Tuesday, July 29, 2008

Do u have eating disorder?

Anorexia nervosa
People with anorexia usually starve themselves and refuse to maintain their ideal body weight because they feel they are overweight.
Bulimia nervosa
Bulimia is characterized by habitual binge eating and purging. A person with bulimia may experience weight fluctuations, but usually do not suffer from the low weight associated with anorexia.

Signs and symptom

The signs and symptoms of anorexia include:
Weight loss, sometimes achieved by self-induced vomiting, abuse of laxatives, use of diuretics or exercise
Refusal to maintain normal body weight
Intense fear of gaining weight
Seeing themselves as fat even though they are not
Menstrual changes or the absence of menstruation in females
FatigueBaby-fine hair covering the body (lanugo)
Mild anemiaBrittle nails and hairLow blood pressure

The signs and symptoms of bulimia include:
Recurrent episodes of binge eating(compulsive overeating)
Feeling that their eating behavior cannot be controlled
Efforts to prevent weight gain by either self-induced vomiting, using laxatives or other medications, fasting or excessive exercise following a binge
Unhealthy focus on body shape and weight
Dehydration
Fatigue
Constipation
Damaged teeth and gums from gastric acid in vomit
Swollen cheeks from regular vomiting

Treatment
Severe cases may need to be hospitalized to correct dehydration, body mineral imbalance and to improve nutritional status. A dietitian will help in planning a diet regime so that gradual weight gain can be achieved.Cognitive behaviour therapy is useful in helping to correct the negative perceptions associated with the problem. Family therapy also plays a part in patients whose problems are related to the family. Medication can also be used especially if there are other psychiatric disorders present.
PreventionRealistic portrayal of womens bodies is vital as many girls and young women aspire to have skinny bodies as portrayed by the media. Good self esteem and communication in the family also helps in preventing this disorder.

Rehabilitation
Learning about eating healthy and balanced meals with appropriate exercise is essential in the long term management. Coping skills are important especially developing good self esteem, improving family communication and also having good social support.

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