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Refeeding Syndrome

Condition Basics

What is refeeding syndrome?

Refeeding syndrome is a problem that may happen when nutrition is given after a period of not eating or not eating enough. It causes electrolyte changes and fluid shifts. This can lead to organ problems. The condition can be severe and life-threatening. It can happen with conditions such as anorexia nervosa and cancer.

What are the symptoms?

Symptoms can include:

  • Nausea and vomiting.
  • Tingling that feels like "pins and needles."
  • Swelling in your legs (edema).
  • Weakness.
  • Confusion.
  • Low blood pressure.
  • Seizures.
  • A change in the normal rhythm of the heart (arrhythmia).
  • Breathing problems and sometimes respiratory failure.

How is it treated?

You'll be watched closely by your care team. Because refeeding syndrome can be dangerous, it's treated in a hospital. You'll likely be given extra vitamins and electrolytes through a tube in your vein (I.V.). Nutrition is increased slowly. You may get nutrition by eating, through a feeding tube, or through an I.V.

Related Information

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Current as of: December 6, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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