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It is a result of a fluid/electrolyte imbalance, therefore the flu and any infections or diseases that can cause dehydration, can create an imbalance that could include hypokalemia (or perhaps hyperkalemia as well if the dehydration is severe enough to cause kidney malfunction).

The "electrolytes" are salts the body needs for proper functioning, including the conduction of electricity for proper function of muscle coordination, fluid absorption, nerve function, heart function, and fluid excretion. In addition to potassium (K+), the electrolytes include sodium (Na+), chloride, calcium, and magnesium. When there is not enough postassium in the blood, that condition is called hypokalemia. Too much postassium in the blood is called hyperkalemia.

The proper balance between the body fluids and these electrolytes can be disrupted when there is dehydration from vomiting, fever, and diarrhea that sometimes accompany the flu. Poor diet, other diseases, kidney malfunction, diuretics and other medications can also result in imbalances. There is a narrow margin of fluctuation tolerated by the body, and symptoms of this imbalance can be quickly realized with slight changes in fluid and electrolyte balances.

This is one reason why you hear the frequent advice to drink plenty of fluids when you have a cold or flu.

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Q: What causes hypokalemia during a flu?
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Hyperkalemia or hypokalemia which is more serious?

hyperkalemia as it may cause heart arrythmias and sudden death, where hypokalemia generally just causes malaise, muscle weakness and tetany. hyperkalemia as it may cause heart arrythmias and sudden death, where hypokalemia generally just causes malaise, muscle weakness and tetany.


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