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

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.

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