Three Cases of Hyponatremia Caused by Ingestion of Bowel Preparation Solution for Colonoscopy.
- Author:
Kyoung Suk CHOI
1
;
Yu Min LEE
;
Sung Won JUNG
;
Byung Soo KIM
;
Jin Ho SHIN
;
Seung Hoon BAEK
;
Myeung Su LEE
;
Seon Ho AHN
;
Ju Hung SONG
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. ashneph@wmc.wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Arginine vasopressin;
Colonoscopy;
Hyponatremia
- MeSH:
Arginine Vasopressin;
Colonoscopy*;
Dehydration;
Diarrhea;
Eating*;
Humans;
Hyponatremia*;
Nausea;
Plasma;
Renal Insufficiency;
Vomiting
- From:Korean Journal of Nephrology
2005;24(2):295-299
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hyponatremia resulting from ingestion of large volumes of bowel preparation solution has been reported in patients with alternated renal water handling like renal failure or old age. Colonoscopy-induced hyponatremia was known to be related with an increase in serum arginine vasopressin concentration. Ingestion of bowel preparation solution can lead to diarrhea associated with nausea, vomiting and dehydration, often resulting in raised plasma concentrations of antidiuretic hormone. Besides, non- osmotic stimuli for arginine vasopressin concentrations can be provoked by nausea, vomiting, and intestinal hyperactivity during bowel preparation and colonoscopic procedure. We have experienced three cases of hyponatremia resulting from ingestion of bowel preparation solution for colonoscopy. The factors leading to increased arginine vasopressin secretion seem to be nausea, vomiting and intestinal hyperactivity during bowel preparation for colonoscopy.
