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Anorexia: Causes, Symptoms and Treatment


What is Anorexia?

Anorexia is a perilous eating disorder that can jeopardize one's life. It often leads to extreme food restriction, significant weight loss, and malnutrition, fueled by a strong fear of gaining weight and a distorted view of one’s body. The majority effects of anorexia are observed in young females, but it can strike anyone irrespective of age, gender, or other backgrounds. Timely diagnosis and treatment are essential for not causing any long-term health problems and for promoting recovery.


Anorexia: Know Causes, Symptoms and Treatment
Anorexia: Know Causes, Symptoms and Treatment

Anorexia Nervosa

Anorexia nervosa is a psychopathy where the patient becomes attached to the thought of being slim. While those with anorexia nervosa may look frail and significantly underweight, they often have an intense focus on their weight and commonly believe they are overweight. This psychologically distorted perception about one's physical self motivates anorexia nervosa patients to starve or excessively exercise themselves, or even take laxatives to keep slim.


There are two kinds of anorexia nervosa:

Restrictive type: Individuals severely limit food consumption.

Binge-eating/purging type: Individuals do not refrain from consuming food; rather, they undergo instances of binge eating, which are subsequently followed by purging through methods such as vomiting or the use of laxative medications.


Causes of Anorexia

Anorexia is a complicated disorder that arises from numerous underlying causes. No cause is evident and specific; instead, it develops due to combined influences of genetic, psychological, and different environmental factors.


1. Genetic Factors

Some research supports the idea that genetic influences can increase the chances of someone developing an eating disorder, especially if they have relatives who have faced similar challenges. Research has also shown that some genotypes may confer susceptibility to obsessive-compulsive traits, perfectionism, or responsiveness to reward and punishment and, as such, contribute to anorexia development.


2. Psychological Factors

Anorexia Nervosa often goes with other mental disorders like anxiety, depression, and Obsessive Compulsive Disorders. The psychological features are usually present, for example, low self-esteem, perfection, and an extreme fear of losing control over body weight.


3. Cultural and Environmental Factors

This is attributed to the increase in the incidence of anorexia based on the idealization of being thin by society, especially among Western cultures. Portrayals in the media toward unrealistic body standards, social pressure to retain beauty ideals, and peer pressure may be attributed to a higher demand for extreme control over weight.


4. Biological Factors

Some new research suggested that the changes in brain function, especially in the regions implicated in mood, reward, and cognitive control, have been associated with anorexia. Additionally, hormonal imbalances - either imbalance related to the regulation of appetite or as a secondary effect of other hormonal imbalances - may also play a role.


Symptoms of Anorexia

Anorexia isn't just about losing weight; it involves a range of physical, behavioral, and mental symptoms that can vary in intensity. This issue pertains to both the physical and mental aspects of health, and if it goes untreated, it may lead to significant, potentially deadly, consequences.


1. Physical Symptoms

  • Extreme weight loss or inability to increase weight during the growing age

  • Weakness and dizziness, fainting spells

  • Dry, yellowish-colored skin and brittle nails

  • Thinning of hair or even hair loss

  • Constipation and abdominal pain

  • Cold intolerance and bluish discoloration of fingers due to poor circulation

  • Loss of menstruation in women (amenorrhea)


2. Behavioral Symptoms

  • Eating less and avoiding meals or eating minimal portions

  • Compulsive exercising, even in bad health

  • Fear of eating publicly or among people

  • Obsession with food, calories, and dieting

  • The use of more-than-average products such as laxatives or diuretics or getting frequent enemas to reduce weight

  • Social isolation and withdrawal from social engagements involving friends and family members


3. Mental Health Symptoms

  • Obsession with body image and obsessive mirror-checking

  • An overwhelming dread of weighing more, even in the context of being severely underweight.

  • Poor self-esteem and altered consciousness about one's own body

  • Feelings of guilt or shame following any kind of consumption

  • Depression, anxiety, and irritability


Complications of Anorexia

Anorexia is a life-threatening condition with a wide range of complications that can affect nearly every organ system. Long-term health risks include:


  • Cardiovascular problems: Low blood pressure, bradycardia, or heart failure.

  • Osteoporosis: A consequence of long-term malnutrition, leading to brittle bones.

  • Infertility: Caused by hormonal imbalance and amenorrhea.

  • Kidney failure:  When dehydration and electrolyte levels are off, it can result in kidney failure.

  • Mental Risks: Suicide; deliberate self-harm.


How is Anorexia Diagnosed?

There are appropriate physical as well as psychological examinations diagnosed through doctors. Doctors often check for:

  • Distorted body image and denial of the severity of the condition.

  • Blood tests to assess nutritional deficiencies and organ function.


Treatment Options for Anorexia

A comprehensive, multidisciplinary treatment for anorexia aims at treating both the mental and physical aspects of the disorder.


1. Psychotherapy

The primary foundation for the treatment of anorexia is psychotherapy, especially Cognitive Behavioral Therapy (CBT), which assists the individual in overcoming distorted thought processes regarding food and body image as well as self-worth. Treatment for adolescents is typically Family-Based Therapy, where family members are involved in recovery to support healthy eating habits.


2. Nutritional Counseling

Nutritional refeeding is the major strategy in the rehabilitation process, helping patients regain lost weight and restore their normal appetite. An ambitious dietician will work with the patient on a meal plan that meets all nutritional needs and helps them overcome food anxiety.


3. Medication

There is no medication for anorexia ; however, a person may be prescribed antidepressant medication such as SSRIs to manage symptoms of co-occurring depression, anxiety, or obsessive-compulsive behaviors.


4. Hospitalization

Anorexia can lead to severe complications like extreme malnutrition. Hospitalization may be inevitable under such conditions of severity. Inpatient management is concentrated on stabilizing vital functions and providing nutritional support.


Recovery and Relapse Prevention

The process of recovering from anorexia is a lengthy undertaking that involves several distinct periods, which include sustained therapy, support from those close to the individual, and a firm commitment to healthy eating patterns. Since relapse tends to occur frequently, ongoing monitoring and treatment are essential in stopping disordered eating behaviors from resurfacing.


  • Continued counseling helps the patient cope with stress and body image issues.

  • Family and friends are essential during this recovery process.

  • Nurturing a positive association with food through the application of intuitive eating techniques.

 

If you think your loved one might be struggling with anorexia, approach them with compassion and support. You should avoid judgment towards their appearance and encourage professional help instead. Emotional support and patience during recovery time can be beneficial.


Conclusion

Anorexia is an attained disease that impacts a person either psychologically or physically but it can be treated. Early intervention, a multidisciplinary treatment approach, and the involvement of family and friends help the individual recover from the disorder. By reducing stigma, creating awareness, and encouraging this journey, we make more people seek professional help and embark on healing.


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