Eating disorders

We hope that this newsletter will be helpful for you if you think that

  • Your food or dieting is a problem for you.
  • You think you have anorexia or bulimia.
  •  Other people feel that you have lost a lot of weight.
  •  Your friend or related people have this type of problem.


We all have different eating habits. There are different types of food styles to keep us healthy. Although there are some of these which we adopt for fear of obesity, but they are harmful to our health. This is called Eating Disorders. The following things come under them-        

  •  eating too much
  •  Eat very little
  •  Adopt harmful methods to reduce calories.

This notice is in relation to two Eating Disorder-

  •  Anorexia Nervosa
  •  Bulimia Nervosa

       The two disorders are described separately here. Symptoms of anorexia and bulimia often appear to be the same – according to some people they suffer from bulimarexia.     

The appearance of these symptoms can change over time – initially symptoms of anorexia can later change to symptoms of bulimia.

Who can have an Eating Disorder?

Among adolescent girls and women, they are ten times more likely to have anorexia or bulimia than boys and men. However, it is now commonly found in men as well. Those who suffer from obesity in childhood are more likely to have Eating Disorders.

Anorexia Nervosa


  • You are highly concerned about your weight.
  • At least eat.
  • Exercise excessively to reduce calories.
  • Knowing that you are underweight according to age and length, you cannot stop losing weight.
  • To lose weight, smoke or chew gum.
  • Not interested in sexual relations.
  •  Menstrual irregularity or discontinuation in adolescent girls or women.
  •  Erection and reduction of Wet Dreams and shrinking of testicles in adolescent boys and men.

When does it begin?

It usually begins in adolescence. It suffers from –

  • 1 girl in 150 at 15 years old.
  • 1 boy in 1000 at 15 years old.
  •  It can also begin in childhood or puberty.

What happens in it?

  • You consume fewer calories per day. Although you take healthy food like fruits, vegetables, salads, but your body does not get enough energy.
  • You exercise excessively to lose weight, eat pills or smoke to lose weight.
  • You cook for others, buy but do not want to eat on your own.
  • You always feel hungry and are thinking about eating.
  • You always have the fear of gaining weight and you want to keep your weight below normal.
  • It is determined.
  • Your family may first be able to see your decreased weight and leanness.
  • You lie to others about your low food and weight.
  • You may also experience some symptoms of bulimia. Unlike a person suffering from another bulimia nervosa, your weight remains very low.

Bulimia Nervosa


  • You are highly concerned about your weight.
  • You eat excessively.
  • You do inversions or use Laxative to reduce calories.
  • Irregular menstruation.
  • You feel tired.
  • You feel guilty.
  • Despite being avoided, the weight remains normal.

When does it begin?

Bulimia Nervosa begins in middle adolescence. Often people do not take any help for this before 20-25 years because by then they are able to hide it. Whereas it affects their everyday work and social life. For this, they seek help only when there is some kind of change in their life, such as the start of new relationships or living with new people.

About 4 women out of every 100 suffer from Bulimia Nervosa at some point in their lives. In comparison, the number of men is less.


In order to calm your overeating, you eat them out of the refrigerator or buy oily or high calorie food from the market and hide it from others. For this, biscuits, chocolate packets and cakes are all eaten in a matter of time. Due to this habit, you can also eat the food of others or you can pick it up from the shop and eat it.

Later you feel yourself full and belly bloated — and possibly feel guilty and sad. Then, to get rid of it, you make yourself sick with the use of analgesic medicines or vomiting. It is very annoying and tired. But you do not remove yourself from the vicious cycle of overeating, then vomiting and you are forced into this routine.

Binge Eating Disorder

Recently it has been known that this too is a form of nature. This includes dieting and bingeing but no vomiting. It is sad but less harmful than bulimia. People suffering from this are more likely to become obese.

How do bulimia and anorexia affect you?  

 If you are not getting enough calories then you can get following symptoms –

Psychological symptoms:

  • Sleep disturbances.
  • Trouble thinking clearly or focusing on anything other than eating and thinking about calories.
  • being sad.
  • Not interested in others.
  • Food and eating craze (sometimes other things too, like cleaning, washing etc.)

Physical Characteristics:

  • Trouble eating due to shrinking stomach.
  • Fatigue, weakness, or feeling cold as the body’s metabolism decreases.
  • Constipation
  • Do not grow to full length.
  • The bones are fragile due to which they can break.
  • Being unable to conceive
  • Liver damage, especially if drunk.
  • You can also die in the end. The highest rate of death due to psychological causes is due to Anorexia Nervosa.

If you vomit you may: –

  • Enamel of the tooth gets reduced. (It dissolves with stomach acid while vomiting.)
  • Swollen face. (The taste glands swell in the cheeks.)
  • Feeling abnormal heartbeat (Palpitation) (due to the balance of electrolyte in the blood due to vomiting.)

Feeling weakness

  • Renal damage.Epileptic seizures.Being unable to conceive

By regular use of the medicine: –

  • Constant abdominal pain.
  • Swelling of fingers.
  • Relying on it to go to the toilet daily. (Daily use causes damage to the muscles of the intestines.)
  • Too much weight gain or increase. (With the regular use of analgesic water, water is released from the body. But the same amount is returned after drinking water. Its use does not reduce the calories.)

What are the causes of Eating Disorder?

There is no one answer, there can be many reasons for this. 

Social Pressure: –

       Our behavior / behavior changes according to our social conditions. Eating Disorder is found less in a society where thinness is not given much importance. Where it is very important, such as Ballet School, there is more of this disorder. Leaning in Western civilization is a symbol of beauty. Newspapers and magazines usually present the artificial beauty of artificial and ideal people. Sometimes we all avoid eating to get thin and some become a victim of anorexia due to excessive dieting.

Lack of ‘Off’ Switch: –

       Some of us can remain hungry till our body signs for eating again. Some people with anorexia do not have this type of signaling ‘switch’, due to which they can keep their weight very low for a long time.

Restraint / Control: –

Dieting can be very satisfying. When the machine shows us some weight reduction, some of us feel happy as if someone has achieved a great achievement. In this way, seeing our will power clearly makes us feel very good. You feel as if weight is the only part of your life that you have control over.


Changes in the body due to aging can be reduced to some extent by anorexia, such as facial and pubic hair in men, breast development in women, and menstruation. Expecting to be mature can specifically defeat sexual expectations.


Eating with family members and friends is an important part of our lives. Consuming food also brings joy and refusal makes some people angry. This is especially the case under family members. You refuse to eat to express your feelings / resentment and show your importance in the family by saying ‘I will not eat’ or ‘I am not hungry’.

Depression: –

Most of us eat more when we are upset or when we are bored. Anorexia patients often become unhappy or depressed and probably eat something all the time to get rid of their grief or disappointment. Unfortunately, one feels more sadness or despair from vomiting and use of analgesics.

Low self esteem: –

Most people with anorexia and bolemia do not think well about themselves and find themselves less than others. Losing weight for these people increases one’s sense of accomplishment and self worth.

Emotional Distress: –

We all react differently when circumstances change or if something bad happens. Anorexia and Bulimia are related to –

  • Difficulties of life.
  • sexual harrasment.
  • physical illness.
  • Disturbing events – death or relationship breakdown.
  •  Important events – Marriage or leaving home.

Vicious cycle: –

Eating Disorder can persist even after the initial discomfort has ended. Once your stomach shrinks, you feel difficulty and fear in eating food.  

Physical reason: –

Some doctors think that there may be some physical causes which we have not yet understood.

Is it different for men?

  • Eating Disorder is now being found in boys and men also.
  • Eating Disorder is more common in businesses where there is a greater demand for less weight. Such as – wrestling, dance, swimming, physical exercise and workout.
  • It may be that nowadays men seek help for Eating Disorder instead of remaining silent or ignoring it.

People and children with special needs: –

Learning difficulties, Autism or developmental problems can disturb the eating habit. For example, Autism patients dislike the color or texture of certain foods. Therefore, he refuses to eat it. Children before the age of adolescence are not to be lean but often are disturbed by the texture of the food, take a mean meal or do not eat in anger Removing their problems is completely different from eliminating the problems of anorexia or bulimia.

Do i have trouble

According to the doctor’s question table –

  • Do you make yourself ill if you are too full? (By vomiting)
  • Are you worried that you don’t have control over your food?
  • Have you lost more than 6 kilograms recently (in 3 months)?
  • Do you think you are fat though others call you skinny.
  • Do you feel that food is dominating you in your life or is very important.

If the answer to 2-3 of these questions is yes, then there is something wrong with your food and drink.

Self help: –

  •  Sometimes, bulimia can be cured on its own with the help of self-help manual and doctor’s guidance.
  • In Anorexia, there is a strong need for organized help from a doctor. It is good to know more and more options so that you can choose the right and easiest option for you.

What to do:-

  • Set a regular meal time – breakfast, lunch, dinner. If you are underweight then take some breakfast in the morning, afternoon, evening.
  • Think of a healthy way to eat. Even if you do not want to have breakfast, sit at the dinner table at breakfast and drink a glass of water. When it becomes a habit, eat very little, even if it is only half a toast, but do so daily.
  • Keep a diary in which to write what you ate, when you ate, your daily experience and thoughts. You can compare these thoughts and the relationship between food and you can see what is the relation between your food and thoughts and feelings of that day?
  • Always be honest with yourself and others as to what you are eating and what you are not eating.
  • Remind yourself that you do not always have to be successful, sometimes you can fail.
  • Remind yourself that if you lose more weight then you will be more unhappy and restless.
  • Make two lists – what did you get from the food mess in one, what did you lose due to the food mess. Self-made list will be beneficial for you       
  • Be sympathetic to your body, do not punish it.
  • Know what your correct weight should be and understand it.
  • Read stories of other people emerging from this disease and recuperating. You will find it on the Internet.
  • Join a self-help group. Your doctor can tell you a name or you can contact an eating disorder association.
  • Avoid websites that encourage weight loss and motivate you to lose weight. This damages your health and when you become ill, they cannot help you.

Do not: –

  • Do not weigh more than once a week.                                       
  • Do not waste time looking and examining your body in the mirror.
  • No one is perfect The more you see yourself, the more deficiencies you will see in yourself. If a very beautiful person checks himself all the time, he too can be unhappy.
  • Do not distance yourself from family and friends. They think that you are too thin that you want to get away from them, but their thinking can also be lifelike for you.

What if I do not have any help or I do not change my eating and drinking habits: –

Many people who suffer from Eating Disorder need treatment. So it is not clear what will happen if nothing is done? Nevertheless, it has been seen that very serious Eating Disorders do not cure themselves. Some people suffering from anorexia die. Its chances are less in those who do not vomit, do not take poisonous drugs and do not consume alcohol.

Doctor consultation: –

  • Your doctor may refer you to a specialist consultant, psychiatrist, psychologist.   
  • You can choose a private doctor, voluntary organization and hospital, but still there is safety in telling your doctor.
  • It is wise to keep a thorough test of your health, you may be the cause of your physical problems if you eat poorly. Sometimes an unknown medical condition may also occur. 
  • The most useful treatment depends on the specific symptoms, age and circumstances of your disease. 

For anorexia: –

  • A psychiatrist would like to talk to you, to know when your problem started and how it increased. Your weight will be taken, given how much weight you have lost, your test and blood test will be done. With your permission, your doctor will want to talk to your family or friends so that he can understand your problem very well. Sometimes you don’t want to interfere with your family. ‘In a way, it is also fine, in those who have misbehavior or problems in their family. (Young patients have the right to privacy.)
  • If you are living in a home now, your parents may first be given the responsibility to know what you are eating. This includes eating regularly with family members and getting enough calories. A doctor will see you regularly, to check your weight and for encouragement.
  • This type of behavior can be stressful for people related to you, so your family may need help. But it is not necessary that the whole family come to the doctor for consultation (although it may be beneficial for younger people.) This can help your family understand your problem and deal with it.
  • You will get an opportunity to discuss what is bothering you, such as – opposite sex, school, self-consciousness, family problems.
  • At first you might not want to think about regaining your normal weight as well as you want to feel better. You will need a healthy weight to feel better. For this you will need to know –
  • What is your healthy weight? How many calories are needed daily to gain that weight?
  • How do you make sure you don’t get fat?
  • How do you make sure that you can control your food?

Psychotherapy or Counseling: –

  •  It involves talking about your thoughts and feelings with the doctor at least one hour a week. This helps in how this problem started and how you can solve your problem of thinking and feeling. Talking about some things can be annoying, but a good doctor can help you deal with it well. This can help you understand your importance and reinforce your self-esteem.
  • Sometimes this can be done in a small group of people with the same problem.
  • Your family members can also be included with your permission. You can also talk to them separately to explain what has happened to you. How they can work together with you and how to cope with this situation.
  • This type of treatment can be for months and years.
  • Doctors / doctors recommend hospital admission / recruitment only if these measures do not work or if you are very underweight.

Hospital treatment: –

It also involves controlling food and talking about your problems, in a more caring and safe manner.

  • A blood test will be done to know if you are at risk of blood loss or infection.
  • Regular weights will be taken to ensure that your weight is increasing gradually.
  • Other physical examinations may be needed to monitor damage to the heart, lungs, and bones.

Food advice and help: –

  • A dietitian can discuss healthy eating with you – how much food you eat and how to ensure that you get all the nutrients to stay healthy.
  • You may need vitamin supplements.
  • You can get back to a healthy weight just by eating more and it can be very difficult in the beginning. Employees can help you –
  • In setting appropriate goals for weight gain.
  • To eat regularly.
  • In the face of anxiety or trouble.

Weight gain does not have to be completely cured – but it is not possible to recover without gaining weight. People who are severely hungry usually have trouble concentrating and especially thinking their emotions clearly.

Compulsory treatment: –

       Its use is unusual. It is used in those who are so unwell –

  • They cannot take appropriate decisions for themselves.
  • They need to be protected from serious harm.

How effective is this treatment ?: –

  • More than half of the patients recover completely. However, they suffer from the disease for 5 to 6 years on average.
  • Patients with severe disease over 20 years are also expected to recover completely.
  • Previous studies on the most serious patients hospitalized have shown that 1 in 5 of these deaths may occur. Death rates are reduced by exposure to modern care and frequent medical care.
  • If there is no damage to the heart and organs and the person starts eating enough food, then the complications of starvation gradually improve.

For Bulimia: –


There are two types of psychotherapy effective in Bulimia Nervosa. Both of these are given at intervals of one week, up to 20 weeks.

Cognitive Behavior Therapy (CBT)

This is usually done with a therapist, self-help book, in a group session or with CD ROM. CBT Helps you understand your feelings and thoughts clearly. You can write your eating habits in a diary to know what are the circumstances that make you eat more. This way you can adopt better ways of dealing with these situations or feelings. Like the treatment of anorexia, the doctor will help you to understand and regain its importance.

Interactive therapy (IPT)

This therapy is also done with a physician, but it mainly focuses on your relationship with other people. You have lost a friend, one of your family has died or there has been a big change in your life, such as a change of place. It can help you rebuild your supportive relationships so that you do not depend on food for your emotional needs.

Food advice

It helps you eat food regularly so that you maintain a stable weight without starvation and vomiting. A dietitian can recommend healthy eating. A book / guide like “Getting bite by bite” may be helpful for you. (See reference.) 

Medication treatment: –

Even if you are not suffering from depression / depression, high doses of fluoxetine (Prozac) can reduce the desire to eat excessively. This can be helpful in reducing your symptoms and starting psychotherapy in 2-3 weeks. Unfortunately, without the help of other techniques, the benefits gained after some time begin to wane.

How effective is this treatment ?: –

  • About half of the victims recover and reduce their habit of excessive eating and purging. It is not a complete cure, but it helps to bring your life back under control and to minimize interference from eating problem.
  • The result is more serious if you suffer from the problem of drugs (intoxication), alcohol and harm to yourself.

Although C.B.T. The effect starts early but CBT And IPT Both are equally effective after one year.

  • There has been evidence that a combination of medication and psychotherapy is more effective than either medicine or psychotherapy alone.
  • The patient recovers slowly and it can take anywhere from a few months to several years to recover completely.