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Eating disorder

Eating disorders are conditions defined by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual's physical and mental health. Bulimia nervosa and anorexia nervosa are the most common specific forms in the United Kingdom. Other types of eating disorders include binge eating disorder and eating disorder not otherwise specified. Bulimia nervosa is a disorder characterized by binge eating and purging. Purging can include self-induce vomiting, over-exercising, and the usage of diuretics, enemas, and laxatives. Anorexia nervosa is characterized by extreme food restriction to the point of self-starvation and excessive weight loss. Though primarily thought of as affecting females (an estimated 5–10 million being affected in the U.K.), eating disorders affect males as well. An estimated 10 – 15% of people with eating disorders are males (Gorgan, 1999). (an estimated 1 million U.K. males being affected). Although eating disorders are increasing all over the world among both men and women, there is evidence to suggest that it is women in the Western world who are at the highest risk of developing them and the degree of westernization increases the risk. Nearly half of all Americans personally know someone with an eating disorder. The skill to comprehend the central processes of appetite has increased tremendously since leptin was discovered, and the skill to observe the functions of the brain as well. Interactions between motivational, homeostatic and self-regulatory control processes are involved in eating behaviour, which is a key component in eating disorders.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with eating disorder, 63% report having depression, 51% report having anxiety and nervousness, and 43% report having depressive or psychotic symptoms. The symptoms that are highly suggestive of eating disorder are decreased appetite, excessive appetite, difficulty eating, and excessive anger, although you may still have eating disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with eating disorder often receive psychotherapy, mental health counseling, depression screen, psychological and psychiatric evaluation and therapy, occupational therapy assessment and other diagnostic radiology and related techniques .

Common Medications

The most commonly prescribed drugs for patients with eating disorder include fluoxetine (prozac), trazodone, quetiapine (seroquel), lamotrigine (lamictal), topiramate (topamax), venlafaxine (effexor), aripiprazole (abilify), minocycline, benzoyl peroxide topical, tranylcypromine (parnate), phenelzine (nardil), chlorpromazine (thorazine) and lisdexamfetamine (vyvanse) .

Who is at risk?

Groups of people at highest risk for eating disorder include age 15-29 years. On the other hand, age 75+ years and age < 1 years almost never get eating disorder.

Age

< 1 years
0.0x
1-4 years
0.4x
5-14 years
1.0x
15-29 years
2.2x
30-44 years
1.4x
45-59 years
0.8x
60-74 years
0.4x
75+ years
0.0x

Sex

Male
0.4x
Female
1.5x

Race/Ethnicity

Black
0.3x
Hispanic
0.7x
White
1.4x
Other
0.5x
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