Nervous bulimia
Contents:
Description:
Nervous bulimia is a disease with characteristic episodes of uncontrollable plentiful consumption of food, quite often products of the increased caloric content. After similar attacks of "gluttony" the patient having nervous bulimia tries to cause artificially in herself vomiting and/or applies various, including purgatives to "clarification" of an organism from the eaten food. Usually consumption of food and subsequent "self-cleaning" are carried out in a privacy.
Now the fact that identification and treatment of nervous bulimia are serious medical a task in a type of high risk of development of dangerous complications of a disease is absolutely clear.
Nervous bulimia is dangerous by development life-threatening states: ulcer injuries of digestive tract, internal bleedings, states hypoglycemia, perforation of a stomach, renal failure, failures of a cordial rhythm, amenorrhea, falling of arterial pressure.
Interrelation between anorexia, bulimia and obesity
Reasons of Nervous bulimia:
In most cases bulimia has psychogenic character. Episodes of overconsumption of food are quite often provoked by a stress.
Symptoms of Nervous bulimia:
Bulimia is characterized by periodic and frequent episodes of consumption of extraordinary huge number of food. The patient has a subjective feeling of lack of control in food. These attacks of a gluttony are replaced by the behavior model directed to compensation of "revelry", for example, cleaning (including vomiting, reception of laxatives or diuretics), or abstention from food with the strengthened trainings. Unlike patients with anorexia, the patient's weight with bulimia can be in norm limits for the age and growth. But, as well as at anorexia, they are also afraid to gain weight, desperately want to lose weight, and bodies are painfully anxious with the forms.
Roussel's symptom - the wounds put during attempts to cause vomiting
Treatment of Nervous bulimia:
Most of patients with uncomplicated nervous bulimia does not demand hospitalization. In general, patients with nervous bulimia are not so reserved in the symptoms as patients with nervous anorexia. Thus, out-patient treatment, as a rule, does not cause difficulties, but a course of necessary psychotherapy often long. Quite often full patients having nervous bulimia, receiving long psychotherapy courses recover and even normalize the weight. In certain cases, when attacks of "gluttony" frequent and long, out-patient treatment is not effective, or at the patient suicide or other psychotic tendencies are traced, hospitalization becomes the only right choice. Besides, the arisen electrolytic and metabolic disturbances as a result of "cleanings of an organism" can be stopped only in stationary conditions.
Antidepressants as it was proved to be effective in treatment of bulimia. Among antidepressants the selective serotonin reuptake inhibitors (SSRI), such as fluoxetine found application. Antidepressants can reduce the frequency and weight of attacks of an overeating and clarification. Thus, antidepressants were successfully used in especially hard clinical cases of nervous bulimia which do not react to monopsychotherapy. Tofranil, desipramine (Norpramin), Trazodonum (Desyrel) and monoamine oxidase inhibitors (MAO) also were effective. Thus it became clear that for treatment of nervous bulimia the majority of antidepressants render medical effect in the doses applied to treatment of depressive episodes.
