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Life-Threatening Malnutrition in Very Severe ME/CFS
Very severe Myalgic Encephalomyelitis (ME), (also known as Chronic Fatigue Syndrome) can lead to problems with nutrition and hydration. The reasons can be an inability to swallow, severe gastrointestinal problems tolerating food or the patient being too debilitated to eat and drink. Some patients wi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070213/ https://www.ncbi.nlm.nih.gov/pubmed/33919671 http://dx.doi.org/10.3390/healthcare9040459 |
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author | Baxter, Helen Speight, Nigel Weir, William |
author_facet | Baxter, Helen Speight, Nigel Weir, William |
author_sort | Baxter, Helen |
collection | PubMed |
description | Very severe Myalgic Encephalomyelitis (ME), (also known as Chronic Fatigue Syndrome) can lead to problems with nutrition and hydration. The reasons can be an inability to swallow, severe gastrointestinal problems tolerating food or the patient being too debilitated to eat and drink. Some patients with very severe ME will require tube feeding, either enterally or parenterally. There can often be a significant delay in implementing this, due to professional opinion, allowing the patient to become severely malnourished. Healthcare professionals may fail to recognize that the problems are a direct consequence of very severe ME, preferring to postulate psychological theories rather than addressing the primary clinical need. We present five case reports in which delay in instigating tube feeding led to severe malnutrition of a life-threatening degree. This case study aims to alert healthcare professionals to these realities. |
format | Online Article Text |
id | pubmed-8070213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-80702132021-04-26 Life-Threatening Malnutrition in Very Severe ME/CFS Baxter, Helen Speight, Nigel Weir, William Healthcare (Basel) Case Report Very severe Myalgic Encephalomyelitis (ME), (also known as Chronic Fatigue Syndrome) can lead to problems with nutrition and hydration. The reasons can be an inability to swallow, severe gastrointestinal problems tolerating food or the patient being too debilitated to eat and drink. Some patients with very severe ME will require tube feeding, either enterally or parenterally. There can often be a significant delay in implementing this, due to professional opinion, allowing the patient to become severely malnourished. Healthcare professionals may fail to recognize that the problems are a direct consequence of very severe ME, preferring to postulate psychological theories rather than addressing the primary clinical need. We present five case reports in which delay in instigating tube feeding led to severe malnutrition of a life-threatening degree. This case study aims to alert healthcare professionals to these realities. MDPI 2021-04-14 /pmc/articles/PMC8070213/ /pubmed/33919671 http://dx.doi.org/10.3390/healthcare9040459 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Baxter, Helen Speight, Nigel Weir, William Life-Threatening Malnutrition in Very Severe ME/CFS |
title | Life-Threatening Malnutrition in Very Severe ME/CFS |
title_full | Life-Threatening Malnutrition in Very Severe ME/CFS |
title_fullStr | Life-Threatening Malnutrition in Very Severe ME/CFS |
title_full_unstemmed | Life-Threatening Malnutrition in Very Severe ME/CFS |
title_short | Life-Threatening Malnutrition in Very Severe ME/CFS |
title_sort | life-threatening malnutrition in very severe me/cfs |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070213/ https://www.ncbi.nlm.nih.gov/pubmed/33919671 http://dx.doi.org/10.3390/healthcare9040459 |
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