Salt

Sodium chloride, or salt, is an electrolyte that is vitally important for the body to function correctly.

It is needed to help control blood pressure and blood volume. ¹ It is also necessary to ensure that muscles and nerves work correctly. ²

Salt helps with blood pressure and volume because where salt goes, water will always follow. ³ Medical providers will often encourage those with dysautonomia to increase the amount of dietary salt, salt supplementation, and the amount of water consumed.

However, increasing salt and water intake is not for everyone and should be discussed with the medical provider.

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Recommendations usually range from 6 to 10 grams (roughly 1 to 2 teaspoons) of salt a day in those without high blood pressure.  ¹⁰ ¹¹ ¹²

This can come in the form of adding additional salt to foods, including salt through hydration via electrolyte drinks and salt tablets. ¹³ ¹⁴

Well-rounded electrolyte supplementation and dietary inclusion are essential. ¹⁵

Salt tablets or pills can be purchased over the counter and are usually not covered by insurance.

These can cause stomach upset, so taking with food can often lessen the discomfort.

SaltSticks (capsules & chewable tablets) are sometimes tolerated better than traditional salt pills. While the increase of dietary salt is often tried initially, some individuals might also need medication support to help the kidneys retain the increased sodium rather than excrete it out through the urine. ¹⁶

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Reviewed by Medical Content Experts, 2021

REFERENCES

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Brook, J. (2016). 10 salty facts for POTS patients. The Dysautonomia Clinic. {15} 

Bryarly, M., Philips, L. T., Fu, Q., Vernino, S., & Levine, B.D. (2019). Postural orthostatic tachycardia syndrome: JACC focus seminar. Journal of the American College of Cardiology, 73(10). 1207-1222. {7}

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Freeman, K., Goldstein, D.S., & Thompson, C.R. (2015). The dysautonomia project: Understanding autonomic nervous system dysfunction for physicians and patients. Bardolf & Company. {10, 16}

Hale, G. M., Valdes, J., & Brenner, M. (2017). The treatment of primary orthostatic hypotension. The Annals of Pharmacotherapy, 51(5), 417–428. {8}

Maxwell, A. J. (2020). Dysautonomia In D. Jovin (Ed.), Disjointed: Navigating the diagnosis and management of hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders. (1st ed., pp. 135-215). Hidden Stripes Publications, Inc. {13}

MedlinePlus. (2020). Sodium in diet. U.S. National Library of Medicine. {2}

McCabe, B. (2019). Can salt help improve low blood pressure?. Hackensack Meridian Health. {1, 3}

Raj, S.R., Guzman, J.C., Harvey, P., Richer, L., Schondorf, R., Seifer, C., Thibodeau-Jerry, N., & Sheldon, R.S. (2020). Canadian cardiovascular society position statement on postural orthostatic tachycardia syndrome (POTS) and related disorders of chronic orthostatic intolerance. Canadian Journal of Cardiology, 36(3), 357-372. {4, 11}

Sheldon, R. S., Grubb, B. P., Olshansky, B., Shen, W. K., Calkins, H., Brignole, M., Raj, S. R., Krahn, A. D., Morillo, C. A., Stewart, J. M., Sutton, R., Sandroni, P., Friday, K. J., Hachul, D. T., Cohen, M. I., Lau, D. H., Mayuga, K. A., Moak, J. P., Sandhu, R. K., & Kanjwal, K. (2015). 2015 heart rhythm society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope. Heart rhythm, 12(6), e41–e63. {5, 12}

UWHealth. (n.d). POTS/Dysautonomia treatment plan. {14}

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