Bulimia – what are the signs and symptoms of bulimia?

Signs of bulimia

Signs of bulimia

The main signs of bulimia are binge eating and purging (ridding your body of food by making yourself vomit or taking laxatives).

There may also be psychological symptoms, such as:

an obsessive attitude towards food and eating

unrealistic opinions about body weight and shape

depression and anxiety

isolation – losing interest in other people

Without treatment, bulimia can lead to a number of physical complications. Read more about complications of bulimia.

Binge eating

Binge eating is repeatedly eating vast quantities of high-calorie food, without necessarily feeling hungry or needing to eat. The urge to eat can begin as an attempt to deal with emotional problems, but can quickly become obsessive and out of control.

Binge eating is usually a very quick process and you may feel physically uncomfortable afterwards. When binge eating is a symptom of bulimia, it happens regularly, not just once or twice.

Binge eating episodes are sometimes spontaneous, where you eat anything you can find. They can also be planned, where you make a shopping trip to buy foods specifically to binge on.

Read more information about binge eating.

Purging

Purging is a response to binging. After you have eaten lots of food in a short space of time, you may feel physically bloated and unattractive. You may also feel guilty, regretful and full of self-hatred.

However, the main impulse to purge is a powerful, overriding fear of putting on weight.

The most common methods of purging involve making yourself vomit or using laxatives to encourage your body to pass the food quickly.

Less common methods of purging include taking diet pills, over-exercising, extreme dieting, periods of starvation or taking illegal drugs, such as amphetamines.

Cycle of guilt

Bulimia is often a vicious circle. If you have the condition, it is likely that you have very low self-esteem. You may also think you are overweight, even though you may be at or near a normal weight for your height and build.

This may encourage you to set yourself strict rules about dieting, eating or exercising, which are very hard to maintain. If you fail to keep to these strict rules, you binge on the things that you have denied yourself. After feeling guilty about binging, you purge to get rid of the calories.

Supporting someone with an eating disorder

Supporting someone with an eating disorder

Supporting someone with an eating disorder

If your friend or relative has an eating problem, they will eventually have to get professional help from a doctor, practice nurse, or a school or college nurse.

If a friend or relative has an eating disorder, such as anorexiabulimia or binge eating, you might want to encourage them to speak to someone about it. You could go with them for support if they want you to.

But there are other things you can do. You’re already doing a great job by finding out how to help them – it shows you care.

You may have noticed your friend has changed. They may no longer go out or want to be included in things.

Keep trying to include them, just like before. Even if they don't join in, they will still like to be asked. It will make them feel valued as a person.

You can also try to build up their self-esteem, perhaps by telling them what a great person they are and how much you appreciate having them as a friend.

Try not to give advice or criticism. Give your time and listen to them. This can be tough when you don't agree with what they say about themselves and what they eat.

Remember, you don't have to know all the answers. Just being there is what's important. This is especially true when it feels like your friend or relative is rejecting your friendship, help and support.

How are eating disorders treated?

Treatment for eating disorders varies around the country. Different types of help may be offered depending on where you live.

Treatment includes dealing with the emotional issues as well as the physical, but this must be done slowly so your friend or relative is able to cope with the changes.

Treatment will involve your friend or relative talking to someone about the emotional difficulties that have led to their eating disorder. It will also explore their physical problems, general health and eating patterns. Help with eating and putting on weight is usually not enough.

The earlier your friend or relative embarks on the treatment programme and the more they engage with it, the better their chances of making a good recovery.

Will they have to go into hospital?

Most people with eating disorders are seen as outpatients. This means they visit the hospital - for example, one day a week. In severe cases, they might need to visit the hospital more often, or be admitted to hospital for more intensive support and treatment (known as inpatient care).

Should I visit them in hospital?

This depends on what your friend wants, how you feel and what the treatment centre allows. Let them know you're thinking of them and would like to visit them. If this is not possible, you can always write to them or call to let them know you're still there to support them.

Can people be forced to get help for eating disorders?

If your friend or relative has lost a lot of weight, they may be in danger of starving themselves and developing serious complications. They may not be able to think clearly and may refuse life-saving treatment.

In these circumstances, their doctor may decide to admit them to hospital for specialist treatment. This can only be done after the doctor has consulted colleagues and they agree with the doctor's decision. This is called being sectioned and it is done under the rules of the Mental Health Act.

Will they be cured when they come home?

Your friend or relative will still need your support. Most people with an eating disorder do recover and learn to use more positive ways of coping.

But recovery from an eating disorder can be very difficult and can take a long time. Part of your friend may want to get better, while the other part might be very scared about giving up the eating disorder. They might think, "I want to get better, but just don't want to gain weight."

They will probably have good days and bad days. During times of stress, the eating difficulties may return. Changing the way people with eating disorders think and feel is never easy and it takes time.

Eating Disorders – What are the signs and symptoms of an eating disorder?

Eating Disorders – What are the signs and symptoms of an eating disorder?

It has been a few years since we took a look at eating disorders here at Patient Talk.

With around one in ten of us suffering from an eating disorder (anorexia , bulimia or binge eating) we felt that it would be a great idea to share this very useful infographic with our readers.

We would very much appreciate it if you would share this information with your friends and family!

Castlewood Treatment Center – Eating Disorder Signs and Symptoms Infographic

Parental Help for Eating Disorders: A free guide for parents of children with eating disorders.


Eating Disorders

Eating Disorders

With Eating Disorders Awareness Week just passed we have been asked by Laura Shay to let you know about her recent research.

Laura has been working on a guide for parents of children and adolescents who suffer from eating disorders.

Shay writes “Up to 24 million people of all ages and genders in the U.S. have eating disorders, which have the highest mortality rate of any mental illness. Anorexia, bulimia, binge eating disorder or EDNOS (Eating Disorders Not Otherwise Specified) are more common in women than men, though studies have shown that men often fail to get the support they need out of a misconception that these disorders are ‘a female thing’. If your loved one has just been diagnosed with an eating disorder, there are many steps you can take to ensure that they recover. Increase your awareness of the nature of eating disorders, find a good team which may comprise a doctor, nutritionist and therapist, and above all, do not blame yourself or your loved one; eating disorders can arise from many causes, including genetics and other illnesses and disorders. Be patient and expect a few setbacks along the way; treatment will take at least six months, though with your support and the right therapy, your loved one will surely recover and build a much more positive relationship to food.

You can read it here: http://www.bulimia.com/topics/for-parents-and-families/