Eating disorder in a hemodialysis patient: Case report

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 post-treatment, 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.