Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Chloride (CSF) Test

Chloride (CSF) Test

The Chloride CSF test is performed on a sample of CSF (Cerebro-spinal fluid) to measure level of Chloride in the cerebro-spinal fluid. It is performed to confirm the diagnosis of various forms of meningitis, especially tuberculous meningitis. Cerebrospinal fluid surrounds the brain and spinal cord and acts as a cushion, protecting the brain and spine from injury.

There is no restriction on any kind of food before the test. You can also drink as much water you want. However, you will need to give the health care team your consent before the test. After the test, you should plan to rest for several hours, even if you feel fine. This is to prevent fluid from leaking around the site of the puncture. You will be advised to lie flat on your back the entire time as a precautionary measure. You need to inform the health care team about the current medications you are taking. Based on this, the health care team will provide you with specific instructions.

As mentioned above, a sample of CSF is drawn and the presence of chloride is checked to confirm the diagnosis of various forms of meningitis, especially tuberculous meningitis. Decreased levels of Chloride in the CSF usually suggest the presence of tuberculous meningitis. On the other hand, Chloride content is elevated in poliomyelitis, viral meningitis and encephalitis. Based on the test results, your doctor will design an appropriate treatment plan for you.

You will lie on your side with your knees pulled up toward the chest, and chin tucked downward. After the back is cleaned, the health care provider will inject a local anesthetic into the lower spine. A spinal needle will be inserted. Once the needle is in position, the CSF pressure is measured and a sample of CSF is collected. The needle is removed, the area is cleaned, and a bandage is placed over the needle site.

Specimen
Serum (preferred) or plasma
Volume
1 mL
Container
Red-top tube, gel-barrier tube, or green-top (lithium heparin) tube.
Type Gender Age-Group Value
Chloride
Unisex
All age groups
113 - 130 mEq/L
Average price range of the test is between Rs.110 to Rs.200 depending on the factors of city, quality and availablity.

Table of Content

What is Chloride (CSF) Test?
Preparation for Chloride (CSF) Test
Uses of Chloride (CSF) Test
Procedure for Chloride (CSF) Test
Specimen Requirements
Normal values for Chloride (CSF) Test
Price for Chloride (CSF) Test
Lybrate Gaurantee
Lybrate Gaurantee

Popular Questions & Answers

Hi, I got urine albumin tested on 25th July and it is showing 2+. I did the same test on 3rd Dec 2016, it was trace. presently Creatinine is .08 mg/dl. Sodium is 134.4 and chloride is 109.6. All other reading of KFT in normal range. Also got LDL 207 mf/dl, HDL 33 mg/dl.in this report (25th July 2017). Uric acid is 7.8 mg/dl. Vitamin D deficiency is also seen with only 14. Please suggest.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, I got urine albumin tested on 25th July and it is showing 2+. I did the same test on 3rd Dec 2016, it was trace. ...
First do USG Abdomen KUB. And consult with the reports. Protein in urine means there are some structural damage to kidneys. So better not to take it lightly. And it is clearly suggestive from the increasing amount in present reports then the previous one.

Sir .i have selected in indian navy (in written and physical exam) but somehow I have referred in medical exam for palmer hyperhidrosis. please tell me remedies for that.

PDDM, MHA, MBBS
General Physician, Nashik
Sweaty Hands called palmar hyperhidrosis is quite embarrassing condition. The specific cause for excessive sweating is unknown but it may be triggered by stress, anxiety, hormonal imbalances, health conditions like congestive heart failure, diabetes, Parkinson’s disease etc., But many believe it is caused by a hyperactive sympathetic nervous system, causing the sweat glands in the hands to produce sweat unnecessarily. Drysol or other Topical Medicines containing Aluminium chloride may be tried. Oral Medications - anticholinergic drugs like Oxybutynin, propantheline bromide and benztropinereduce hyperhidrosis. may be helpful. Iontophoresis treatment where patients place their hands in trays filled with water that pass a mild electrical current through the skin of the hands. This causes the outer layer of the skin to thicken, blocking the flow of sweat. Botox Injection where the toxins temporarily block the release of acetylcholine, the chemical neurotransmitter from the nerves that send signals to the sweat glands, but is very costly. The last option is Surgery a procedure called ETS - Endoscopic Thoracic Sympathectomy. Avoid spicy foods, alcohol and caffeine, smoking and drink more water to lower your body temperature are also helpful.
1 person found this helpful

6 weeks 2 days pregnant with triplets by undergoing iui. Now Dr. suggested to abort one baby. As of now all 3 are healthy. Could you pls lrt me know what is the procedure of selective reduction from triplets to twins? How much it costs in bangalore? Wil it effect my other 2 babies? Will it give any infection? Pls help.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
6 weeks 2 days pregnant with triplets by undergoing iui. Now Dr. suggested to abort one baby. As of now all 3 are hea...
Hi triplets can also be kept. If you wish to not have 3 babies you can abort 1. That procedure is known as selective reduction. It is done after 11-13 weeks after NT/NB scan. In this procedure, under usg guidance inj is given in one of the babies heart to stop it. Theoretical chances of infection and abortion are there.

My uncle suffered from mild stroke 6 months back. Now he has recovered. But he says food doesn't taste him. It tastes like poison. Please could any suggest treatment or any medicines for it.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
YOur uncle may have lost the taste buds and he will take time to get the taste a back. You can give him liquid diet . You can try adding potassium chloride in the lace of slat which is sodium and it may be restricted in the diet you give

Popular Health Tips

Ways To Prevent Hair Loss With Homeopathic Treatment!

BHMS
Homeopathy Doctor, Faridabad
Ways To Prevent Hair Loss With Homeopathic Treatment!

Growth of hair may occur either on its own or after a particular treatment, inducing hair growth. There are various treatments as well as solutions for preventing and treating hair fall. Loss of hair occurs due to various reasons, including fungal infection on the scalp, genetic reasons, head injury and extreme fever. Homeopathic treatment is one of the finest branches of medical treatments that have been proved to be highly effective in curing hair fall and in promoting growth of hair.

• Homeopathy is a stream of medications that has been there for a long time and prepared with herbal and mineral sources.
• Many practitioners recommend homeopathic treatment for a long-term solution of hair loss.

Some of the most effective homeopathic medications for hair loss include:

Silicea
• It is extracted from sandstones and human tissues.
• This medicine is very useful for strengthening the roots of hair and eliminating the dryness by offering total nourishment to the scalp and hair.
• Silicea is a growth enhancer and is one of the 12 tissue cell salts found in human beings.

Kalium carbonicum
• Kalium Carbonicum is a homeopathic medication that has been extracted from compounds that Egyptians used for preparation of glass.

• It is prescribed by homeopath practitioners all over the world to stop thinning and brittleness of hair, thereby promoting good hair growth.
• This medicine is good for individuals, who are orthodox in their belief.

Lycopodium
• Homeopathic experts recommend lycopodium for the prevention of premature balding.
• It is particularly suitable for pregnant women and those who have recently given birth, as hair fall is a common symptom at this stage.
• It is generally prepared by distilling the spores of some evergreen plants like club moss, which is popularly referred to as staghorn moss.

Natrum muriaticum
• The preparation of Natrum muriaticum is executed from sodium chloride, which is commonly known as table salt.
• This medication has been proven to be very effective, where hair loss is caused from dryness of scalp, dandruff problems, skin diseases and menstrual disorders.
• It can also treat hair loss caused from hormonal imbalances and is a great solution for people who react emotionally to loss of hair.

Though the homeopathic treatment regime is filled with hoards of medicines, it is crucial to consult an expert to know which treatment would work for you and refrain from administering medicines on your own. This will help you to reap the benefits of homeopathic treatments and have desired growth of hair.

2 people found this helpful

Losing Too Much Hair? Here's What You Can Do!

MBBS
Sexologist, Chittorgarh
Losing Too Much Hair? Here's What You Can Do!

Luscious, healthy hair is undoubtedly one of the most prominent feature that adds charm to your personality. However, a minor or severe form of physical or mental stress and related problems can adversely affect your hair health and growth pattern.

Are you losing too many hair strands in a day?

If yes, then tentatively, how many?

If the number is about 100, then you need not worry, however, if it is beyond 100 you need to get cautious.

On an average, an adult has 100,000 to 150,000 hair and each hair follicle has its own life cycle, and traverses through three phases during its growth phase; anagen (active hair growth takes place), catagen (transitional hair growth), and telogen (resting phase after which the hair sheds off). Hair fall is a normal physiological process in which the hair completes its life cycle and sheds off. However, excessive hair fall is a health concern that needs thorough evaluation and treatment.

Have you heard of telogen effluvium?

Telogen effluvium (TE) also called as hair loss is a common dermatological condition which causes increased shedding of hair. This happens when there is a premature arrest of the growth of hair follicles and these follicles enter into the telogen phase (resting) followed by diffuse thinning of hair on the scalp. In most cases, the hair thins on the top of the scalp compared to the sides and back of the scalp. The hair loss is temporary and the hair soon recovers.

How common is telogen effluvium in India?

Studies suggest that TE is amongst the most common cause of hair loss. It can occur in both males and females. However, it is found to be more common in females.

 

What are the common causes of telogen effluvium?

Common causes of TE include certain medical condition, stress, pregnancy, crash dieting, nutritional deficiencies, intake of certain medicines, and physical trauma.

A common cause of hair loss in the Indian population is diet. A major proportion of the Indian population consumes a diet lacking essential amino acids, vitamins, and minerals, predisposing the population to this condition. It, therefore, becomes more important to include vital minerals such as zinc, amino acids (such as L-lysine), and vitamins (such as B6 and B12) to your daily diet or to take supplements available in the market.

Are Indians at an increased risk of nutritional deficiencies?

Yes, Indians are at an increased risk of nutritional deficiencies. Several research studies conducted in the past outline a direct association of nutritional deficiencies with hair loss.

In fact, according to a clinical survey published in Indian Medical Gazette, 9 out of 10 people in the country are unable to consume adequate amount of proteins. Working population settled in urban areas have been found to be most commonly affected by protein deficiencies.

How can you ensure healthy and luscious hair?

Simple 7 steps to healthy hair

Volumes of literature support the need for adding nutritional supplements to the diet to avert the occurrence of hair fall. Often TE gets better once the trigger for the condition is taken care of. However, if in case it persists make sure you consult a medical professional at the earliest.

Step 1: It’s all about what you eat (have a BALANCED DIET!!!)

  • Considering the fact, that a major part of the Indian population are green eaters and they often run short of essential nutrients, one needs to make a conscious effort to have a balanced and nutrient rich diet.
  • Add green leafy vegetables that are an abundant source of iron, zinc, and other vitamins and minerals that are essential for healthy hair growth. Add PROTEIN to your diet. Include milk products, soya products, nuts, fish, lean meat seeds, sprouts, and cereals to your daily diet.
  • Opt for foods packed with vitamin E, like almonds, walnuts, or strawberries which improve scalp circulation, as well as vitamin C-rich foods like broccoli, tomatoes, and other citrus fruits.

Step 2: Massage your scalp regularly

Massage has been found to improve the blood circulation to the hair follicles and stimulates hair growth. Try essential oils such as olive oil, castor oil, rosemary oil, and coconut oil to massage your scalp. Warm oil helps penetrate the scalp more effectively. You can also apply hair serums that are enriched with nutrients that nourish the hair and keep it healthy.

Step 3: Choose your SHAMPOO wisely

Watch out for harsh chemicals like parabens, lauryl sulfate, and sodium chloride. Parabens which are used as preservatives in shampoos can mimic as estrogens which lead to hair loss. Lauryl sulfate, an anionic surfactant used in many cleaning and hygiene products, also cause hair fall. You can also apply certain over-the-counter products that help in better penetration of anti-hair fall medications and enhance their action.

Step 4: Get sufficient Vitamin D (Don’t hide from the sun)

Little do we realize that sunlight actually plays a critical role in promoting hair growth. Sunlight helps you get your daily dose of Vitamin D which is helpful in managing hair fall, so don’t hide from it!

Step 5: Say NO to stress

Stress is amongst the key factors governing a happier and healthier you. So, make sure it does not serve as a roadblock in your health.

Eat healthy and bring in basic lifestyle changes in your day to day life to avert the chances of triggered hair fall.

Step 6: Go for hair growth supplements

-Keratin makes up most of our hair strands and amino acids such as cysteine, lysine, arginine, and methionine play a critical role in the formation of the hair strands. The market is loaded with several supplements (oral and topical) that help to provide the hair with essential nutrients and vitamins. You can choose to pick supplements that are a source of vital minerals and vitamins essential for hair growth.

Step 7: Seek help from a dermatologist/ trichologist

  • In case your hair fall tends to worsen or does not improve with dietary and lifestyle changes, it is best to consult a dermatologist. He/she will examine your scalp and may suggest certain tests to rule out any underlying cause of hair fall. He/she may also prescribe some topical or oral medications and supplements to help manage hair fall better.
  • So, go ahead and try these simple and effective everyday tips to ensure that your hair stays healthy and strong.
9 people found this helpful

Potassium Deficiency - 7 Signs You Are Suffering From It!

M.Sc - Dietitics / Nutrition, P.G. Diploma in Nutrition and Dietetics, B.Sc. Home Science
Dietitian/Nutritionist, Chandigarh
Potassium Deficiency - 7 Signs You Are Suffering From It!

Potassium is an essential mineral which is known as an electrolyte. Electrolytes are responsible for maintaining the ionic balance of your body. Other electrolytes are sodium, calcium, magnesium, phosphate, chloride. These electrolytes bear an electric charge which manages the electrical activity of your health system. Potassium also helps the muscles of the body to function properly. In fact, it has its contribution in regulating blood pressure; a crucial role for a healthy heart.

Potassium deficiency is a kind of medical condition which is known as hypokalemia. The normal level of potassium in the human body should be in between 3.5-5.0 mmol/L. But the deficiency in potassium can cause severe problems including muscle weakness, nerve disorders, heart problems, etc. Kidney is the organ which is known to manage the potassium balance by removing the extra potassium through urine.

Causes of potassium deficiency:

  1. Lack of potassium in diet
  2. Dehydration
  3. Diarrhoea
  4. Too much sweating
  5. Several medicines also cause potassium deficiency


Signs of potassium deficiency:

  1. You are getting wiped out too often: Like it is discussed before that potassium is responsible for your muscles to work actively. Each and every cell needs the required amount of potassium to work effectively. So, a little deficiency of potassium can leave you exhausted throughout the day. If your normal working routine leaves you exhausted and if you are sweating too often, then there is a chance that you are suffering from hypokalemia.
  2. High blood pressurePotassium plays an important role in maintaining the blood pressure by helping in relaxing the blood vessels. Low potassium can cause the blood vessels to get constricted, due to which your blood pressure increases.
  3. Muscle weakness: Potassium plays a significant role in building the strength of your muscles. Lack of potassium can easily cause muscle weakness, aches and spasms.
  4. Irregular heartbeatAnything regarding your heart problem can scare you badly; especially when you experience sudden skipped heart rate or when your heart rate doubles. Low potassium can cause such palpitations and skipped heartbeat.
  5. Feeling dizzy: Lack of potassium in your body can slow down your heart rate and make you feel dizzy or you may feel that you are going to faint. Though many other medical conditions can be responsible for such symptoms but hypokalemia is one of them.
  6. ConstipationPotassium deficiency can affect your overall health. You might encounter symptoms like bloating, abdominal cramping etc.
  7. Numbness and tinglingPotassium is significant in keeping your nerves healthy. Potassium deficiency can make you experience numbness, needle sensations on your feet, wrist, etc.

These are the signs that people encounter when they suffer from hypokalemia. Hypokalemia can make you feel extremely sick and it causes several diseases which are discussed above. It is always advisable to visit a doctor when you encounter any of these above mentioned symptoms. Consult an expert & get answers to your questions!

7129 people found this helpful

Importance of Brushing With Tooth Paste!

MDS, BDS
Dentist, Delhi
Importance of Brushing With Tooth Paste!

Brushing with toothpaste is important for several reasons. 

  • First and foremost, a toothpaste and a correct brushing action work to remove plaque, a sticky, harmful film of bacteria that grows on your teeth that cause cavities, gum disease, and eventual tooth loss if not controlled. 
  • Second, toothpaste contains fluoride, which makes the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the damage can even be seen. 
  • Third, special ingredients in toothpaste help to clean and polish the teeth and remove stains over time. Fourth, toothpaste help freshen breath and leave your mouth with a clean feeling.

What type of toothpaste should I use?

 As long as your toothpaste contains fluoride, the brand you buy really does not matter, neither does whether or not it is in the paste, gel or even powder form or containing a certain flavor. All fluoride toothpaste work effectively to fight plaque and cavities and clean and polish tooth enamel. Your toothpaste brand should bear the ADA (American Dental Association) seal of approval on the container, which means that adequate evidence of safety and efficacy have been demonstrated in controlled, clinical trials.

If your teeth are hypersensitive to hot or cold, consider trying a toothpaste designed for sensitive teeth. These "desensitizing" toothpaste, which contains strontium chloride or potassium nitrate, protect exposed dentin by blocking the tubes in the teeth that are connected to nerves. Desensitizing pastes must be used for at least one month before any therapeutic effects are felt.

Toothpaste containing baking soda and/or hydrogen peroxide (which are both good cleansing agents) give the teeth and mouth a clean, fresh, pleasant feeling that can offer an incentive to brush more, but fluoride is the true active ingredient at work protecting your teeth. Some prefer a tartar-control toothpaste containing pyrophosphates to prevent the build-up of soft calculus (tartar) deposits on their teeth. New pastes offer advanced whitening formulas aimed at safely removing stains to make teeth brighter and shinier, although they can't nearly match the effectiveness of a professional bleaching formula administered or prescribed by a dentist.

How much should I use?

Contrary to what toothpaste commercials show, the amount of paste or gel needed on your brush for effective cleaning does not have to be a heaping amount. Simply squeeze a pea-sized dab of paste on the top half of your brush. If you brush correctly, holding the toothbrush at a 45-degree angle and brush inside, outside and between your teeth, the paste should foam enough to cover all of your teeth. Children under age 6, however, should be given a very small, baby pea-sized dab of toothpaste on their brush. 

Is brushing with toothpaste enough to fight cavities and gum disease?

No. Although brushing thoroughly after each meal helps, flossing your teeth every day to remove plaque and food particles between teeth and at the gumline is just as important. Studies show that plaque will regrow on teeth that are completely clean within three to four hours of brushing.

5 people found this helpful

Is a Low Sodium Diet Good or Bad?

B.Sc - Home Science, PG Diploma - Dietics, M.Sc - DFSM
Dietitian/Nutritionist, Faridabad
Is a Low Sodium Diet Good or Bad?

Most dieticians are of the opinion that limiting your salt intake is essential, as an increased amount of salt in the system can damage your kidneys, heart and may increase your blood pressure, and chances of stroke. On the other hand, decreasing it beyond a point can prove to be detrimental to your health in various ways as well.

However, when relating to blood pressure, an increased salt intake can prove harmful to you only if you already have high blood pressure. In the case of normal levels of blood pressure, excess salt consumption will not prove to be too dangerous. Here are the ways in which low salt intake can prove to be detrimental for your health:

  • Increases chances of heart diseases: Having a lower amount of salt in your diet - i.e. less than 2000 mg per day increases the risk of heart-related disorders, which include, but may not be limited to, strokes or heart attacks, exponentially.
  • Decreases the body's level of sodiumDecreased levels of sodium in the body, often a direct byproduct of a reduced salt intake, can lead to a number of complications. Sodium is essential for maintaining electrolyte and mineral balance in the body. A decrease in sodium levels in the system, in extreme cases, can lead to hyponatremia, which can prove detrimental for the kidneys or liver.

Salt, which mainly contains two radicals - sodium and chloride ions, are essential for life. However, they can be obtained only through food as it is not manufactured intrinsically. There are several essential reasons for why salt intake in the optimal amounts is absolutely crucial in maintaining healthy body functioning:

  • It is an essential component of blood plasma, as well as several other crucial body fluids such as extracellular fluid, lymphatic fluid, and amniotic fluid.
  • It is important for maintenance and regulation of a proper level of blood pressure.
  • Sodium, in the context of body physiology, is critical in maintaining a proper acid-base level in your system and in controlling the levels of your body fluid.
  • The exchange of sodium and potassium ions, both obtained from salts, is also essential for muscle movement and in sending signals from the brain to the muscles. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
3371 people found this helpful