Hypokalemia: Potassium Imbalance

Hypokalemia is a low level of potassium (K⁺) in the blood serum. Mild low potassium does not typically cause symptoms. Symptoms may include feeling tired, leg cramps, weakness, and constipation. Low potassium also increases the risk of an abnormal heart rhythm, which is often too slow and can cause cardiac arrest. Hypokalemia is one of the most common water-electrolyte imbalances. It affects about 20% of people admitted to the hospital. Siddha Spirituality of Swami Hardas Life System brings out in-depth about hypokalemia for well-being.

Hypokalemia Meaning

The word hypokalemia comes from hypo- ‘under’ + kalium ‘potassium’ + -emia ‘blood condition’. Hypokalemia is when blood potassium levels are too low. Potassium is an important electrolyte for nerve and muscle cell functioning, especially for muscle cells in the heart. Your kidneys control your body’s potassium levels, allowing for excess potassium to leave the body through urine or sweat.

Hypokalemia Symptoms

Mild hypokalemia is often without symptoms, although it may cause elevation of blood pressure and provoke an abnormal heart rhythm. Severe hypokalemia, with serum potassium concentrations of 2.5–3 meq/L (Nl: 3.5–5.0 meq/L), may cause muscle weakness, myalgia, tremor, and muscle cramps (owing to disturbed function of skeletal muscle), and constipation (from disturbed function of smooth muscle). More severe hypokalemia, flaccid paralysis, and hyporeflexia may result. Reports exist of rhabdomyolysis occurring with profound hypokalemia with serum potassium levels less than 2 meq/L. Respiratory depression from severe impairment of skeletal muscle function is found in some people.

It can also cause psychotic as well as other mental symptoms.

Hypokalemia Causes

Hypokalemia can result from one or more of these medical conditions:

Inadequate potassium intake

Not eating a diet with enough potassium-containing foods or fasting can cause the gradual onset of hypokalemia. This is a rare cause and may occur in those with anorexia nervosa or those on a ketogenic diet.

Gastrointestinal or skin loss

A more common cause is excessive loss of potassium, often associated with heavy fluid losses that flush potassium out of the body. Typically, this is a consequence of diarrhea, excessive perspiration, or losses associated with muscle-crush injury, or surgical procedures.

Vomiting can also cause hypokalemia, although not much potassium is lost from the vomitus. Rather, heavy urinary losses of K⁺ in the setting of post-emetic bicarbonaturia force urinary potassium excretion. Other gastrointestinal causes include pancreatic fistulae and the presence of adenoma.

Urinary loss

• Certain medications can cause excess potassium loss in the urine.
• A special case of potassium loss occurs with diabetic ketoacidosis.
• A low level of magnesium in the blood can also cause hypokalemia.
• An increase in the pH of the blood (alkalosis) can cause temporary hypokalemia by causing a shift of potassium out of the plasma and interstitial fluids into the urine via several interrelated mechanisms.
  
• Disease states that lead to abnormally high aldosterone levels can cause hypertension and excessive urinary losses of potassium.
• Rare hereditary defects of renal salt transporters, such as Bartter syndrome or Gitelman syndrome, can cause hypokalemia.

Distribution away from the extracellular fluid

In addition to alkalosis, other factors can cause transient shifting of potassium into cells, presumably by stimulation of the Na⁺/K⁺ pump. These hormones and medications include insulin, epinephrine, and other beta-agonists, and xanthines.

Rare hereditary defects of muscular ion channels and transporters that cause hypokalemic periodic paralysis can precipitate occasional attacks of severe hypokalemia and muscle weakness.

Other Causes of Hypokalemia

A handful of published reports describe individuals with severe hypokalemia related to chronic extreme consumption (4–10 L/day) of colas. The hypokalemia is thought to be from the combination of the diuretic effect of caffeine and copious fluid intake, although it may also be related to diarrhea caused by heavy fructose ingestion.

Pseudohypokalemia

Pseudohypokalemia is a decrease in the amount of potassium. It occurs due to excessive uptake of potassium by metabolically active cells in a blood sample. 

Hypokalemia Diagnosis

Blood

Normal potassium levels are between 3.5 and 5.0 mmol/L with levels below 3.5 mmol/L (less than 3.5 mEq/L) defined as hypokalemia.

Electrocardiogram

Hypokalemia leads to characteristic ECG changes (PR prolongation, ST-segment and T-wave depression, U-wave formation).

ST depressions and T inversions appear as serum potassium levels reduce further. Due to prolonged repolarization of ventricular Purkinje fibers, prominent U waves occur, frequently superimposed upon T waves, therefore producing the appearance of prolonged QT intervals, when serum potassium levels fall below 3 mEq/L.

Hypokalemia Treatment

Treatment includes addressing the cause, such as improving the diet, treating diarrhea, or stopping an offending medication. People without a significant source of potassium loss and who show no symptoms of hypokalemia may not require treatment. However, for those with chronic hypokalemia, repletion takes time due to tissue redistribution. For example, correction by 1 mEq/L can take more than 1000 mEq of potassium over many days.

Oral potassium supplementation

Mild hypokalemia (>3.0 mEq/L) may be treated by eating potassium-containing foods or by taking potassium chloride supplements in a tablet or syrup form. Foods rich in potassium include dried fruits (particularly dried figs), nuts, bran cereals, and wheat germ, lima beans, molasses, leafy green vegetables, broccoli, winter squash, beets, carrots, cauliflower, potatoes, avocados, tomatoes, coconut water, citrus fruits (particularly oranges), cantaloupe, kiwis, mangoes, bananas, and red meats.

Eating potassium-rich foods may not be sufficient for correcting low potassium.  Additionally, replacing potassium solely through the diet may be costly and result in weight gain due to potentially large amounts of food needed. Increasing magnesium intake may also be beneficial for similar physiological reasons.

Potassium chloride supplements by mouth have the advantage of containing precise quantities of potassium, but the disadvantages of a taste may be unpleasant, and the potential for side-effects including nausea and abdominal discomfort. Potassium bicarbonate is preferred when correcting hypokalemia associated with metabolic acidosis.

Intravenous potassium replacement

Severe hypokalemia (<3.0 mEq/L) may require intravenous supplementation. Typically, a saline solution is used, with 20–40 meq/L KCl per liter over 3–4 hours. Giving IV potassium at faster rates (20–25 meq/hr) may inadvertently expose the heart to a sudden increase in potassium, potentially causing dangerous abnormal heart rhythms such as heart block or asystole.

Therefore, faster infusion rates are generally only performed in locations in which the heart rhythm can be continuously monitored, such as a critical care unit. When replacing potassium intravenously, particularly when higher concentrations of potassium are used, infusion by a central line is encouraged to avoid the occurrence of a burning sensation at the site of infusion, or the rare occurrence of damage to the vein.

When peripheral infusions are necessary, the burning can be reduced by diluting the potassium in larger amounts of fluid, or adding a small dose of lidocaine to the intravenous fluid, although adding lidocaine may increase the likelihood of medical errors. Even in severe hypokalemia, oral supplementation is preferred given its safety profile.

Potassium-sparing diuretics

Hypokalemia which is recurrent or resistant to treatment may be amenable to a potassium-sparing diuretic, such as amiloride, triamterene, spironolactone, or eplerenone. Concomitant hypomagnesemia will inhibit potassium replacement, as magnesium is a cofactor for potassium uptake.

Siddha remedies for Hypokalemia

1. Siddha preventive measures for Hypokalemia

Everybody must practice Siddha preventive measures, whether a person is affected with Hypokalemia or not, but preventive measures are the primary steps for switching on to any other Siddha remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision-making power, intellectuality, and removing minor health problems. 

Everybody’s tendency is to get attracted to the word free, however, don’t neglect even these Siddha preventive measures are free. Avail of the benefits by practicing them sincerely, and regularly. For the ease of understanding Siddha preventive measures, please watch a video for a live demonstration.

2. Siddha Shaktidata Yog for Hypokalemia

This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to Hypokalemia with free Siddha remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.

3. Siddha Kalyan Sadhana

Recite this Sadhana with a Sankalp “My problems of the Hypokalemia are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice a day. To know more, please click on this link.

4. CCPE products for Hypokalemia

These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for Hypokalemia as mentioned below:

CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, and naval for another 30 to 60 seconds, which finishes within almost 2 – 4 minutes.

CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, and naval for 3 minutes. You may need to have 3 Boosters, which establishes positivity. 

5. UAM (Understanding, Awakening, Movement)

For quick and effective results, it is advisable to learn the unique methods of the Swami Hardas Life System. A trained person can only apply the UAM method himself/herself and also become capable of healing others.

A daily routine for Candida

In general, a daily routine to manage Hypokalemia may look like this:

• Carry out all medical checks as suggested above and follow the advice of your Doctor
• Apply free Siddha energy remedies a minimum 3 times a day, as explained above
• Do walking exercises, breathing exercises regularly
• Have a healthy diet in particular
• Perform Siddha Nyasa regularly
• Perform Swayamsiddha Agnihotra daily, if feasible
• Try to learn advanced methods of Swami Hardas Life System for fast recovery

Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.

Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 3 days.

Training of Swami Hardas Life System 

Any person irrespective of religion, caste, creed, faith, sex, and age can undergo the unique training of Swami Hardas Life System.

Conclusion

Given the above, I am confident that you have learned about Hypokalemia, meaning, symptoms, causes, diagnosis, treatment, and free Siddha remedies, without money and medicines. You also learned free Siddha remedies. Now, you have become self-sufficient, hence it’s the right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.

However, keep learning and practicing the free Siddha Energy Remedies, which would help guide how to solve various problems regarding health, peace, and progress, without money and medicines.

After reading this article, what are your thoughts? Would you please put more efforts into enhancing or updating your knowledge? Let me know your precious thoughts. 

Frequently asked questions

Here are a few frequently asked questions regarding Hypokalemia. Before posting your query, kindly go through them:

Q: What Hypokalemia means? Hypokalemia is when blood potassium levels are too low. Potassium is an important electrolyte for nerve and muscle cell functioning.

 

Q: What are the Siddha remedies for Hypokalemia, which can be applied at home? In general, a daily routine to manage Hypokalemia may look like this: carry out all medical checks as suggested above and follow the advice of your Doctor; apply free Siddha energy remedies a minimum 3 times a day, as explained above; do walking exercises, breathing exercises regularly; have a healthy diet in particular; perform Siddha Nyasa regularly; perform Swayamsiddha Agnihotra daily, if feasible; and try to learn advanced methods of Swami Hardas Life System for fast recovery. However, ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.

Reference:

• https://en.wikipedia.org/wiki/Hypokalemia
• https://www.healthline.com/health/hypokalemia#TOC_TITLE_HDR_1