1/2. Abdominal angina in patients receiving long-term hemodialysis.The syndrome of abdominal angina is described in three patients receiving long-term hemodialysis. This clinical entity has not yet been described in patients with chronic renal failure. The classic triad of abdominal pain, weight loss, and diarrhea produces fear of eating. Most laboratory and radiologic investigations are inconclusive. Remarkable relief of symptoms occurs with maintenance of the hematocrit level above 30%, reduction of pump speed during hemodialysis to approximately 200 ml/min, use of a smaller surface area dialyzer, and administration of sublingual nitroglycerin. This clinical syndrome is often misdiagnosed, resulting in several unnecessary investigations, as well as unnecessary surgical procedures. cholecystectomy is the operation most commonly done. All three of our patients died within ten months of diagnosis.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
2/2. Excessive food aversion, compulsive exercise and decreased height gain due to fear of obesity in a prepubertal girl.A case of a 7-year-old girl with a remarkable food aversion and excessive weight reduction caused by fear of obesity, which has been demonstrated in pubertal girls with symptoms partly similar to anorexia nervosa, is reported. Although the patient's weight was reduced to the upper limits of the normal range with diet and exercise, she reduced her food intake more strictly and did not at all eat food consisting of carbohydrates. exercise was performed longer than before. Her weight continued to decrease and height velocity lowered from 6.0 to 4.1 cm/year (mean /- SD of the age-matched normal girls: 5.5 /- 0.74 cm/year). Her eating behavior was normalized without specific psychotherapy for anorexia nervosa. It is suggested that food aversion with weight loss and decrease in height gain due to fear of obesity may occur in prepubertal children as well as in adolescent girls.- - - - - - - - - - ranking = 6keywords = fear (Clic here for more details about this article) |