Google - Firefox

Google

Sunday, February 24, 2008

Eating Disorders


Eating disorders is a common phenomenon in adolescents and this is attributed to the reduced respect for the self.

Such individuals need to have a command over their emotions and environment and organize themselves. Anorexia nervosa is a wrong way of managing this situation. It is the circumstance and the genes which help in stimulating a negative attitude. It is a combination of anxiety, sorrow, stress and distress. The individuals feel unwanted, possessing no control over the reins of life.
An anorexic is perceived as a sensitive, dieting person. The individual has his own perception of being fat. A fear of lack of control over food exists. They are obsessed about dieting, and restrain themselves from any kind of joy, which includes eating. A psychological feeling of not liked by any is common.
Anorexia occurs as two episodes. Binge eating is one type, wherein the individual induces vomiting or laxative or diuretic abuse is possible. Restricting type of anorexia involves the non-indulgence in diuretic misuse or vomiting. People who eat a great amount in a shot span and indulge in self-induced vomiting, as a method of punishment suffers from Bulimia nervosa. They are snowed under, unable to manage their emotions and mental health. This behavior reflects the way they perceive themselves. Bulimia involves binging and purging to bring out frustration, anger, stress and depression. Environment and genes do play a role in some cases. Isolation and wearing large sized clothes to mask the body shape is common. Visit to the bathroom is regular after meals. Laxative abuse, feeling of guilt post food consumption and formulating strict diet schedules are some of the behavioral pattern of individuals suffering from bulimia. They buy cookery books to discuss about recipes and food-related tissues. They are conscious about a positive body image. The main principle of bulimic individuals is the repetitive cycle of binging and purging. Weight fluctuation is common, due to the storage of food for later periods. Diet supplements are consumed to reduce binging habit.

Compulsive overeating is in simpler terms referred to as ‘Food addiction’. It is an easy way to manage stress, conceal emotions and cope with an inner emptiness. They are obese and have increased probability to develop renal diseases, cardiac problems, bone degeneration and hypercholesterolemia. They try to shy away from social gatherings, due to their low self-esteem. Eating is a technique to manage their emotional behavior and thereby increases their weight. Love and feeling of wanted ness is necessary to bring them to normalcy.
Anorexia
Anorexia nervosa is a disease, accompanied by self-starvation and is lethal if not treated.
Generally, anorexia occurs in individuals around the puberty age. Symptom detection is the primary step in treatment. It is an eating disorder associated with dieting to reduce weight. It occurs, especially in teenagers and is a technique followed, as a result of fear. It is a condition of eating in a restricted manner, to control the body.
An anorexic individual is obsessed with the fear of getting fat. Typical symptoms include excessive exercise, refusal to eat meals, following a strict dietary regimen, dissatisfaction about the stature, incorporating low calorie foods, social withdrawal, concealing foods, menstrual problems and fear of weight gain. It is seen in people of the elite class, especially of those involved in dancing and athletics. They are skinny and around 15% below the normalcy is seen, with respect to their weights. Anorexics follow this method and perceive it as a laborious technique.
They have no respect for themselves. These people view this as an achievement and fail to understand it as a disorder. A pessimistic attitude is common. They frequently weigh themselves, to note the slightest weight change. They establish rigid rules on their eating habits and count the calories before they eat for weight loss. Anorexic exercise on a regular basis, avoid food and always have a fear for food. Self-hatred and progression of suicidal tendencies are common. They have crisis about their feelings and are negative about their perception about their body shapes. Purgatives are used constantly and in course of time, the bowel muscles lose their function. Laxatives also contain rough chemicals that are resorbed and harm the body.Anorexics determine their body shapes to be distorted. They are perfectionists. Their cognitive abilities are decreased due to improper eating and the resulting malnourishment. A low sense of self-esteem is seen in anorexic individuals. They have raised action of chemicals in a particular part of the brain, which manages incentive and remuneration. Weight loss fails to bring any happiness to such people.
Dopamine is a chemical compound, associated with pleasure. Over activity of dopamine receptors in basal ganglia is the reason behind. Typical symptoms include fatigue, menstrual irregularities, refusal to eat, brittle skin, breathlessness and inclusion of low calorie foods. Medical risks involve tachycardia, osteoporosis, improper growth, bulimia and mineral loss. Support from parents and peers are essential. Psychiatrist therapy is helpful as an intervention program. Hospitalization in serious cases is essential, especially for those possessing suicidal tendencies.
Signs and Symptoms of Anorexia
Anorexia nervosa is a disorder, characterized by withdrawal from food and society.
In course of time, binge eating becomes habitual. No respect for the self is seen. Anorexia is a common eating problem encountered by adolescents. Anorexia involves sociological, neurological, psychological and physiological aspects. It is a complex disorder which exhibits different symptoms in different individuals and they refuse to eat with the family.
Starvation in anorexia is associated with ventricle enlargement of the brain. Decreased flow of blood to the temporal lobes is seen to occur. Clinical depression is common. They avoid eating heavy full meals and restrain from eating publicly. They have a reduced appetite.
Behavioral changes include suicidal tendencies and depression. Frequent weighing to ensure reduced weight is seen. Symptoms of anorexia include use of condiments, guilt feeling, postponement of meals, denial of hunger, establishing hard and fast rules related to food, reduction of food quantity and being deceptive about eating. Psychological symptoms includes apprehension about appearance and physique, dissatisfaction regarding the figure or negative body image, misconception about image, low self-respect, yearning for self change, pangs of depression, classifying foods as good and bad foods, exhibiting moodiness and depression, sensitive to criticism, not being flexible, depressive outlook and extremities in thinking. Social withdrawal, failing to attend social functions is common.Anorexia is an eating disorder and other symptoms include over exercising, repeated weighing, staying isolated, wearing loose clothes to hide the figure, intolerant to others, restraining from revealing illness and withdrawal from social gatherings. Hair loss, white body hair, yellowish palms, dry and pale skin, bloated stomach, weight loss and amenorrhea are also seen. They are mostly underweight. Starvation results in a series of complications. Tryptophan and steroid hormone metabolism is reduced due to starvation, thereby decreasing the serotonin levels.Constipation and discomfort in the abdomen is common, due to dieting. Organ damage, as a result of changes in enzyme configuration happens. Elimination process is disrupted due to the improper use of laxatives. Hypotension and bradycardia occurs. Renal function is profoundly inhibited by anorexia. Menstrual irregularities are seen, resulting in infertility. Liver functioning is not impaired. Bone density in women is affected.
Starvation also hinders with the functioning of the heart. Food absorption pace is affected. The chemical processes of life are also hindered. Laxative abuse results in a weak electrolyte balance. Anemia is a common symptom and lack of immunity, resulting in increased susceptibility to infections occurs. They are irritable and fail to interact. Lack of sleep leading to fatigue, malnutrition, brittle nails, erosion of dental enamel, lack of concentration are few more to contribute.
Compulsive Eating Disorder
Compulsive eating is seen in people, who eat in uncontrollable amounts when they are not hungry.
An individual who eats in excessive amounts, for a variety of reasons, is termed as a Compulsive eater. Binge eating or snacking through the day is a common phenomenon. Irrespective of their size and shape, they eat more. They are unable to stop this behavior and feel that they are uncontrollable. They are unable to analyze the reason behind this eating pattern.
Difficult, uncontrollable emotions and mental health are controlled by food. Day to day issues and emotional problems are overcome by eating. They do understand the existence of such a problem in them, but fail to identify the reason behind. The reasons attributed by compulsive eaters vary. Sorrow, guilt, fear, boredom, anger, depression, disappointment, and shame are the common ones.
Temporary relief to the problem is addressed by this technique. Excessive hunger is also a causative factor in increasing food intake. Eating disorders, such as anorexia nervosa and bulimia nervosa occur as a result of low self esteem. These individuals are ashamed of their actions and fail to eat publicly. The beginning years of eating paves way for compulsive overeating. Inability to cope up with problems and stress leads to compulsive overeating. Being fat also ahs a protective function, according to them. They are not harassed and sexually battered. Compulsive overeating is followed subsequently by weight gain. Male percentages of compulsive overeaters are greater, compared to individuals suffering from anorexia and bulimia. Dieting, followed by overeating results in a binge, and this in turn, results in guilt, frustration and shame. Emotional dissatisfaction can result in a series of dieting and bingeing, thereby yielding no results. Though this technique is camouflaged, it is a life-threatening problem. Medical, nutritional and psychiatric guidance is essential. Typical symptoms of compulsive overeating include, depression, social withdrawal, self depreciating, following irregular diet pattern, professional failure, complete focus on weight reduction, tormented by the eating pattern, binge eating, crash dieting and eating lesser quantities in public.
Medical complications involve embolism, arthritis, weight gain, sciatica, arthritis, high blood pressure, diabetes, hypercholesterolemia, insomnia, breathlessness and finally lead to cardiac arrest. Dieting should be stopped, as it is difficult to recover later from the diet and binge cycle. Research reveals the lack of correlation between long term dieting and weight reduction. Intervention is slow and requires a lot of self-support. The inherent behavior takes a while to change, by analyzing the issue.
Eating Disorders in Athletes
Eating disorders in athletes is increasing, as the profession calls for thin people.
Gymnastics, dancing, synchronized swimming, and skating have individuals suffering from eating disorders, such as anorexia nervosa or bulimia nervosa. Incidents reveal the fact, that eating disorders can be life threatening and lead to cardiac arrest and organ failure. Imbalance in electrolytes cardiac arrhythmias are the common offspring of eating disorders in athletes. The primary causative factor is the thought, that the performance is enhanced with a thinner body.
Arduous exercises and practices, puts a lot of stress and pressure on athletes. Body building is opted by weight loss. Laxatives for weight loss are a common feature in athletes, in addition to the use of diuretics. Knowledge about the consequences of these eating disorders is essential, as it helps them from refraining the athletes in activities, such as vomiting after meals, laxative abuse and so on.
Athletes are obsessed with the desire to reduce weight, in order to achieve success. Nutritionists play an important role in such cases, helping them with proper and healthy eating. Counselors have a significant role in helping them out. A positive outlook of the disorder is necessary for them to open up. Male athletes suffer more, as failures in competitions are unacceptable. Children in such field need special attention, to prevent further problems. Eating disorders is attributed to lack of respect for the self or denial of acceptance by the family. Anorexia nervosa is the result of excessive eating and vomiting induced at a later stage. Laxative or drug abuse also contributes to this condition. Bulimia nervosa is a condition involving bingeing and vomiting or purging, as a cyclic process. Oscillation of weight is seen, due to the hiding of food and eating them later. Supplements are taken to substitute for the unconsumed food or nutrients.
Non-indulgence in foods aggravates the condition. Compulsive eaters are those who eat to combat stress and emotions.Physical and mental health of athletes need an optimistic approach to protect themselves from such disorders, and help them achieve success, devoid of practices, like, laxative or drug abuse, use of diuretics and so on. Requirement of praise from the coach or instructor or achievement of a medal leads athletes to lose weight. Lack of knowledge or the spirits to win in athletes tempt them to opt such techniques to lose weight and move forward in life. Loss in a competition also leads to depression or anxiety, thereby causing weight loss.
Eating Disorders in Males
Eating disorders in males is similar to female eating disorder.
They also get anorexia nervosa and bulimia nervosa. Few of them engage themselves in bingeing and compulsive eating. Research reveals that males suffering from anorexia are in the ratio of 1:4 to females and 1:8 males suffer from bulimia nervosa, with respect to females. But, unlike females, males are devoid of guilt or anxiety after bingeing.
Males with eating disorders are unwilling to open up to psychiatrists or counselors. Anorexia is an eating disorder, associated with a perception of excessive weight. Bulimia nervosa is a cyclic process involving purging and bingeing. The risk of eating disorders in males is affected by excessive weight during childhood. Dieting in any phase of life is an essential aspect contributing to eating disorders.
Individuals in a field requiring thinness or body image, such as sports, modeling, athletes and acting force them to lose weight, thereby resulting in anorexia or bulimia. Research reveals that men in the gay community are more prone to eating disorders. Males undergo occupational hazards, such as those acting as models and actors and try to act as role models for other men, which force them to follow this, resulting in anorexia or bulimia nervosa. Dieting and eating disorders are associated with females. Males require special help in treating this disorder, and the outcome is beneficial. A physician and mental therapist are required. The latter is required to assess the psychological reason behind the problem. Media messages also play a crucial role in these eating disorders. The pace, at which the intervention begins, is critical in its treatment. Lack of treatment centers and their reluctance to attend female therapy centers is a hindrance in their treatment program. Problems in their personal lives or family is a primary cause in the occurrence of these disorders. The risk of men suffering from eating disorder, to suffer from drug abuse or alcoholism is greater. The anxiety for sex is greater in men, who suffer from anorexia or bulimia.
Studies also reveal the existence of correlation between Attention Deficit and Hyperactivity Disorder (ADHD) and eating disorders. Anxiety, multi-personality syndrome, obsessive compulsive disorder, stress, depression and others are the primordial reasons for anorexia and bulimia nervosa. Lack of self respect is the causative factor of eating disorders in both males and females. Non acceptance by family or peers and inability to cope with stress and emotions trigger anorexia or bulimia.
Pregnancy and Eating Disorders
Pregnancy and eating disorders might prove life threatening for the child.
Increased risk of complications and miscarriages are seen in the case of anorexic or bulimic individuals. Mother’s death or defective infants are also possible. Conception is difficult in the case of individuals suffering from menstrual irregularities, which is a common symptom of women with anorexia, bulimia or compulsive eating. Limiting food intake is a characteristic feature of anorexic and this deprives the baby of all nourishments. Low birth weight and premature birth is associated with pregnant women with prior eating disorders. Cerebral palsy and low I.Q is seen in such children.
The risk of the baby to thrive is reduced by the first year. Still birth and caesarean delivery is possible. Eating disorders in pregnant women puts a lot of stress on the baby and the mother. Lack of supplementation of calcium during pregnancy depletes the mother of her calcium stores. Kidney, heart and liver problems are common among mother with eating disorders. Physical and emotional health of the pregnant mother is disturbed.
Depression is an offspring of eating disorder. Newborn care is reduced by mothers, suffering from postpartum depression. The stress of managing an infant is high. Treatment of the eating disorder, prior to conception is recommended, thereby protecting the child to-be-born. Providing a complete knowledge to the gynecologist, regarding the eating disorder, is helpful in further care. Pregnancy demands 300 additional calories and 60 grams of protein. Calcium recommendation is one gram per day and is essential for the fetus and the mother. 30 mg of iron per day is recommended during pregnancy, owing to the raise in the blood volume. Folic acid is essential for the formation of the major organs of the fetus and the prevention of neural tube defects in infants. Birth defects are seen in infants, with mothers suffering from anorexia, bulimia or compulsive eating. The duration of the disorder affects the probability of conception. Pregnant women with eating disorders suffer from dehydration, deficiencies in vitamins, imbalance in electrolytes and malnutrition, thereby proving lethal to the growing infant. Cleft palate or cleft lips are common birth anomalies. Growth of the fetus is deferred. Respiratory suffocation and death is possible. Excessive use of laxatives by anorexics is harmful to the baby. They also deprive the infant of fluids and other essential nutrients, thereby leading to abnormalities in birth. Bulimics suffer from weight gain, increasing the risk of high blood pressure.
A pre-conception guidance from a gynecologist is necessary. Regular prenatal check-ups prove helpful. Healthy balance of weight is essential, during pregnancy. Normal weight gain helps and reduces the probability of complications. Counseling is essential to overcome depression. Both physical and emotional health is enhanced. A nutritionist’s help is beneficial in planning healthy diet plans. Seek the help of your friends and peers, especially after child birth. Guidance from a lactation consultant is necessary for breast feeding.
Eating Disorder Treatment
Eating disorder treatment encompasses a variety of procedures.
Eating disorders, such as anorexia, bulimia and compulsive eating affect an individual’s physical and mental health. Frequent worrying over weight gain is substituted by proper dietary regimen and exercise. Fanatical attitudes about food and physical image can also cause eating disorder, though low self respect is identified to be the primordial cause. Depriving the body of food at the required time, self induced vomiting or eating less are typical features of a person suffering from eating disorder. Intervention relies upon the cooperation rendered by the patient and the physician.
A multifaceted treatment schedule or therapy proves beneficial. A psychotherapist, physician and dietitians constitute the squad of experts required. Psychotherapy comprising of individual therapy is helpful, wherein an interpersonal relationship is established by the psychotherapist with the individual. All problems, such as lack of self confidence, low self respect, depression, negative body image and anxiety are addressed. Psychoanalytic psychotherapy highlights on the past of the individual.
Interpersonal therapy is opted for dealing with troubled relationships. Cognitive behavioral therapy is used for focusing the correlation between thoughts and feelings. Individual counseling technique also helps. Eating disorders can be treated by support group, in the form of cooperative friends. Support groups enable individual’s visit at a convenient time on a regular basis. Experienced people showcase these support groups and not professionals. They are either past cases of eating disorder or had a close entity suffer from the same. Online support is also available. This involves, the exchange of problems through mails ad queries in relevant sites. Family therapy is another technique, wherein a close entity of the individual suffering from eating disorder, supports in the form of incentive and encouragement. Success of this technique, lies in the hands of the family member. Group therapy is a concept, wherein many individuals who suffer from this disorder get together to help each other for a specific period of time. Unattended eating disorders are harmful and life threatening. When healthy eating is concentrated upon, resulting in a proper weight gain, physical health is treated. Antidepressants, are regularly used in addition to other medications.
But, the patient requires the psychotherapy treatment for a wholesome cure. Nutrition consultant plays a vital role, as improvising the diet helps in hastening recovery. The myth and fears regarding food is identified. Nutrition education is one more important tool in understanding and rectifying this disorder. Alternative treatment goes hand in hand with the medical and psychological intervention, though it is not considered as the initial or crucial treatment process. It includes aromatherapy, homeopathy, naturopathy, meditation and acupuncture.
Older People and Eating Distress
Eating disorder is a common teenage problem.
But, research reveals the incidence in middle age and senescence. The body image attitude of women in the late 60s is the same as that of teenage girls. Some of them develop these disorders in their old age. The primary reasons or causative factors include sorrow, financial insecurity, depression and poor appetite due to dentures. Elders deny their appetite and put a ceiling on their eating pattern.
The self portrayal of body image is negative, meaning ‘thin’. They deny suffering from depression and having suicidal tendencies. Cardiac arrest and emaciation are common, leading to death. Though, bingeing and purging is not a characteristic phenomenon in elderly, laxative abuse, might contribute to weight loss. Disorders of appetite, malfunctioned taste and reduced olfactory sensitivity or the sense of smell results in decreased eating behavior. Physical and psychological distress results in eating disorders.
Dysguesia or reduced pleasure of eating is caused by zinc deficiency. Trauma in the form of death of the spouse or loved person, fatal disease or personal issues, such as divorce stimulates eating disorders. Lack of financial independence and insecurity from children also trigger the situation. Ageing results in shape distortion, due to menopause in women. Self confidence and self esteem decreases, due to absence of job and idle sitting. Ageing also results in bowel problems. The muscles of the rectum fail to function in a normal manner and the improper eating pattern also results in problems in bowel movement. Psychological problems such as loneliness void feeling, increased stress, reduced intimacy with the spouse, body dissatisfaction calls for immediate help. ‘Empty nest’ syndrome is common in senescence, wherein the responsibility of the parents towards children are completed, leaving them to themselves. This in turn, might result in drug addiction, excessive exercise, anxiety and depression in the older people. Intervention depends on the removal of the underlying problem. Treatment should commence as soon as the problem and the causative factor are identified. Physiological treatments, such as plastic surgery and others call for medical guidance, as the power to resist the pain and healing process is at a lower pace, as you age. Psychological moral support from existing family members in the form of siblings or children proves beneficial. Analysis of medications taken is essential, as certain medicines, result in weight loss.
Proper dentures are required for proper mastication and enjoyment. Underlying illnesses, if any, should be treated initially. Alcoholism, poverty, memory loss, antidepressants usage and lack of enthusiasm are related factors, calling for attention.
Bulimia
Bulimia nervosa is one of the eating disorders affecting the adolescents.
A cyclic process of bingeing followed by purging is a common symptom. Excessive intake is compensated by purging. This process is repeated on a weekly or daily basis. This is especially done to prevent weight gain. It is a psychological condition involving lack of control. Problems and issues of life are concealed by this improper eating disorder.
Extreme concern about body image and weight, depression, anxiety and others are the common causes. Purging involves laxative misuse, vomiting, excessive exercise, use of diuretics or enemas and medication abuse for weight loss. It stimulates some chemicals that aid in keeping the individual in high spirits. Dehydration and imbalance in electrolyte levels are common in bulimics. Bulimia is derived from a Latin word meaning ‘ravenous hunger’. Research reveals the correlation between low estrogen levels, high testosterone levels and bulimia.
It is a devastating, life threatening disorder, being an offspring of low self esteem. They hoard the food and eat at a period, when stressed or worried. Bulimics keep away from the society and refrain from eating in public. They are either normal, under weight or over weight. Rarely, the binge eating process is absent. Some bulimics are the purging type and the others are the non-purging type. The former kind of individuals practices usage of diuretics, tapeworms and enema. Laxatives for weight loss are also a method to reduce body weight. A combination of these methods is also possible. The second category is not a widespread type to reduce weight gain. Fasting and excessive exercising are typical features, following a binge.Bulimics suffer from a pessimistic attitude, resulting in a negative body image. It results in voice damage, low serum sodium, malnutrition, dental cavities, ulcer, dehydration, electrolyte imbalance. Swelling of the salivary gland is seen. Esophageal disruption is seen, resulting in inflammation. Muscle atrophy and face and cheek swelling occurs. Contradictory studies reveal the role of a chemical synthesized by the brain, in bulimia. Suicidal intentions arise, as a result of depression.As this disease goes unnoticeable, intervention occurs at a later phase. Hospitalization is essential in most cases.
The causative factor is identified for easy and effective treatment. Recurrence after discharge is possible. Psychiatric counseling proves beneficial. Cognitive behavioral therapy or psychotherapy forms the base of treatment. Bulimia in schizophrenics worsens the situation, as they perceive concepts in a completely different manner. Anti-psychotics and anti-depressants are used, as a form of therapy.
Who are at Risks?
Compulsive eating is one among the various eating disorders and a form of food addiction.
Frequent periods of uncontrollable bingeing result in compulsive overeating. The pace at which they eat is rapid. Feelings of depression and guilt are high after food consumption. They are not on laxatives or enemas, but eat typically, when not hungry. All obese people are not compulsive eaters, but compulsive eating mostly results in weight increase.
When the primary technique of compulsive overeating is through bingeing, it is referred to as binge eating disorder and these eating disorders are common in teenagers. Lack of bingeing and rapid overeating is compulsive overeating. It is more commonly seen in females. They also experience a grazing behavior, wherein, they return many a times to pick up the same food. This results in a calorific rise, irrespective of the quantity.
Delayed treatments result in conditions, such as, cardiac disease, hypercholesterolemia, depression, diabetes and hypertension. Side effects staying for a long time are arthritis, degeneration of bone, stroke and renal issues. The pangs of hunger do not set in, in compulsive overeaters. Compulsive overeaters have a low self esteem. They lack respect and love for themselves. They eat in private, to avoid the embarrassment. They are preoccupied with the thoughts of weight loss, but contradictorily gain some. Mood swings, weight vacillation, knowledge of the improper eating pattern, social withdrawal, isolation, secretive eating behavior, breathlessness, loss of sexual desire, concept of friendship with food, history of failed diets, joint pain, perspiration and weight gain are the signs of a compulsive overeater. They are highly obese, though their intake in public is less. In course of time, compulsive overeaters, develop a fear of controlling their eating. Media and women being thin is analogous to the fact, that these compulsive eaters have a feeling of inferiority, as thin women are more preferred by men. This is also an underlying cause for compulsive overeating. They make self defeating statements, after food, as a result of their guilt. They hide food in a number of places, like cupboards, beds and suitcases. They blame the society for their not attending to the problem.
Fatigue and poor sleeping habits result in insomnia. Opting for promiscuous relations is seen to occur in compulsive eaters, as a result of sexual desire. Depression is a common offspring of eating disorders and calls for immediate physical, physiological and psychological treatment. Intervention requires a team of experts comprising of a psychotherapist, a physician and a dietitian. Combating depression is the greatest ordeal and anti depressants prove beneficial. Overcoming the feeling of void ness in life is necessary, as food remains their sole companion. The presence of a loving and cooperative kith and kin can be a hindrance in treatment, as these eaters fail to feel the necessity of losing weight, as they are accepted by everybody, irrespective of their weight.

No comments: