Eating Disorders

Binge eating disorder

repeated episodes of calorie overconsumption / eating when NOT hungry causing significant distress; often a result of depression or Bipolar

purging

self-induced vomiting, laxatives or diuretic use after binge eating

cachectic

severely underweight with muscle wasting

Lanugo

the growth of fine hair all over the body; often a result of anorexia nervosa

Refeeding syndrome

potentially fatal complication that causes CV collapse that may occur during nutritional repletion of starved patients

avoidant food intake disorder

disintrest in food and aversion to the sensory experience of eating

Night eating syndrome

morning anorexia and nighttime hyperphagia (consuming 50% of daily calories after last meal); causes obesity

orthorexia nervosa

obsession with healthy eating; compulsive ingredient checking

< 85% of IBW; intense fear of gaining weight, disturbed body image; preoccupied with food but refuses to eat; high suicide risk

Anorexia Nervosa signs

anxiety, perfectionism, obsessions, inflexible, introverted, lack of control; develops in early adolescent (female)

Anorexia problems

Impaired nutrition

Decreased cardiac output

Electrolyte/fluid imbalance

Negative body image

refeeding syndrome can cause

Hypo- kalemia, magnesmia, phosphatemia

anorexia treatment

Improve Nutrition

psychotherapy (CBT or DBT)

mirtazapine (SSRI)

binge eating disorder causes

Increased risk of obesity, type II diabetes, HTN, Cancer

binge eating disorder treatment

CNS stimulant: lisdexamfetamine may help curb appetite

bulimia nervosa

Repeated episodes of binging and compensation behaviors afterwards (purging); may trigger stress

bulimia nervosa risks

Signs of impulsivity, addictive traits, poor emotional regulation; desire to be thin but is overweight

bulimia nervosa treatment

Fluoxetine + CBT