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ANOREXIA NERVOSA

WHAT IS ANOREXIA NERVOSA?


Anorexia nervosa is a life threatening psychological, eating disorder that is characterized by self-starvation and excessive weight loss more than what is required to carry out daily activities..

It comes from emotional challenges, unrealistic body image and fear of becoming overweight or obese.

It often begins during teenage or early adulthood.

A person with anorexia will intentionally restrict their food intake mainly due to a fear of being/becoming fat despite being emaciated.


RISK FACTORS


Anorexia affects females more often than males and is most common in young females.

Caucasians are more often affected than people of other ethnicity.

It is more common in middle and upper socioeconomic groups.  

Other risk factors associated with it are:

  • Having history of  to depression and anxiety
  • having difficulty handling stress and suspicious
  • being perfectionist and much disciplined
  • having a negative self image
  • having eating problems during early childhood or infancy
  • holding specific ideas regarding beauty and health, which may be influenced by media or society.
  • physical, sexual, emotional or another types of abuse/bully
  •  Disturbed family or other relationship

COMPLICATIONS


Complications can be multisystemic and severe.

Physical complications include:

  • Cardiovascular problems: These include ecg abnormalities, low BP and damage to the heart muscle.
  • Blood problems: developing low WBC and anemia.
  • Gastrointestinal problems: Movement in the intestines gets slowed down leading to constipation and liver functions too gets affected.
  • Kidney problems: Dehydration can lead to highly concentrated urine and more urine production along with formation of renal calculi.
  • Hormonal problems: Lower levels of growth hormones may lead to delayed growth in early age. Along with sex hormones, thyroid also gets affected leading to infertility.
  • Bone fractures: Patients have a high risk of developing osteopenia and osteoporosis.

SYMPTOMS AND CAUSES


SYMPTOMS


Main sign is usually severe weight loss and refusing to eat. 

Other symptoms includes:

  • loss of muscle mass
  • fatigue, exhaustion, lightheadedness or dizziness
  • Low blood pressure
  • low body temperature- cold hands and feet
  • constipation
  • Dry and pale skin
  • swollen hands and feet
  • hair loss and brittle nails
  • loss of menstruation and infertility
  • insomnia
  • osteoporosis
  • irregular heart rhythms
  • lanugo(downy hair growing all over the body)
  • Occasionally more extreme measures such as bloodletting are encountered.

CAUSES


No specific cause has been found till now but it is thought to be triggered by a combination of several biological, environmental and genetic factors where food and eating become associated with guilt. 


DIAGNOSIS AND TREATMENT


DIAGNOSIS


It gets difficult to diagnose it as individuals with anorexia often attempt to hide the disorder. But it can be diagnosed by physical examination, several basic blood tests and enquiring about the patient from their family members and friends.

An early diagnosis and treatment increase the chance of a good outcome.


TREATMENT


Treatment involves medication, psychotherapy, family therapy and nutrition counseling.

Counseling includes CBT, which focuses on changing the way the person thinks about themself, food or body image and as a result develop effective ways of dealing with stressful difficult situations.

Nutritional supplements may be needed to combat malnutrition.


MANAGEMENT


  • Encourage getting help from medical professionals as early as possible for anyone you suspect of having this disorder.  
  • Be kind and respectful to others rather than judgmental.

HOMEOPATHIC MANAGEMENT


There are a variety of homeopathic medicines available to treat anorexia nervosa along with counselling therapy such as: lycopodium, iodum, china, alumina, picric acid, cina etc.  


DO’S AND DON'TS


DO’S


  • Helping people understand the unrealistic nature of media representations of excessive thinness as beautiful is one way to help prevent anorexia.
  • Seek medical help as soon as possible.
  • Practice meditation daily.
  • Appreciate yourself for who you are.

DON'TS


  • Don’t be judgemental towards others.
  • Don’t criticize someone’s appearance.

 

 

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