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Anorexia and Bulimia Facts
Anorexia Nervosa and Bulimia are defined as follows
according to Microsoft Encarta:
"Anorexia Nervosa, in medicine,
a condition characterized by intense fear of gaining
weight or
becoming obese, as well as a distorted body image,
leading to an excessive weight loss from restricting
food intake and excessive exercise. Anorexia
nervosa is not associated with any preexisting
physical illness. It is found chiefly in adolescents,
especially young women. Between 5 and 18 percent
of known anorexia nervosa victims
die of starvation, and the condition may also lead
to abnormalities in the menstrual cycle and increased
susceptibility to infection. Persons with the condition
may also exhibit
the practice, known as bulimia,
of ingesting large quantities of food and then voiding
it through self-induced vomiting in order to remain
thin. Repeated vomiting depletes the body of fluids
and of the element potassium, and the disturbance
can adversely affect heart function."
"Bulimia, an eating disorder
in which persistent overconcern with body weight
and shape leads to repeated episodes of binging
(consuming large amounts of food in a short time)
associated with induced vomiting, use of laxatives,
fasting, and/or excessive exercise to control weight.
Bulimia was classified as a distinct
disorder by the American Psychiatric Association
in 1980; the name was changed to bulimia nervosa
in 1987. Sometimes bulimic behavior is observed
in cases of anorexia nervosa, or
abnormal dieting, but bulimia in
itself does not result in severe weight loss."
Some anorexia and bulimia facts
are:
- Characterization of these disorders are by a
preoccupation with food and a distortion of body
image. Many teenagers hide these serious and sometimes
fatal disorders from their families and friends.
A teenager with anorexia nervosa is typically a
high achiever and a perfectionist in school. At
the same time, she suffers from low self-esteem,
irrationally believing she is fat regardless of
how thin she becomes. Desperately needing a feeling
of mastery over her life, the teenager with anorexia
nervosa experiences a sense of control by restricting
normal and essential food demands of her body. In
a relentless pursuit to be thin, she starves herself.
This often reaches the point of serious damage to
the body, and in some cases may lead to death.
- The symptoms of bulimia are usually different
from those of anorexia nervosa. The patient binges
on huge quantities of high-caloric food and/or purges
her body of dreaded calories by self-induced vomiting
and often by using laxatives. These binges may alternate
with severe diets, resulting in dramatic weight
fluctuations.
- Teenagers may try to hide the signs of throwing
up by running water while spending long periods
of time in the bathroom. The purging of bulimia
presents a serious threat to the patient's physical
health, including dehydration, hormonal imbalances,
the depletion of important minerals, and damage
to vital organs. With comprehensive specialized
treatment, 75% of patients eventually recover almost
completely from eating disorders. Approximately
half of the remaining 25% continue to have remissions
and exacerbations, and the other half unfortunately
die from complications of eating disorder prematurely.
Research shows that early identification and specialized
treatment leads to more favorable outcomes. Parents
who notice symptoms of anorexia and bulimia in their
teenagers should ask their family physician or pediatrician
for a referral to a psychiatrist or therapist specializing
in the treatment of eating
disorders. Families should be familiar with
anorexia and bulimia facts to detect the symptoms
early.
Typically, a teenager or young adult—most
often a female—sets out to lose a certain
number of pounds.
When she reaches her goal, however, she is still
not satisfied. Looking in the mirror, she still
sees herself as fat, and so she decides that shedding
a few more pounds would be even better. This cycle
continues until the dieter's weight falls to 15
percent or more below what is normal for her height.
Anorexia and bulimia develops as a result. At this
point friends and family members begin to express
the fact that the dieter looks extremely thin, even
emaciated. But the anorexia patient sees things
differently.
Over time, anorexia can lead to serious health
problems, including osteoporosis and kidney damage.
It can even be fatal. In contrast to anorexia, bulimia
is not easily recognized. The sufferer may not be
unusually thin, and her eating habits may seem quite
normal—at least to others. But for the bulimia
patient, life is anything but normal. Indeed, she
is so obsessed with food that everything else is
unimportant.
Bulimia is extremely dangerous. For example, repeated
purging by vomiting exposes the mouth to corrosive
stomach acids, which can wear away the enamel of
the bulimic's teeth. The practice can also damage
the sufferer's esophagus, liver, lungs, and heart.
In extreme cases, vomiting can cause stomach rupture
and even death. Excessive laxative use can also
be hazardous. It can destroy bowel function and
can also lead to ongoing diarrhea and rectal bleeding.
As with repeated vomiting, abuse of laxatives/diuretics
can lead to death.
EATING disorders are not new. Anorexia nervosa
was first formally diagnosed in 1873, and the symptoms
have reportedly been observed as far back as 300
years ago. Since World War II, however, the number
of anorexics appears to have increased dramatically.
The situation is similar with bulimia. The condition
has been known for centuries, but in recent decades
the fact that it exploded onto center stage.
If your daughter has Anorexia and Bulimia or any
other eating
disorder and admits the fact that she needs
to get help, do not postpone matters under the assumption
that the problem will go away on its own. An eating
disorder is a serious and complex illness, with
physical, emotional, and social components.
Although experts may differ in their approach,
most agree on at least one fact: Eating disorders
are not just about food. Let us examine some of
the deeper issues that typically need to be addressed
in someone with anorexia and bulimia. It takes knowledge,
expertise, experience, and skills to treat and manage
Anorexia and Bulimia.
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Dr. Dalkilic is
a Diplamate of American Board of Psychiatry and Neurology
and practices psychiatry in Washington, DC and South
Jersey. He specializes in the treatment of Eating
Disorders, Obesity, Anxiety,
and Depression. He has treated hundreds of individuals
with emotional difficulties and consulted on complex
and treatment resistant cases. He was the medical director
of a large Psychiatric Facility before starting his
practice. He published in prestigious peer reviewed
journals and taught and trained residents and medical
students.
Dr. Dalkilic graduated from Yale University Department
of Psychiatry Program in 1999. He completed his internship
at Albany Medical College. He finished Marmara University
School of Medicine in 1993. In addition he obtained
a Master’s of Public Health degree from George
Washington University. He has the clinical knowledge,
skills, expertise, and experience to assess and address
the impact of emotional problems on individuals, families,
and society.
Dr. Dalkilic’s goal is to provide the highest
quality mental health care available for each client.
He believes a physician should constantly strive to
optimize physical, mental, social, and spiritual health
of his clients. |
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