What Is Anorexia Nervosa?
Typically there are 4 criteria:
Causes of anorexia nervosa:A single cause cannot be sited for this disorder. The reason is multi factorial. Usually these patients are the victim of depression, anxiety, obsessive compulsive disorders, personality disorder, many times they have unpleasant events in their life in the close relationship in the family and friends. They mostly suffers from low self esteem, perfectionism, impulsive nature. Psychological immaturity or antecedent sexual abuse is not a proved risk factor.
The sufferer usually gives excessive importance to the weight reduction, in spite of her rickety features! They try to achieve that by over exercising, induced vomiting, overusing the laxatives and diuretics and appetite suppressants. They are compulsive about their controlled eating. They use to judge their self worth only in terms of their shape and weight. Binge eating and concealment is well recognized feature.
Other features of anorexia nervosa:They are fatigued, constipated, excessively sensitive to cold. They usually have sleeping disorders, psychosexual problems, anemia, infertility, dental caries and in prolonged cases even osteoporosis due to poor nutrition. How anorexia nervosa is managed?The aim of treatment is to bring BMI to 20 kg/m2 by restoring nutritional balance and increasing weight 1.5 kg/ week. Any complication of prolonged starving is dealt beforehand. Other factors, which may be causing this problem is explored. His/ her career and family problems are to be sought out. In severe cases where BMI is less than 15 kg/m2 the patient need hospitalized management. Trusting relationship with the patient, self help and motivational books are of great help in mild cases.No specific drug treatment is available for anorexia nervosa. Very severe cases resistant to treatment may die due to cardiac failure.Overall prognosis of anorexia nervosa:43% recovers completely, 36% improve, 20 % suffer from chronic eating disorder and 5 % ultimately die.
Refeeding syndrome:This is a rare condition usually happens in the severe cases when they are treated in hospital. Domiciliary managed patients are usually mild to moderate type don't have this risk. Sudden active feeding after a prolonged starvation cause sudden stomach dialatation (acute gastric dialatation), destruction of muscles (rhabdomyolysis), seizures, coma and death due to respiratory and cardiac failure.
If you are reading this article in any site other than Health Resource or, Indiastudychannel, you are reading a copied and stolen content. Read original content at Health Resource.
Typically there are 4 criteria:
- When age, sex and height are taken into account weight of the affected person is less than 85% of the predicted weight and BMI is less than 17.5 kg/m
- Even when underweight, the affeceted person is worried about her weight gain and do excessive exercise, dieting and even induced vomiting.
- Always feel she is fat.
- Cessation of menstruation unless she is on pills and lack of sexual drive in men
Who are affected with eating disorder?
Female: male is 10:1. Males remain mostly undiagnosed. The typical age of affection is mid or, late adolescence.Causes of anorexia nervosa:A single cause cannot be sited for this disorder. The reason is multi factorial. Usually these patients are the victim of depression, anxiety, obsessive compulsive disorders, personality disorder, many times they have unpleasant events in their life in the close relationship in the family and friends. They mostly suffers from low self esteem, perfectionism, impulsive nature. Psychological immaturity or antecedent sexual abuse is not a proved risk factor.
The sufferer usually gives excessive importance to the weight reduction, in spite of her rickety features! They try to achieve that by over exercising, induced vomiting, overusing the laxatives and diuretics and appetite suppressants. They are compulsive about their controlled eating. They use to judge their self worth only in terms of their shape and weight. Binge eating and concealment is well recognized feature.
Other features of anorexia nervosa:They are fatigued, constipated, excessively sensitive to cold. They usually have sleeping disorders, psychosexual problems, anemia, infertility, dental caries and in prolonged cases even osteoporosis due to poor nutrition. How anorexia nervosa is managed?The aim of treatment is to bring BMI to 20 kg/m2 by restoring nutritional balance and increasing weight 1.5 kg/ week. Any complication of prolonged starving is dealt beforehand. Other factors, which may be causing this problem is explored. His/ her career and family problems are to be sought out. In severe cases where BMI is less than 15 kg/m2 the patient need hospitalized management. Trusting relationship with the patient, self help and motivational books are of great help in mild cases.No specific drug treatment is available for anorexia nervosa. Very severe cases resistant to treatment may die due to cardiac failure.Overall prognosis of anorexia nervosa:43% recovers completely, 36% improve, 20 % suffer from chronic eating disorder and 5 % ultimately die.
Refeeding syndrome:This is a rare condition usually happens in the severe cases when they are treated in hospital. Domiciliary managed patients are usually mild to moderate type don't have this risk. Sudden active feeding after a prolonged starvation cause sudden stomach dialatation (acute gastric dialatation), destruction of muscles (rhabdomyolysis), seizures, coma and death due to respiratory and cardiac failure.
If you are reading this article in any site other than Health Resource or, Indiastudychannel, you are reading a copied and stolen content. Read original content at Health Resource.
No comments:
Post a Comment