How is the patient with anorexia?
The anorexic patient only stands out for its low weight. This means that in their own environment people do not notice that a colleague is sick, for their behavior. But if the restaurant together it becomes obvious that something is wrong. The patient with anorexia does not consider his behavior wrong, even refuses to go to a specialist or take medications. How sick is not considered able to talk glibly and convincingly to friends, colleagues and family members who must lose weight despite its thinness. At first people might even find it a joke, but the continued weight loss despite the insistence of others to convince the patient otherwise, is sounding the alarm. Then the relatives get scared and turn to mental health professionals.
Patients with anorexia can develop a taste strange or establish rituals for food. Sometimes it can be caught by eating hidden. This does not necessarily invalidate the diagnosis although a suspicious attitude.
After the patient recovered, now restored to its weight and the memory of everything that happened not explain why insist on losing weight. Most often prefers not to talk about it, but the fact is that not even he agrees with the conduct of persistent weight loss. This finding however does not guarantee that the episode does not happen again. After these recovered patients return to their routine can even be overweight.
There are two types of patients with anorexia. Those which restrict the nutrition and thin and those who have episodes called binge. In these episodes the patients not to eat uncontrollably agüetarem more vomit and then we ate. Sometimes the amount ingested was so great that neither is necessary to induce vomit: the body takes care of removing the gastric contents. There are rare cases of patients who break the stomach to eat much.
About whom anorexia often focus?
Women are far more affected by anorexia, between 90 and 95% of them are women. The most common age group is young adults and teenagers can reach back to childhood, which is far less common. Anorexia is more serious especially during growth because it can compromise the expected gain for the person, resulting in a height smaller than that which would be achieved if there were no anorexia. In the growth phase there is a greater need for caloric gain: If this is not achieved the person grows less than grow with normal feeding. If the episode last few months the growth can be compensated. Until recently it was believed that anorexia occurred in most industrialized societies. Actually there was a lack of studies in developing societies. The first studies in this direction began to be made recently and found that anorexia is also present in populations of disadvantaged and isolated advertisements slim body.
Treatment
The treatment of anorexia remains difficult. There are no specific drugs that restore proper body image perception or desire to lose weight. Meanwhile medications have been palliative. The most recommended are the tricyclic antidepressants (have as a side effect weight gain). Antidepressants serotonin reuptake inhibitors have been studied, but should be used with caution since they can contribute to reduction of appetite. It is good to note that patients with anorexia have a normal appetite, or feel the same hunger anyone. The problem is that despite the hunger refuse to eat. Psychotherapy can and should be used, both individual and group or família.A indication depends on the responsible professional. For now there is a technique especially effective. Force feeding should not be done routinely. Only when the level of malnutrition is threatening. Force feeding means admitting the patient and provide liquid food through a nasogastric tube gage. Generally when it comes to this, it is necessary also contain (tie) the patient in bed so it does not remove the probe.
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