Skip to main content

Eating Disorder in Children

Behavior eating disorder in children between 14-18 years of age is known as Anorexia Nervosa. Female adolescents are affected the most.


Anorexia- is loss of appetite

 Nervosa- loss is due to emotional reasons
Diagnosis- it is a clinical diagnosis and patient presents with:

 • Patient shows refusal to maintain body weight which is required for particular age, weight, height.

 • Child feels fear of gaining weight and becoming fat.

 • There is disturbance in body weight and shape

 • Disturbed cycle
Types-

 • Restricting type- child restrict himself/herself to eat

 • Binge-eating/Purging type- child has habit of binge eating i.e. self induced vomiting, excessive use of laxatives after eating
This affects child’s health in the form of depression, OCD, phobias, panic attacks, other personality disorders, substance abuse.

 Health changes-

 • Decrease BP

 • Decrease HR

 • GI and kidney problems

 • Decrease Bone Mass

 • Skin dries out and nail become brittle

 • Hormonal imbalance

 • Anaemia

 • Neurological impairments
Death occurs due to starvation, suicide, electrolyte imbalance.  Hospital admission is required to establish weight and restore fluid and electrolyte balance.

 Note-

 • 70% of patients recovers from the disorder

 • It takes 6-7 years time to recover completely

 • It is a life threatening illness

 • Death occurs due to physical complications

 • It runs in the family
Bulimia Nervosa:- It is characterized by rapid consumption of large amount of food followed by compensatory act of vomiting, fasting, excessive exercise.  Patient eats excessively within few months. It affects late adolescent age group.

Difference between Anorexia nervosa and Bulimia nervosa is weight loss.  In Anorexia nervosa patient lose excess of weight whereas in Bulimia nervosa do not.

Diagnosis- patient presents with binge eating again and again

 • Eating every 2 hours and large amount of food, more than normal what an individual takes

 • Sense of lack of control over eating

 • Self induced vomiting, use of laxatives, fasting to control weight gain

Types-

 • Purging type- includes self vomiting, laxatives and enema use

 • Non-purging type- includes exercising, fasting
Food- like ice creams, cakes

 DSM Diagnosis quote Bulimia nervosa as diagnosis if patient eats twice a week for 3 months.

 Effects are due to-

 • Negative affects on child

 • Stress
Changes in Health-

 • Menstrual changes

 • Normal BMI

 • Decreased Potassium

 • Electrolyte Imbalance

 • Tissue tear in stomach and throat

 • Salivary glands become swollen
Note-

 • 70% of patients recovers from the disorder

 • Weight loss do not occur in Bulimia nervosa

 • It runs in the family

 • Serotonin plays a important role in causing Bulimia

 • Dopamine restrains eating
Treatment for eating disorder-

 Anorexia nervosa

 • Psychological support- firstly in gaining weight and secondly in maintaining weight

 • Family support
Bulimia nervosa

 • 3 meals/day and snacks in between

 • Cognitive behavioral therapy

Call the office of Dr. Ritambhara Lohan and schedule your pediatrician doctor in gurgaon sushant lok today!
Labels:

Comments

Post a Comment

Popular posts from this blog

WHO SOUNDS ALARM OVER HIGH SUGAR IN BABY FOOD

Newer advancement in baby food market has lead to some hard facts which are prevailing nowadays. This packet market food claims for no harmful effects but certain facts are not to be ignored. Baby food often contains too much sugar and is incorrectly advertised as suitable for infants under 6 months of age, according to a new WHO report At least half of products analysed in three of four cities provided more than 30% of their calories from sugar, according to the study. About a third of them listed sugar, concentrated fruit juice or other sweeteners as an ingredient. That raises the risk for obesity and diabetes later because it can wire young children to a lifelong preference for sweet foods. The WHO recommends babies be exclusively breastfed for the first six months of their lives, advice the world’s biggest baby food makers like Nestle SA and Danone echo. In addition, the WHO study showed that as much as 60% of baby food products were being advertised as suitable for infant...
Post a Comment
Read more

Stridor in Children - कडल्स चाइल्ड क्लिनिक

 Noisy high pitched sound while breathing:- it is a sound which involves upper airway tract like nose, mouth, sinuses, larynx and wind pipe. Stridor occurs while breathing in i.e Inspiration. Causes can be:- 1) Congenital anomaly of upper airway tract 2) Infections like croup, tonsillitis, adenoiditis 3) Ingestion of substances like food/small object in upper airway path 4) Injury in upper airway tract 5) Allergic reaction in upper airway tract 6) Tumour of same tract. Symptoms :- main symptom involves harsh noisy sound while breathing in. Children are more at trouble due to narrow and shorter upper air way system Diagnosis :- ENT specialist doctor are the doctor who treats this condition like stridor. Tests:- 1) Chest and neck Xray 2) CT scan/MRI 3) Laryngoscopy:- to check throat and larynx 4) Bronchoscopy:- to check trachea and tubes in addition to above ones 5) Spirometery:- to know how much air is breathed in and out 6) Pulse oximetry:- to measure amount...
1 comment
Read more

Blocked Nose in Children बच्चों नाक में अवरुद्ध

This condition is also called as Snuffles or Sniffles, which is commonly seen in less than 6 months old babies. It happens due to collection of mucous in nose which is difficult to clean in small babies due to narrow nasal opening and passage. It sounds like some snore coming while child is breathing. What causes it? • It happens due to deposition of mucous in nose. • Not caused by infection or cold. • Dry nose (due to dry air). • It is common in newborn babies as they get used to breathing air after 9months in fluid in womb they breathe from nose to clear it. But babies who have snuffles are otherwise well but short while breathing. Feeding can sometimes become difficult if baby cannot breathe very well through nose. What can I do for it? • Nothing specific to be done if baby is happy and able to feed. • Steam/humidifying the room when baby is sleeping so that thick mucous becomes loose. • Clean nose while bathing • Give small and frequent feeds  • Salt water nas...
Post a Comment
Read more