“…Electromyography result is often normal, specifically between the weakness episodes when patient is asymptomatic but it can reveal some abnormalities in some patients. This disorder can be present in patients with thyrotoxicosis, barium poisoning, renal disorders like proximal, and distal renal tubular acidosis, 3 water intoxication, syndrome of inappropriate antidiuretic hormone (ADH) secreation (SIADH), 13 nephrotic syndrome, 14 barter's syndrome, 15 diuretic phase of acute tubular acidosis, 16 treatment phase of diabetic ketoacidosis, 17,18 chlorothiazide-associated hypokalemia, 19 hypokalemia following rectosigmoidiscopy, 20,21 gastro-intestinal losses due to coeliac disease, 22 tropical sprue, 23 acute gastroenteritis, 24 malabsorption syndromes, 25 endocrinopathies like primary hyperaldosteronism 26 and pseudohyperaldosteronism induced by licorice (glycyrrhizic acid) ingestion. 27 The management of HPP includes both therapeutic agents and avoiding precipitating triggers through dietary as well as lifestyle changes, having small frequent meal for avoiding high carbohydrate load, low sodium diet and avoidance of hyperosmolar state such as dehydration and hyperglycemia, decrease the number of attacks.…”