Symptomatic Hypermagnesemia in Normal Kidney Function with a Colonic Cleansing Agent / 대한내과학회지
Korean Journal of Medicine
; : 306-310, 2016.
Article
ي Ko
| WPRIM
| ID: wpr-20327
المكتبة المسؤولة:
WPRO
ABSTRACT
Most reported cases of hypermagnesemia are related to laxative abuse and impaired renal function, while hypermagnesemia is uncommon without iatrogenic magnesium administration and decreased renal function. Magnesium-containing bowel-cleansing agents are widely used before colonoscopy, usually without complications. However, we experienced a case of symptomatic hypermagnesemia with normal renal function after using a bowel-cleansing agent. A 74-year-old man with normal renal function complained of lethargy and motor weakness after taking a bowel-cleansing agent containing 14 grams of magnesium before a colonoscopy for hematochezia. His magnesium level was 12 mg/dL. Fluid stasis in the gut due to colonic obstruction might have caused the hypermagnesemia. He was treated successfully with a bowel enema and intravenous calcium. We should be cautious when prescribing drugs for colonoscopy if colonic obstruction is suspected.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Cathartics
/
Calcium
/
Colonoscopy
/
Colon
/
Detergents
/
Enema
/
Lethargy
/
Gastrointestinal Hemorrhage
/
Kidney
/
Magnesium
نوع الدراسة:
Diagnostic_studies
المحددات:
Aged
/
Humans
اللغة:
Ko
مجلة:
Korean Journal of Medicine
السنة:
2016
نوع:
Article