Extreme hyperphosphatemia and hypocalcemic coma associated with phosphate enema

Heng Jung Hsu, Mai Szu Wu

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Fleet enema (sodium phosphate, C.B. Fleet Co., Inc., Lynchburg, Virginia) is widely used for bowel preparation or constipation relief in the hospital and over the counter. The potential risks, including hyperphosphatemia and hypocalcemic coma should be kept in mind of primary care physician. The patients with older age, bowel obstruction, small intestinal disorders, poor gut motility, and renal disease are contraindicated or should be administered with caution. We present a patient with old age and chronic renal failure who developed severe hyperphosphatemia and hypocalcemic tetany with coma after sodium phosphate enema. We recommend the use of alternative enema preparations, such as simple tap water or saline solution enemas, which can prevent fatal complications in high risk patients.

Original languageEnglish
Pages (from-to)643-646
Number of pages4
JournalInternal Medicine
Volume47
Issue number7
DOIs
Publication statusPublished - 2008
Externally publishedYes

Fingerprint

Hyperphosphatemia
Enema
Coma
Phosphates
Tetany
Intestinal Obstruction
Primary Care Physicians
Constipation
Sodium Chloride
Chronic Kidney Failure
Kidney
Water
sodium phosphate

Keywords

  • Hyperphosphatemia
  • Hypocalcemia
  • Renal failure
  • Sodium phosphate enema

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Extreme hyperphosphatemia and hypocalcemic coma associated with phosphate enema. / Hsu, Heng Jung; Wu, Mai Szu.

In: Internal Medicine, Vol. 47, No. 7, 2008, p. 643-646.

Research output: Contribution to journalArticle

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