In Reply: We thank the readers for their letter. Our patient’s laboratory values at the time of presentation were as follows:
- Corrected sodium 142 mmol/L
- Potassium 5.5 mmol/L
- Phosphorus 6.6 mmol/L.
The rest of the electrolyte levels were within normal limits.
These reported electrolyte levels were unlikely to cause such gastroparesis. The patient’s hemoglobin A1c was 8.7% at the time of presentation, with no previous values available. However, since abdominal computed tomography done 1 year before this presentation did not show stomach dilation and the patient was asymptomatic, his gastroparesis was presumed to be acute.