Monday, March 24, 2008

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BULIMIA
EAT PLENTY OF
· Fresh vegetables, fruits, and high-fiber foods to promote a feeling of fullness.
· Bananas, dried fruits, and a variety of fresh vegetables and fruits for potassium.

AVOID
‘Trigger’ foods that are associated with binges

medically, bulimia is defined as recurrent episodes of binge eating-the rapid intake of unusually large amounts of food-an average of twice a week for at least 3 months. Although bulimia literally means ‘the hunger of an ox’, the majority of bulimics do not have excessive appetites. Instead, their tendency to overeat compulsively seems to arise from psychological problems, possible complicated by abnormal brain chemistry or a hormonal imbalance.

For more women than men are affected by bulimia-
Their ability to maintain normal weight is attributed to the other aspect of bulimia; namely their ability to compensate for overeating by strict dieting and excessive or by purging through self-induced vomiting or abuse of laxatives or enemas.

Some bulimics purge after eating any amount of food. About half of anorexics suffer from bulimia, and both disorders are characterized by a perfectionist focus on dieting and weight and a fear of being unable to control eating behavior. These disorders typically begin with a strict weight-loss diet. Driven extreme hunger, the dieter may succumb to gorging, usually on sweet food that is high in calories, such as cake and ice cream. Then, feeling guilty and ashamed, the dieter may purge to compensate for the indiscretion. Before long, the dieter may be caught in a cycle of binging and purging, with binges often triggered by feelings of anxiety, stress, loneliness, or boredom.

NUTRITIONAL DEFICEIENCIES
Repeated purging can have serious consequences, including nutritional deficiencies and an imbalance of sodium and potassium, leading to fatigue, fainting, and palpitations. Acids in vomit can damage tooth enamel and the lining of the esophagus. Laxative abuse can irritate the large intestine and produce rectal bleeding. Perhaps one of the most severe consequences, however, is depression and the high suicide rate that is common among bulimics.

TREATMENT
Like all eating disorders, bulimia can be difficult to treat and usually requires a team approach involving nutrition education, medications, and psychotherapy. Don’t expect instant success, however; treatment often takes 3 years or more, and even then, relapses are common.

TREAT NUTRITIONAL DEFICIENCIES EARLY:
This is especially important if the body’s potassium reserves have been depleted y vomiting or laxative abuse.

KEEP A DIARY
Nutrition education typically begins with asking the person with bulimia to keep a diary to help pinpoint circumstances that contribute to binging. At this stage of treatment, the person with bulimia learns how to give herself permission to eat desirable foods in reasonable quantities, in order to reduce the feelings of deprivation and intense hunger that often lead to loss of control in eating.

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