In the last post, we saw how:
- The diagnostic criteria for BN are necessary for commencing treatment in people with BN.
- Prozac has been shown to have good results in those who have binge-purge disorders, especially BN.
- CBT is the best form of therapy for patients with BN.
Prozac bottle: used to treat depression and bulimia
December 2, 2022— ୨୧ lapin ୨୧ (@sleepylapin222)
me who is promia and not ready to recover: pic.twitter.com/eOOUvyGnDK
Welcome to Medic Vibes, where we discuss mental health disorders and make sense of them. Dr Ebingo Kigigha is a medical doctor (aspiring psychiatrist) and creative person (illustration and music). This has been our routine for four consecutive months. This month will be dedicated to Eating Disorders. In the first month, we discussed Depression, and in the subsequent month, anxiety. We just finished with Schizophrenia.
In this post, we are looking at Twitter posts. To learn more just keep scrolling down. You can also skip to the key point of the post if you which or go to the conclusion to get the summary.
Vomiting is usually done by putting the fingers in the throat but some patients have the ability to do so at will. When they vomit it makes the abdominal pain go away and the patient does not feel full as they would immediately after eating. The washed-away look of the teeth of these patients is usually because the enamel can get washed away by the acid of the gastric secretion.
The patient may have what is termed post-binge anguish after the episode which is a type of depression experienced by these patients after they vomit.
The patient will usually eat sweet-tasting food that is soft or smooth typically cakes. The food is usually very high in caloric value. Some however will eat food that is large in size regardless of the taste and they usually eat this food quickly.
Those who have BN are typically in the normal weight range, but they may also be in the lower and higher weight range. They usually are bothered about how they are perceived by others and their attractiveness. They are typically sexually active unlike those who have AN who are not interested in sexual pursuits.
The patient may also consume inedible things, known as pica.
BN happens in other mood disorders like depression and bipolar disorder. It is also seen in those who are abusive to substances and suffer from personality disorders.
Knuckle injuries in Eating Disorders (Reaction post)
In the picture, the girl was showing a knuckle injury so we brought out topics related to a hand injury in Bulimia and here is what we found on the Center for discovery.
What they had to say was that those who have bulimia typically will hide the symptoms they have and do not want anyone to know that they have these symptoms. They can keep food away from everyone just to go the bathroom to eat it and not allow anyone to see them eat. They also typically do not like to talk about the fact that they have these symptoms, they typically will flat-out deny that they have them. It is important that people know these signs of eating disorders and are thought about them.
If you are explaining to the public about eating disorders as a healthcare practitioner, here are some features that you should pay attention to.
Those who have this disorder may induce vomiting in themselves to make up for the food they eat. When they vomit the content includes the unwanted food and the gastric acid that makes up the gastric secretions. Because they do this they can experience tooth decay and cavities. The enamel of the teeth is gradually being washed away by the gastric acid that is induced.
The first part of the teeth to be affected are the inner surfaces and the surfaces that make contact with food. The tooth seen become dull, and yellowish and may easily chip away.
There is also an increased risk of dental caries in these individuals because the mixture of gastric acid and sugar makes this effect quicker.
The size of food those with BN eat is also s sign and might point you to the fact that they are affected. These patients usually will eat an unreasonable amount of food in a short time. They usually engage in this type o behaviour when they lose control over themselves and when they eat this way they feel guilty.
They also will behave in ways that are bizarre around food. For example, after sharing breakfast with someone who has bulimia they may disappear to somewhere nobody will see them. It is also possible to find food wraps in places you wouldn’t expect like under the bed, in the wardrobe and the like.
These patients also consume large amounts of water and diet drinks. They eat on their own most of the time they do not like to be in the presents of others when they are eating food. They also like to take a bath after a meal.
In the tweet, the sign that the person described is called Russell’s sign. This is because the patient is usually trying to induce vomiting in themselves. The knuckle of the patient will make contact with the teeth and this will lead to scrapping and tears from the teeth. The healing wounds are usually called Russell’s sign.
These patients need the attention of a professional because the best treatment for them is cognitive behavioural therapy. Once a diagnosis is made these patients should have treatment started.
Treatment
For comparison between CBT and self-guided for BN, s study titled
Guided self-help versus cognitive-behavioural group therapy in the treatment of bulimia nervosa
Was conducted by Ursula Bailer et al.
It was mainly aimed at finding out if self-help was useful in the treatment of BN, to do this they had 81 patients who had been diagnosed with BN be randomly designated and given an 18-week drug guide to dealing with BN and another set went through an 18-week course of CBT. The main outcome was variability in the vomiting and binge eating and the other outcome was psychopathology related to the eating disorder and depression.
The result showed that the binge eating and vomiting reduced as time went on after follow-up till the end of there year there was sustained improvement in both patients. In the study, the remission was higher for self-help than they were with CBT, 74% to 44% respectively.
They concluded that self-help therapy may be useful over a short and long period for the treatment of BN.
Questions
- What did you learn about Eating Diorders?
Conclusion
- Bn can present with other disorders such as mood disoders.
- Injuries on the knocke are common presentation in those who have BN
- Self-help may be a viable form of therapy for those who have BN.
References
- Kaplan-Sadocks-Comprehensive-Textbook-Psychiatry
- Page demarcations made with Inkscape.org
- Spine-Health
- Eating Disorder Hope
Hi! Could you please fix the format? It could help you readers.
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