Last updated: August 11, 2025
4 mins read
What is Sodium?
Sodium is an essential electrolyte that regulates fluid balance, blood pressure, and nerve function in your body. Maintaining optimal sodium levels between 135โ145 mEq/L is crucial for preventing dehydration, heart problems, and neurological issues.
What is Sodium?
Sodium is one of the most important electrolytes in your body, playing a critical role in maintaining fluid balance, blood pressure regulation, and proper nerve and muscle function. As the primary extracellular cation (positively charged ion), sodium works in concert with other electrolytes like potassium and chloride to ensure your cells function optimally.
Found predominantly in your blood and the fluid surrounding your cells, sodium helps regulate the total amount of water in your body. Your kidneys carefully control sodium levels by adjusting how much is excreted in urine, while hormones like aldosterone and antidiuretic hormone (ADH) fine-tune this balance based on your bodyโs needs.
Why is Sodium Important?
Sodium serves several vital functions that keep your body running smoothly:
- Fluid Balance: Maintains the right amount of fluid inside and outside your cells, preventing dehydration or fluid overload.
- Blood Pressure Regulation: By controlling fluid volume, sodium directly impacts blood pressure levels.
- Nerve Signal Transmission: Enables electrical impulses to travel along nerve cells, allowing your brain to communicate with your body.
- Muscle Contraction: Works with calcium and potassium to help muscles contract and relax properly.
- Nutrient Absorption: Assists in the absorption of certain nutrients in the small intestine.
When sodium levels fall outside the normal range, it can lead to serious health complications. Hyponatremia (low sodium) can cause confusion, seizures, and coma, while hypernatremia (high sodium) may result in excessive thirst, confusion, and muscle twitching.
Understanding Your Sodium Test Results
A sodium blood test measures the concentration of sodium in your blood, typically reported in milliequivalents per liter (mEq/L) or millimoles per liter (mmol/L). Here are the reference ranges to help you interpret your results:
- Normal range: 135โ145 mEq/L
-
Low (Hyponatremia): < 135 mEq/L
- Mild: 130โ134 mEq/L
- Moderate: 125โ129 mEq/L
- Severe: < 125 mEq/L
-
High (Hypernatremia): > 145 mEq/L
- Mild: 146โ149 mEq/L
- Moderate: 150โ159 mEq/L
- Severe: > 160 mEq/L
Several factors can affect your sodium levels, including medications (diuretics, antidepressants), medical conditions (kidney disease, heart failure, liver disease), and lifestyle factors (excessive water intake, dehydration, high-sodium diet).
Maintaining Optimal Sodium Levels
Keeping your sodium levels balanced requires attention to both dietary intake and overall hydration status. The American Heart Association recommends limiting sodium intake to no more than 2,300 mg per day, with an ideal limit of 1,500 mg for most adults, especially those with high blood pressure.
Dietary Strategies
- Read nutrition labels carefully โ sodium can hide in bread, cereal, and condiments.
- Choose fresh, whole foods over processed options whenever possible.
- Cook at home more often to control sodium content.
- Use herbs, spices, citrus, and vinegar to add flavor without salt.
- Rinse canned vegetables and beans to reduce sodium content by up to 40%.
Lifestyle Modifications
- Stay properly hydrated by drinking water throughout the day.
- Monitor fluid intake during intense exercise or hot weather.
- Be aware of medications that may affect sodium levels and discuss concerns with your healthcare provider.
- Limit alcohol consumption, which can affect sodium balance.
- Maintain a healthy weight to support overall electrolyte balance.
When to Monitor Your Sodium Levels
Regular sodium monitoring is particularly important for individuals with certain health conditions or risk factors. You should consider more frequent testing if you have kidney disease, heart failure, liver cirrhosis, or are taking medications that affect sodium levels such as diuretics or ACE inhibitors.
Athletes and individuals who engage in prolonged physical activity should also pay attention to their sodium levels, as excessive sweating can lead to significant electrolyte losses. Symptoms that warrant sodium testing include persistent headache, confusion, nausea, muscle cramps, fatigue, or changes in urination patterns.
Understanding your sodium levels is an important part of maintaining optimal health. Regular monitoring through comprehensive blood testing can help you identify imbalances early and take corrective action. The Core Health Program from SiPhox Health includes sodium testing along with other essential electrolytes and biomarkers, providing you with a complete picture of your metabolic health.
DISCLAIMER: IF YOU ARE CONCERNED WITH ANY OF YOUR RESULTS, PLEASE CONSULT WITH YOUR PHYSICIAN.