Salt / Sodium and Potassium: Connections To
Meniere’s Disease Balance & Hearing Symptoms
OVERVIEW: Why should we have this discussion?
We get
many, many questions related to salt and potassium. The following
information hopefully will add more insight.
My
experience dates back to anatomy and physiology lessons learned along
the path of a practicing RN. Even more helpful ones have come since we
started this Meniere’s website. So the information I will share is based
on science, plus practical applications: the everyday stuff you might
find interesting to know.
But here is
where people generally run into trouble. Salt is seen by the general
public as table salt. In fact it becomes sodium chloride. However when a
medical practitioner speaks about salt, they are often thinking about
sodium, but recognize that their patient is most likely thinking about
table salt: a bit confusing. I also struggled with this terminology. In
the end I settled for the word “salt” in discussing the concept, as that
is what everyone speaks about. We will use the term “sodium” and mean
the actual chemical in relation to blood tests, etc. but when we talk
about “salt” in foods, then we mean sodium chloride: a bit confusing, I
confess.
But first I
would like to make it clear that this information is only to give you
more knowledge: to enhance what your medical practitioner has already
given you or will give you. Please don’t use it to treat yourself or to
diagnose any symptoms. Having this information fleshes out your
professional support and makes it more interesting and also possibly
more helpful. The more you know, and the more you can think all this
through for yourself, the better your decisions will be.
Throughout
the article I have listed resource sites and references to check out. It
is important to keep in mind that each person’s body is different: no
two people are alike. You need to keep in mind the relevance of previous
“chemical influences”. They too can have an impact on your present state
of health.
But each
person is made with a body which works essentially the same way. The
best way to ever deal with health issues is to know the basics: what
makes up a healthy body. Become aware of the normal values and then
strive to achieve these. Our goal is to help you move TOWARD HEALTH: not
to keep your symptoms under control.
I want to
give you insight as to why salt and potassium are such major players in
Meniere’s disease. It’s good to have the medical knowledge, and you can
find a lot of this on the Internet. However, you, the layperson, needs
to understand why you are prescribed drugs or told to decrease or
increase usage that deal with these suggestions.
So I will
give you examples that will help you understand this a little better.
You will learn about electrolytes and how your body craves balance. It
strives to regain and maintain it, unrelentingly. We will discuss both
electrolytes: sodium and potassium, their normal values, and what
results when you have too little or too much. There will be examples of
foods high and low in both “salt” and potassium. To help you understand
how salt works, I will give you some examples. Lastly I will share some
thoughts on nasal sprays and decongestants.
Again, I
want to caution you not to use this information for anything other than
gaining more knowledge. Throughout, there will be links to other sites.
Please feel free to visit them and learn more. As I said before, the
more you learn about your body, I trust the happier you will be. At
least that is the feeling I often come away with in our phone calls.
ELECTROLYTES
Sodium and
potassium are called electrolytes. They are an important part of the
body’s balancing and rebalancing “act”. There are four other
electrolytes besides sodium and potassium, (but they are not as well
known to our Meniere’s readers)
These are
calcium, chlorine, magnesium and phosphates.
Potassium
is potassium. (Thank goodness!) As you may recall from high school
chemistry, all chemicals have symbols to identify them more quickly (the
names are often hard to handle!). Sodium is Na+ and potassium is K+.
Electrolytes are supplied on a daily basis by your foods and fluids
(unless you are given them via drugs). Picture electrolytes as a
‘leavening agent” in your cake: without it the cake falls flat. Without
electrolytes, your body won’t function.
Here is a
good explanation from Medline that includes a link. This explains why
you need to pay attention to salt and potassium from a medical
perspective.
“Fluid and Electrolyte Balance
Medline describes the electrolytes this way: (direct
quote) “Electrolytes are
minerals in your body that have an electric charge. They are in your
blood, urine and body fluids. Maintaining the right balance of
electrolytes helps your body's blood chemistry, muscle action and other
processes. Sodium,
calcium, potassium, chlorine, phosphate and magnesium are all
electrolytes. You get them from the foods you eat and the fluids you
drink.
Levels of electrolytes in your body can become too low
or too high. That can happen when the amount of water in your body
changes. Causes include some medicines, vomiting, diarrhea, sweating or
kidney problems. Problems most often occur with levels of sodium,
potassium or calcium.”
http://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v:project=medlineplus&query=electrolytes&x=64&y=8
Note the
reference to “when the amount of water in your body
changes”…
Online Lab
also has good wording: “Most sodium is found in the plasma, outside of
the body’s cells, where it helps to regulate the amount of water in your
body. Potassium is found primarily inside the body’s cells. A small but
vital amount of potassium is found in the plasma, the liquid portion of
the blood. Monitoring potassium is important. Small changes in the K+
level can affect the heart’s rhythm and ability to contract. Chloride
travels in and out of the cells to help maintain electrical neutrality,
and its level usually mirrors that of sodium. …..
Your diet
provides sodium, potassium, and chloride; your kidneys excrete them.
Your lungs provide oxygen and regulate CO2. The balance of these
chemicals is an indication of the functional well-being of several basic
body functions, including those performed by the kidneys and heart.”
http://www.labtestsonline.org/understanding/analytes/electrolytes/sample.html
Very
important: remember that this is all about fluids. Remember that for
later. Realize too that sodium is found primarily in the fluid parts of
the body and potassium is found primarily in the cells. Let me give you
a word picture to help you remember this. See potassium as a BALL
swimming in a BOWL of salty water.
Your
body is all about balance
As you can
see from the above paragraphs, balance is really important and in this
case, I don’t mean the balance related to the inner ear nerve, but
rather the balance of the chemicals, fluids and your body.
Your body
knows what it needs and is constantly striving to re-balance itself: to
achieve that balance, automatically. You don’t have any choice nor do
you have to do anything. As well, you do not have a choice when the
depleted area “borrows” from the healthy one to rebalance itself.
As each
area of your body is made up of individual cells, and surrounded by
fluids, it makes sense to look at the health of the basic cell and
understand how this fluid is managed.
You need to
realize that when your body’s normal functions and activities get
distorted, their outcomes (results) also automatically get distorted.
That is called dis-ease: meaning that something is not right or not
working according to what is needed. (“Di” means to be apart from or
opposite to something.) So in a disease, this part of the body is apart
from its healthy “state”.
More
electrolyte information and links:
http://www.nlm.nih.gov/medlineplus/fluidandelectrolytebalance.html
This is a
wonderful children’s site which doubles as a great educational tool for
adults.
http://kidshealth.org/parent/general/sick/labtest5.html
CAUTION
I would
like to make it clear that this information is only to give you more
knowledge: to enhance what your medical practitioner has already given
you or will give you. Please don’t use it to treat yourself or to
diagnose any symptoms. Having this information fleshes out your
professional support and makes it more interesting and also possibly
more helpful. The more you know, and the more you can think all this
through for yourself, the better your decisions will be.