Gastroenterology and the Eating Disordered Patient

The GI problems of most individuals with eating disorders result from starvation, from compensatory behaviors like vomiting, laxative or diuretic abuse, or from treatment (eg, the refeeding syndrome). That most of these problems are secondary to the behaviors is suggested by the fact that even in nonclinical college aged women, the severity and number ofGI complaints has been associated with the extent ofdieting behavior (Krahn et al, 1996). Most complaints have been found to reverse with normalization of eating behavior and do not require or respond to symptomatic treatment with typical pharmacological agents. It is important for gastroenterologists to be aware of common complaints in eating disordered patients so as not to miss a diagnosis and chance for early interven tion. It is also important to note that management of AN and BN may be complicated by cardiac, metabolic, and endocrine sequelae; however, the details of management of these complications are beyond the scope of this chapter.*

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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