Gluttony

Introduction Bulimia is defined as follows: it refers to uncontrollable polyphagia and overeating. Bulimia is a disease that causes eating disorders. Patients are extremely afraid of fat, and their evaluation of themselves is often affected by changes in body and weight. Frequently in the middle of the night, alone or boring, frustrated and angry, suddenly caused gluttony behavior, unable to self-control until the bloating is uncomfortable, can stop, although temporarily met after gluttony, but the guilty feelings, self-blame and Uncontrolled anxiety also prompts them to use inappropriate methods (such as vomiting, laxatives, diuretics, dieting or excessive strenuous exercise) to remove food that has already been eaten.

Cause

Most of the occurrence of bulimia has certain predisposing factors, such as poor interpersonal relationship, long-term emotional irritability and depression, or dissatisfaction with the body that is overweight, so that it takes extraordinary dieting measures and does not control when hunger is difficult. The land turned into gluttony. Sometimes after gluttony, temporarily relieve the anxiety and anxiety. Therefore, as soon as there is irritability, they will rush into the food pile to dispose of bad emotions. Bulimia patients are initially shy about their binge eating behavior, so they often carry others when they are overeating. In public, they try to restrain themselves. In the later period, this control power is completely lost.

an examination

Related inspection

Gastroscope electrogastrogram

Diagnostic points:

1) The irresistible appetite desire or behavior of a seizure can enter a large amount of food at a time. Attack at least 2 times a week for at least 3 months.

2) There is fear of getting fat.

3) Methods such as vomiting, catharsis, and increased exercise are often used to eliminate obesity caused by binge eating.

4) It is not a binge eating caused by organ diseases of the nervous system, nor is it a secondary binge eating such as epilepsy or schizophrenia.

Differential diagnosis

Differential diagnosis:

1) Anorexia nervosa: Anorexia nervosa should be diagnosed if it is clearly diagnosed as anorexia nervosa, or if alternating anorexia and intermittent gluttony symptoms occur.

2) Klein-levin syndrome: also known as periodic sleepiness bulimia syndrome, manifested as paroxysmal sleep (day and night) and bulimia, lasting for several days. When the patient woke up, they ate, ate and slept. Weight gain was evident after one illness. There is no vomiting, catharsis and other weight-control behaviors, and there is no dissatisfaction with body shape or weight, so it is easy to identify with bulimia nervosa.

3) Major depression: Patients may have excessive diet, but there is no compensation for inappropriate weight loss, such as vomiting, catharsis, etc., so it is different from neuropathic nervosa.

4) Schizophrenia: Patients with this disease can be followed by binge eating behavior, the patient is silent, without any weight control behavior, and has other symptoms of schizophrenia.

5) Epileptic and other organic diseases: can occur binge eating behavior, medical history, physical examination and various experiments involving EEG and other functional tests, have organic disease basis, do not consider bulimia nervosa, and such patients lack control Inappropriate behavior of weight.

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