Skip to main content
Submitted by Dr S. Patel on 8 June 2017

This time in our Health by Numbers/Medical Tests series, Dr Shital Raval takes a look at the importance of Chloride levels in the electrolyte panel.

Read the first part on Sodium Levels and second part on Potassium Levels

An electrolyte panel is a blood test that measures the common minerals in the body such as sodium, calcium, chloride, magnesium, phosphorous, and potassium. Electrolytes are essential for the proper functioning of the heart, muscles and brain as they are needed to maintain balance in the body fluids. An electrolyte panel blood test is sometimes ordered as part of a regular health check or to check on any electrolyte changes.

CHLORIDE:

Chloride or Cl is an electrolyte that helps keep the acid-base balance in the body and fluid levels. It also aids in maintain pH levels and healthy blood pressure and blood volume. Most chloride comes from salt (NaCl) that is consumed. The serum chloride test is often part of the electrolyte panel to evaluate kidney and liver function.

*The normal range for blood chloride is between 96 to 106 milliequivalents per liter of blood (mEq/L).

High level:

A blood chloride level above normal is called Hyperchloremia. Causes include:

  • Glaucoma drugs called Carbonic anhydrase inhibitors
  • Metabolic or renal acidosis, where there is excess acid production or less acid excretion by the kidneys.
  • Respiratory alkalosis when there is less CO2 in the blood.
  • Bromide poisoning.

A blood chloride levels below normal is called Hypochloremia. Causes include:

  • Cardiac failure
  • Loss of bodily fluids due to vomiting, diarrhea or sweating.
  • Metabolic alkalosis when the tissues become alkaline.
  • Respiratory acidosis where the lungs are unable to remove excess CO2 from the body.
  • Addison’s disease, where he adrenal gland do not produce enough hormones (such as cortisol and aldosterone etc).

Read the first part on Sodium Levels and second part on Potassium Levels

Changed
08/Jun/2017

Stories

  • Stock image of woman with swelling in legs and an inset image of swelling in feet. Overlay of blue strip  with the text Is Leg Swelling Dangerous
    Leg Swelling: When To See A Doctor
    Many of us have experienced heaviness in legs that feels uncomfortable. In some cases, it is normal and goes off on its own but in other cases, it could be an alarming sign for the body. This article focuses on three main features: what causes swelling in the legs, when to be concerned about it, and when to visit a healthcare professional. Leg swelling is caused by excess fluid retention in the tissues of the lower limbs. This fluid would normally be in the circulatory system but squeezes out…
  • Stock pic of a woman speaking to a doctor and the text overlay Questions to ask your doctor before a surgery
    Questions to Ask Before a Surgery – Part 2
    When one is told that they need surgery it may feel daunting and very radical to most of us. The aim is to get the surgery done on time with the best outcome and that weighs on the decision as we feel pressed for time. Here are some queries related to the 5 surgical conditions that you may ask your doctor to feel more confident about your decision and to help feel a part of the decision of going ahead with the surgery. This is the second part of the article Questions to Ask Before Any Surgery…
  • Stock pic of a person speaking to a doctor and the text overlay on blue strip Questions To Ask Your Doctor Before A Surgery
    Questions to Ask Before Any Surgery Part 1
    Being diagnosed with a condition that requires surgery can feel daunting and confusing to most of us. While we want to get the timing and procedure right, we often feel rushed into the decision for lack of information and being pressed for time. Let’s discuss a few questions pertaining to surgeries that you may ask your doctor to feel more confident about your decision and to help feel a part of the decision of going ahead with the surgery. General questions to ask your doctor before any…
  • Picture of a spectacled man with greying hair. Text on the left Learnings from a heart attack and two strokes
    एक के बाद एक स्ट्रोक होने के बाद मजबूती से उभरना
    मुंबई के 60 वर्षीय हेमंत मेहता को 2006 में दिल का दौरा पड़ा था और फिर 2024 में उन्हें एक के बाद एक, तीन महीने के अंदर दो बार ब्रेन स्ट्रोक हुआ। इस लेख में वे साझा करते हैं कि कैसे उनके अनुभव ने उन्हें अपने शरीर के संकेत और लक्षणों के प्रति सतर्क रहना सिखाया, और कैसे इस सतर्कता ने उन्हें स्ट्रोक होने पर समय पर अस्पताल पहुँचने में मदद की। मैं हेमंत मेहता हूँ,। मैं 60 साल का हूँ और 40 साल से अपना एक व्यवसाय चला रहा हूँ। मैं पिछले 35 सालों से नियमित रूप से योग का अभ्यास कर रहा हूँ और मैं एक बहुत…
  • Picture of a spectacled man with greying hair. Text on the left Learnings from a heart attack and two strokes
    Recovering Strongly After Back To Back Strokes
    Hemant Mehta, 60 from Mumbai had a heart attack in 2006 and then back to back two brain strokes in 2024. Here he details how his experience has taught him to listen to his body and be vigilant about symptoms. And how that has helped him get to the hospital on time. I am Hemant Mehta, 60 years old and running a business since 40 years. I have been practicing Yoga regularly for the last 35 years and have been a really active person and very particular about physical fitness. I was sincere about…
  • Stock pic of a person holding his heart in pain with text on blue strip overlay Heart Attack FAQ
    Heart Attack Frequently Asked Questions
    The incidence of heart attack (myocardial infarction) is increasing in India according to NCRB data.  It is therefore important that we understand what a heart attack is, the causes and risk factors, symptoms, treatment options.  What is a heart attack? What does the term myocardial infarction mean? A heart attack, also known as myocardial infarction (MI), occurs when blood can not reach to the heart muscles. This blockage is developed due to plaque buildup within the coronary…
  • Stock pic of heart and colourful pills and the text Coronary Artery Disease CAD Frequently Asked Questions
    Coronary Artery Disease Frequently Asked Questions
    Coronary artery disease (CAD) is the most common type of heart disease, also known as ischemic heart disease or coronary heart disease. Urbanization has increased sedentary behavior, unhealthy diet, and smoking, all significant risk factors for CAD. Read this to learn about Coronary Artery Disease and what you can do to manage this. What is CAD or coronary artery disease? Coronary artery disease is the most common heart problem. It is also known as ischemic heart disease or coronary heart…
  • Picture of a young woman in a head scarf holding a soft toy with the text overlay on blue strip I had heart and lung transplant
    Conquering Heart and Double Lung Transplant Challenges With Unwavering Positivity
    Amina Fatima Mehdi underwent a heart and double lung transplant at the age of 30. She became aware of her ASD (Atrial Septal Defect), a congenital heart defect, at the age of 3, and received her diagnosis of PAH (Pulmonary Arterial Hypertension) at the age of 12. She shares her journey of overcoming various challenges along the way and highlights how her positive attitude and strong determination helped her conquer them. How did you find out about the diagnosis of Atrial Septal Defect and…
  • Advocating for financial access for persons with kidney disease with profile pics of Dr Gulati, Vasundhara Raghavan, Aparna Mittal
    Advocating for Financial Access for Persons with Kidney Disease
    In a panel discussion organized jointly by PatientsEngage and Kidney Warriors Foundation, and moderated by Aparna Mittal of PatientsEngage, Dr. Sanjeev Gulati (Senior nephrologist, and ex-President, Indian Society of Nephrologists), Sireesha P (Public Health Consultant) and Vasundhara Raghavan (CEO, Kidney Warriors Foundation) spoke of the gaps in financial access for treatment of persons with kidney disease and the way forward. Chronic Kidney Disease or CKD is defined as a progressive kidney…
  • Picture of the woman who donated her kidney in a blue paisley print dress and text overlay research gave me courage
    It Was Scary To Donate A Kidney To My Sister
    When her sister needed a kidney transplant, Vaishali (53) navigated a complex set of emotions before deciding to donate her kidney to Hemali. On February 6, 2024, they completed one healthy year post-transplant. Vaishali shares her experience of being a kidney donor, the research she did and why she talks about being an organ donor.  Read Hemali's perspective of needing a kidney transplant here. Vaishali, what made you decide to donate your kidney to Hemali? The thought process to arrive…