Medical Complications of Anorexia Nervosa Neurological (Brain/Nerves) Cerebral Atrophy – loss of brain cells and connections between brain cells Headaches Peripheral Neuropathy – nerve damage causing numbness, weakness, tingling, and pain in hands and feet. Pulmonary (Lungs) Aspiration pneumonia – inflammation in lungs caused by inhaling materials such as vomit, food, or liquid Respiratory failure – lungs cannot properly exchange gasses Spontaneous pneumothorax – collapsed lung Emphysema – damaged air sacs in the lungs, causing breathlessness Dermatologic (Hair and Skin) Dry Skin Acne Alopecia – hair loss Lanugo Hair – soft, downy, fine light hair on the arms, chest, back, & face Pruritus – severe itching Ophthalmic (Eyes) Lagophthalmos – inability to close eyelids Cardiovascular (Heart and Blood Vessels) Bradycardia – slow heart beat Hypotension – low blood pressure Sudden death – arrhythmia (abnormal heart beat) Refeeding syndrome – changes in body fluids and electrolytes Echo changes – changes in size of the heart, seen on an echocardiogram Gastrointestinal Constipation Refeeding pancreatitis – swelling of the pancreas causing abdominal pain, nausea, vomiting Acute gastric dilation – overstretched and rotated stomach Delayed gastric emptying – impaired stomach muscles that causes slow stomach emptying Hepatitis – inflammation of the liver Dysphagia – difficulty swallowing Endocrine & Metabolic (Hormones and Metabolism) Amenorrhea – loss of menstrual cycle Infertility – inability to reproduce Osteoporosis – loss of bone density Thyroid abnormalities – hormonal disruptions/fluctuations Hypoglycemia – low blood sugar, causing confusion, dizziness, headaches, irritability, shakiness Stunted/arrested growth – lower than normal growth patterns