Eating Disease Blumia Nervosa?
Food is indispensable in our life habits. But this habit may appear as a problem for some people, for conscious or unconscious reasons. If this condition is not recognized, treatment disorders can affect the life of a person negatively.
Although some disorders against eating have been evident clinically, “DSM” was first included in 1980 as a subcategory. The most common and widespread obesity (overly obesity) are very important disorders related to eating. Here is one of them, we will examine Bulimia Nervosa.
Bulimia Nervosa has a history of recurring overeating bouts and excessive control of the patient’s body weight; therefore, it is a particular syndrome with excessive effort to reduce the obese effects of the food it eats. This disease also includes conscious excretion methods following periods of unusual consumption of food. These methods are generally used to prevent weight gain; It consists of removing, diet, excessive exercise, or laxative. . DSM-IV IV defines eating episodes for pleasure in Bulimia Nervosa as eating consumption in less than 2 hours more than the amount of food that many people can eat under the same conditions. Pleasures are typically confidential; usually a stress factor is triggering and activates negative affect; such as loneliness, eating in social settings, or worrying about weight gain. Eating based on this taste continues until the person is uncomfortably full. During this time the person loses control over the eating behavior and the amount of food consumed. In this period, the preferred food is usually ice cream, chocolate, pastry, such as fast-food and calorie foods.
Bulimia patients do not refuse help as in Anorexia. Despite episodes of overeating and vomiting, they seek willingness to feel guilty and attempt to conceal these behaviors.
Studies have shown that in bulimia cases, patients receive 2000 to 4000 calories during obstructive eating episodes, which are more than the calorie intake of a healthy person during a day. Patients are often ashamed of obstructive eating behavior and are trying to keep it. They often complain that they lose control during obstructive eating episodes. Disgust, disgust, uneasiness, fear of gaining weight and exaggerating effort are followed in the blockade of eating.
Bulimia patients usually make out throws with the help of fingers. Nausea and vomiting can occur over time in patients with bulimia and canal, fork and so on. they do not even have the requirements. Other methods such as laxative and diuretic abuse, intense exercise program, or other weight loss methods, such as fasting, are other methods that bulimia patients seek to preserve. Most people may occasionally have a seizure. According to a research published in 1982, 50% of
university students experience occasional eating episodes that occur occasionally. According to DSM-IV criteria, it is possible to approach such behaviors at the disease level and to diagnose Bulimia only if these periods occur at least twice a week for three months.
For bulimia patients, weight gain is quite high. Also in Bulimia Nervosa, as in Anorexia, deterioration occurs in the person’s perception of the appearance of his body, and even if they are of normal weight, they can believe that they are overweight.
DSM-IV divides Bulimia Nervosa into two subtypes: the type with and without the sticker. Concomitant behaviors associated with non-stick type; fasting, excessive exercise or use of laxatives. The sticker is more common than the type. In addition, these patients experience less frequent eating periods and less severe disease severity.
Bulimia Nervosa begins in adolescence and early adulthood. 90% of bulimia patients are women. It is known that the frequency among women is between 1% and 2%. When we look at the stories of bulimia patients, it is seen that many of them were previously overweight and the disease symptoms started with a diet period. Since bulimia patients have exaggerated eating periods, they should not be expected to be weakened when applied to the clinic.
Long-term follow-up shows that more than half of the patients treated with bulimia have their health within five years. However, the course of the disease is attributed to the severity of symptoms caused by vomiting. In long-lasting cases, deterioration in relationships, problems in work life and self-esteem can be seen and it is known that this kind of factors are useful in the clinical approach.
When family histories of many of the patients diagnosed with bulimia neurosis are examined, problematic family relations are observed. Patients describe their “parents” as “distant and rejecting”. It is thought that eating tantrums represent integration with the mother, but later the separation and individualization effort from the mother manifests itself as excretion and vomiting behaviors.
Bulimia patients are outward-oriented as anorexia. It was also observed that they were angry and impulsive. Because of the problems experienced by the patients with bulimia control, many problems are carried to the clinic. Substance abuse, emotional imbalance and suicide attempts are frequently encountered in the stories of these patients. An interesting study also revealed the positive relationship of Bulimia with the habit of playing. Bulimia patients with a habit of stealing were also susceptible to substance addiction and other crimes. Bulimia Nervosa is associated with many other psychiatric disorders; especially depression, personality disorders and anxiety disorders are very common.
a) diseases of the upper gastrointestinal tract leading to recurrent vomiting
b) a more common disorder in personality
c) it is necessary to distinguish from depressive disorder.
Always ask your doctor ..