Medical Comorbidities of Eating Disorders

2010 ◽  
pp. 258-266 ◽  
Author(s):  
James E. Mitchell ◽  
Scott J. Crow
Keyword(s):  
Eating Disorders ◽  
Cardiac Arrhythmias ◽  
Evaluation Process ◽  
Medical Complications ◽  
Skeletal System ◽  
Medical Assessment ◽  
Poor Control ◽  
Gastrointestinal Complications ◽  
Gastric Rupture ◽  
Control Of Diabetes

Eating disorders are frequently characterized by medical complications that at times can be severe. Because of this, the medical assessment of patients with eating disorders is an important part of the evaluation process. Frequent complications include cardiovascular problems, including a decrement in heart rate variability that is a known risk factor for cardiac arrhythmias. Skeletal system changes, particularly the risk for osteoporosis and osteopenia, are common in patients with anorexia nervosa. Gastrointestinal complications can be quite prominent. In particular, there is a risk for gastric dilatation and gastric rupture in patients who binge eat. A variety of endocrine changes have also been described and there appears to be an association with eating disorders and poor control of diabetes mellitus.

Medical Screening and Management of Eating Disorders in Adolescents

2010 ◽  
pp. 266-291
Author(s):  
Debra K. Katzman ◽  
Nuray O. Kanbur ◽  
Cathleen M. Steinegger
Keyword(s):  
Eating Disorders ◽  
Laboratory Testing ◽  
Organ System ◽  
Medical Complications ◽  
Nutritional Rehabilitation ◽  
Medical Assessment ◽  
Presenting Symptoms ◽  
Weight Restoration ◽  
Experienced Team

Eating disorders (EDs) in adolescents are serious illnesses that affect many aspects of their lives. The medical assessment includes a thorough history, physical exam, and targeted laboratory testing. EDs can cause serious medical complications in every organ system. Clinicians should be aware of medical conditions that may cause similar presenting symptoms and also be able to identify any medical complications that develop as consequence of the ED. Acute and long-term medical complications have been identified in adolescents with EDs. Medical management focuses on nutritional rehabilitation, weight restoration, and the prevention or reversal of medical complications. Treatment may occur in a variety of settings, but should be delivered by an interdisciplinary, experienced team and include the adolescent’s family.

Medical complications of eating disorders: Outpatient evaluation and management

1985 ◽  
Vol 26 (3) ◽  
pp. 258-272 ◽  
Author(s):  
Andrew W. Brotman ◽  
Nancy Rigotti ◽  
David B. Herzog
Keyword(s):  
Eating Disorders ◽  
Medical Complications

scholarly journals Managing Eating Disorders in Elderly with Dementia and the Ethical Considerations for Tube Feeding

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Quality Of Life ◽  
Eating Disorders ◽  
Management Strategies ◽  
Tube Feeding ◽  
The Elderly ◽  
Feeding Tube ◽  
Medical Complications ◽  
Ethical Considerations ◽  
Nutritional Needs

As dementia progresses, the elderly with dementia often have difficulties finishing their meals and weight loss is a common feature at this stage of their dementia journey. Eating disorders cause tremendous caregiver stress and burden. In considering provision of best care for this group of elderly, the hospital is probably not the best place and yet, they are frequently brought in to the hospital to seek help for fever, pneumonia, dislodged feeding tube, medical complications arising from poor feeding and dehydration. It is important to understand the aetiology of poor feeding among this group of patients and advise the patients and their family on the appropriate management strategies to improve the intake of food and to maximize their quality of life. At this stage of dementia, focusing on means to ensure nutritional needs are met may end up causing further harm and distress.

Commentary

2013 ◽  
pp. 393-399
Author(s):  
Carol B. Peterson
Keyword(s):  
Eating Disorders ◽  
Psychiatric Symptoms ◽  
Outcome Data ◽  
Medical Complications ◽  
Evidence Based ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Bulimic Symptoms ◽  
Complications And Mortality

Dr. Cubic’s case presentation eloquently highlights the numerous challenges of using evidence-based interventions in the treatment of eating disorders. As Dr. Cubic emphasizes in her case description, among the different types of eating disorders, anorexia nervosa (AN) (and especially AN accompanied by bulimic symptoms) is particularly difficult to treat effectively, and long-term outcome data indicate high levels of treatment nonresponse, relapse, co-occurring psychiatric symptoms, medical complications, and mortality (...

Medical Complications of Eating Disorders in Pediatric Patients

2018 ◽  
Vol 47 (6) ◽  
pp. e238-e243 ◽  
Author(s):  
Maria C. Monge ◽  
Miranda Loh
Keyword(s):  
Eating Disorders ◽  
Pediatric Patients ◽  
Medical Complications

Psychosocial Aspects of Diabetes Mellitus*

1983 ◽  
Vol 28 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Gary M. Rodin
Keyword(s):  
Diabetes Mellitus ◽  
Life Stress ◽  
Sense Of Self ◽  
Well Being ◽  
Self Esteem ◽  
Treatment Modalities ◽  
Poor Control ◽  
Emotional Factors ◽  
Self Sufficiency ◽  
Control Of Diabetes

The significance of emotional factors in diabetes mellitus is reviewed in the light of recent changes in treatment. Newer evidence has not supported the concept of a specific diabetic personality. However, lowered self-esteem and feelings of depression have been found to be common in diabetics and particularly in those with poor control of their illness. Illnesses such as diabetes may be associated with feelings of defectiveness and helplessness about regulating bodily functions and achieving a sense of self-sufficiency. Poor control of diabetes in children appears to be associated with pathological interactions in their families. Also, the course of the illness in most patients is correlated with measures of life stress. Newer treatment modalities offer the possibility for improved metabolic control and perhaps for increased psychological well-being.

Sign in / Sign up

Export Citation Format

Share Document