Causes

The origin of this disease involving biological, psychological and social undermine the patient’s vision of himself and respond to a strong fear of gaining weight. The bulimic patient is always fat, even if your weight is normal, but can not suppress their cravings. Bulimia usually occurs after having made numerous harmful diets without medical supervision. The food limitation imposed by the patient himself takes him to a strong state of anxiety and pathological need to ingest large amounts of food.

Hitherto unknown biological vulnerability involved in the development of the disease and are known trigger factors related to social environment, diet and the fear of ridicule over the physical. Many factors are compatible with those of anorexia, and affective disorders arising in family, drug abuse, obesity, diabetes mellitus, certain personality traits and the body’s own distorted ideas.

Symptoms

Generally, people with bulimia have been obese or have made numerous diets without medical supervision. They try to hide from vomiting and purging, so that the disease often goes unnoticed for long. Typical symptoms of a picture of bulimia are:

* Food binges or overeating: The patient eats a large amount of food in a very short space of time. No control over eating and such is the anxiety that believe you can not stop eating.
* To prevent weight gain and compensate for binge eating or excessive meals causes vomiting, using laxatives, diuretics, drugs, or resorts to other means which enable it to control weight, as the abusive practice of sports.
* The cycle of bingeing and vomiting are manifested at least twice a week.
* The patient’s self-esteem is low and identifies with his body.

Also, there are other physical and emotional changes (depression, anxiety) that show the development of disease. Bulimics are overweight, even when their weight is normal, are ashamed of their body and they refuse, so they try to diet at all times. Nevertheless, binge eating in secret or at night is one of the main characteristics of this disease. May spend a lot of money on food or resort to already have at home, which starts mysteriously disappearing from the pantry. They feel no pleasure in eating or preferences regarding the type of food, looking only satiated. They try to avoid places where there is food and try to eat alone. His antisocial behavior is usually tend to be isolated, and food is their only topic of conversation. In addition, lack of control over the food they produce great feelings of guilt and shame.

As for physical signs that show the disease include weakness, headaches, facial swelling by increased salivary and parotid glands, teeth problems, dizziness, hair loss, menstrual irregularities, and sharp increases and weight reductions, but usually do not suffer a swing weight as important as manifested in anorexia. Bulimia can be accompanied by other disorders such as kleptomania, alcoholism and sexual promiscuity. Clinical implications:

* Arrhythmias that can lead to heart attacks.
* Irritable colon and megacolon.
* Gastrointestinal reflux.
* Hernia hiatal.
* Loss of bone mass.
* Esophageal perforation.
* Gastric rupture.
* Pancreatitis

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