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Living with Congenital sodium diarrhea

A rare genetic condition with severe watery diarrhea, high in sodium, from before or at birth.

Understanding Congenital sodium diarrhea

Congenital sodium diarrhea is a rare genetic condition of the gut in which severe watery diarrhea with high sodium starts around birth.

It is a problem with how the intestine moves salts and water. It causes low blood sodium (hyponatremia) and too much acid in the blood (metabolic acidosis). It can begin during pregnancy or in newborns. It does not occur as part of a syndrome.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary mentions these:

  • Severe watery diarrhea with lots of sodium
  • Low blood sodium (hyponatremia)
  • Too much acid in the blood (metabolic acidosis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which gene is involved, and would genetic testing help our family?
How do we keep salt, fluids, and acid balance steady?
Which specialists should follow my child's care?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes cause this condition. It doesn't name a gene. Inheritance can be autosomal dominant (one changed copy is enough) or autosomal recessive (a changed copy from each parent).

GeneticGastrointestinal

Also known as: congenital secretory diarrhea, sodium type; defective na^+^/h^+^ exchange in jejunum and/or ileum; na-h exchange deficiency; non-syndromic congenital sodium diarrhea

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital sodium diarrheaGARD ID 16945 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital sodium diarrhea.

Explore the Congenital sodium diarrhea blog

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Explore actively recruiting Congenital sodium diarrhea studies with HealthSpark.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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