weight gain might happen) can trigger an eating disor- der in a susceptible individual. Patients in this situation require nutrition counseling regarding their nutrient and energy needs for healing, and through the recovery pro- cess until normal exercise and eating have been resumed.
Oral Surgery
Oral surgery can impair the ability and desire to eat, and it may cause pain when chewing, swallowing, or both. Involuntary weight loss due to the inability to eat normally can trigger an eating disorder, or it may be welcomed by an individual with an eating disorder as an “excuse” to restrict.
Breast Augmentation Surgery
Individuals undergo breast augmentation for a variety of reasons, but those with severely distorted body image or body dysmorphic disorder may choose cosmetic sur- gery to “fix” imagined flaws or heal emotional wounds. Breast augmentation can also conceal the skeletal frame of a woman with anorexia, whose own breast tissue is minimal. Nutrition assessment should include any past or planned surgeries that may relate to a patient’s body image or body acceptance.
Ostomy
The discomfort of an ostomy can reduce a patient’s will- ingness to eat. Also, long-term or severe abuse of laxa- tives may lead to an ostomy.
