Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis
Magnesium-containing drugs such as magnesium citrate are popular over-the-counter laxatives used to treat constipation. Although generally well tolerated, excessive intake can result in potentially dangerous electrolyte abnormalities. Of these abnormalities, hyperkalemia is one that is heavily under...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-10-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0634 |
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| author | Hafez Golzarian Morgan Turnow Sidney Elston Alaha Mariam Sidra Shah Syed H. Haq Benjamin Pasley Chris Hawkins Jayde E. Kurland |
| author_facet | Hafez Golzarian Morgan Turnow Sidney Elston Alaha Mariam Sidra Shah Syed H. Haq Benjamin Pasley Chris Hawkins Jayde E. Kurland |
| author_sort | Hafez Golzarian |
| collection | DOAJ |
| description | Magnesium-containing drugs such as magnesium citrate are popular over-the-counter laxatives used to treat constipation. Although generally well tolerated, excessive intake can result in potentially dangerous electrolyte abnormalities. Of these abnormalities, hyperkalemia is one that is heavily underreported. We report an elderly woman who presented for gastroparesis flare-up and constipation. She was given magnesium citrate and subsequently developed hypermagnesemia, which resulted in hyperkalemia. By presenting this case, we hope to increase awareness of this heavily underreported side effect of magnesium-based laxatives, especially in the setting of gastrointestinal disturbances that may affect the absorption of these electrolytes. |
| format | Article |
| id | doaj-art-0583ee8bdbfe4921bb3d09832dd4d67b |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-0583ee8bdbfe4921bb3d09832dd4d67b2025-08-20T02:13:01ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-10-011810.7326/aimcc.2022.0634Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With GastroparesisHafez Golzarian0Morgan Turnow1Sidney Elston2Alaha Mariam3Sidra Shah4Syed H. Haq5Benjamin Pasley6Chris Hawkins7Jayde E. Kurland81Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Lima, Ohio2University of Pikeville Kentucky College of Osteopathic Medicine, Pikeville, Kentucky2University of Pikeville Kentucky College of Osteopathic Medicine, Pikeville, Kentucky1Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Lima, Ohio1Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Lima, Ohio1Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Lima, Ohio1Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Lima, Ohio1Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Lima, Ohio3Mercy Health–St. Rita's Medical Center GME, Department of Internal Medicine, Gastroenterology Core Faculty, Lima, OhioMagnesium-containing drugs such as magnesium citrate are popular over-the-counter laxatives used to treat constipation. Although generally well tolerated, excessive intake can result in potentially dangerous electrolyte abnormalities. Of these abnormalities, hyperkalemia is one that is heavily underreported. We report an elderly woman who presented for gastroparesis flare-up and constipation. She was given magnesium citrate and subsequently developed hypermagnesemia, which resulted in hyperkalemia. By presenting this case, we hope to increase awareness of this heavily underreported side effect of magnesium-based laxatives, especially in the setting of gastrointestinal disturbances that may affect the absorption of these electrolytes.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0634 |
| spellingShingle | Hafez Golzarian Morgan Turnow Sidney Elston Alaha Mariam Sidra Shah Syed H. Haq Benjamin Pasley Chris Hawkins Jayde E. Kurland Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis Annals of Internal Medicine: Clinical Cases |
| title | Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis |
| title_full | Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis |
| title_fullStr | Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis |
| title_full_unstemmed | Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis |
| title_short | Iatrogenic Hyperkalemia Induced by Hypermagnesemia From Administration of Laxatives in a Patient With Gastroparesis |
| title_sort | iatrogenic hyperkalemia induced by hypermagnesemia from administration of laxatives in a patient with gastroparesis |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0634 |
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