Can Too Much Potassium Cause Liver Problems?
Potassium is an essential mineral that is found in foods such as potatoes and bananas. This mineral, found in every part of your body, facilitates muscle contractions including those of your cardiac system. Too much or too little of this electrolyte can cause disruption of your heartbeat and damage to your kidneys. Too much potassium is a condition known as hyperkalemia, which may not be immediately evident as symptoms sometimes develop gradually while potassium builds to toxic levels. High potassium levels do not typically cause liver problems unless left untreated for a prolonged period. Liver disease, however, is more likely to contribute to excess potassium in the body.
Hyperkalemia
High potassium tends to occur in people with compromised kidney function because the kidneys are responsible for excretion of excess potassium. According to the University of Maryland Medical Center, the elderly are generally at risk for high potassium levels 15. This condition may not produce any symptoms or may affect your heart rate, causing a cardiac arrhythmia. In addition, you may experience weakness, fatigue and neurological problems such as numbness or tingling. Aside from kidney problems, other causes of high potassium include consumption of too much dietary potassium, traumatic injury and medications that affect potassium levels.
- High potassium tends to occur in people with compromised kidney function because the kidneys are responsible for excretion of excess potassium.
- Aside from kidney problems, other causes of high potassium include consumption of too much dietary potassium, traumatic injury and medications that affect potassium levels.
High Potassium and Your Liver
What Does a High Potassium Blood Level Mean?
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Dr. Margaret Roberson of Virginia Commonwealth University explains that excess potassium can lead to depolarization of sodium ions, which can cause irregular heart rhythms and sudden heart failure 13. While this effect doesn't directly affect the liver, it can destabilize the acid-base balance in your body. A 2006 article published in "Seminars in Nephrology" explains that acid-base imbalance in the body can both cause and be caused by liver dysfunction 4. More commonly, however, liver disease leads to high potassium levels.
Treatment for High Potassium
Because high potassium levels can lead to cardiac failure, initial treatment is to reduce potassium while stabilizing the heart at a normal rhythm. The University of Maryland Medical Center explains that the administration of calcium can protect the cardiac muscle from the effects of potassium 15. In addition, diuretics and other medications can help flush potassium out of your body. If you have pre-existing liver disease, you may require ongoing medication to maintain normal potassium levels. Individuals with compromised kidney function may require a low-potassium diet with or without medication to control potassium levels.
- Because high potassium levels can lead to cardiac failure, initial treatment is to reduce potassium while stabilizing the heart at a normal rhythm.
Considerations
Symptoms of Potassium Overdose
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Kidney disease, according to the University of Maryland Medical Center, is the most common cause of high potassium levels in the body 15. Although this condition could alter the stability of your acid-base balance, the more immediate concern is the safety of the cardiac system. High potassium may not be realized until a routine blood test reveals that your potassium is too high. The National Institutes of Health adds that high potassium may indicate internal injury that can lead to permanent tissue or organ damage, including those of the liver 2.
Related Articles
References
- University of Maryland Medical Center: Potassium
- Virginia Commonwealth University; Hyperkalemia; Margaret Roberson, MD
- Seminars in Nephrology: Acid-Base and Potassium Disorders in Liver Disease; S. N. Ahya, et al.
- Potassium. Office of Dietary Supplements. National Institutes of Health
- Lambert H, Frassetto L, Moore JB, et al. The effect of supplementation with alkaline potassium salts on bone metabolism: a meta-analysis. Osteoporos Int. 2015;26(4):1311-8. doi:+10.1007/s00198-014-3006-9
- Chatterjee R, Slentz C, Davenport CA, et al. Effects of potassium supplements on glucose metabolism in African Americans with prediabetes: a pilot trial. Am J Clin Nutr. 2017;106(6):1431-1438. doi:10.3945/ajcn.117.161570
- Potassium. Fact Sheet for Consumers. Office of Dietary Supplements. National Institutes of Health
- Health Claim Notification for Potassium Containing Foods. US Food and Drug Administration
- Aburto NJ, Hanson S, Gutierrez H, Hooper L, Elliott P, Cappuccio FP. Effect of increased potassium intake on cardiovascular risk factors and disease: systematic review and meta-analyses. BMJ 2013;346:f1378.
- Academy of Nutrition and Dietetics. What Is Potassium?
- ConsumerLab.com. Potassium Supplements Review.
- Curhan GC, Willett WC, Rimm EB, Stampfer MJ. A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. N Engl J Med 1993;328:833-8.
- Curhan GC, Willett WC, Speizer FE, Spiegelman D, Stampfer MJ. Comparison of dietary calcium with supplemental calcium and other nutrients as factors affecting the risk for kidney stones in women. Ann Intern Med 1997;126:497-504.
- D’Elia L, Barba G, Cappuccio FP, Strazzullo P. Potassium intake, stroke, and cardiovascular disease a meta-analysis of prospective studies. J Am Coll Cardiol 2011;57:1210-9.
- O’Neil C, Keast D, Fulgoni V, and Nicklas T. Food sources of energy and nutrients among adults in the US: NHANES 2003-2006. Nutrients. 2012;4:2097-120. DOI: 10.3390/nu4122097.
- Stone M, Martyn L, and Weaver C. Potassium intake, bioavailability, hypertension, and glucose control. Nutrients. 2016;8: E444. DOI: 10.3390/nu8070444.
- U.S. Food and Drug Administration. Health Claim Notification for Potassium Containing Foods.
- Weaver CM. Potassium and health. Adv Nutr 2013;4:368S-77S.
- Yong Sun, et al. Dietary potassium regulates vascular calcification and arterial stiffness. JCI Insight. 2017;2(19):e94920.
Writer Bio
Maura Banar has been a professional writer since 2001 and is a psychotherapist. Her work has appeared in "Imagination, Cognition and Personality" and "Dreaming: The Journal of the International Association for the Study of Dreams." Banar received her Bachelor of Arts in psychology from Buffalo State College and her Master of Arts in mental health counseling from Medaille College.