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Overview

Bulimia: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Medicines. Antidepressants, such as fluoxetine (Prozac, for example), are sometimes used to reduce binge-purge cycles and relieve symptoms of depression that often occur along with eating disorders. They work best when combined with counseling. Psychological counseling. Two types of counseling are useful in treating bulimia. They are cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT). In CBT you learn how to change negative thoughts that you may have about food, your weight, your body, or beliefs about yourself. In IPT you learn how relationships-and feelings about those relationships-affect binge eating and purging. The goals of CBT are: To use nutritional counseling to help you learn how to eat three meals and two snacks a day and avoid unhealthy diets. To reduce concern about your body weight and shape. To understand and reduce triggers of binge eating by examining your relationships and emotions. To develop a plan to learn proper coping skills to prevent future relapses. The goals of IPT are: To identify relationships that are connected to binge eating and purging. To learn how emotions that come up from these relationships are related to binge eating and purging. To help correct these relationship patterns, so that you won't binge eat or purge in response to bad feelings.

How is the treatment done?

Since negative body image and poor self-esteem are often the underlying factors at the root of bulimia, it is important that therapy is integrated into the recovery process. Treatment for bulimia nervosa usually includes: Discontinuing the binge-purge cycle: The initial phase of treatment for bulimia nervosa involves breaking this harmful cycle and restoring normal eating behaviors. Improving negative thoughts: The next phase of bulimia treatment concentrates on recognizing and changing irrational beliefs about weight, body shape, and dieting. Resolving emotional issues: The final phase of bulimia treatment focuses on healing from emotional issues that may have caused the eating disorder. Treatment may address interpersonal relationships and can include cognitive behavior therapy, dialectic behavior therapy, and other related therapies.

Who is eligible for the treatment? (When is the treatment done?)

Treatment for an eating disorder will depend on the specifics of the disorder and will be tailored to each individual. Generally, the goals of eating disorder treatment are to restore the person to a healthy weight, treat any psychological problems related to or coexisting with the disorder, and reduce behaviors or thoughts that contribute to the eating disorder. Treatment must address all aspects of the disorder, including psychological and medical components. Continuing therapy may be needed to prevent relapse and treat related psychological problems.

Who is not eligible for the treatment?

There is no straightforward test for bulimia and no universally agreed treatment path or medication that provides a cure. The first step is taking with your doctor and asking for help. Eating disorders are complex. A person with an eating disorder will very often also experience depression, anxiety and a lack of self worth. While your doctor may not be an expert in treating eating disorders, they will be able to assess any physical problems resulting from your eating disorder and can also help you to contact specialist eating disorder services.

Are there any side effects?

The side effects include abnormal bowel functioning, bloating, dehydration, fainting, seizure, fatigue, dry skin, irregular heartbeat.

What are the post-treatment guidelines?

The post-treatment guidelines are suggested by the doctor and are usually a series of do's and don'ts for the patient to follow in order to not relapse.

How long does it take to recover?

The treatment differs form patient to patient and the recovery time can go from a year to 10 years, It all depends on the patient and the support the patient gets,

What is the price of the treatment in India?

Rs. 500 to Rs. 2,000

Are the results of the treatment permanent?

The results depend on the patient. If there is a complete change in the patient's mindset then the results are permanent. If not then there is a high chance of a relapse.

What are the alternatives to the treatment?

Most alternative therapies for bulimia do not address the root causes of the disorder, but they can be helpful in relieving some of the physical distress resulting from it. If you want to include this type of treatment in your recovery, it is important to consult practitioners who are experienced in dealing with eating disorders. Remember to tell your doctors and therapists about any complementary therapy you receive.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: Very High Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 500 to Rs. 2,000

Popular Health Tips

Strong Smelling Urine - 5 Common Reasons Behind it!

MBBS , DGO , FIMAS
Gynaecologist, Delhi
Strong Smelling Urine - 5 Common Reasons Behind it!

Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

  1. You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
  2. More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
  3. Bacterial InfectionThere could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
  4. Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
  5. DiabetesIf you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.

There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

5197 people found this helpful

Stay Chaos Free - Tips to Care for Your Newborn Baby

Speciality Birthing Care
Gynaecologist, Bangalore
Stay Chaos Free - Tips to Care for Your Newborn Baby

Taking care of a newborn is round-the-clock job as the baby needs constant attention. There are many parents who get stressed out as taking care of a newborn as a first-time parent is challenging. There is no need to get stressed out and the best way to keep a cool mind is to make use of practical strategies.

Practical strategies to follow to stay stress-free
A newborn baby in the family definitely brings a lot of excitement, but it also brings along much stress and fatigue to the parents. It is very important that during this time, you take care of yourself by eating a healthy diet and avoid giving up on sleep.

  1. It is also essential that you drink a lot of water and when the baby sleeps you should also sleep. You can work out a suitable night time schedule with your partner so that both of you can take care of the baby and rest as well.
  2. This way, you will be able to take care of your baby without getting extremely tired.
  3. It is important that you set up some visiting rules for your relatives and loved ones so that you get the required rest. It is equally important that you insist your friends to wash their hands with a hand sanitiser and then carry the baby.
  4. As a parent, it is very important that each day you set aside plenty of time for the nursing sessions, and if you plan to go out you must give yourself added time to pack the required supplies.
  5. It is essential that you spend more time with your newborn as it needs more attention and love from you.
  6. It is very important that you create a proper and perfect sleeping environment for your baby, and you should make use of a good mattress so that the baby sleeps comfortably and even you get to sleep.

Share your emotions with your partner
It is important for parents of a newborn to share their emotions with each other and stay connected with each other. By sharing your thoughts and emotions, you can lighten your mood. Parenting is definitely a challenging job and to enjoy this phase of life, it is important that the stress associated with it is handled properly. In case you are finding it hard to handle your baby, it is advisable that you consult a doctor, who will help you adjust to your new life with your newborn.

4182 people found this helpful

Are You a New Mommy - Know How You Can Beat the Stress!

Speciality Birthing Care
Gynaecologist, Bangalore
Are You a New Mommy - Know How You Can Beat the Stress!

It is common to go nuts when your newborn begins moaning! You'd need to have the nerves of a bomb-squad professional not to give it a chance to get to you. In any case, with a little experience, that is exactly what you'll create (or near it).

Likewise, don't accept that your baby is crying since she's genuinely tragic or upset. "It's anything but difficult to feel along these lines since that is the reason we cry. Nonetheless, newborn children do it to impart a wide range of things - that they're drained, icy, wet, exhausted, hungry, or overstimulated. Instead of stressing that something is truly wrong, consider crying her method for conversing with you." As you build up a routine with your baby, you'll slowly have the capacity to make sense of what she needs just by the sound of her cries.

Numerous new moms may feel overpowered and ponder:

Take comfort; numerous new moms feel a similar way. These worries are basic and superbly ordinary. You can find a way to deal with the stretch of being another mother.

  1. Rest: Get as much rest as you can, wherever and at whatever point you can. Rest when the baby dozes. Get a brisk rest in the traveler's seat amid an auto ride.

  2. Eat Healthy Foods: The right foods can give you more vitality. Do whatever it takes not to overburden on caffeine. Rather, eat healthy foods and drink lots of water.

  3. Work out: You might not have sufficient energy to do long workouts. In any case, even a couple of minutes here and there spread for the duration of the day can help you have more vitality! Take baby for a walk.

  4. Expect an influx of emotions: Absence of rest, included stretch and stress can abandon you having an inclination that you're on an exciting ride of emotions all around the same time. Relax because of realizing that you're not the only one! If you wish to discuss about any specific problem, you can consult a gynaecologist.

4466 people found this helpful

Curing Long Term Osteoporosis

M.Ch - Orthopaedics - , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Curing Long Term Osteoporosis

Osteoporosis is a condition which usually results due to a decrease in bone density. In this condition, the bones become weak and brittle. Fractures are a common result of osteoporosis. Usually, symptoms or signs do not show up until the condition progresses to its advanced stages.

Since osteoporosis is usually irreversible and incurable, preventing the fractures is considered to be extremely important.

Who is at risk of osteoporosis?
All men and women have some risk of developing 'thinning' of the bones (osteoporosis) as they become older, particularly over the age of 60. As mentioned above, women are more at risk than men. The following situations may also lead to excessive bone loss and so increase your risk of developing osteoporosis. If you:

  1. Are a woman who had the menopause before 45 years of age
  2. Have already had a bone fracture after a minor fall or bump
  3. Have a strong family history of osteoporosis.
  4. Have a body mass index (BMI) of 19 or less (that is, you are very underweight)
  5. Have irregular periods
  6. Have taken, or are taking, a steroid medicine (such as prednisolone) for three months or more
  7. Are a smoker
  8. Have an alcohol intake of more than four units per day
  9. Lack calcium and/or vitamin D (due to a poor diet and/or little exposure to sunlight).
  10. Are mostly inactive

Ways To Treat Osteporosis

Osteoporosis in women can be treated using Hormone Replacement Therapy (HRT). The therapy makes use of either a combination of progestin and oestrogen or simply, oestrogen. However, it is possible that certain combinations have side-effects that might give rise to other medical conditions. Therefore, proper consultation with an orthopedist is an essential pre-requisite so that the condition of osteoporosis as well the side effects may be addressed before proceeding with Hormone Replacement Therapy.

There are a number of medications that can be used which have long-term effects on osteoporosis. However, the schedule for intake of these medicines should be followed diligently. Failing to adhere to the schedule could lead to serious complications. For example, the intake of Risedronate medications (prevent bone loss) should be scheduled once every month, failing which can cause ulcers in the food pipe. Raloxifene has effects which are similar to oestrogen but does not exhibit any serious side effects. Teriparatide can be used to treat osteoporosis in people who have a high risk of suffering from bone fractures.

Don't rely entirely on medication as the only treatment for your osteoporosis. These practices also are important:

  1. Exercise. Weight-bearing physical activity and exercises that improve balance and posture can strengthen bones and reduce the chance of a fracture. The more active and fit you are as you age, the less likely you are to fall and break a bone.
  2. Good nutrition. Eat a healthy diet and make certain that you're getting enough calcium and vitamin D. Being underweight or losing a lot of weight unintentionally is associated with poorer bone health and a higher risk of fracture — even if you're taking a bisphosphonate.
  3. Quit smoking. Smoking cigarettes speed up bone loss.
  4. Limit alcohol. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger.
4708 people found this helpful

The Worst Foods for Heartburn

MBBS, MS - General Surgery , DNB (General Surgery), MNAMS (Membership of the National Academy), Fellow HPB Surgery & Liver Transplant (Singapore) , FICS - RPSLH - RPSLH
Gastroenterologist, Hyderabad
The Worst Foods for Heartburn

Picture this, you're in a restaurant for a lunch date with your friend. It's a great place and the food is delicious. While you're having a super time, you suddenly start feeling a discomfort in your chest area, and your appetite completely goes down the drain. Chances are that you might be experiencing heartburn.

Heartburn is something which is used in both the literal and metaphorical senses. However, the discomfort it entails means that it is no joking matter and your food intake habits are probably responsible if you suffer from it!

The good thing about heartburn causing foods is that they are easily recognisable, which is quite great. But, they make up a large portion of people's normal diets, which is not as great, as they are hard to refrain from. A few common examples are listed below:

  1. Chocolate: To start off, there is something which is surprisingly a cause for heartburn and is likely to be the cause of a lot of disappointment: chocolate. The sad thing about chocolate is that the key things it is known to cause reflux. Take, for example, cocoa; it is a prime cause for reflux. Also, the caffeine in chocolate as well as something called theobromine is the major culprits of reflux. If a person who loves chocolate seems to be suffering from reflux, he or she knows why now!
  2. Coffee: Talking about caffeine, the automatic suspect that is coffee is deeply guilty, as well! Having coffee once in a while may not cause much harm but making it a habit leads to a person setting himself or herself up for a lot of heartburn.
  3. Soda: Anything which is acidic is not good for reflux but the thing is that most sodas are very acidic! This is also the case when it comes to fruit, though fruit is generally said to be good for the body. Certain types of fruit, like citrus fruit only worsens the effects of heartburn and can cause a whole load of discomfort to the person who eats them.

A lot of the foods, which should be avoided actually have their own health benefits. The case in point is garlic. But, a person should try to have food like cottage cheese or lean chicken, both of which do not cause any heartburn at all. Also, keeping away from food that is fried has a range of benefits from lower consumption of fat, to a reduced risk of cancer as well as a massive drop in heartburn. Deep fried foods should be avoided like the plague!

The rule of the thumb when it comes to the issue of heartburn is that if anything happens to be acidic, it is likely to cause heartburn to be aggravated. As long as a person can keep this in mind as a guiding principle, there is no way that they will be suffering from heartburn any more. If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist.

4468 people found this helpful

Popular Questions & Answers

Hello Sir/Mam, I am 26 years boy and I have problem of anxiety and depression. I am not happy with my life and always want to die. I always think and think and get depressed. Whatever I do I can't concentrate on that. My mind always think of negative things like whatever work I do my mind think of negative things. I can explain what actually is happening with me - If I want to go out or eat something or want to do any work than my mind thinks of lots of negative things that if I don't do this than something wrong will happen or if I didn't go their than something negative will happen. When I walk or eat or any work I do my mind always thinks lots of negative things and due to this I can't live my life happily.

M.Phil - Psychology, Post Graduate Diploma In Rehabilitation Psychology, Advanced Certification In Behavior Testing, M.A. Clinical Psychology, BA (H) Applied Psychology
Psychologist, Delhi
Hello Lybrate User I appreciate your effort that you could understand and put it in words what you are going through. It is very important or rather a first step that we require some help. After reading what you have mentioned, I would suggest you to visit a Psychiatrist or if the psychiatrist is not available in your area then visit a physician for the same. Side by side if you can seek help from a clinical psychologist, it would be great as it will you to understand your symptoms more and more and also an understanding would be developed about your personality traits, your coping mechanisms and what is actually leading to such thinking. A lot of people undergo certain life events, if not events but 'something' keeps on bothering them, due to which one develops negative thinking towards the self and the others. Moreover, it seems that you have started making associations of lot of things in your life, like if I will do this, that will happen etc. Or just like you mentioned in your concern. Therapy with the psychologist helps you to develop a skill to deal with this vicious circle you are into most of the time. So, consult a psychiatrist and a clinical psychologist, take few therapy sessions with the clinical psychologist and you will experience a shift from your current state of mind. If you have further queries, please write back. All the Best! Regards.
2 people found this helpful

Under weight how can I put up my weight. I am eat a lot but no benefits show so what I am do to fix it.

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Bangalore
Take High protein Diet. HAve small and frequent meals. Take Milk and Milk Products. Take 2-3 egg Daily, paneer, shakes, cold coffee, after meal take sweet item. Don't skip breakfast and meals. After workout take high protein item. For further details for what to eat, when to eat, exercise and complete Customised Diet Plan as per your need, you can consult me personally for better result.

Hello I'm 18 years old. I don't know how but I'm losing weight. I'm not on diet and I'm eating sufficient food still I don't know that how I'm losing weight and it is creating a lot of problem for me. Can you tell me why is it happening and what should I do?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
If you are eating sufficient, the reason of weight loss could be stress, change in lifestyle or you may have some medical issue like hyperthyroidism or other. But consult your doctor first, he will suggest you if there is requirement of any test. If the medical parameters would be fine then you should consult a dietitian as you may not be taking appropriate quantity of calories that your body requires.
1 person found this helpful

I am not able to gain fat and weight both tried eating a lot like seriously increased my diet by still I have not increased my weight and I'm very skinny. Please tell me about the supplements I should take to gain fat and weight.

Ditetics & Food Service Management, Bsc Human Nutrition
Dietitian/Nutritionist, Indore
Hello, first you find out where from you lack and than balance your natural diet. After that if you not gaining weight so you can take but first right your schedule if wrong. Include all basic five food.

I am under weight. I eat comparatively a lot but I do not gain weight at all. I do not want to take supplements to increase ny weight. From last 10 days I am even eating 2 boiled eyes everyday.

Dietitian/Nutritionist, Jaipur
Start your day with exercise and brisk walk morning and evening which increase your metabolism. Don't skip your breakfast which increase your appetite. Take high calorie & rich protein In your diet. Add good fat and nuts in your diet. Avoid junk food and oily food. Contact me for customized diet plan.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice