Medical Complications

 

  • CARDIOVASCULAR

    • Slow Pulse

    • Low Blood Pressure

    • Electrocardiogram abnormalities

    • Hypovolemia

    • Myocardiopathy and CHT ( especially with use of ipecac )

  • CHEMISTRIES

    • Uric acid elevated

    • Cholesterol is abnormal ( elevated or depressed )

    • Carotene is elevated

    • Deficiencies of trace minerals

    • Low blood glucose

    • Hypochloremic metabolic alkalosis

  • DENTAL AND MOUTH

    • Increased dental caries

    • Highly sensitive teeth from gingival deterioration

    • Pyorrhea

    • Lacerations and contusion of the oral cavity from use of objects to induce emesis

    • Tooth Loss

    • Erosion of enamel

    • Altered bite

    • Bleeding gums

    • Oral sensitivity

  • DERMATOLOGIC

    • Dry skin

    • Loss of subcutaneous tissue and fat in general

    • Scars ( such as on knuckles due to inducing emesis )

    • Fine lanugo hair

    • Acrocyanosis

  • EFFECTS ON BRAIN AND CENTRAL NERVOUS SYSTEM

    • Lack of REM sleep

    • Affected hypothalamus ( lower body temperature, loss of shivering response, cold intolerance, and malfunction of entire temperature regulating system due to chronic malnutrition

    • EEG abnormalities

  • ENDOCRINE

    • T-3 deficiency ( leading to bradycardia, sluggish reflexes, dry skin, cold intolerance, hypercarotenemia, and various abnormalities of the hair )

    • Abnormal calcium levels and symptoms

    • Hypogonadism

    • Partial diabetes insipidus condition and the inability to concentrate urine normally

    • Addison’s disease or hyperaldosteronism

  • FLUID AND ELECTROLYTE ABNORMALITIES

    • Effects if resultant metabolic alkalosis, potassium and chloride deficiencies

    • Electrolyte Imbalances

    • Skeletal muscle weakness

    • Diminished reflexes

    • Abnormal gastrointestinal motility

    • Cramps

    • Paresthesia

    • Polyuria and oliguria

    • Nocturia

    • CNS abnormalities

    • Constipation

    • Cardial effects ( conduction abnormalities, irregular rhythms and sudden death )

    • Impaired kidney function

    • Emotional lability and lassitude

    • Potassium increase due to diuretic abuse causing cardiac abnormalities

    • Depletion of sodium ( hyponatremia )

    • Dehydration

    • Hyponatremia

    • Edema

  • GASTROINTESTINAL

    • Abdominal pain, bloating, and fullness

    • Esophageal perforations and lacerations ( Mallow Weiss Syndrome )

    • Irritable bowel Syndrome

    • Malabsorption of nutrients leading to hypoproteinemia, hypoalbuminemia and calcium deficienc

    • Fatty infiltration of the liver

    • Pancreatitis

    • Exacerbation of hemorrhoids

    • Esophagitis/li>

    • Melanosis coli

    • Gastritis

    • Gastric ulceration

    • Intestinal injury

  • GYNECOLOGIC

    • Menstrual irregularity

    • Amenorrhea

    • Infertility

    • Atrophic vaginitis and loss of sexual appetite

    • Breast atrophy

  • HEMATOLOGIC ABNORMALITIES

    • Anemia

    • Leukopenia

    • Thrombocytopenia

    • Bone marrow may be deficient or hypocellular

  • OPHTHALMOLOGIC

    • Anemia

    • Transient blurred vision

    • Dark circles, puffiness under the eyes

  • ORTHOPEDIC AND MUSCULOSKELETAL

    • Osteoporosis

    • Loss of muscle mass leading to muscular weakness

  • PULMONARY

    • Aspiration pneumonia

  • RENAL

    • Prerenal and renal azotemia due to diminished renal pertusion and chronic dehydration

    • Tubular and collecting system abnormalities due to electrolyte abnormality

    • Predisposition to renal stones

    • Kidney failure

  • MISCELLANEOUS

    • Bacterial and fungal infections

    • Bilateral parotid gland swelling

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