Gluttony

Introduction Bulimia is a clinical manifestation of bulimia. The so-called Bulimia Nervosa is not ordinary greed. As an abnormal change in eating behavior, bulimia should have the following characteristics: the patient's appetite desire or behavior is often seizure, and once it has a desire to eat, it is difficult to restrain and resist, and each time the food intake is large; the patient is worried I am getting fat, so I often induce vomiting after eating. I also take laxatives or increase the amount of exercise to eliminate the weight gain caused by binge eating. The above-mentioned binge eating phenomenon occurs at least twice a week and has been at least 3 months in a row.

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 form of self-fat, so that special diet measures are taken, and when hunger is difficult, it is not added. Controlled to 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. Effervescence is the most common way to control weight gain. Immediately after binge eating, the throat is swallowed by hand or other items, spit out the food in the stomach, and some are excreted in time with a cathartic agent. Due to the long-term use of these improper means of digestion. Many patients may have electrolyte metabolic disorders, gastrointestinal tract and cardiovascular complications.

an examination

Related inspection

Nervous system examination gastroscope

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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