What are the 10 signs of low potassium?

Potassium deficiency is the result of hypokalemia—the medical term for blood serum potassium levels that are below normal. Normal blood potassium levels are typically between 3.6 and 5.2 millimoles per liter (mmol/L). A potassium level that is very low (less than 2.5 mmol/L) can be life-threatening and requires immediate medical attention.

Low potassium symptoms often are mild but can include the following:

  1. Fatigue
  2. Muscle cramps
  3. Weakness
  4. Intestinal paralysis, which might lead to abdominal pain
  5. Bloating or abdominal cramping
  6. Constipation
  7. Nausea or vomiting
  8. Feeling thirsty much of the time
  9. Depression or confusion
  10. More serious complications of hypokalemia can include abnormal heart rhythms (arrhythmia).

Causes of Hypokalemia and Potassium Deficiency

There are multiple potential causes of low potassium. The most common causes of hypokalemia involves potassium loss through urine due to medications typically prescribed for high blood pressure or heart disease. Such medications as water pills, diuretics, or, to a lesser extent, some antibiotics can increase urination. Vomiting, diarrhea, and excessive sweating can also lead to a potassium deficiency. This is why doctors, during a patient’s bout with the flu, will often prescribe electrolyte supplementation.

Other causes of hypokalemia include folic acid deficiency as well as certain medical conditions, including congestive heart failure, chronic kidney disease, diabetic ketoacidosis, and primary aldosteronism. Lifestyle factors, such as excessive alcohol use, excessive exercising, or excessive laxative use (common in eating disorders) are also linked to low potassium.

It’s important to get enough potassium in your diet; however, there isn’t scientific evidence to support the notion that low dietary intake of potassium directly results in hypokalemia.

WHAT YOU CAN DOSAMPLE POTASSIUM-RICH MEALS

Here’s a quick sampling of potassium-rich meals.

BREAKFAST

  • Spinach, mushroom, and artichoke omelet with prune juice
  • Homemade banana pancakes (see recipe below)

LUNCH

  • Lima bean and lentil soup (see recipe below)
  • Pasta made with fresh, homemade tomato sauce

DINNER

    • Baked halibut with 1 medium baked potato
    • Flounder fish tacos with acorn squash soup

(Note: it is not necessary to eat fish daily!)

SNACKS

  • 1/2 cup dried apricots, chopped with low-fat yogurt
  • 1/2 cup prunes
  • Homemade trail mix with almonds, sunflower seeds, and raisins
  • Chopped broccoli with spinach dip
  • Baked or dehydrated sweet potato chips
  • Orange and avocado salad

Why Is Potassium So Important to Our Health?

Potassium is a vital mineral and electrolyte. Electrolytes have important jobs within the body—they help carry much-needed electrical signals to your cells, and in turn they help regulate your nerve and muscle functioning, hydration, and blood pressure. Electrolytes also help to rebuild damaged tissue. Potassium is involved in your heart’s ability to beat and to squeeze blood through your body.

In addition, potassium helps to regulate your blood pressure. It also helps your muscles and nerves to work properly.

Potassium deficiency can be even more complicated than we think. According to a report at Oregon State University‘s website, “The relative deficiency of dietary potassium in the modern diet may play a role in the pathology of some chronic diseases”—stroke, osteoporosis, and kidney stones, for example.

Typically, potassium deficiency symptoms are discovered by blood tests conducted for other reasons—an illness, for example, or to monitor your blood while you’re on various medications. If you’re in good health, you won’t usually feel the symptoms of hypokalemia; it’s rare for low potassium levels to cause individuals to experience isolated symptoms.

Reach for Potassium-Rich Foods

According to the USDA, adults need 4,700 mg of potassium per day to meet adequate intake (AI) requirements. You can achieve this goal and realize the benefits of potassium by eating your fruits and veggies.

Plant-based sources of potassium include banana, broccoli, lentils, squash, and sweet potato. Other foods that serve as rich sources of potassium include fish (particularly flounder or halibut) and low-fat dairy products. Consult with your doctor about whether potassium-rich foods and/or potassium supplementation is right for you.

How much potassium is in various food sources? Here’s a selective list, per Oregon State University:

  • 1 medium potato, baked with skin, 926 mg
  • 1/2 cup plums, dried (prunes), 637 mg
  • 1/2 cup raisins, 598 mg
  • 6 fluid ounces prune juice, 528 mg
  • 1/2 cup lima beans, cooked, 485 mg
  • 1/2 cup acorn squash, cooked, 448 mg

RECIPE 1BANANA PANCAKES

Ingredients: 1 medium ripe banana 2 large grass-fed eggs 1/8 teaspoon baking powder (for fluffy pancakes) 1/8 teaspoon sea salt 1/4 teaspoon vanilla (optional) 1 tablespoon pure honey

Butter or olive oil for frying

Directions: 1. In a large bowl, mash the banana until there are no big lumps. Add all remaining ingredients to the bowl, except the eggs. Whisk ingredients to combine. 2. Whisk the eggs well in a small bowl. Pour the whisked eggs into the large bowl of ingredients and stir until all ingredients are well combined. 3. In a griddle or skillet over medium heat, melt a little butter or olive oil. 4. Drop 2 tablespoons of batter onto the griddle/skillet for each pancake. Cook for about 1 minute, until the bottoms look golden. 5. Flip each pancake when you see bubbling in the center and cook for another minute.

6. Serve warm. Serve with fresh fruit and desired toppings.

Servings: 8 small pancakes

RECIPE 2LIMA-BEAN AND LENTIL SOUP

Ingredients: 1 tablespoon olive oil or ghee 1 small onion, finely chopped 1/2 leek, finely chopped 2 cloves garlic, minced 1 1/2 cups water 1 1/2 cups vegetable broth 1/2 cup dry lima beans 1/2 cup dry lentils 1 small carrot, thinly sliced 1 small parsnip, thinly sliced 1 celery stalk with leaves (1/2 cup), thinly sliced 1 teaspoons Italian seasoning 1 teaspoon ground cumin 1/4 teaspoon salt

1/4 teaspoon freshly ground black pepper

Directions: 1. Heat oil or ghee over medium heat in a medium frying pan. Sauté onion and leek and garlic for 5 to 10 minutes, until onions are tender, and set aside. 2. Bring vegetable broth and water to a boil in a medium saucepan. 3. Add lima beans, cooked onion, leek and garlic, carrot, parsnip, celery, Italian seasoning, cumin, salt, and pepper. 4. Once saucepan has reached a boil, reduce heat and simmer for 45 minutes, covered. If beans and lentils are not tender, cook for another 5 to 10 minutes until tender.

5. Turn off heat, remove soup from heat, and allow it to stand for 20 minutes, covered.

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What are the 10 signs of low potassium?

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What are the 10 signs of low potassium?

Potassium is a mineral (electrolyte) in the body that is important to maintain several bodily functions.

Potassium is a mineral (electrolyte) in the body. Almost 98% of potassium is found inside the cells. Small changes in the level of potassium that is present outside the cells can have severe effects on the heart, nerves, and muscles.

Potassium is important to maintain several bodily functions:

  • Muscles need potassium to contract.
  • The heart muscle needs potassium to beat properly and regulate blood pressure.

The kidney is the main organ that controls the balance of potassium by removing excess potassium into the urine.

When potassium levels are low (hypokalemia), you can become weak as cellular processes are impaired.

  • Normal potassium levels are around 3.5-5.0 mEq/L (mEq/L stand for milliequivalents per liter of blood and this is a unit measure used to evaluate the level). Low potassium is defined as a potassium level below 3.5 mEq/L.
  • Almost 1 out of 5 people hospitalized in the United States has a low potassium level.
  • People with eating disorders such as anorexia nervosa and bulimia, patients with AIDS, alcoholics, and those who have had bariatric surgery have a higher incidence of hypokalemia than others.

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Low potassium can occur for many reasons. Use of water pills (diuretics), diarrhea, and chronic laxative abuse are the most common causes of low potassium levels. Illness and other medications may also lower potassium levels. Risk factors for low potassium include:

  • Female sex
  • African-Americans ethnicity

Other causes of hypokalemia include:

Kidney losses

Loss of potassium through stomach and intestines

Side effect of medications

  • Water pills (diuretics)
  • Medicines used for asthma or emphysema (beta-adrenergic agonist drugs such as bronchodilators, steroids, or theophylline)
  • Aminoglycosides (a type of antibiotic)

Shifting of potassium into and out of cells

  • Use of insulin
  • Certain metabolic states (such as alkalosis)

Decreased food intake or malnutrition

  • Anorexia
  • Bulimia
  • Bariatric surgery
  • Alcoholism

What are the 10 signs of low potassium?
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Symptoms of low potassium are typically mild and sometimes vague. There may be more than one symptom involving the gastrointestinal (GI) tract, kidneys, muscles, heart, and nerves:

  • Weakness, tiredness, or cramping in arm or leg muscles, sometimes severe enough to cause inability to move arms or legs due to weakness (much like a paralysis)
  • Tingling or numbness
  • Nausea or vomiting
  • Abdominal cramping, bloating
  • Constipation
  • Palpitations (feeling your heart beat irregularly)
  • Passing large amounts of urine or feeling thirsty most of the time
  • Fainting due to low blood pressure
  • Abnormal psychological behavior: depression, psychosis, delirium, confusion, or hallucinations

What are the 10 signs of low potassium?
What are the 10 signs of low potassium?

What are the 10 signs of low potassium?
What are the 10 signs of low potassium?

What are the 10 signs of low potassium?
What are the 10 signs of low potassium?

What are the 10 signs of low potassium?
What are the 10 signs of low potassium?

What are the 10 signs of low potassium?
What are the 10 signs of low potassium?

What are the 10 signs of low potassium?
What are the 10 signs of low potassium?

If you are having symptoms of low potassium, call your doctor. If you have muscle cramps, weakness, palpitations, or feel faint and you are taking a diuretic (water pill), contact your healthcare professional or go to an urgent care facility or hospital emergency department immediately.

Without symptoms, you will not know you have low potassium levels until you have a routine blood test or an electrocardiogram (ECG, EKG).

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Sometimes the cause of low potassium is unclear. Your doctor may perform certain tests to rule out other conditions such as renal tubular acidosis, Cushing syndrome, and hypocalcemia:

  • If an electrolyte imbalance is suspected, blood tests will be ordered check potassium levels, kidney function (BUN and creatinine), glucose, magnesium, calcium, and phosphorous if an electrolyte imbalance is suspected.
  • Because low potassium is known to affect heart rhythms (arrhythmias), your doctor may order a digoxin (Lanoxin) level if the patient is taking a digitalis preparation.
  • ECG or a heart tracing is done to detect electrical changes in the heart and certain types of irregular heart rhythms that may be caused by low potassium.

If you are monitoring low potassium levels, avoid long, strenuous physical activities because loss of potassium occurs with sweating.

If dietary supplements, herbal supplements, diuretics (water pills), or laxatives are causing the low potassium symptoms, avoid taking these products and talk to your doctor. Never stop taking a prescribed medication without first consulting your doctor.

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Potassium replacement therapy will be directed by the type and severity of the patient's symptoms. Treatment begins after lab tests confirm the diagnosis.

Medical Treatment

  • People suspected of having severely low potassium need to be placed on a cardiac monitor and have an IV started.
  • Usually, those with mild or moderately low potassium levels (2.5-3.5 mEq/L), who have no symptoms, or who have only minor complaints only need to be treated with potassium given in pill or liquid form. This is preferred because it is easy to administer, safe, inexpensive, and readily absorbed from the gastrointestinal tract. Some preparations, or too high of a dose, may irritate the stomach and cause vomiting.
  • If cardiac arrhythmias or significant symptoms are present or if the potassium level is less than 2.5 mEq/L, IV potassium should be given. In this situation, admission or observation in the emergency department is indicated. Replacing potassium takes several hours as it must be administered very slowly intravenously to avoid serious heart problems and avoid irritating the blood vessel where the IV is placed.
  • For those with severely low potassium and symptoms, both IV potassium and oral medication are necessary.

Precautions

  • When potassium is used with medications such as ACE inhibitors, there is a risk of developing a high level of potassium.
  • Potassium-sparing diuretics and potassium-containing salt substitutes can also result in high potassium levels.

Usually doctors recommend a certain dosage of potassium supplementation and arrange to have a repeat blood level taken 2-3 days later.

Your doctor may consider switching to potassium-sparing diuretics (water pills) if the patient needs to continue taking diuretics for another condition.

Diet changes may be recommended if the patient is likely to develop low potassium levels. Examples of foods high in potassium include:

  • Bananas
  • Tomatoes
  • Oranges
  • Cantaloupes
  • Peaches

Do not overuse diuretics (water pills), and never use someone else's medications.

If you are taking medication, ask your doctor how often electrolyte levels need to be checked.

Low potassium is treatable. The reason for the low potassium must be identified, or it will most likely reoccur. With the right therapy, there are typically no further problems.

What are the 10 signs of low potassium?
A bagel 20 years ago was 3 inches in diameter and had 140 calories. How many calories do you think are in today's bagel? See Answer

Electrolytes are chemicals that the body produces, and the cells in the body need them to function. Examples of electrolytes that the cells need are sodium (Na), potassium (K), and magnesium (Mg).

Mount, David B. MD. "Clinical Manifestations and Treatment of Hypokalemia in Adults." UptoDate. Updated Jan 7, 2016.

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