I always want to eat? You may be suffering from bulimia
Bulimia nervosa is a type of eating disorder in medicine, known as "bulimia nervosa bulimia", which is defined as uncontrollable polyphagia and binge eating. Patients often overeat and then resort to self-inducing vomiting or excessive exercise to counteract their binge eating behavior.
The incidence of bulimia nervosa is more common in adolescent females, which is slightly lower than that of anorexia, and 1 in 4 percent of patients have a history of anorexia nervosa in the early stage. Like anorexia, dancers, models, athletes, etc., who need to pay attention to their appearance and perfectionists, are at high risk of the disease.
Although people with bulimia nervosa often fall into a vicious cycle of binge-vomiting, most people maintain a standard or near-ideal weight. Adverse physiological effects caused by repeated inappropriate compensatory behaviors, including tooth decay, esophagitis, salivary gland enlargement caused by self-induced vomiting and gastric acid reflux, hypokalemia due to diuretics and laxatives, acid-base imbalance in the body, etc. They are also often accompanied by emotional instability such as depression, fear, poor concentration, lack of self-confidence or stealing, alcohol, drug abuse and suicide.
To summarize, the main characteristics of binge eating disorder:
Paroxysmal binge eating, eating a large amount of food in a short period of time, eating much more than normal.
Feeling uncontrolled eating (i.e., feeling unable to stop eating, or unable to control the amount of food eaten) at the time of the seizure.
Immediately after binge eating, inappropriate compensatory measures are taken to prevent weight gain, with an average of at least 2 times a week and lasting more than 3 months.
In the early stages, patients become shy about their binge eating behavior, often in secret.
Binge eating can be triggered by the following factors: emotional irritability, poor relationships, feeling hungry after dieting, or dissatisfaction with weight and physical appearance. Binge eating can slow down irritability, and soon after, the patient becomes dissatisfied with himself and depressed.
The most common way to control weight is to induce vomiting, which can be used to stimulate the throat with hands or other instruments, and there are also emetics that cause vomiting, which do not need to be triggered after a period of time, and the patient will vomit when he thinks of vomiting, even if he only eats a small amount of food.
About 1 to 3 patients use laxatives to lose weight, and a very small number of patients even use enema.
Some patients do not use the method of direct food removal, but increase physical exertion, such as rapid activity, increase physical exercise, etc., the amount of activity greatly exceeds the normal, and affects the normal progress of life.
Patients pay too much attention to their physical appearance and are often dissatisfied.
It can be accompanied by symptoms of depression or anxiety, and most of the content is related to weight or body shape.
Bulimia nervosa is a mental illness, and it is necessary to achieve satisfactory results only with early detection and timely counseling.
Communicate and exchange with patients regularly every day (after breakfast and before dinner, about 30min each time) to help patients understand their own diseases, master the basic knowledge and prevention principles of the disease, explain and analyze the disease in combination with the disease, and establish confidence in overcoming the disease. Address the patient's psychological concerns, divert the patient's attention, and encourage physical exercise, reading, and journaling. Formulate a plan, supervise the implementation, and give comments in a timely manner, so that they can find their own value and position. Train the ability to solve problems, gradually cultivate the ability to stimulate patients' self-understanding, self-understanding and self-correction, and promote the transformation of patients' own pathological psychology.
Encourage self-feeling, self-evaluation, and build self-improvement, self-reliance, and self-confidence. The main reason for analyzing the conflict with the family is that the family lacks knowledge about the disease and does not have enough patience and confidence. Talk to family members individually, get cooperation, give them emotional support, and help improve social skills.
Eating retraining is the main method of bulimia nervosa. Normal eating behavior is the first priority, and the patient is working with the patient to study solutions to the eating situation and to choose a way of behaving to overcome the burdensome environment. Eat regularly and quantitatively, and formulate a diet with a balanced diet. For the first two weeks, three meals a day are required to be carried out in a limited place, accompanied by someone, and as a reaction prevention, it is required to eat for 2 hours before being allowed to go to the toilet.
Initially, the patient still has a strong feeling of hunger, but there are no physical adverse effects. When the patient is hungry, talk and laugh with the family and do distracting things. Through the establishment of regular eating patterns, the anxiety and fear of patients during and after eating can be eliminated, and the patients are gradually helped to recover self-control of excessive eating, and the patients are correctly guided to understand the nutritional components and reasonable combination of various foods, and the eating plan is formulated together with the patients, three meals a day and inter-meals, mainly so that the patients do not feel hungry, so as not to be bulimic next time.
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