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Electrolyte and acid‐base abnormalities associated with purging behaviors
Author(s) -
Mehler Philip S.,
Walsh Kristine
Publication year - 2016
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22503
Subject(s) - base (topology) , electrolyte , psychology , chemistry , electrode , mathematics , mathematical analysis
Objective Eating disorders that are associated with purging behaviors are complicated by frequent blood electrolyte and acid‐base abnormalities. Herein, we review the major electrolyte and acid‐base abnormalities and their treatment methods. The body of rigorous, eating disorder‐specific literature on this topical area is not robust enough to perform a systematic review as defined by PRISMA guidelines. Therefore, a qualitative review of mostly medical literature was conducted. Results Hypokalemia, hyponatremia, and sodium chloride‐responsive metabolic alkalosis are the most common serum changes that occur as a result of purging behaviors. They vary depending on the mode and frequency of purging behaviors. They can all potentially cause dangerous medical complications and are in need of definitive medical treatment. Discussion Eating disorders that are associated with purging behaviors are associated with a number of electrolyte and acid‐base changes which are complex in their origin, documented to be medically dangerous and this definitive treatment is necessary to help achieve a successful treatment outcome, and in need of definitive treatment as described herein.

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