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Hyperphosphataemia after enemas in childhood: prevention and treatment
M F Hunter1, M R Ashton, D M Griffiths
1Department of Child Health, Southampton General Hospital.
Archives of Disease in Childhood
|February 1, 1993
Insights
Phosphate enemas can cause severe hyperphosphataemia and hypocalcaemia in children. Prompt management of retention is crucial to prevent complications, with glucose and insulin aiding emergency treatment.
Area of Science:
- Pediatric Nephrology
- Clinical Toxicology
Background:
- Phosphate enemas are used for constipation but carry risks.
- Retention of enema fluid can lead to systemic absorption.
Abstract:
The case of a child with severe hyperphosphataemia and symptomatic hypocalcaemia secondary to retention of phosphate administered through an antegrade continence enema is reported. Caution should be exercised with the use of phosphate enemas and prompt action taken to remedy retention. The use of glucose with insulin in the emergency management of acute hyperphosphataemia is discussed.