NOT EVERYONE WITH PP NEEDS TO BE TAKING POTASSIUM SUPPLEMENTATION
Hello All....This is long...but very important!!
ABOUT POTASSIUM
There NEEDS TO BE SOME CLARIFICATION ON THE USE AND NEED OF POTASSIUM IN RELATIONSHIP TO THE DIFFERENT FORMS OF PERIODIC PARALYSIS (PP)...AND METABOLIC ACIDOSIS. PPN exists to provide Support, Education and ADVOCACY to all individuals with the varying forms of Periodic Paralysis.This means we need to advocate for your medical safety.....
I have written much about this...I will try to clarify as simply as I can and add some information from other Blog Articles and Notes from our PPN Support Group...
NOT EVERYONE WITH PP NEEDS TO BE TAKING POTASSIUM.
Unless you know exactly that your levels of potassium are low (at any given moment), you may not need potassium supplementation. Potassium shifts very quickly and can be in normal ranges right after the shift and back to normal by the time a blood test is done. If it is in normal ranges....potassium may not be needed. Taking potassium when it is not needed can shift into hyperkalemia...and cause different symptoms and make one worse....pain, cramping, muscle tightness are indications of high potassium. Taking large amounts of potassium can be very harmful unless it is proven that it is needed. Using potassium readers is the only way to know for sure what the level of potassium is at any given moment...a test taken last week or last month has no bearing on what it is at this very moment. IF YOUR SYMPTOMS ARE WORSE AFTER INCREASING POTASSIUM, IT MAY BE THE INCREASE OF POTASSIUM CAUSING THE WORSE SYMPTOMS.
NOT ALL FORMS OF POTASSIUM ARE THE SAME. THERE ARE DIFFERENT TYPES OF POTASSIUM FOR DIFFERENT ISSUES ACCOMPANYING YOUR SYMPTOMS.
TYPES OF POTASSIUM
When considering which type of potassium to use, it is important to understand the most common types; potassium bicarbonate, potassium citrate and potassium chloride. Potassium bicarbonate is a salty substance with no color or smell and it neutralizes acidity. Potassium citrate is also a salty substance. It is potassium bicarbonate, which has been combined with citric acid for faster absorption. It reduces acidity. Potassium chloride is also a salty substance created from a combination of potassium and chlorine. It will increase the acidity in the body.
It comes in many forms which include, salts, powders, liquid, and tablets. Some tablets may be released over time or some are easily dissolved. Liquid forms need to be diluted in water. The soluble tablets ad powder or salt forms need to be dissolved in water. Tablets should be swallowed whole with 8 ounces of water after meals.
How does someone know which type and form are best for him or her? We are not medical doctors so we avoid offering advice about the type of potassium supplement to use. That needs to be discussed with your trusted medical adviser. However, that being said, the various forms and types are discussed here for a better understanding and decision-making.
After researching and knowing that I have chronic metabolic acidosis (Most of us with PP do have this), I chose to use potassium bicarbonate because it neutralizes the acidity in my body. I use the salt form because and I can dilute it in water for quick absorption. I take it when my potassium levels are low. I must be careful with the amount I take because I easily swing into high potassium levels.
Although most individuals with Periodic Paralysis will get prescriptions for potassium, some may chose or need to purchase their own potassium supplements. If you purchase your own form be sure to use natural sources of potassium from a reliable natural organic source.
ONLY INDIVIDUALS WITH HYPOKALEMIC PERIODIC PARALYSIS AND THYROTOXIC PERIODIC PARALYSIS MAY NEED TO TAKE POTASSIUM SUPPLEMENTATION. (This should be done with the knowledge, instruction and direction of your doctor.)
Many individuals with Periodic Paralysis take potassium, but many do not, nor should they. It is best to remember that not all people with PP actually need to take potassium supplements.
Many of us shift only in normal ranges. All forms can shift only within normal levels but the ones most prone to this are Normokalemic Periodic Paralysis, and Andersen-Tawil Syndrome (ATS). (Those with ATS shift between low, normal and high depending on the triggers). Those with Hyperkalemic Periodic Paralysis shift into high levels of potassium so if we take potassium it causes us major symptoms and paralysis. Still others of us shift high and low, so we should not take it unless we know we are low and know it for sure and monitor it closely. Potassium is a very individual issue for each of us.
UNLESS YOU HAVE A GENETIC DIAGNOSIS, IT MAY NOT BE POSSIBLE TO BE SURE WHAT FORM YOU HAVE UNLESS THE SYMPTOMS ARE CLOSELY RECORDED AND STUDIED. WE HAVE FORMS, CHARTS, ETC. TO HELP FIGURE THIS OUT.
EVERYONE HAS THEIR OWN LEVEL OF POTASSIUM THAT IS NORMAL FOR THEM.
An individual with Periodic Paralysis may have his or her own individual levels of potassium at which symptoms or paralysis occur. What may be normal ranges for someone may be high for another. Using a potassium reader to discover one’s high, normal and low ranges is suggested, for better treatment.
Our own "NORMAL" levels of potassium vary greatly. Some of us have "normal" levels in the 5.0's while others may be normal in the 3.0's. This depends on many things, but most likely the form of PP that you have and the way it manifests in you, individually. Just because a doctor (who probably does not understand this feature of PP) wants you to be at 4.5..that actually may not be right for you. Your symptoms are your clues...
(The numbers below are related to normal individuals)
YOUR SYMPTOMS ARE CLUES TO WHETHER YOU ARE IN LOW OR HIGH POTASSIUM.
(Some may cross over)
HYPERKALEMIC PERIODIC PARALYSIS:
Hyperkalemic Periodic Paralysis Hyperkalemic Periodic Paralysis, also known as Gamstorp Disease, accounts for about 15 to 20% of all forms of Periodic Paralysis. If an individual has Hyperkalemic Periodic Paralysis he or she becomes partially or fully paralyzed intermittently based on the way the body controls sodium and potassium levels in the cells. It is associated with high levels of potassium (hyperkalemia) during paralytic episodes. When potassium shifts into higher ranges in normal individuals, it is called hyperkalemia. High potassium levels in the blood will occur for anyone and a myriad of symptoms may be experienced and can be dangerous, even deadly. If an individual has Hyperkalemic Periodic Paralysis and potassium shifts into higher ranges, he or she can and will experience a combination of the same myriad of symptoms as well as paralysis and can be equally as dangerous and deadly. When potassium levels are at a slightly elevated level there may be no symptoms. At a moderately higher level, which is usually between 5.5 and 6.5 mEq/L, there may be some symptoms involving muscles, digestion, kidneys, electrolyte balance, the liver and the heart. Potassium levels above 6.5 mEq/L are very serious and usually require medical attention.
Muscles: Fatigue, weakness, pins and needles, tingling or numbness in the extremities, muscle contraction, muscle rigidity, muscle cramps, muscles stiffness, muscle twitching, muscle cramping, reduced reflexes, muscle contraction involving tongue, tightness in legs, strange feeling in legs.
Digestion: Discomfort, nausea, vomiting, stomach cramps, diarrhea, vomiting.
Heart: Palpitations, chest pain, irregular heartbeat, slow heartbeat, weak pulse, absent pulse, heart stoppage, small P waves, tall T waves, QRS abnormality, P wave abnormality, QT lengthening, fast heartbeat.
Kidneys: Breathing problems, wheezing, shortness of breath, fast breathing, feeling hot, low blood pressure.
Liver: The brain function becomes affected: Irritability, sleepiness, confusion, seizures, and loss of consciousness.
Paralysis: Episodic muscle weakness, episodic partial paralysis, episodic total paralysis.
Laboratory blood changes: Elevated blood potassium, serum sodium level elevated, Serum CPK (creatine).
Laboratory urine changes: Elevated urine pH level.
HYPOKALEMIC PERIODIC PARALYSIS:
Hypokalemic Periodic Paralysis Hypokalemic Periodic Paralysis, also known as Westphall Disease, is the most common form of Periodic Paralysis accounting for about 70% of all cases. If an individual has Hypokalemic Periodic Paralysis he or she becomes partially or fully paralyzed intermittently. As already stated, the paralysis results from potassium moving from the blood into muscle cells in an abnormal way. It is associated with low levels of potassium (hypokalemia) during paralytic episodes
When potassium shifts into lower ranges in normal individuals, it is called hypokalemia. Low potassium levels in the blood will occur for anyone and a myriad of symptoms may be experienced and can be dangerous, even deadly. If an individual has Hypokalemic Periodic Paralysis and potassium shifts into lower ranges, he or she can and will experience a combination of the same myriad of symptoms as well as paralysis and can be equally as dangerous and deadly. When potassium levels are low, which is usually between 2.5 to 3.5 mEq/L, the following symptoms can occur: tiredness, pain in the muscles, cramping, upset stomach, constipation, lightheadedness, depression, mood swings.
Potassium levels below 2.5 mEq/L affect many functions of the body including the muscles, digestion, kidneys, electrolyte balance, the liver and the heart.
Muscles: fatigue, pain in the joints, muscle weakness, muscle weakness after exercise, muscle stiffness, muscle aches, muscle cramps, muscle contractions, muscle spasms, muscle tenderness, pins and needles sensation, eyelid myotonia (cannot open eyelid after opening and then closing them).
Digestion: Upset stomach, loss of appetite, vomiting, constipation, diarrhea, bloating of the stomach and full feeling in the stomach, blockage in the intestines called paralytic ileus.
Heart: Anxiousness, irregular and rapid heartbeat, angina, prominent U waves, inverted or flattened T waves, ST depression, elongated PR interval.
Kidneys: Severe thirst, increased urination, difficulty breathing, too slow or shallow breathing, lack of oxygen in the blood, sweating, increased blood pressure, metabolic acidosis.
Liver: The brain function becomes affected: Irritability, decrease in concentration, lack of clear thinking, confusion, slurring of speech, seizures.
Paralysis: Episodic muscle weakness, episodic partial paralysis, episodic total paralysis episodic flaccid paralysis (limp muscles, without tone).
Laboratory blood changes: Increased number of neutrophils in the blood, increased number of white blood cells in the blood, reduced number of eosinophils in the blood, increased number of lymphocytes in the blood, low blood sodium, low blood potassium, elevated Serum CPK (creatine).
Laboratory urine changes: Excess protein in urine, excess sugar in the urine, excessive acetone in urine, and presence of renal casts in urine.
An individual with Periodic Paralysis may have his or her own individual levels of potassium at which symptoms or paralysis occur. What may be normal ranges for someone may be high for another. Using a potassium reader to discover one’s high, normal and low ranges is suggested, for better treatment.
Factors, which can trigger attacks, are: excessive carbohydrates, alcoholic beverages, sodium/salt, viruses, certain medications, epinephrine, cold, anesthesia, excitement/fear, exercise, and rest or sleep (all phases).
Attacks of paralysis may be reduced by: Eating high potassium foods, staying warm, staying well-rested, staying hydrated, avoiding drugs that decrease potassium levels, avoiding known triggers such as stress, exercise, carbohydrates, and salt. Some off-label drugs, which can be effective for treating the symptoms, are available for some individuals with Hypokalemic Periodic Paralysis but they should be used with extreme caution due to serious side effects.
YOUR SYMPTOMS MAY BE FROM METABOLIC ACIDOSIS OR METABOLIC ALKALOSIS NOT A DROP OR INCREASE IN POTASSIUM.
Because Periodic Paralysis is a MINERAL METABOLIC DISORDER we are prone to chronic Metabolic Acidosis (too acidic or Metabolic Alkalosis too alkaline). Our symptoms may actually be due to this, not actual potassium shifting.
SYMPTOMS OF METABOLIC ACIDOSIS:
"Some of the more common symptoms of metabolic acidosis are muscle weakness, bone and muscle pain, headache, chest pain, tachycardia, heart palpitations, abdominal pain, rapid breathing, shortness of breath, confusion, drowsiness, a lack of energy and paralysis for persons with Periodic Paralysis. If metabolic acidosis becomes severe it can lead to shock (a lack of an appropriate flow of blood in the body) or death. However, the symptoms of metabolic acidosis are sometimes not very obvious or specific, depending on the cause. It should be noted that in some individual’s metabolic acidosis could be mild and ongoing (chronic).
In chronic metabolic acidosis, an individual’s bones and kidneys are affected. When potassium shifts in the body, calcium carbonate from the bone is released. This causes a loss of bone crystals leading to osteoporosis. When the kidneys are affected and this can be seen by the formation of kidney stones. "
So it is especially important to maintain that 70/30 balance and it can be done with a pH diet. We may eat some of those things that are more acidic, just remember to keep the 70/30 balance.
SYMPTOMS OF METABOLIC ALKALOSIS:
Confusion (can progress to stupor or coma)
Hand tremor
Lightheadedness
Muscle twitching
Nausea, vomiting
Numbness or tingling in the face, hands, or feet
Prolonged muscle spasms (tetany)
THERE ARE DIFFERENT TYPES OF POTASSIUM FOR DIFFERENT ISSUES ACCOMPANYING YOUR SYMPTOMS.
(See above)
Until Later...
"Some of the more common symptoms of metabolic acidosis are muscle weakness, bone and muscle pain, headache, chest pain, tachycardia, heart palpitations, abdominal pain, rapid breathing, shortness of breath, confusion, drowsiness, a lack of energy and paralysis for persons with Periodic Paralysis. If metabolic acidosis becomes severe it can lead to shock (a lack of an appropriate flow of blood in the body) or death. However, the symptoms of metabolic acidosis are sometimes not very obvious or specific, depending on the cause. It should be noted that in some individual’s metabolic acidosis could be mild and ongoing (chronic).
In chronic metabolic acidosis, an individual’s bones and kidneys are affected. When potassium shifts in the body, calcium carbonate from the bone is released. This causes a loss of bone crystals leading to osteoporosis. When the kidneys are affected and this can be seen by the formation of kidney stones. "
So it is especially important to maintain that 70/30 balance and it can be done with a pH diet. We may eat some of those things that are more acidic, just remember to keep the 70/30 balance.
SYMPTOMS OF METABOLIC ALKALOSIS:
Confusion (can progress to stupor or coma)
Hand tremor
Lightheadedness
Muscle twitching
Nausea, vomiting
Numbness or tingling in the face, hands, or feet
Prolonged muscle spasms (tetany)
THERE ARE DIFFERENT TYPES OF POTASSIUM FOR DIFFERENT ISSUES ACCOMPANYING YOUR SYMPTOMS.
(See above)
Until Later...