Eating Disorders - Skiny, Skiny, I am Starving!
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Eating disorders are characterized by a preoccupation with weight that results in severe disturbances in eating and other behaviors. Eating disorders include anorexia nervosa, bulimia nervosa and binge-eating disorder. Other variations of eating disorders occur, such as purging without bingeing, chewing and spitting without purging, and anorexic behavior with less severe weight loss.
Most people with eating disorders are females. Males also can develop eating disorders, but do so less frequently. The exception is binge-eating disorder, which appears to affect almost as many males as females.
Treatments for eating disorders may involve nutrition education, psychotherapy, family counseling and medications.
Signs and symptoms
The signs and symptoms of eating disorders vary with the particular type of eating disorder, which include:
? Anorexia nervosa. Essentially self-starvation, this disorder involves a refusal to maintain a minimally normal body weight. In severe cases, anorexia can be life-threatening.
? Bulimia nervosa. This involves repeated episodes of binge eating, followed by ways of trying to purge the food from the body or prevent expected weight gain. People can have this condition and be of normal weight.
Binge eating disorder. This is characterized by frequent episodes of overeating without purging.
Anorexia nervosa
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, sometimes weighing 15 percent or more below normal body weight
? Intense fear of gaining weight
? Negatively altered body image
? In females, menstrual changes or the absence of menstruation
? Anxious or ritualistic behavior at mealtimes
? Fatigue
? Depression
? Irregular heart rate
? Baby-fine hair covering the body (lanugo)
? Mild anemia
? Brittle nails and hair
? Low blood pressure
Bulimia nervosa
The signs and symptoms of bulimia include:
? Recurrent episodes of binge eating
? Feeling that you can’t control your eating behavior
? Eating much more food in a binge episode than in a normal meal or snack
? Following a binge with efforts to prevent weight gain
? such as self-induced vomiting, using laxatives or other medications, fasting or excessive exercise
? Unhealthy focus on your body shape and weight
? Dehydration
? Fatigue
? Depression
? Constipation
? Damaged teeth and gums from gastric acid contained in vomit
? Swollen cheeks from regular vomiting
? Irregular heartbeat
Binge-eating disorder
The signs and symptoms of binge-eating disorder include:
? Recurrent episodes of compulsive overeating not followed by purging
? No control over eating behavior
? Feelings of shame or guilt
? Fatigue
? Joint pain
? Gallbladder disease
? Increased blood pressure and cholesterol levels
It’s often difficult to distinguish between an eating disorder and the whims and fads of adolescence. Parents need to be alert to sustained changes in dietary habits, not the occasional quirks that are part of growing up.
Many teenage girls, and some teenage boys, go on diets to lose weight and stop dieting after a short time. As a parent, be careful not to mistake occasional dieting with an eating disorder. However, dieting can be a problem when your child stops gaining weight during pre-adolescent years, because your child should be gaining as much as 10 pounds a year.
Other behaviors that may indicate your child has a potential eating disorder:
? Not wanting to eat meals with the family
? Frequent, long visits to the bathroom during or just after meals ? your teenage child may run water to obscure the sound of induced vomiting
? Excessive exercise or preoccupation with weight
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