Bulimia is a psychological eating disorder. In bulimia the patient eats excessively and feels the loss of control while eating, then uses inappropriate methods of losing weight by inducing vomiting, using laxatives and diuretics or exercising excessively.
Bulimia is most common in adolescent and young adult women. Patient experience significant fluctuations in weight.The patient is usually aware of their behavior and they know it is abnormal, but the loss of feeling occurs while eating followed by guilt after eating.
Depression, stress, or other feelings related to body weight, shape, or food are considered to be the factors in the development of this disorder. Binge eating often brings on a feeling of calm or happiness (euphoria), but the self-loathing because of the overeating soon replaces the short-lived euphoria.
It is most common in teens. Like other eating disorders. It usually starts in the teen years. But it can start even earlier or in adulthood. It is a long-term disorder.
Mortality of Bulimia
Bulimia has a high mortality rate.
Women in young age are more commonly affected by eating disorder called bulimia.
The definitive cause of bulimia is not known yet.
• The disease has a genetic factor. People with relatives having bulimia are at higher risk of developing the disease.
• A chemical serotonin is present in the brain; if its level gets altered it is responsible for the development of depression.
• The pressure of having good body image, particularly in young females leads to the development of the eating disorder.
• Childhood abuse, critical home environment, low self-esteem leads to depression.
• Physical changes in puberty, college life.
• It is often triggered by stressful physical changes of puberty, going away to college, or the breakup of a relationship.
• Appearance-oriented professions or activities: include ballet dancers, models, gymnasts, wrestlers, runners, and actors
• Generalized weakness.
• Abdominal pain.
• Voluntarily induce vomiting after meals.
• Various attempts to lose weight such as excessive exercise.
• Overeating alternates with fasting.
• Lack of control over eating.
Diagnosis is based on the typical symptoms of the patient such as:
• Compulsive or excessive exercise.
• Physical signs arising from excessive vomiting such as swollen cheeks or jaws, broken blood vessels in the eyes, or teeth that appear clear due to damage to tooth enamel.
• Excessive preoccupation with body image or weight.
• Laboratory tests may reveal low blood sugar, change in electrolyte balance or low level of potassium due to overuse of laxative or diuretic.
• Cognitive-behavioral therapy.
• Nutritional therapy.
• Help the patient to develop a right eating pattern.
• Encourage the patient to develop self-confidence.
• Ensure patient’s appointments with therapists and doctors.
Diet should be rich in carbohydrate, fat, mineral, protein and vitamin.
Diet must include egg, milk, fruit, vegetables, legumes, dried fruit and vegetable oils.
There are chances of recurrence of symptoms even after treatment.
• Weight gain.
• Pain and bloating in the abdomen.
• Swelling of hands and feet.
• Bloodshot eyes.
• Salivary glands swell.
• Tooth decay.
• Acid reflux or ulcers.
• Esophagus gets ruptured.
• Suited to an overweight woman who has a sluggish constitution.
• Craving for eggs and creamy foods.
• The patient dislikes being the center of attention
• Craves salty things.
• The patient is very introvert.
• Craves rich, spicy foods.
• Has a tendency to constipation.
• A patient is often irritable and agitated.
• Weeping disposition.
• Extremely sensitive to what other people think.
• Crave Sweets
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