Acute Hyponatremia With Seizure and Mental Change After Oral Sodium Picosulfate/Magnesium Citrate Bowel Preparation
Annals of Coloproctology
;
: 290-293, 2014.
Article
in English
| WPRIM
| ID: wpr-62493
ABSTRACT
Sodium picosulfate/magnesium citrate (Picolight Powder), which is used as a bowel preparation for the colon and the rectum, can cause a severe electrolyte imbalance like hyponatremia. When hyponatremia gets severe or occurs rapidly, it can lead to death due to associated complications. We have experienced a case of hyponatremia associated with seizure and loss of consciousness in a 76-year-old woman, who took sodium picosulfate/magnesium citrate as a bowel preparation for colonoscopy. She was taking thiazide and synthroid for the treatment of hypertension and hypothyroidism, respectively, and she had other underlying medical conditions such as a history of seizure and dementia. Following the diagnosis of hyponatremia, we used an intravenous injection of 3% NaCl to normalize the sodium level in her serum, and her associated symptoms soon disappeared.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rectum
/
Seizures
/
Sodium
/
Thyroxine
/
Unconsciousness
/
Colonoscopy
/
Colon
/
Citric Acid
/
Dementia
/
Diagnosis
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Annals of Coloproctology
Year:
2014
Type:
Article
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