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
No, your results do not indicate a serious or urgent problem right now. But they may reflect early imbalances that can be corrected with lifestyle, hydration, and monitoring.
Chloride level increases due to eating of panchagavya ghrita??
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
No it doesn’t indicate any serious injuries So don’t worry
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
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
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.
