There are three main types of eating disorders. These are bulimia nervosa, anorexia nervosa and binge eating. Anorexia nervosa is an exaggerated fear of gaining weight all the way to the point when the patient becomes abnormally thin. Bulimia nervosa is eating too much and then vomiting it out on a regular basis. Binge eating is when an individual eats an excessive amount of food in one go. All three types of eating disorders have adverse effects on pregnancy. 

Here is how eating disorders affect pregnancies:

1. Unplanned pregnancies: Women with eating disorders are much more likely to have an unplanned pregnancy. This is true both for women who had eating disorders in the past as well as women who have eating disorders at the moment. In a study by University College London and King's College London consisting of 11000 women showed, only 28% of women reported that they had an unplanned pregnancy without suffering from any eating disorder as compared to the 41% who did have an eating disorder at some point in their life. The reason for this is that women tend to think that they do not need contraceptives due to an irregular menstrual cycle, which is one of the consequences of eating disorders during pregnancy. 

2. Happiness about their pregnancy: The same survey of 11000 women conducted by University College London and King's College London reported that 71% of women were happy about their pregnancies. However, the number would have been a lot higher if there were fewer women with eating disorders. It has been said that 10% of women were unhappy to discover they were pregnant, if they had an eating disorder in the past as compared to 4% who never had an eating disorder.

3. Consider pregnancy a 'personal sacrifice': It has also been said that women who have had or have eating disorders during or before their pregnancy tend to consider pregnancy as a 'personal sacrifice' much more often than women who have no history or eating disorders.

Even though mostly, eating disorders affect pregnant women mentally rather than physically, it is crucial that women try to fix this problem before their pregnancy so they actually can enjoy having a baby.

How Eating Disorders Affect Pregnancy?

The number of children suffering from eating disorders are on the rise. Change in eating habits, stress, depression, low self-esteem, lack of control in life, anger and loneliness are some of the causes of eating disorders. Some genetic disorders could also be a reason for eating disorders.

Eating disorders may lead to several health conditions which may arise in case of abnormal eating patterns. The common modes of eating disorders in children are as follows:

Anorexia
Children who are affected with anorexia think they are very overweight in spite of actually being very thin. Anorexia affected children consume less than a thousand calories per day.
The treatment for anorexia nervosa generally includes a mix of mental treatment and regulated weight gain program. The best ways to deal with anorexia are:

1. Psychological Treatment: Different psychological treatments can be used to cure anorexia of different stages in children. They include cognitive analytic therapy, cognitive-behavioral therapy, interpersonal therapy and focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be provided.

2. Weight gain program: A weight gain program will guide an anorexic child to improve his diet habits and slowly gain weight. A patient is monitored carefully; the traits are recognized and a diet pattern is given, which is ideal for him.

Bulimia
Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimia affected child is constantly trapped in the cycle of overeating and then thinks about losing weight.

In spite of not liking the idea of binge eating for the fear of getting obese, a child affected by bulimia cannot follow this and continues binge eating. Later, they take extreme measures to lose weight. The primary methods to deal with bulimia are:

1. Psychotherapy: Psychotherapy or talk therapy includes examining the bulimia and related issues with an expert. It has been proven that psychotherapy restricts the symptoms of bulimia. The three modes of psychotherapy include, Cognitive behavioral therapy, Family-based therapy and Interpersonal psychotherapy

2. Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is one medicine that can be taken.

3. Proper diet plan: For bulimia affected children, having a proper balanced diet is very important. A diet expert should be consulted, who will make the most essential food pattern for the child. Undertaking a weight-loss program is also vital.

Binge eating
Similar to bulimia, binge eating includes out of control eating in huge quantities in a short period of time. The food is not vomited out, and binge eating causes obesity. Intense emotions are experienced in binge eaters. Binge eating in children can be treated with behavioral therapy, medications and psychotherapy.
Eating disorders are quite common in children who are yet to gain maturity. 

These disorders may lead to severe health consequences, which may affect a child physically and psychologically. A proper treatment is also essential to deal with these disorders.

How to Treat Eating Disorders in Children

Come summer and the vegetable stands in the markets start looking different. The green vegetables are replaced by fruits and vegetables that grow in the heat and have higher water content themselves. Here is a list of foods that will keep you hydrated and energetic during the draining summer heat.

1) Watermelon - Watermelons have more water than pulp and are easily available. Not only will this relax you but also hydrates you at the end of a very tiring day.

2) Cucumber - With less than 20 calories in a cup of cucumbers, this hydrating food is ideal to carry with lunch boxes to work, or eat at home. They cool and hydrate you at the same time. The seeds are also known to be high in nutrients and health benefits.

3) Tomatoes - Tomatoes and their health benefits are widely known. They cool your stomach and hydrate you. Tomatoes are also good for diabetes and cardio-vascular problems, and are a rich source of many nutrients like dietary fiber, vitamins ? C, A, E, K and B6, potassium and many more.

4) Lemon - Lemon is a super food. Mixed with water, in different temperatures, it helps in weight loss to combating dehydration. Mixed in water with a pinch of salt and a spoonful of sugar, the lemon water mixture is known to cool, energise and hydrate the body.

5) Curd - This is a staple in most Indian homes. Store bought or homemade, it is good to eat a small bowl full of curd every day. A delicious coolant, you can spice it up any way you wish to - by adding fruits to it, or by adding masalas or by eating it straight with just a tiny pinch of salt.

6) Coconut water - Easily available on road sides, coconut water is your ideal drink on the go. While you can surely have it at home, it is highly recommended for students and professionals who are out in the sun, during the day. An immediate energizer, coconut water can be your savior from heat spells.

7) Melons - Just like watermelons, melons and muskmelons too have high water content. The fruit is said to have 90 percent water apart from the nutrients.

8) Buttermilk - Easy to make and easily available in the market, buttermilk can be customized as per individual taste. It is light in the tummy, cools and dehydrates the system.

9) Mint - An inexpensive herb, mint has amazing cooling qualities. Churn it into chutney or just drop a few leaves into your bottle of drinking water, these leaves will keep your insides cool and mind fresh with their mild fragrance.

10) Onions - Red onions in particular are known to have very high water content. Include them in your meals or have them raw, how you eat is up to you.

If you have any further questions, click on consult privately to ask me.

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10 Foods That'll Keep You Healthy This Summer

You're strong, fierce and independent and no one has the ability to force-feed you into eating/drinking more than you wish to. Make your eating decisions wisely.

Click on'consult' to help me with your diet/nutrition plans.

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Nobody can force-feed you into eating/drinking more than you wish to

Some traditions are unique in this country. On the top of the bill lies the ritual of sitting together with family during holidays and sharing a grand and unending meal. Although, this is really fun but the after effects of these get together are not very pretty; with the spread of hearty dishes, it becomes very hard to control the appetite and you end up overeating. Having a party with friends or watching football or cricket match that is directed towards relieving the situation, but in reality, it makes the situation worse. If this is the only viable means of following your tradition, then it is time to consider what you are doing to your body.

Gastric distresses is just the beginning
Overeating during the holidays can lead to unhealthy weight gain, and in case you are already overweight, then it may lead to obesity. Now this in turn would play its role in making you prone to heart diseases, blood pressure, diabetes and several other severe diseases. A single instance of eating more than you should may lead to short-term consequences that are not simply confined to bloating or excess gas. Expert gastroenterologists opine that seasonal overeating can have a ripple effect throughout the body which can also affect the nervous system.

Overeating is very harmful
After you have eaten more than your stomach can hold, the post-meal malaise you go through is not actually the outcome of the tryptophan in the chicken; it has resulted from the increase in blood flow through the digestive tract, and it's your body's way of protesting that you must stop now. Every disease has a cause that is often rooted in one's habits. One of the most prominent results of overeating is the deterioration of the digestive system. With a poor digestive system, you may feel nauseous, uneasy and a subtle weakness in the limbs and legs.

Limiting the function of major organs
If you eat more than your body can take up even occasionally, it will bring about an overload in the entire physical system casting a stress on the intestines, stomach, heart and other major organs. Your body has limited energy and blood and when you overeat, all the organs demand more energy for functioning optimally. Thus just half of the required resources reach your limbs and brain.

There are various ways of enjoying with your close ones and overeating though may appear to be a fun thing to do, it has the power to impair your system. But if you have already indulged in the same, it's probably time to visit your gastroenterologist to help the digestive system to soothe down.

Three Dangers of Overeating During the Holidays

There is a commonly held view that eating disorders are a lifestyle choice. 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.

Signs and Symptoms of Common Eating Disorders are discussed below...

Anorexia Nervosa-

People with anorexia nervosa may see themselves as overweight, even when they are dangerously underweight. People with anorexia nervosa typically weigh themselves repeatedly, severely restrict the amount of food they eat, and eat very small quantities of only certain foods. Anorexia nervosa has the highest mortality rate of any mental disorder.

Symptoms:

Extremely restricted eating
Extreme thinness (emaciation)
A relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight
Intense fear of gaining weight
Distorted body image, a self-esteem that is heavily influenced by perceptions of body weight and shape, or a denial of the seriousness of low body weight
Other symptoms may develop over time, including:

Thinning of the bones (osteopenia or osteoporosis)
Mild anemia and muscle wasting and weakness
Brittle hair and nails
Dry and yellowish skin
Growth of fine hair all over the body (lanugo)
Severe constipation
Low blood pressure, slowed breathing and pulse
Damage to the structure and function of the heart
Brain damage
Multiorgan failure
Drop in internal body temperature, causing a person to feel cold all the time
Lethargy, sluggishness, or feeling tired all the time
Infertility
Bulimia Nervosa-

People with bulimia nervosa have recurrent and frequent episodes of eating unusually large amounts of food and feeling a lack of control over these episodes. This binge-eating is followed by behavior that compensates for the overeating such as forced vomiting, excessive use of laxatives or diuretics, fasting, excessive exercise, or a combination of these behaviors. People with bulimia nervosa usually maintain what is considered a healthy or relatively normal weight.

Symptoms:

Chronically inflamed and sore throat
Swollen salivary glands in the neck and jaw area
Worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acid
Acid reflux disorder and other gastrointestinal problems
Intestinal distress and irritation from laxative abuse
Severe dehydration from purging of fluids
Electrolyte imbalance (too low or too high levels of sodium, calcium, potassium and other minerals) which can lead to stroke or heart attack
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.

Symptoms:

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
Unspecified Eating Disorder-

This happens when the behavior do not meet the criteria for any food or eating problems but still pose significant threat and problems.
This also happens the clinician is not able to assess whether an individual is affected by a certain disorder.
Treatment-

Treatment is available. Recovery is possible...

Eating disorders are serious health conditions that can be both physically and emotionally destructive. People with eating disorders need to seek professional help. Early diagnosis and intervention may enhance recovery. Eating disorders can become chronic, debilitating, and even life-threatening conditions.

When you begin to notice that disordered eating habits are affecting your life, your happiness, and your ability to concentrate, it is important that you talk to somebody about what you are going through.

The most effective and long-lasting treatment for an eating disorder is some form of psychotherapy or psychological counseling, coupled with careful attention to medical and nutritional needs. Ideally, this treatment should be tailored to the individual and will vary according to both the severities of the disorder and the patient's particular problems, needs, and strengths.

Eating Disorders

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