Laxative Abuse Cessation Leading to Severe Edema

Abstract

Stimulant laxatives are a common class of laxatives that is abused by patients with eating disorders. We present a case of a 30-year-old female who presented with dyspnea, peripheral edema and weight gain who had been chronically using laxatives. Her symptoms were consistent with rebound edema caused by sodium and free water shifts with abrupt cessation of excessive stimulant laxative use. This case highlights the use of furosemide as the mainstay treatment for rebound edema and weight gain.

Prevention of end‐stage renal disease with percutaneous endoscopic gastrojejunostomy tubes in a patient with recurrent episodes of binge eating and purging

“…On the other hand, renal involvement was caused by repeated hypokalemia and hydration as much as overfiltration by binge‐eating. 9 Volume depletion and renal involvement led to urine decrease and edema. Therefore, diuretics are continuously required.…”