Skip to main content
. 2023 Dec 2;15(12):e49835. doi: 10.7759/cureus.49835

Table 4. The causes of hypomagnesemia.

Note: Table 4 was developed on the basis of earlier published paper [10].

Causes Description
Decreased Intake  Low Mg2+ diet
Alcoholism
Fasting
Decreased Intestinal Absorption  Inflammatory bowel disease
Gastrointestinal tract (GIT) malignancy
Bariatric bypass surgery
Short bowel syndrome
Hypovitaminosis D
Drugs (proton pump inhibitor)
Internal Redistribution   Refeeding syndrome
Sepsis
Acute pancreatitis
Hungry bone syndrome
Massive transfusion with citrated blood
Chronic metabolic acidosis
Treatment of diabetic ketoacidosis
Increased Loss  Renal
Hereditary
Bartter/ Gitelman syndrome (GS)
Familial hypomagnesemia with hypercalciuria and nephrocalcinosis 
Autosomal dominant isolated hypomagnesemia
Autosomal recessive isolated hypomagnesemia
HNF1B mutation in early-onset diabetes mellitus 
Acquired
Hypercalcemia in hyperparathyroidism  
Acute tubular necrosis, e.g., aminoglycosides induced 
Diuresis, e.g. Loop or thiazide diuretics, acute kidney injury resolution 
Post kidney transplant 
Hypokalemia & hyperaldosteronism *acquired or hereditary 
Uncontrolled DM
Extra-Renal  
Prolonged large-volume diarrheal disease 
Prolonged nasogastric suction or biliary fistula combined with parenteral administration of Mg2+-free fluids. 
Severe Vomiting