Main differences between HyperPP and HypoPP

The two most common types of Primary Periodic Paralysis: Hyperkalemic, (HyperPP) and Hypokalemic (HypoPP)

Yes, the words may look similar but they have opposite meanings. “Hyperkalemic” refers to a muscle weakness that comes with an increase in blood potassium levels. “Hypokalemic” means these episodes often come with a drop in potassium levels in the blood. A “normal” potassium level does not exclude the diagnosis of PP! It is seen more commonly in Hyperkalemic Primary Periodic Paralysis than in Hypokalemic Primary Periodic Paralysis. 

Hyperkalemic Periodic Paralysis Symptoms

Hyperkalemic Periodic Paralysis is a type of Periodic Paralysis triggered by having an excess of potassium in their blood.

The main symptom is acute muscle weakness during an attack These episodes can last anywhere from 15 minutes to an hour, but sometimes they last longer. It’s also possible to feel stiff in your muscles even when you’re not fully experiencing episodes.

Hypokalemic Periodic Paralysis Symptoms

Episodes include extreme muscle weakness that can last for hours. Arms and legs are a common area for dystonia to strike. Sometimes, the muscles in your eyes and throat can be affected as well. During episodes of these, the patient’s blood potassium is unusually low. 

 

Different Types of Periodic Paralysis 

 

Treatments

Periodic Paralysis can be managed. No matter which of the Primary Periodic Paralysis types you have, there are treatments out there for you. Depending on the type of PPP you face, the treatment may vary.

Hyperkalemic Periodic Paralysis Treatment

Since a rise in potassium levels can cause symptoms in this form of periodic paralysis, eating a low-potassium and higher-carbohydrate diet can help.  During the episodes, carbohydrates may be eaten in order to try to overcome these muscle weaknesses. Also, the use of an albuterol inhaler may help control symptoms. You can find more information on treatment, diet, and lifestyle recommendations here. Add links to those pages. 

Hypokalemic Periodic Paralysis Treatment

Since a drop in potassium levels can cause symptoms in this form of periodic paralysis, eating a high-potassium and low-carbohydrate diet can help. During the episodes, potassium may be taken in order to try to overcome these muscle weaknesses.

You can find more information on treatment, diet, and lifestyle recommendations at the links below. 

Remember, there is hope and you can manage living with this condition.