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Total Parental Nutrition
Soo Acording to Nutrition Value and Biopsy
My jujenejum can't absorb Nutrition soo I needed from injection.
I need doctor to help to take mineral from IV
Please help My Magnesium level is too low inside RBC not taking about serum level
Answers (13)
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Consult to gastroenterologist
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Consult with gastroenterologist.
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Avoid fried and spicy food
Water intake more
Do connect and consult
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Already answered in detail.
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Based on what you have written, there seems to be a misunderstanding about nutrient absorption and the need for IV minerals. A diagnosis of “jejunum not absorbing nutrition” is not made only on nutrition values or biopsy alone, unless there is a confirmed condition such as celiac disease, Crohn’s disease, short bowel syndrome, or severe malabsorption syndrome. If such a condition were present, it would usually be accompanied by chronic diarrhea, weight loss, anemia, vitamin deficiencies, and abnormal stool tests, not just a low intracellular mineral level.
Regarding magnesium, it is important to understand that RBC magnesium testing is not routinely recommended in standard clinical guidelines and can sometimes give confusing results. Serum magnesium remains the accepted and validated test to decide deficiency and treatment. A low RBC magnesium level does not automatically mean the gut cannot absorb magnesium or that IV magnesium is required. Most magnesium deficiency is due to dietary insufficiency, stress, medications (PPIs, diuretics), or redistribution, not failure of intestinal absorption.
IV magnesium is only indicated in specific situations such as:
Symptomatic hypomagnesemia (arrhythmia, seizures, severe weakness)
Very low serum magnesium (
Next Steps
The correct next step is to consult a Gastroenterologist or Internal Medicine specialist, who can:
Review biopsy findings in proper clinical context
Confirm whether true malabsorption exists
Check serum magnesium, calcium, vitamin D, and potassium
Decide if oral supplementation is sufficient
At this stage, there is no indication to start IV mineral therapy based solely on an RBC magnesium value. This condition is treatable, not dangerous, and should be approached step by step rather than with aggressive IV treatment.
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Do consult in case of any doubt!
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be Evaluated
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation
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Dr. B R S Kumar
General Physician
25 yrs exp
Hyderabad
My advice is don’t ask for different opinions.
Patient on TPN should be managed by one team of doctors to avoid unnecessary complications.
All the best.
J G S R clinic
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