No DEED Goes Unnoticed

Disordered Eating and Eating Disorders (DEED)


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Bulimia Nervosa

bulimia

By: Nikki Nies

Bulimia nervosa can be a serious, life threatening condition that consists of a cycle of bingeing and compensatory behaviors, such as self induced vomiting, taking laxatives, going on crash diets, exercising and/or fasting to overturn the effect of bingeing.  There is a constant battle between wanting to remain slim and a certain weight and not being able to say not to foods.   This disorder is often called “bingeing and purging” technique to alleviate calories consumed.

Quick Test:

  • Are you obsessed with your body and your weight?
  • Does food and dieting dominate your life?
  • Are you afraid that when you start eating, you won’t be able to stop?
  • Do you ever eat until you feel sick?
  • Do you feel guilty, ashamed, or depressed after you eat?
  • Do you vomit or take laxatives to control your weight?

The more times you answered “yes” to the above questions, the more likely you may have bulimic like behaviors.   bingecycle

I don’t know any one who hasn’t succumbed to society’s definition of what’s beautiful.  Unfortunately, bulimia often results in the desire to lose weight and dieting.  However, the stricter the dietary restrictions are, the more likely one will become preoccupied and/or obsessed with food.

Signs and Symptoms Bingeing and Purging:

  • Lack of self-control when eating: eating even when full to the point of discomfort and pain
  • Extreme concern of body shape and weight
  • Withdrawal from usual activities and friends
  • Continued exercise despite injuries
  • Dry or loose skin
  • Creation of schedules and rituals to make time for bingeing and purging
  • Using laxatives, diuretics or enemas
  • Eating unusually large amounts of food with no obvious change in weight
  • Alternating between overeating and fasting: has the “all or nothing” mentality
  • Secrecy regarding eating: goes out alone on food runs; eats in the kitchen; is always “full”
  • Uses saunas to “sweat out” water weight
  • Goes to the bathroom after meals: may run the water to disguise the sound of vomiting
  • Smells of vomit: the bathroom or the person may smell like vomit; may try to cover up the odor with perfume, air freshener, mouthwash
  • Calluses or scars on the knuckles or hands: from the induced vomiting
  • Discolored teeth (i.e. yellow, ragged or clear) from exposure to stomach acid when vomiting
  • Weight fluctuations: due to bingeing and purging
  • “Chipmunk” cheeks

Impact of Bulimia on Person:

  • Dehydration due to vomiting
  • Electrolyte imbalance due to vomiting or use of diuretics or laxatives
  • Lethargy
  • Cloudy thinking
  • Kidney failure with low potassium levels
  • Ab Pain
  • Bloating
  • Swelling of extremities
  • Broken blood vessels in the eyes
  • Chronic sore throat/hoarseness
  • Swollen cheeks and salivary glands
  • Weakness and dizziness
  • Mouth sores and tooth decay
  • Acid reflux
  • Ruptured stomach and/or esophagus
  • Amenorrhea
  • Chronic constipation

Treatment:

There’s no quick fix treatment to help those with bulimia.  It’s often a heavily layered disorder that requires a team of professionals to help those battling with bulimia.  With the many causes of eating disorders, such as major life changes, history of trauma or abuse, poor self esteem and body image, treatment will be an ongoing process.

Bulimia impacts 1-2% of adolescent and adult women, however, there is help waiting to provide the necessary guidance needed.

Sources: http://www.nationaleatingdisorders.org/bulimia-nervosa

http://www.webmd.com/mental-health/bulimia-nervosa/bulimia-nervosa-symptoms

http://www.helpguide.org/mental/bulimia_signs_symptoms_causes_treatment.htm

http://www.bulimia10.com/whats-bulimia/how-to-provide-nursing-interventions-for-patients-with-bulimia-nervosa-3/

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NEDA’s Hotline

reaching out

By: Nikki Nies

The National Eating Disorder Association (NEDA) supports families and friends struggling with eating disorders.

You can find support at http://www.nationaleatingdisorders.org/find-help-support .   Also, by clicking on the “Find Help & Support” tab on NEDA’s website, there are treatment referrals,insurance resources, join the loss support group, attend a conference, recovery support, support groups, research studies, toolkits and access to NEDA Navigators.  NEDA Navigators can help guide others to reliable information on eating disorders.

If you’re looking for general information on eating disorders, this is a great resource as well.

The NEDA hotline is available for use Monday-Thursday from 9:00 am – 9:00 pm and Friday from 9:00 am – 5:00 pm (EST24/7 at 1-800-931-2237

What resources have made you feel empowered? Where do you turn for help?

Sources: http://oslcmonte.com/new_page_10.htm


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Anorexia Nervosa

anorexia_gene-4-26-11

By: Nikki Nies

TV advertisements, billboards and commercials show physically fit, attractive women.  It downplays the behind the scenes touch ups and alterations done to reach final image.  These images resonate  with children, adolescents and adults attempting to emulate their role models.

imagesIt’s not realistic to think people can stop emulating celebrities, but to monitor and guage how often such idealation impact daily life and thoughts is crucial.  With a constant fixation on outward appearance and body image, it can lead to an eating disorder, such as anorexia nervosa.

The concept of anorexia is not new, but stems from the Hellenistic times of fasting.  Early known fasters include Catherine of Siena and the Mary, the Queen of Scots.  Not until the 19th century was anorexia accepted as a medical condition until the 19th century, with limited exposure to medical profession until the late 20th century.

Once anorexia was included in the Diagnostic and Statistical Manual (DSM), more information was published to the public, which increased the availability of treatments.

Symptoms:

  • Use laxative or diuretics to lose weight 1287
  • A low body weight
  • Abnormal blood counts
  • Insomnia
  • Fatigue
  • Osteoporosis
  • Swelling of extremities
  • Excessive exercise
  • Flat mood
  • Irregular heart rhythms
  • Bluish discoloration of fingers
  • Constipation or slow emptying of stomach
  • Thinning hair, dry skin and/or brittle nails
  • Low blood pressure
  • Feeling cold—with lower than normal body temperature
  • Shrunken breasts
  • Lack of menstrual periods
  • Have food rituals or restrictions
  • Spend a lot of time rearranging food on plate or hiding food
  • Warning signs of suicide (i.e. giving away belongings, being angry, failing grades, substance or alcohol abuse, depression, recent job loss)

Body’s starvation mode can cause all of the bodies’ resources to pull together to survive.

Potential Consequences

  • Limits bowel movement–>constipation
  • Decreased iron intake–>anemia
  • Insominia
  • Low blood pressure
  • Low heart rate
  • Liver damage, kidney failure, dehydration–>death
  • Lack of calcium–>fractures
  • More susceptible to bruises because of inadequate intake of vitamin C and K since these are 2 vitamins vital to blood and cells
  • Produce more cortisol–>bone loss
  • Greater risk of not reaching peak bone density
  • Not enough keratin–>hair loss and brittle nails
  • Altered testosterone levels
  • Cold feet and hands
  • More susceptible to bruises
  • Weakened immune system
  • Deficiency in potassium, magnesium and/or sodium
  • Imbalance of electrolytes
  • Slowed digestion from lack of protein and/or carbohdyrates
  • Amenorrhea, may be caused by osteopenia, osteoporosis and/or infertility
    • Decreased estrogen levels and gonadotropin hormones

Treatment:

  • Receive medical care from doctors, therapists and RDs
    • Reevaluate definition of “healthy”
    • Develop meal plan to gain weight—scheduling times to eat
      • Nutrition guidelines: weight gain of 2-3 lbs. for hospitalized patients
        • 0.5-1.0 lbs for outpatients
        • start with 1000-1600 calories per day meal plan, increasing as needed
    • Maudsley Method:  parents are held responsible to help their adolescent eat on a more consistent basis and to prevent the disorder to remain chronic.
    • Family therapy and cognitive behavioral therapy
    • Medicines—mood stabilizer, anti depressants, anti psychotics, estrogen, calcium, zinc and/or vitamin D supplements
    • Family and friend support
    • Reevaluate amount of exercise

Although, anorexia often is associated with adolescent girls and women, young male adolescents and men should not be overlooked.  While the stress of being a part of the American culture can cause many to fall prey to the “thin” concept, it’s important to surround oneself with love and support.  If you know someone who could use your help, don’t hesitate to talk to them or find someone who could help your concerned family member.

Sources: http://www.mayoclinic.com/health/anorexia/DS00606/DSECTION=symptoms

http://www.womenshealthzone.net/eating-disorders/anorexia-nervosa/effects/

http://www.webmd.com/mental-health/anorexia-nervosa/anorexia-nervosa-topic-overview

http://www.anneofcarversville.com/body-politics/2011/5/3/anorexia-in-thirds-13-die-13-relapse-13-recover.html

http://www.clevelandleader.com/node/21424

http://www.anad.org/get-information/get-informationanorexia-nervosa/