own to treat hyperkalemia.
Avoid herbs that can increase potassium levels. Below are a few of the most common potassium-containing herbs:
Homeopathy may be useful as a supportive therapy.
Acupuncture may help support normal kidney function.
Swedish massage may help to stimulate the kidneys.
Your doctor will probably ask to see you 2 to 3 days after you are discharged from the hospital to repeat the potassium tests, electrocardiogram, and check your kidney function. Your doctor will review all the medications you are taking, and may recommend changes.
If you are on regular dialysis, keep strictly to your schedule to avoid hyperkalemia and other serious problems.
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Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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