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Why my serrum chloride is high 109 will it affect my kidney and liver
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General Medicine
प्रश्न #24832
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Why my serrum chloride is high 109 will it affect my kidney and liver - #24832

Rashmi Ranjan

Why My serrum chloride is high and... Serrum urea is low Bun is low... Serrum creatinne is normal Egfr is normal Is it a serious problem...... Will.... Serrum high chloride will damage my kidney and liver..... My serrum chloride is 109

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डॉक्टरों की प्रतिक्रियाएं

Your serum chloride level lies in upper border, but that doesn’t means serious, this can vary person to person. Please improve your water intake and avoid intake of tea/caffeine products which can alter chloride level. If you are taking any medication please check with corresponding doctors.

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HELLO RASHMI,

WHAT IS SERUM CHLORIDE? A major extracellular anion(negatively charged ion) in your body.

Helps maintain -acid-base balance - osmotic pressure and fluid balance -electrical neutrality along with sodium and potassium.

NORMAL RANGE= 98 to 107 mEq/L your value= 109 mEq/L-> very mild hyperchloremia

WHAT CAUSES HIGH CHLORIDE?

1) DEHYDRATION- even mild dehydration may elevate chloride

2) EXCESS SALT INTAKE- if you eat processed foods/salty snacks= sodium chloride(NaCl) elevates both Na and Cl.

3) USE OF SALINE IV. FLUIDS - iv fluid often contain NaCl-> chloride load

4) METABOLIC ACIDOSIS- loss of bicarbonate causes a reactive rise in cl

5) RENAL TUBULAR ACIDOSIS- kidney fails to excrete acid leads to chloride gain

6) COMPENSATION MECHANISM- if bicarbonate is low, body retains cl

DOES IT AFFECT KIDNEY OR LIVER

1) KIDNEY -chloride is regulated by the renal tubules -in cases of renal dysfunction, chloride may accumulate

BUT IN YOUR CASE -serum creatinine is normal -eGFR is normal -> no kidney damage is currently evident

-Low BUN(urea) doesnt necessarily means kidney problem. In fact, high urea is often seen in renal dysfunction

Your kidney is functioning normally in terms of filtration and excretion. A mildly high chloride alone will not damage your kidneys if it stays mild and stable.

2) LIVER -liver involvement shows in - abnormal LFT -low bun urea - because urea is synthesised in the liver - so low ear and BUM in your report could indicate reduced protein metabolism or liver enzyme function but - if you are not symptomatic( no jaundice, fatigue, nausea) and LFT’s are normal, it’s not liver damage. -more likely, it could be due to low protein intake, over hydration, or metabolic suppression(agni Mandya in ayurveda)

A high chloride does not directly cause liver damage, but it reflects metabolic imbalance, both liver and kidney physiology can be indirectly influenced over time.

YOUR FINDINGS do not represent serious pathology at the moment. However they indicate a subtle imbalance in fluid electrolyte metabolism, possibly influenced by diet, digestion, or pitta related disturbance

to approach this according to ayurveda, restore balance through Agni deepana, ama pachana, pitta pacification, and support of rasa, rakta, and mutra dhatus.

INTERNALLY CAN TAKE

1) FOR AMA PACHANA AND AGNI DEEPANA -TRIKATU CHURNA= 3 gm before meals with warm water or buttermilk for 15 days =clears ama, improves agni, balances vata kapha, corrects nutrient absorption and metabolism

2) FLUID AND ELECTROLYTE REGULATION+ KIDENY SUPPORT

-PUNARNAVADI KASHAYA= 15 ml with equal water, twice daily before meals = diuretic, anti -inflammatory, reduces swelling, regulates fluid- electrolyte balance

-GOKSURADI GUGGULU- 2 tabs twice daily with warm water =supports urinary system, reduces congestion in mutravaha srotas.

FOR PITTA BALANCE+ LIVER SUPPORT

-AROGYAVARDHINI VATI= 1 tab twice daily after meals with water =liver detox, pitta shamak, supports protein metabolism

-PHALATRIKADI KWATH= 20 ml with water twice daily =clears excessive pitta, support liver and renal functions

FOR RASYANA AND REJUVINATION( POST 1 MONTH OF ABOVE MEDICATIONS)

-GUDUCHI SATVA + YASHTIMADHU CURNA = 1 tsp mixed in lukewarm milk In morning for 30 days = immunomodulator, nephroprotective, balances tridosha

-ASHWAGANDHA+SHATAVARI+ GOKSHURA COMBO =5 gm in milk at nght =adaptogenic, restore dhatu, correct subtle imbalances

DIET -mung dal khichdi with cumin, coriander, turmeric -barley, oats, boiled rice - tinder, lauki, ash gourd, okra, pumpkin -cows milk boiled and warm -cows ghee 2 tsp/day - hearbal drinks= coriander- cumin- fennel tea, -amla juice 20 ml - tender coconut water

DON’TS -excess salt, pickles, fried food -fermented, sour, spicy foods-increase pitta - non veg food(high urea load) -coffee, alcohol, soft drinks -overeating and late night eating

LIFESTYLE ADVICE -wake up before sunrise -gentle yoga and sheetali/anulom vilom Pranayam daily -avoid sun exposure and excessive physical exertion - daily foot massage with coconut oil - maintain 3 L fluid intake daily

CHECK Serum chloride every 2-4 weeks -Bun Urea/ creatinine/ eGFR= montly -LFT= every 2-3 months -urine routine= monthly

Your current findings do not suggest serious damage, but they need correction o prevent future pathology. Ayurvedic management focuses on root-cause correction, pitta balance, and srotas cleansing follow this protocol for at least 6-8 weeks and then SEE.

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
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It’s not that serious as you are thinking Sometimes due to less water intake/ dehydration/ exc salt in diet may increase chloride levels And low urea and bun levels might be due to high carb/ low protein diet Correcting the above surely will benefit you

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No it doesn’t indicate any serious injuries So don’t worry

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Namaste Rashmi , Thank you for sharing your lab values and concerns. But don’t worry we are here to help you out !!

Your Report Summary :

1 Serum Chloride – 109 mEq/L → Slightly High (normal range ~98–107) 2 Serum Urea (BUN) – Low 3 Serum Creatinine – Normal 4 eGFR (Kidney Function) – Normal

What Actually it means :

1. High Chloride (109) – This is only mildly elevated and it is not dangerous as other values like creatinine and eGFR are normal. It may have been increased due to dehydration or half salt intake or any medications you have taken in recent times

2 . Normal Creatinine + eGFR – This is reassuring and means your kidneys are functioning well currently.

IS THIS SERIOUS? NO Actually all other parameters are within range so no need to worry be assured . The chloride level returns to normal with hydration or salt adjustment

** What You Can Do:**

✅ Hydration & Diet: • Drink 6–8 glasses of water daily • Avoid excess salt, packaged snacks, pickles • Take fresh fruits like pomegranate, watermelon • Include buttermilk, moong dal, and barley water

❌ Avoid: • Overuse of electrolyte drinks or ORS powders without reason • Very salty or preserved foods • Irregular meal timings

✅ When to Recheck:

• Retest after 2 weeks following all the diet change and proper hydration • Check sodium, potassium, bicarbonate (Sr Electrolytes)

No need to panic. Mildly high serum chloride is not harmful , especially when kidney and liver parameters are otherwise normal.

Just make small changes, stay hydrated, and follow up with repeat blood tests as advised.

Wishing you a good health 🌿 Warm regards, Dr. Snehal Vidhate

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Since your s. Creat. & Egfr is normal don’t have to worry. You need to Hydrate your self very well. Lessen intake of salty foods. Have fresh lime water without salt/ Coconut water Can have Apple cider vinegar 5ml in a glass of water. Try these home remedies check after 1 weekand follow up

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High serum chloride levels, which you mentioned as 109, can indicate different things, but it’s not automatically signifying a serious problem. Still, it’s essential to understand why these levels are elevated. In Ayurveda, an imbalance can be a result of vitiated Pitta dosha, particularly due to dehydrative factors or excess salt intake, so begin by reviewing your diet and fluid intake.

Since your serum urea and BUN are low, but serum creatinine and eGFR are normal, it suggests that while some markers of kidney function are slightly out of the usual range, key indicators of kidney filtration (like creatinine and eGFR) are fine. This suggests your kidneys functions normally in terms of filtering waste products. The slight rise of chloride may not directly harm kidneys or liver if it’s a temporary fluctuation. However, continuous imbalances might indicate an underlying issue needing attention.

Consider these recommendations:

1. Dietary Revisions: Cut down on salty foods and avoid processed snacks. Instead, choose a diet that includes hydrating and cooling foods like cucumber, and gourds, that will help pacify Pitta.

2. Hydration: Drink plenty of water to help balance electrolyte levels. Infuse water with fennel seeds or coriander for additional cooling effects.

3. Avoiding Excess Heat: Minimize exposure to heat, which can exacerbate any Pitta-related disorders.

4. Herbal Support: Incorporate amla or Indian gooseberry in your diet; it’s cooling and helps balance Pitta dosha.

5. Reduce Stress: Practice relaxation techniques, such as yoga or pranayama, to maintain overall doshic balance.

If you notice any worsening symptoms or have any concerns about your kidney or liver, it’s crucial to seek a healthcare provider for in-depth analysis and diagnosis. Remember Ayurvedic treatment complements medical care but doesn’t replace necessary medical interventions. Prioritize observations of your symptoms and consult with your doctor for ongoing concerns.

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Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
37 समीक्षाएँ
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
461 समीक्षाएँ
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
983 समीक्षाएँ

नवीनतम समीक्षाएँ

Julian
8 घंटे पहले
Thanks a ton for the clear and straightforward advice! Really appreciate the guidance on handling both ointments together. Super helpful!
Thanks a ton for the clear and straightforward advice! Really appreciate the guidance on handling both ointments together. Super helpful!
Caleb
17 घंटे पहले
Thanks so much for the advice! I feel more relaxed now knowing I should see a specialist. Your answer was exactly what I needed.
Thanks so much for the advice! I feel more relaxed now knowing I should see a specialist. Your answer was exactly what I needed.
Sophia
17 घंटे पहले
Finally found an answer that actually breaks down what's goin on and how to approach it with such clarity. Much appreciated!
Finally found an answer that actually breaks down what's goin on and how to approach it with such clarity. Much appreciated!
Audrey
17 घंटे पहले
Really appreciated the doctor’s input! Clear and honest advice on mushroom blends, helping with my decision to try them out safely. Thanks!
Really appreciated the doctor’s input! Clear and honest advice on mushroom blends, helping with my decision to try them out safely. Thanks!