Which of the following is a commonly reported complication of home enteral nutrition?

• A. Decreased urination
• B. High blood pressure
• C. Weight gain
• D. Improved appetite

Answer: (A)

Fluid balance and gastrointestinal tolerance drive most issues seen with home enteral nutrition. Patients commonly encounter GI intolerance—things like diarrhea, constipation, nausea, or abdominal distension—and they’re also at risk for dehydration or electrolyte disturbances if the amount of fluid and calories going in doesn’t match their needs. Decreased urination signals reduced urine output, which is a sign of dehydration or possible kidney-related issues. In the home setting, safeguarding hydration and regularly checking urine output helps catch dehydration early and allows adjustments to free-water delivery alongside the feed. Among the options, decreased urination points to a hydration-related problem that can accompany enteral feeding, whereas high blood pressure, weight gain, or improved appetite are not typical complications used to describe the common tolerability or safety issues of enteral nutrition.