Daily Mirror (Sri Lanka)

EATING DISORDERS!

Eating disorders are becoming increasing­ly evident in today’s society where people are preoccupie­d with maintainin­g their body images while losing track of striking a balance in their diets and life style practices leading to a host of serious physical pr

- BY SAMURDDHI TILLEKERAT­NE

What are the symptoms of anorexia, bulimia and binge eating?

Symptoms of eating disorders vary with each type of eating disorder,

When you have anorexia you’re obsessed with food and being thin sometimes to the point of deadly starvation.

Anorexia- Denial of hunger, intense fear of gaining weight, having a negative self image, excessive exercise, irritabili­ty, social withdrawal, thin appearance, sleeping troubles, lanugo(soft downy hair present in the body) menstrual irregulari­ties, constipati­on, dry skin, frequently feeling cold, dehydratio­n and low blood pressure. When you have bulimia, you have episodes of bingeing and purging afterwards,

Bulimia- Eating fatty/ sweet foods to the point of pain and discomfort, self induced vomiting, excessive exercise, unhealthy focus on body shape and weight, low self-esteem, abnormal bowel function, damaged gums, menstrual irregulari­ties, constant fasting, drug/ alcohol abuse.

When you have binge-eating disorder you regularly eat excessive amounts of food but don’t compensate for this behaviour with exercise and purging,

Binge eating- Eating to the point of discomfort, eating faster during binge episodes, frequently eating alone, feeling disgusted/ upset/ashamed over the amount eaten.

What are

the causes/ risk factors for the developmen­t of eating disorders?

Many people with eating disorders have psychologi­cal and emotional problems that contribute to the disorder, For instance low self-esteem, perfection­ism, troubled relationsh­ips are some of them.

The society often reinforces the desire to be thin in a person equating success and popularity to being thin and what is seen in the media may fuel a person’s desire to be thin.

There is some evidence to say that genetics may also have some role to play in its’ developmen­t suggesting that people with first-degree relatives with an eating disorder will have a likelier chance of developing it.

In addition to these, things like belonging to the female sex, being in the teenage age group, transition­s in life, belonging to certain occupation­s (ballerinas, television personalit­ies, athletes, models) may also play a role in the developmen­t of an eating disorder.

What are the treatment modalities available to help a person suffering from an eating disorder?

The treatment varies with the type of eating disorder, but in general it typically includes psychother­apy, weight restoratio­n and medication.

Psychother­apy- It teaches an individual how to monitor moods and what they eat.

Weight restoratio­n and

nutrition education- If you’re underweigh­t due to the eating disorder the goal is to start gaining it back to a healthy weight.

Medication- Medication can’t cure an eating disorder. However antidepres­sants, anti anxiety drugs may help alleviate depression or anxiety that are associated with eating disorders.

In addition to getting profession­al treatment one can get involved in activities that boost the self esteem, resist the urge to skip meals, identify situations which make you turn to food for comforting purposes.

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