See article details. (Psychother)

Renal failure associated with laxative abuse

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Abstract

This case report examines a 21-year-old woman who developed acute kidney injury due to excessive laxative use, highlighting the dangers of laxative abuse for weight control. The study aims to raise awareness about this potentially life-threatening complication and emphasize the importance of early recognition and intervention. Researchers reviewed the patient’s medical history, conducted physical examinations, and analyzed laboratory results to diagnose acute kidney injury caused by laxative abuse. They found that prolonged laxative use led to electrolyte imbalances, acid-base disturbances, and ultimately, kidney failure. The findings underscore the need for healthcare professionals to be vigilant in identifying and addressing laxative abuse, particularly among individuals struggling with body image issues or eating disorders.

Keywords: Case Reports, Acid-Base Equilibrium / drug effects, Acute Kidney Injury / chemically induced*, Acute Kidney Injury / diagnosis, Acute Kidney Injury / psychology, Adult, Bulimia / complications, Bulimia / diagnosis, Bulimia / psychology, Cathartics / administration & dosage

Introduction

Laxative abuse is a serious health concern, often associated with eating disorders like bulimia nervosa. Individuals struggling with body image issues may misuse laxatives to induce purging and weight loss. However, chronic laxative use can lead to severe complications, including electrolyte imbalances, dehydration, and acute kidney injury (AKI). This case report highlights the dangers of laxative abuse and emphasizes the importance of early recognition and intervention.

Methodology

This study presents a single case report of a 21-year-old woman who developed AKI due to excessive laxative use. Researchers reviewed the patient’s medical history, conducted physical examinations, and analyzed laboratory results, including blood tests and urine analysis, to diagnose the cause of her kidney failure.

Results

Laboratory findings revealed severe electrolyte imbalances, including hypokalemia (low potassium) and metabolic acidosis (increased acidity in the blood). The patient also exhibited signs of dehydration and renal insufficiency. Based on these findings, the diagnosis of AKI secondary to laxative abuse was established.

Discussion and Conclusion

This case report emphasizes the potentially life-threatening consequences of laxative abuse for weight control. Chronic laxative use can disrupt electrolyte balance, leading to acid-base disturbances and ultimately kidney failure. Healthcare professionals should be aware of this risk and actively screen patients for potential laxative abuse, particularly those with a history of eating disorders. Early intervention is crucial to prevent severe complications and improve patient outcomes.

Limitations Noted

This study is limited by its single-case design, which restricts the generalizability of the findings. Further research with larger sample sizes is needed to better understand the prevalence and long-term consequences of laxative abuse-associated AKI.

Acknowledgements

The authors acknowledge the contributions of the patient and her family for allowing the publication of this case report. They also thank the medical team involved in the patient’s care.

Ethical Considerations:

Informed consent was obtained from the patient prior to publishing this case report. All identifying information has been removed to protect the patient’s privacy.

Source Citation

See article details. (Psychother). Renal failure associated with laxative abuse. See article details. DOI: 10.1159/000288923

Legal and Ethical Use Statement

This summary is created for educational and informational purposes only. It is not intended as medical advice. Always consult with qualified healthcare professionals for medical decisions. The original research article should be referenced for complete details and context.