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- Title
Does sodium phosphate enema use cause electrolyte disorder?
- Authors
Güneysu, Songül Tomar; Güleryüz, Okşan Derinöz; Karakaş, Nazmi Mutlu; Çolak, Özlem
- Abstract
Constipation is one of the most common symptoms in childhood. Sodium-phosphate enemas are frequently preferred for the treatment of constipation and bowel cleansing. We present a case of a 5-year-old boy who presented to the Pediatric Emergency Department with complaints of constipation, abdominal pain, abdominal distension and vomiting; had been constipated for about two years and had poor nutrition, and received a full dose of CT enema® twice in the last 12 hours before admission to the hospital. Upon arrival at the Pediatric Emergency Department, the patient was given a pediatric fleet enema because he had dense stools according to radiographic evidence. Poisoning due to Sodium-phosphate enema was considered due to severe hyperphosphatemia and hypocalcemia in the laboratory evaluation. Rapid intravenous hydration and 1 mL/kg calcium gluconate intravenous infusion were started. Electrolytes returned to the normal range at the 14th hour of follow-up without the need for additional treatment. This case is presented to emphasize that due to the widespread use of sodium-phosphate enemas in the treatment of chronic constipation, these enemas can cause phosphate poisoning even when used in healthy patients at therapeutic doses.
- Subjects
DRUG toxicity; PHOSPHATES; ABDOMINAL pain; HYPERPHOSPHATEMIA; LAXATIVES; DIURESIS; HOSPITAL emergency services; ORAL drug administration; ENEMA; HYPOCALCEMIA; INTRAVENOUS therapy; WATER-electrolyte imbalances; VOMITING; CONSTIPATION; BOWEL obstructions; ACYCLIC acids; CHILDREN
- Publication
Journal of Surgery & Medicine (JOSAM), 2024, Vol 8, Issue 3, p65
- ISSN
2602-2079
- Publication type
Article
- DOI
10.28982/josam.7440