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Eating disorders

Perturbationes cibi (anorexia et bulimia nervosa) · Poruchy příjmu potravy

What it is

Anorexia has one of the highest mortality rates of any psychiatric illness.

Symptoms & signs

  • Restriction or bingeing and purging
  • distorted body image
  • low weight or weight fluctuation
  • amenorrhoea
  • dental erosion
  • electrolyte disturbance
  • bradycardia

🚩 Get help if…

  • call 112 / 911 now Fainting, chest pain or a slow or irregular heartbeat
  • call 112 / 911 now Thoughts of suicide
  • see a doctor soon Vomiting blood or several times a day
  • see a doctor soon Weight falling fast, or periods stopping

Where it strikes

Medical treatment

  • Family-based treatment for adolescents
  • CBT-E
  • medical monitoring of heart and electrolytes
  • inpatient refeeding
  • treat co-occurring depression

Natural & lifestyle

  • Regular structured eating
  • remove weighing rituals
  • social support
  • dietitian-guided restoration
  • movement rest during restoration

Emerging & experimental

  • Psilocybin for anorexia trials
  • deep brain stimulation in severe refractory cases
  • olanzapine adjunct

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Zinc supplements in anorexia — small trials of faster weight gain early / small studies
  • Yoga — small studies of less anxiety around food early / small studies

ICD codes