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Sodium Test Overview and Procedure

Know about the sodium test, when and why its done, symptoms of extremeties, who is at risk, understanding test results and tips for healthy sodium levels inside the body.

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Written by Dr. M L Ezhilarasan

Reviewed by Dr. J T Hema Pratima MBBS

Last updated on 14th Aug, 2025

Sodium Test

Introduction 

Maintaining the right balance of sodium in your body is crucial for good health. A sodium test helps measure the levels of sodium in your blood, ensuring that your body functions properly. In this article, we’ll explain what a sodium test is, why it’s important, how it’s done, and what your results might mean.

What is a Sodium Test?

A sodium test is a simple blood test that checks the amount of sodium in your blood. Sodium is an essential electrolyte that helps regulate:

  • Fluid balance in your body
  • Nerve function (sending signals between nerves and muscles)
  • Muscle contractions (including your heart)

Too much or too little sodium can cause serious health problems, so this test helps doctors diagnose and monitor conditions related to sodium imbalance.

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Why is a Sodium Test Done?

Your doctor may recommend a sodium test if you have symptoms of abnormal sodium levels or if you’re at risk due to certain medical conditions.

Symptoms of Low Sodium (Hyponatremia):

  • Nausea or vomiting
  • Headache
  • Confusion or difficulty concentrating
  • Fatigue or weakness
  • Muscle cramps or spasms
  • Seizures (in severe cases)

Symptoms of High Sodium (Hypernatremia):

  • Extreme thirst
  • Dry mouth or sticky saliva
  • Restlessness or irritability
  • Swelling in hands or feet
  • High blood pressure
  • Muscle twitching

Who is at Risk?

The people at risk include:

  • People with kidney disease, heart disease, or liver disease
  • Those taking diuretics (water pills) or certain medications
  • Individuals with dehydration or excessive fluid loss (due to vomiting, diarrhoea, or sweating)
  • Older adults, as sodium regulation can weaken with age

How is the Sodium Test Done?

The sodium test is a quick and straightforward blood test. Here’s what you can expect:

Before the Test:

  • No special preparation is usually needed.
  • Inform your doctor if you’re taking any medications, as some can affect sodium levels.
  • Stay normally hydrated unless your doctor advises otherwise.

During the Test:

  • A healthcare professional will clean a small area (usually your arm) with an antiseptic.
  • A needle is inserted into a vein to draw a small blood sample.
  • The blood is collected in a tube and sent to a lab for analysis.

The entire process takes just a few minutes and may cause slight discomfort, but it’s generally painless.

After the Test:

  • You can resume normal activities immediately.
  • Minor bruising or soreness at the puncture site may occur but should fade quickly.

Understanding Your Sodium Test Results

Normal sodium levels in the blood typically range between 135–145 milliequivalents per litre (mEq/L).

What Abnormal Results Mean:

  • Low Sodium (Hyponatremia - Below 135 mEq/L):
  • Could be due to excessive water intake, kidney problems, heart failure, or hormonal imbalances.
  • May require fluid restriction, medication adjustments, or treating the underlying cause.
  • High Sodium (Hypernatremia - Above 145 mEq/L):
  • Often caused by dehydration, excessive salt intake, or diabetes insipidus (a condition affecting water balance).
  • Treatment may involve increasing fluid intake or adjusting medications.

Your doctor will interpret your results based on your overall health and symptoms.

Tips for Maintaining Healthy Sodium Levels

1. Stay Hydrated (But Not Overhydrated)

  • Drink enough water, but avoid excessive intake (unless advised by a doctor).
  • If you sweat a lot (due to exercise or hot weather), replenish fluids with water or electrolyte drinks.

2. Monitor Salt Intake

  • Limit processed foods (chips, canned soups, fast food) as they are high in sodium.
  • Use herbs and spices instead of extra salt for flavour.

3. Eat a Balanced Diet

  • Include potassium-rich foods (bananas, spinach, sweet potatoes) to help balance sodium levels.

4. Manage Underlying Conditions

  • If you have kidney, heart, or liver disease, follow your doctor’s advice on diet and medications.

5. Get Regular Check-ups

  • If you’re at risk for sodium imbalance, periodic blood tests can help monitor your levels.

When to See a Doctor

If you experience symptoms like severe fatigue, confusion, seizures, or extreme thirst, seek medical attention immediately. Abnormal sodium levels can be dangerous if left untreated.

Final Thoughts

A sodium test is a simple yet important way to ensure your body’s electrolyte balance is in check. By understanding your sodium levels and making small lifestyle adjustments, you can maintain better health and prevent complications. If you have concerns about your sodium levels, don’t hesitate to consult a doctor and get tested.

Consult a General Physician for Personalised Advice

Dr Syed Mateen Pasha, General Physician

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Dr. Anand Ravi, General Physician

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Dr. Bhukya Pavan Kalyan, General Physician

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Bengaluru

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Dr Syed Mateen Pasha, General Physician

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General Physician

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Dr. Anand Ravi, General Physician

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Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

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Dr. Bhukya Pavan Kalyan, General Physician

Dr. Bhukya Pavan Kalyan

General Physician

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Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

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Consult a General Physician for Personalised Advice

Dr Aakash Andgi, General Physician/ Internal Medicine Specialist

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Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhukya Pavan Kalyan, General Physician

Dr. Bhukya Pavan Kalyan

General Physician

5 Years • MBBS DNB Paediatrics

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

650

98 Cashback

Dr. Syed Ismail Ali, General Practitioner

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Apollo 24|7 Clinic, Hyderabad

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