Bismuth Random Urine

Bismuth metal is used to manufacture alloys, catalysts, ceramics, cosmetics, magnets, paints, pharmaceuticals, semiconductors, and x-ray contrast media; excessive use or exposure to Bismuth containing medications may cause renal damage and other adverse effects. Bismuth is used as an antidiarrheal; it is the active ingredient in such “Pink Bismuth” preparations as Pepto-Bismol, as well as the 2004 reformulation of Kaopectate. It is also used to treat some other gastro-intestinal diseases. The mechanism of action of this substance is still not well documented, however it can remain in the kidney for years in patients treated with bismuth compounds. In chronic poisoning, all organs are affected. In the skin a lichen planus-like rash, in the mouth stomatitis with a blue black gum line. Inflammation and inclusion bodies in the liver, kidney, and bone are characteristic. In the brain, the lesions will cause encephalitis.