Eating Disorder in a Hemodialysis Patient: Case Report |
| |
| Authors: | Anne-Marie Desai RD Ronald Perrone MD Johanna Dwyer DSc RD |
| |
| Institution: | Dialysis Clinic and Frances Stern Nutrition Center, Tufts-New England Medical Center, Boston, Massachusetts, USA;Associate Chief, Division of Nephrology and Medical Director of the Kidney Transplantation Program, Tufts-New England Medical Center, Boston;Professor of Medicine and Community Health, Friedman School of Nutrition Science and Policy and School of Medicine, Tufts University and Director, Frances Stern Nutrition Center, Tufts-New England Medical Center, Boston. |
| |
| Abstract: | Renal replacement therapy may encourage eating disorders in some patients. Hemodialysis requires patients to attend dialysis sessions three times per week, during which time they are weighed pre- and posttreatment, so the importance of limiting "fluid weight" gains to prevent fluid overload and elevated blood pressure are constantly reinforced by the dialysis team. Patients must also follow rigorous therapeutic dietary modifications to prevent the buildup of urea and harmful waste products between treatments. This is a case report of a 30-year-old man receiving renal replacement therapy who had anorexia nervosa of the bulimic subtype. |
| |
| Keywords: | end stage renal disease hemodialysis anorexia nervosa bulimia nervosa |
|
|
