Description
Although uncommon, lead poisoning should be considered as a differential diagnosis in cases of unexplained acute
abdominal pain in both adults and children. We present the case of a 35-year-old Asian male who presented with
abdominal pain and constipation secondary to lead poisoning. Initially, the source of lead exposure was not apparent;
this was later found to be due to ingestion of an Ayurvedic herbal medicine for the treatment of infertility. Lead poisoning
due to the ingestion of Ayurvedic remedies is well described. We discuss the diagnosis, pathophysiology and treatment
of lead poisoning. This case illustrates one of the rarer medical causes of acute abdominal pain and emphasizes the
need to take a thorough history (including specific questioning regarding the use of over-the-counter and traditional/
herbal remedies) in cases of suspected poisoning or drug toxicity.
