A low potassium level in the blood is called hypokalemia, and it is usually a symptom of another disease or condition or a side effect of diuretic drugs.
The U.S. Dietary Reference Intakes state there is not enough evidence to establish a Recommended Dietary Allowance (RDA) for potassium, but the National Academy of Medicine established an Adequate Intake (AI) for potassium as follows:
- For females
- 14 to 18 years of age, the AI is 2,300 mg daily
- 19 years and older: 2,600 mg
- During pregnancy and lactation: AI ranges from 2,500-2,900 depending on age
- For males
- 14 to 18 years of age, the AI is 3,000 mg
- 19 years and older: 3,400 mg
Treatment for low levels of potassium includes addressing the underlying cause. In severe cases, potassium chloride may be administered orally or intravenously.
27 Healthy, Potassium-Rich Foods
To increase potassium in the diet, consume foods high in potassium such as:
- Artichokes
- Avocados
- Bananas
- Beans (baked, black, pinto, etc.)
- Beet greens
- Bran products such as cereals
- Broccoli
- Brown or wild rice
- Chicken
- Coconut water
- Dairy and plant milks such as soy or almond
- Dried fruits (raisins, apricots)
- Granola
- Lentils
- Melons
- Nuts such as almonds and cashews
- Oranges and orange juice
- Plantains
- Potatoes
- Prunes
- Raisins
- Salmon
- Spinach
- Tomatoes
- Whole-wheat bread and pasta
- Winter squash (acorn, butternut)
- Yogurt
Dietary restriction of salt can also help because high rates of sodium excretion can increase potassium loss in urine.
People who exercise or participate in sports in warm weather should replace potassium lost through excessive sweating. This can be done through diet, sports drinks that contain potassium, or supplements.
What Are Symptoms of Low Potassium (Hypokalemia)?
Low potassium (hypokalemia) often doesn’t cause any symptoms. When symptoms occur, they may include:
- Fatigue
- Muscle cramps or weakness
- Muscle twitches
- Low blood pressure (hypotension)
- Constipation
- Mineral deficiencies (tetany)
- Paralysis of the bowel
- Excessive urination
- Excessive thirst
- Loss of appetite
- Nausea
- Vomiting
- Confusion
- Abdominal distention
- Decreased mental activity
- Muscle paralysis and irregular heart rate (in severe cases)
What Causes Low Potassium Levels?
Low levels of potassium in the blood (hypokalemia) always occurs as a result of excessive loss of potassium through the urine, sweat, or stool. It is not a disease in itself, but a symptom of another disorder.
Conditions that can cause low potassium include:
- Use of diuretics (which increases urination)
- Magnesium deficiency in the blood
- Excessive mineralocorticoids such as aldosterone in the blood which affect the electrolyte and fluid balance in the body (usually caused by endocrine diseases)
- Kidney disorders
- Use of high doses of penicillin
- Prolonged diarrhea or vomiting
- Chronic laxative abuse
- Inadequate dietary intake of potassium
- Intestinal obstruction
- Infections such as fistulas
- Excessive perspiration due to hot weather or exercise
How Is Hypokalemia Diagnosed?
Low potassium levels are diagnosed with a patient history and physical examination, and tests such as:
- Blood test to check potassium levels
- Urine test
- Electrocardiogram (ECG)
From
Nutrition and Healthy Eating Resources
https://rarediseases.org/rare-diseases/hypokalemia/
https://www.hsph.harvard.edu/nutritionsource/potassium/