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Case report
Severe symptomatic hyponatraemia secondary to bowel preparation
  1. Krishan Pratap1,
  2. Manasi Jiwrajka1,
  3. Liam Weber2 and
  4. Alan Richardson2
  1. 1Gastroenterology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
  2. 2Emergency Department, Roma Hospital, Roma, Queensland, Australia
  1. Correspondence to Dr Manasi Jiwrajka; manasi.jiwrajka{at}


​A 62-year-old woman presented to a rural Australian hospital for a planned admission to receive bowel preparation 1 day prior to an upper endoscopy and colonoscopy. This admission was complicated by seizures and reduced levels of consciousness in the setting of hyponatraemia secondary to bowel preparation. Given the limited resources in a remote/rural Australian hospital, transfer to a tertiary level hospital was required for review and management of this rare complication of bowel preparation.

  • neurology (drugs and medicines)
  • emergency medicine
  • metabolic disorders
  • gastroenterology
  • global health
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  • Contributors KP was the primary doctor involved in the patient’s care, wrote the first draft of the manuscript and the case, with editing inputs from MJ and AR. LW was the primary supervisor to KP.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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