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Patient education: Hypomagnesemia (The Basics)

Patient education: Hypomagnesemia (The Basics)

What is hypomagnesemia? — 

This is when you have less magnesium in your body than normal. It is also sometimes called "low magnesium."

Magnesium is 1 of many substances in the body called "electrolytes." Having the right amount of magnesium in the body is important for:

Helping your nerves and muscles work properly

Bone and heart health

Managing your blood pressure

Helping your body make certain hormones

Not having enough magnesium in the body is usually a sign of a health problem.

What causes hypomagnesemia? — 

Possible causes include:

Severe vomiting or diarrhea

Taking certain medicines

Kidney problems

Bone problems

Diabetes that is not well managed

Alcohol use disorder

Sometimes, hypomagnesemia can mean you also have low levels of other things, like calcium or potassium.

What are the symptoms of hypomagnesemia? — 

Symptoms can include:

Muscle cramps or spasms

Tremors or shaking

Seizures

Lack of energy

Delirium – This is when a person is confused and isn't thinking clearly.

Coma

Muscle movements you can't control

Abnormal heart rhythm or other heart problems

Sometimes, people with hypomagnesemia don't have any symptoms.

Will I need tests? — 

Maybe. Your doctor might want to do a blood test if you have symptoms of hypomagnesemia. They might also do this if you have a health problem that puts you at risk for hypomagnesemia.

If you have hypomagnesemia but the cause is not clear, your doctor might want to test your urine. This can help them figure out if your hypomagnesemia is related to kidney problems.

How is hypomagnesemia treated? — 

Generally, doctors treat hypomagnesemia by giving you more magnesium until you reach a normal level. There are 2 ways of doing this:

Through an "IV" – An IV is a thin tube that goes into a vein. This treatment is often done for people who have severe symptoms or are already in the hospital.

Taking oral supplements – You can take extra magnesium by mouth. It comes as a pill, powder, or liquid. Your doctor might recommend this if you have no symptoms or only mild symptoms.

Depending on what caused your hypomagnesemia, you might need other treatments, too.

More on this topic

Patient education: Magnesium test (The Basics)
Patient education: Alcohol use – When is drinking a problem? (The Basics)
Patient education: Diarrhea in teens and adults (The Basics)
Patient education: Nausea and vomiting in adults (The Basics)
Patient education: Type 2 diabetes (The Basics)
Patient education: Long QT syndrome (The Basics)
Patient education: Hypokalemia (The Basics)

Patient education: Alcohol use — when is drinking a problem? (Beyond the Basics)
Patient education: Chronic diarrhea in adults (Beyond the Basics)
Patient education: Acute diarrhea in adults (Beyond the Basics)
Patient education: Type 2 diabetes: Overview (Beyond the Basics)

This topic retrieved from UpToDate on: Jul 07, 2025.
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