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Bulimia is a debilitating and sometimes dangerous eating disorder that occurs about 90% of the time in girls. The expression of this problem is food binging followed by self induced vomiting. Other methods of purging include using laxatives or perhaps diuretics. Many bulimics have basically normal weight profiles at the onset, yet they still consider themselves as obese. Several aspects about the beliefs include highly negative feelings toward fat and food. A common time for bulimia to appear is shortly after puberty occurs, perhaps several years following this change. There are other issues related and possibly contributing to this condition such as pressures, depression, low self esteem and others.
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The primary dangers associated with bulimia include excessive dehydration and malnourishment. There have been several high profile fatalities due to the effects of bulimia. For example, the highly successful singer from the 70s, Karen Carpenter, fought bulimia for years. Unfortunately she eventually died of heart failure due to the devastating effects this condition can exact on the body. That is why bulimia must be treated immediately, and it is completely treatable which is very good.
However, the untreated disorder can lead to severe deficiencies of vitamins and minerals which lead to other complications. If there is significant abuse of laxatives, then that can lead to chronic constipation. Additional problems involve the throat and mouth due to excessive exposure to stomach acid from so much vomiting. The acid constantly being introduced into the mouth may bring about gum infections, swelling and unusually high number of cavities. More severe problems can be kidney and heart failure. The problems associated with chronic and severe dehydration are a dangerous loss of healthy levels of electrolytes. That condition can certainly often lead to heart failure. The approximate fatality rate due to bulimia is ten percent.
Successful treatment of this disorder involves the patient and family, family doctors, and professional psychiatric or psychological counseling and treatment. Doctors may even enlist the aid of a professional dietician to design a special diet to address critical loss of nutrients. Professional counseling will work to end the cycle of binging and purging. Additional efforts will focus on education and awareness of the damaging nature of bulimia. Of course there will be treatment designed to identify the issues that can cause the patient to engage in bulimic behavior. One vital area of work will be to encourage the patient to communicate in a more open manner and talk about his or her feelings.
Bulimia can be dealt with, but there must be prompt intervention. The patient’s family need to be involved and provide as much support as possible. Additional supportive efforts may include group therapy as the patient works to get better from the disorder. However, the critical first step is for the bulimic person to admit to the problem. The patient has to realize there exists an extremely unhealthy perspective associated to food and something must be done.
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