Friday, 4 November 2016

EATING DISORDERS & HOMOEOPATHY



EATING DISORDERS & HOMOEOPATHY

Eating disorders are actually serious and often fatal illnesses that cause severe disturbances to a person's eating behaviors. Obsessions with food, body weight, and shape may also signal an eating disorder.
Eating disorder is sub divided into

ü  Anorexia nervosa
ü  Bulimia nervosa
ü  Binge

ANOREXIA NERVOSA
-          A condition in which there is a marked weight loss as a result of self-starvation.
-          Typically develops during adolescents, predominantly affecting girls.

v  Aetiology:
     Unknown aetiology with a number of theories which are speculative.
     Current social pressures to maintain a slim figure are thought to have been a predisposing factor to recently increased incidences.
     History of obesity & extreme course of dieting after being teased by their friends.
     Emaciation may be disguised by wearing loosely fitting clothes & hiding heavy objects when the weight is checked.
     These subjects are physically overactive.
     Associative features of Hypotension, bradycardia & peripheral cyanosis can be seen. 

v  Diagnostic criteria:
     Weight loss of at least 25% of total body Weight.
     Avoidance of High calorie food.
     Amenorrhea for at least 3 months.
     Distortion of body image, so that patients regard themselves as fat even when grossly underweight. 

v  MANAGEMENT:
     Restore normal body Weight either as an in-patient or out patient.
     A series of target Weight should be set with a final target within the normal range for patients Weight& Height
     Psychotherapy



v  PROGNOSIS:
     Short term prognosis is good, but long term outlook is less favorable.
     Approximately 20% of individuals make full recovery, 20% remain chronically ill & 60% have recurring episodes.
     Death occurs either from suicide or physical complications. 

v  Homoeopathic Management:

o   Mind - ANOREXIA nervosa
ARS.calc. Carc. caust. CHIN. hyos. Ign. lach.levo. merc. Nat-m.perh. phos. puls. rhus-t. Staph.SULPH.tarent. verat.

o   Mind - ANOREXIA nervosa - refuses, to eat
ars. bell. caust. cocc. croc. grat. HYOS.Ign. KALI-CHL. kali-p.op. PH-AC. Phyt. plat. puls. sep.TARENT. VERAT.VIOL-O.


BULLIMIA NERVOSA

v  A condition alternating with self-starving, eating large amounts of food & self-induced vomiting.
v  Weight is normal & exclusively confined to women.

v  Diagnostic criteria:
Ø  Recurrent episodes of eating.
Ø  Lack of self-control on overeating.
Ø  Self-induced vomiting
Ø  Weight almost maintained with in normal limits. 

v  MANAGEMENT:
ü     Psychotherapy 

v  Homoeopathic Management:
o   Mind - BULIMIA

arg-n. Carc.ign. iod. med. nat-m. Phos.puls. staph.


                                         Binge-eating disorder
People with binge-eating disorder lose control over his or her eating. Unlike bulimia nervosa, periods of binge-eating are not followed by purging, excessive exercise, or fasting. As a result, people with binge-eating disorder often are overweight or obese. Binge-eating disorder is the most common eating disorder in the U.S.

Symptoms include:
  • Eating unusually large amounts of food in a specific amount of time
  • Eating even when you're full or not hungry
  • Eating fast during binge episodes
  • Eating until you're uncomfortably full
  • Eating alone or in secret to avoid embarrassment
  • Feeling distressed, ashamed, or guilty about your eating
  • Frequently dieting, possibly without weight loss
                                              “PICA
v  The persistent eating of non-nutritive substances like paint, plaster, hair, cloth, sand, leaves, soil is called pica. It is frequently associated with mental retardation or vitamin/mineral deficiencies. Complications are usually medical, like lead poisoning, hair-ball tumors, intestinal perforation, etc. It usually remits on its own. Other forms of treatment are aversion therapy, over-correction and supplementation of vitamin deficiencies.

v  Homoeopathic Management:

o   Food - PICA, desires to eat sand, slate, earth, etc.
ALUM.Alumn.CALC. calc-p.chel. cic. con. ferr. hep. hyos. ign. nat-m. NIT-AC. Nux-v.oci. psor. sil. sulph. Tarent.

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