Educational guide

Sodium

Sodium controls fluid balance and blood pressure. Low sodium (hyponatremia) is the most common electrolyte disorder in hospitalized patients.

Normal135–145 mEq/LMild hyponatremia130–134 mEq/LModerate hyponatremia120–129 mEq/L

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What Sodium measures

Sodium is the dominant electrolyte in blood and the main determinant of blood volume. A low or high sodium value usually reflects water imbalance more than salt intake — it tells you how much water is in your body relative to sodium, not how much salt you ate.

Normal ranges

Normal135–145 mEq/L
Mild hyponatremia130–134 mEq/L
Moderate hyponatremia120–129 mEq/L
Severe hyponatremia< 120 mEq/L
Hypernatremia> 145 mEq/L

Reference ranges may vary slightly by lab. Always use the range provided on your specific test report.

What affects your sodium level

  • SIADH (excess antidiuretic hormone — water retention)
  • Heart failure, kidney disease, or liver cirrhosis
  • Medications: SSRIs, certain diuretics, NSAIDs
  • Excess water intake (rare — endurance athletes)
  • Severe vomiting or diarrhea (causes high)
  • Inadequate water intake or dehydration (causes high)

Foods that may help

Salty broths and bone broth

Replenishes sodium without overwhelming the system

Olives, pickles, fermented foods

Naturally sodium-dense foods for mild low

Electrolyte drinks (low sugar)

Useful in athletes after heavy sweating

Whole-food cooking

Reducing processed food helps high sodium

Potassium-rich produce

Helps balance high-sodium states

When to see your doctor

Any sodium value outside the normal range warrants doctor input. Severe hyponatremia (< 120) can cause confusion and seizures and is a medical emergency. Don't try to correct sodium through diet alone — the underlying water-balance issue usually needs medical evaluation.

Related biomarkers

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Educational content only · Not medical advice