Health Questions and Answers

Archive for September, 2007

Question: What are the characteristics of the bulimic patient?

Saturday, September 29th, 2007

Answer:
The essential characteristic of bulimics is the combination of excessive food intake with over-concern about weight gain. Bulimics are not willing to be happily fat. They want to overeat and they want to have normal weight. Unsurprisingly, they are often impulsive, rebellious, and emotionally labile. Many or most bulimics have normal body weight but they [...]

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Question: Is bulimia nervosa simply a variant of anorexia nervosa?

Saturday, September 29th, 2007

Answer:
There is serious disagreement on whether bulimia is a subtype of anorexia nervosa or whether it represents a distinct pattern. Most bulimics have an approach-avoidance relationship with food. They want to eat but are terrified of gaining weight past normal. This is quite different from the typical food avoidance of the anorectic. The bulimic patients [...]

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Question: What is bulimia nervosa

Wednesday, September 26th, 2007

Answer:
The word bulimia is derived from latin and means, literally, “as hungry as an ox.” It is of interest that the pattern was described in the ancient Roman culture and it was both more common and known as “binge and purge.” The individual overeats, often to an impressive extent, and then purges the food [...]

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Question: Is there any place for intensively nutritional support in anorexia?

Wednesday, September 26th, 2007

Answer:
Support of the anorectic with enteral nutrition using a nasogastric tube or nasoenteric tube is certainly possible. Known in past days as “force feeding,” it has the drawback that the patient is uncooperative and may pull out the tube or induce vomiting. A more sophisticated version is nutritional support using total parenteral nutrition (TPN). Perhaps [...]

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Question: What are physical consequences of anorexia?

Wednesday, September 26th, 2007

Answer:
Anorexia produces a host of problems, ranging from depletion of visible body fat to ammenorrhea and fatigue to such life-treatening complications as hypertension, peripheral edema, electrolyte abnormalities, and cardiac arrhythmia. The anorectic frequently cannot regulate body temperature and remains hypothermic. Constipation is common. Simple starvation may cause loss of muscle strength, vitamin deficiencies, and demineralization [...]

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Question: What are the other personally characteristics of the anorectic?

Tuesday, September 25th, 2007

Answer:
If there is one characteristic which is shared by most, it is perfectionism. They tend to be obsessive in their need for other personal life. They are often “model children” obedient and conscientious, and are frequently introverted and reserved. this makes their transition into anorectics during adolescence extremely stressful to parents and siblings. Usually, the [...]

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Question: Is excessive athletic activity correlated with anorexia?

Tuesday, September 25th, 2007

Answer:
Certainly, athletes are more concerned with their weight than non-athletes. And anorectics are frequently compulsively athletic. In certain runners, for example, it is clear that their athletic activity is driven by motives similar to the anorectic. Yet, there is no proven association between athleticism and anorexia. The athlete loses weight to improve athletic performance and [...]

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