Digoxin-induced abdominal pain in a patient undergoing maintenance hemodialysis.
A patient who had recently been started on digoxin developed acute severe right upper quadrant pain shortly after hemodialysis. He underwent an extensive work-up for abdominal pain but all findings were normal. With reduction of digoxin dosage, a substantial relief of pain was achieved. The pain totally resolved when digoxin was discontinued and recurred when it was restarted. Cardiac glycosides may be a cause of abdominal pain in patients undergoing maintenance hemodialysis and this side effect should be considered before costly work-up is performed.
Sharifi
M
M
Department of Medicine, Evanston Hospital, Northwestern University Medical School, Evanston, Ill.
D015746:Abdominal Pain / Q000139:chemically induced*; D003928:Diabetic Nephropathies / Q000628:therapy; D004077:Digoxin / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D006333:Heart Failure / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D013997:Time Factors
D004077:Digoxin