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Bulimia

An eating disorder, most prevalent in women, whereby those suffering binge eat and induce themselves to vomit

604 Questions

What are the major characteristics of bulimia?

Whenever anyone talks about bulimia nervosa the first thing they focus on is a list of physical symptoms to do with bingeing and purging. However, there is much more to bulimia than this. It is a very complex illness that is poorly understood, and one for which treatment is still in its infancy. Orthodox medicine has little to contribute aside from the treatment of some of the more obvious physical symptoms. Sadly this does little or nothing to effect recovery.

A list of physical symptoms is available below. Please don't think for an instant bulimia is limited to these. It is a deep seated psychological disease, often inherited, that affects the sufferer in a multitude of ways. The first signs someone has of being bulimic can be in the form of anxiety in early childhood. Only later (on average at the age of 17 and 4 months) does bingeing and purging enter the picture.

It helps to think of bingeing and purging as simply symptoms of a much deeper issue. It is an issue that can manifest itself in a multitude of ways, usually when the sufferer is at their most debilitated. They feel misunderstood, confused and then this unimaginable behavior manifests. Worse, the treatment they are often offered casts them as addicts and assumes their behavior is by choice. If addiction actually exists, it is assumed that this is further evidence of dysfunction. In reality the addiction is often another behavior triggered by anxiety; again, not a choice.

The only treatment that is going to benefit the person suffering, is one that deals directly with the underlying causes. For this reason, many treatments simply suppress a few symptoms. They do not effect cure. Measures of success have nothing to do with weight. Locking someone away and preventing them from purging is not a solution. If anything, it contributes to anxiety.

Often we see addiction in the family. This may be alcohol or narcotics, but is often present in either parents or grandparents. There is something of a myth that has grown up to suggest many bulimics have been sexually abused. There is no statistical evidence to suggest that instances of sexual abuse in bulimics is any higher than in the general population. This sort of misinformation is dangerous, as it can prevent some sufferers seeking help. They were never abused and wouldn't want anyone to suspect their parents of abusing them.

Because of the higher likelihood of addiction in the family, sometimes the bulimic individual doe s not have the benefit if a family that is supportive. However, because they are generally intelligent and creative individuals, they can sometimes find another support network.

Many bulimics experience shame and guilt around their behavior. This is particularly sad as their situation is not one of their choosing. It is an illness just like diabetes. However, sufferer often blames themselves for their condition.

Bulimic, or 'Group B', people have little control or moderation over some aspects of their life. Food tends to be focused on, however spending, drinking, exercise and sex are all areas in which this lack of moderation can be experienced. This is not by choice. It's simply deeply coded into the nature of the person. Only with careful management will they get things under control.

There is a direct relationship between satisfaction and anxiety. As their anxiety increases and their satisfaction reduces they become more likely to engage in bulimic activity. If for instance they have exams, or a difficult episode with friends, or even a nasty shock, they become radically more likely to binge/purge. Of course, narcotics and alcohol both increase stress and anxiety in the body. Excessive use of either is likely to trigger a return to bulimic behavior.

Many people forget that the poor moderation control also can have it's positive aspects. Bulimics are great employees, as they tend to take on additional work - unable to moderate their workload. There is a danger of 'burnout' here, however with a good manager this employee can be much more productive than her counterparts. Equally, at school they often do very well, because they give 110%. They work best in a project based environment, where work takes place in short bursts of intense activity, with periods for recuperation in between.

As the bulimic individual masters her situation she often thrives and moves into a new more creative stage of her life. She understands herself better, and learns to accept the benefits of her nature, while limiting the riskier aspects of it. Mastering anxiety often completely removes the binge/purge aspect of bulimia.

Typical list of symptoms:

What are the effects of Bulimia?

Bulimia has a whole array of medical complications that can arise as the disorder worsens. These effects will infiltrate every inch of the body both physically and mentally. Some effects of bulimia are:

Physical Effects

* Irregular heart rhythms, heart failure

* Dry skin, callused or sore knuckles

* Sore, swollen cheeks

* Increase in cavities, tooth enamel loss, gum disease

* Stomach ulcers

* Rupturing of the esophagus, soreness

* For women, irregular periods

* Complications of the intestines

* Dependency on laxatives

Emotional Effects

* Depression

* Fluctuating emotions

* Feelings of anxiousness

* Poor self-image

* Feeling out of control

* Isolating oneself from others

Signs of bulimia

1. Swollen cheeks or jaw

2. Dehydration

3. Binge eats

4. Calluses or sores on knuckles

5. Going frequently to the bathroom after meals

6. Misuse of diuretics, laxatives or enemas

7. Stomach problems

8. Feels out of control when eating

9. Secretive about eating, or hides food

10. Broken blood vessels in the eyes

The most up to date research and information on Bulmia can be found at http://www.bulimiagirls.com

Is obsession with cooking really a symptom of Bulimia?

Obsession with calories could be a symptom of bulimia, but not necessarily obsession with cooking.

What causes eating disorder?

There has been genetic research over the last 5-10 years that points to there being a strong genetic component to eating disorders. Some would estimate 40-70% of the variance is attributable to genetics. There is some support for similar genes at work in obsessive compulsive disorder and some eating disorders.

Other current thought adds to this base and states that there are a few "trigger events" that a person may experience that could potentially "set off" the genetic predisposition. These events may include pressure to diet for the purpose of achieving a specific figure or pressure to exercise (for similar reasons). Of course there are other reasons why eating disorders may occur as well including various family dynamics/ pressures, history of sexual abuse can contribute, and many other things that could increase stress.

If you suffer from an eating disorder, you should certainly seek help from a qualified professional. Genetic or environmental basis - many who have suffered from eating disorders state they are now fully recovered.

What is the scientific term when people starve themselves to become excessively to stay thin?

Anorexia nervosa is a disorder in which a person starves in order to stay thin. Bulimia nervosa is where the person throws up after eating a lot of food to stay thin.

What role does society play in people suffering from bulimia?

i would say depression....its sorta the same thing as anarexia so umm in society I've seen people have signs saying please im starving and its horrible. people have hardly any jobs and it causes depression and people to starve by not having money to buy a single cracker with.

What is the correct Prozac dosage for bulimia?

I know that a little while ago it was 40 mg for Bulimia, but if you are on Prozac and are thinking about changing the dosage or feel like your doctor hasn't given you the right dosage, go back to talk to him/her, or get a second opinion from a different doctor. Don't change dosage without advice from your doctor x

Why do emo people have eating disorders?

Without sounding like im trying to inforce a negative steriotype alot of emo's suffer from low self esteem and depression this makes them feel unattracted so in an attemp to lose weight they take on an eating disorder but they are no more likely to get an eating disorder than a none emo with love self esteem. Max

Where is a list of bulimic symptoms?

Bulimia nervosa is a serious eating disorder. A person suffering from bulimia is said to be bulimic. Some of the signs and symptoms are: Significant weight loss, Lying about eating, Frequent trips to the bathroom after eating, Over-exercising. There are many more symptoms to looks out for. A more comprehensive list can be found here: http://www.something-fishy.org/isf/signssymptoms.php

Do bulimics get as tired as anorexics do?

Generally no because they do have a surge of sugar and therefore glucose and carbs, however in the long term they will, the difference being is that buliemics generally tend to be within their BMI or just over and therefore the fat stores that aneorexics do not have mean that buliemics will have slightly more energy. However both are as bad for the body as each other; bad for the heart, the teeth, the skin, they age the skin and complexion is duller and spottier and ofcourse can be fatal.

Is anorexia and bulimia a disease or a psychological disorder?

It is both a disease and a psychological disorder. If a person has anorexia, it doesn't necessary mean that the person needs to be horribly skinny. the person could be overweight also but has eating disorders and bulimia is were you eat up to and sometimes over 10,000 calories at once and then throw up purposely. Sometimes, bulimic people take pills to throw up. This is life-threatening, so do not attempt it to lose weight.

What is it called to be a therapist for people with eating disorders?

Usually they are just called a therapist or a psychologist, with a specialty in eating disorders. Sometimes they may also be a certfied nutritionist.

What are some of the health problems associated with anorexia nervosa bulimia nervosa and binge-eating disorder?

* Irregular heartbeat, cardiac arrest, death

* Kidney damage, renal failure, death

* Liver damage (made worse by substance abuse), death

* Loss of muscle mass.

* Permanent loss of bone mass; fractures and lifelong problems caused by fragile bones and joints. Osteopenia, osteoporosis, and dowager's hump

* Destruction of teeth, rupture of esophagus, damage to lining of stomach; gastritis, gastric distress including bloat and distension

* Disruption of menstrual cycle, infertility

* Delayed growth and permanently stunted growth due to under-nutrition. Even after recovery and weight restoration, person may not catch up to expected normal height.

* Weakened immune system

* Icy hands and feet

* Swollen glands in neck; stones in salivary duct, "chipmunk cheeks."

* Excess hair on face, arms, and body. Long, downy lanugo hair. May be emaciated body's attempt to be warm.

* Dry, blotchy skin that has an unhealthy gray or yellow cast

* Anemia, malnutrition. Disruption of body's fluid/mineral balance (electrolyte imbalance, loss of potassium; can be fatal)

* Fainting spells, seizures, sleep disruption, bad dreams, mental fuzziness

* Low blood sugar (hypoglycemia), including shakiness, anxiety, and restlessness.

What is the typical day of someone with this disorder of bulimia nervosa?

It varies for each person, but the general pattern is starting the day off planning to "eat right", which is usually an extreme diet, losing control at some point and binge eating thousands of calories for several minutes, then vomiting or using laxatives to rid the body of calories consumed during the binge.

Can bulimia be transmitted?

Bulimia is an eating disorder resulting from a mental illness - typically the fear of becoming obese, combined with poor impulse control and periods of binge eating followed by efforts to purge the body of the food eaten, whether by forced vomiting, laxative or enema abuse, or excessive exercise. Being a mental illness, it is not contagious, but there are some suggestions that it may be heritable, with twin studies showing up to 80% concordance for bulimia.

How much weight can you lose by not eating for a week?

  • This is an ineffective way to lose weight, because you will not lose much fat, and you will put on fat more quickly when you restart your regular eating habits. If you want to lose fat, stop eating carbohydrate dense, processed foods. If it's in a box, carton or packet it's often bad. Stick to lean proteins, fruits and veggies and exercise often. You simply cannot lose weight and maintain your weight loss in the long run without changing your eating habits altogether.
  • When your body stops getting food it goes into a starvation mode and saves fat. The weight you will lose (not much) will be mostly water and muscle tissue. This is bad because not only will you have to start eating again, but since you now have less muscle, and therefore a slower metabolism than when you began fasting, you will gain even more fat on top of the fat that your body stored while you fasted. The only time your body will start burning noticeable amounts of fat is when it can no longer burn muscle proteins as a fuel source. However, this will only happen you're close to death.
  • Rather than starve yourself, you will do far better to strictly limit or eliminate (apart from the occasional treat) refined (processed) carbohydrates. If you are unsure what refined (processed) carbohydrates are, see the related link for a list. If you couple this will frequent, cardio exercise, you should lose weight.
  • I tried it. I must say I do not have an addictive personality or focus much on my body or looks. I did it in an attempt to try to understand what a friend of mine was going through. I started at 176lbs and the initial weight loss was quick, probably due to emptying my body of the waste over the first couple of days. I drank only water and tea with milk and one sugar. I did my normal work involving moderate exercise and lost 11lbs. Unexpected symptoms nearing the 7th day were: flickering vision and problems focusing my eyes, giddiness, and fatigue. Please note: Half the weight was back on within a couple of days. Losing weight fast is not a viable method for people who need to lose weight, and is definitely very dangerous to people who want to lose only a bit of weight.
  • You may lose a little bit of weight by starving yourself for a week because you body will become so hungry that it will start to eat fat and muscle tissue. You will likely also feel weak, tired, irritable, and sick because you are not consuming necessary calories or vitamins. This will also make your metabolism slow down, which will hinder current and future weight loss plans. After your fasting period, you are likely to gain much of the weight you may have lost back.
  • Actually, if you starve yourself for long enough your metabolism will go into "starvation mode" and slow down. This is why many recovering anorexics gain more weight back than they originally had before the eating disorder.
  • If you're really going to do the drastic, scary weight loss strategy, eat a small amount every day, divided into four or five small snacks. An intake of a small portion of food every few hours throughout the day will speed up your metabolism, and you should still lose weight in a very small amount of time because of the substantial decrease in calories.
  • The real reason why people gain weight after fasting (starving) is because they go straight to heavy foods that requires a lot of chemical reactions to take place at once to break it down and your stomach just isn't used to that after starving it for prolonged periods of time. When you do start to eat its best to start of with small foods like soup and smoothies. Don't eat big meals. You have to let your body get used to eating again and exercise, but not extreme amounts, is recommended to keep the weight off.
  • From personal experience, I would not recommend not eating anything. I went from 235 - 205 in the last month by sticking to the following meal plan: I don't eat breakfast. I eat a small cup of chunk light tuna (3 oz or so) for lunch and drink plenty of water throughout the day. I hit the gym and do plenty of cardio exercise (cardio exercise the key to major weight loss because it burns lots of fat). For dinner I have perhaps a cup of soup, a small piece of chicken, or nothing. No, its not healthy at all, but not eating anything is not very smart and is incredibly difficult to do. I have not felt fatigued, nor have I had any health problems of which I am aware.
  • I would like to add that I drastically cut down on calories for around 2 weeks for my birthday party. I lost a stone (14 pounds) in 2 weeks and I actually still ate, just very little. I started eating again (not quite normally, but around 1500 calories a day) and I haven't gained any of it back at all. I'm really happy with my weight now, and eat three healthy meals a day, just small amounts each meal.
  • If you're going to give up food for a week, try going on the Lemonade Diet; by going on the Lemonade Diet, your body won't be starved and you'll cleans your system. You can lose up to 20 pounds if you stay on the diet for 10 days.

What is the cure rate for anorexia and bulimia?

the cure rate is 3% of those diagnosed with anorexia .this is the rate for 2009.but sadly 20% will die even though they received help or not.86%of these who die were diagnosed before the age of 20.I know this id sad but this is real life

The term bulimia nervosa is?

The term Bulimia Nervosa is used to describe someone who will go on a binge and eat a lot of food, as many as 20,000 calories, and then purges it from their system by vomiting or using a laxative or ipacac syrup.

What do the behaviors of bulimia victims accomplish?

The behavior often serves to reduce stress and relieve anxiety.

How does bulimia affect you socially intellectually and emotionally i need the answer for my coursework?

Bulimian is an insidious disease that heightens the shame that many people with disorder already feel. They are forced to be secretive, and the stress of covering up their behaviors can consume their lives.