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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Administering Morphine, Tramodol & IV Paracetamol Together Cause Permanent Imbalance Of Potassium And Sodium?

my son has a j pouch following a total colectomy for ulcerative colitis. He was admitted in to hospital in October for impacted faeces and dilated pouch. He was administered Morphine, tramodol and IV paracetamol together for 8 days and kept nil by mouth until he was irrigated. He now regularly loses potassium and sodium and requires these iv almost every 10 days ever since. We watch for symptoms and take him to A & E. Is it possible those 8 days could have caused a permanent imbalance of these
Mon, 21 Apr 2014
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Internal Medicine Specialist 's  Response
hi,
the drugs he was kept on for a short while do not cause long term electrolyte disturbances.
As he had undergone colectomy, the cause must be short bowel which could not cope with the food load causing to loose electrolytes through feces. The disease ulcerative colitis itself is known to produce loss of sodium and potassium. The problem needs careful monitoring by the treating doctor to prevent complications. The solution presently seems to be in constant supply of low volume frequent oral electrolytes.
Hope this helps.
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Can Administering Morphine, Tramodol & IV Paracetamol Together Cause Permanent Imbalance Of Potassium And Sodium?

hi, the drugs he was kept on for a short while do not cause long term electrolyte disturbances. As he had undergone colectomy, the cause must be short bowel which could not cope with the food load causing to loose electrolytes through feces. The disease ulcerative colitis itself is known to produce loss of sodium and potassium. The problem needs careful monitoring by the treating doctor to prevent complications. The solution presently seems to be in constant supply of low volume frequent oral electrolytes. Hope this helps.