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Anorexia & Bulimia - How To Tackle It?

Psychiatrist, Mumbai
Anorexia & Bulimia - How To Tackle It?

An eating disorder, mostly appears when your food habits reach levels of extremity.

Anorexia nervosa and Bulimia are two main and the most common eating disorders found in men and women. One is the lower extreme while the other is the higher extreme in terms of food intake.

Anorexia

People who are affected with anorexia think of themselves to be very overweight in spite of actually being very slim and thin. Anorexia inflicted people consume less than a thousand calories per day. They exercise rigorously and try to find more ways to lose weight. They vomit a lot due to the insufficient diet and suffer more.

The treatment for anorexia nervosa generally includes a mix of mental treatment, and regulated weight gain program. An anorexia patient should seek treatment as early as possible. The best ways to deal with anorexia are:

-  Psychological Treatment
Various psychological treatments can be used to cure anorexia of different stages. They are- Cognitive analytic therapy, cognitive-behavioral therapy, interpersonal therapy, focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be given.

-  Weight gain program
This measure will guide an anorexic patient to improve his diet habits and slowly gain weight. A patient is monitored carefully, traits are recognized and a likewise diet pattern is given.

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 patient is constantly trapped in the cycle of overeating and then thinking about losing weight.

Maybe you do not like the idea of binge eating and fear getting obese, but once affected by bulimia a patient cannot follow this and binge eats. Later, they adapt extreme measures for losing weight.

The primary methods to deal with bulimia are:

- Psychotherapy
Psychotherapy, or talk therapy includes examining your bulimia and related issues with an expert. It is proven that these sorts of psychotherapies restrict the symptoms of bulimia. The three modes of psychotherapy include- Cognitive-behavioral therapy, Family-based therapy and Interpersonal psychotherapy.

- Medications
Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is a recommended and effective medicine.

-  Proper diet plan
For bulimia affected patients, having a proper balanced diet is very essential. A diet expert should be consulted, who will make the most essential food pattern for you. Undertaking a weight loss program is also recommended.

Eating disorders such as anorexia and bulimia should be avoided, and you should know the best ways to deal with them.
 

5824 people found this helpful

Can Fistula Be Treated Without Surgery?

Dr. Arun Singh 90% (309 ratings)
BAMS, MD - General Surgery, Phd in Ayurveda
Ayurvedic Doctor, Varanasi
Can Fistula Be Treated Without Surgery?

Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition. Here are seven things you should know about these anal fistulas:

  1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula. 
  2. There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
  3. Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening. 
  4. Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. . 
  5. Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period. 
  6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection
  7. Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Comparative Study: 

Ksharsutra vs Surgery in Anal Fistula Patients- 

  1. Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia. 
  2. Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding. 
  3. No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must. 
  4. In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest. 
  5. Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
  6. Ksharsutra is a safe procedure and these complications are not seen. 
  7. Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.
2607 people found this helpful

Anorexia And Bulimia - How To Tackle It?

Dr. Muralidhara K A 90% (269 ratings)
MBBS, MD-Psychiatry
Psychiatrist, Bangalore
Anorexia And Bulimia - How To Tackle It?

An eating disorder, mostly appears when your food habits reach levels of extremity.
Anorexia nervosa and Bulimia are two main and the most common eating disorders found in men and women. One is the lower extreme while the other is the higher extreme in terms of food intake.

Anorexia

People who are affected with anorexia think of themselves to be very overweight in spite of actually being very slim and thin. Anorexia inflicted people consume less than a thousand calories per day. They exercise rigorously and try to find more ways to lose weight. They vomit a lot due to the insufficient diet and suffer more.

The treatment for anorexia nervosa generally includes a mix of mental treatment, and regulated weight gain program. An anorexia patient should seek treatment as early as possible. The best ways to deal with anorexia are:

-  Psychological Treatment

Various psychological treatments can be used to cure anorexia of different stages. They are- Cognitive analytic therapy, cognitive-behavioral therapy, interpersonal therapy, focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be given.


-  Weight gain program

This measure will guide an anorexic patient to improve his diet habits and slowly gain weight. A patient is monitored carefully, traits are recognized and a likewise diet pattern is given.

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 patient is constantly trapped in the cycle of overeating and then thinking about losing weight.

Maybe you do not like the idea of binge eating and fear getting obese, but once affected by bulimia a patient cannot follow this and binge eats. Later, they adapt extreme measures for losing weight.

The primary methods to deal with bulimia are:

-  Psychotherapy
Psychotherapy, or talk therapy includes examining your bulimia and related issues with an expert. It is proven that these sorts of psychotherapies restrict the symptoms of bulimia. The three modes of psychotherapy include- Cognitive-behavioral therapy, Family-based therapy and Interpersonal psychotherapy.

-  Medications
Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is a recommended and effective medicine.

-  Proper diet plan
For bulimia affected patients, having a proper balanced diet is very essential. A diet expert should be consulted, who will make the most essential food pattern for you. Undertaking a weight loss program is also recommended.

Eating disorders such as anorexia and bulimia should be avoided, and you should know the best ways to deal with them.
 

2651 people found this helpful

Anorexia & Bulimia - How To Tackle It?

MD - Psychiatry, M.Phil - Psychology
Psychiatrist, Delhi
Anorexia & Bulimia - How To Tackle It?

An eating disorder, mostly appears when your food habits reach levels of extremity.Anorexia nervosa and Bulimia are two main and the most common eating disorders found in men and women. One is the lower extreme while the other is the higher extreme in terms of food intake.

Anorexia

People who are affected with anorexia think of themselves to be very overweight in spite of actually being very slim and thin. Anorexia inflicted people consume less than a thousand calories per day. They exercise rigorously and try to find more ways to lose weight. They vomit a lot due to the insufficient diet and suffer more.

The treatment for anorexia nervosa generally includes a mix of mental treatment, and regulated weight gain program. An anorexia patient should seek treatment as early as possible. The best ways to deal with anorexia are:

-  Psychological Treatment
Various psychological treatments can be used to cure anorexia of different stages. They are- Cognitive analytic therapy, cognitive-behavioral therapy, interpersonal therapy, focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be given.

-  Weight gain program
This measure will guide an anorexic patient to improve his diet habits and slowly gain weight. A patient is monitored carefully, traits are recognized and a likewise diet pattern is given.

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 patient is constantly trapped in the cycle of overeating and then thinking about losing weight.

Maybe you do not like the idea of binge eating and fear getting obese, but once affected by bulimia a patient cannot follow this and binge eats. Later, they adapt extreme measures for losing weight.

The primary methods to deal with bulimia are:

-  Psychotherapy
Psychotherapy, or talk therapy includes examining your bulimia and related issues with an expert. It is proven that these sorts of psychotherapies restrict the symptoms of bulimia. The three modes of psychotherapy include- Cognitive-behavioral therapy, Family-based therapy and Interpersonal psychotherapy.

-  Medications
Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is a recommended and effective medicine.

-  Proper diet plan
For bulimia affected patients, having a proper balanced diet is very essential. A diet expert should be consulted, who will make the most essential food pattern for you. Undertaking a weight loss program is also recommended.

Eating disorders such as anorexia and bulimia should be avoided, and you should know the best ways to deal with them.
 

4326 people found this helpful

Sir am less weight also I eat a lot but can not gain weight please help me to gain weight. 🙏

Ms. Swati B. Patel 90% (70 ratings)
BSc - Dietitics / Nutrition, Post Grad In Dietetics & Applied Nutrition, Post Graduate in Hair & Skin Aesthetics
Dietitian/Nutritionist, Vadodara
Sir am less weight also I eat a lot but can not gain weight please help me to gain weight. 🙏
May be you are eating a lot Eat the right foods Need concentrated calorie food at frequent intervals Include supplements for protein n vitamins minerals Check if digestion is proper.
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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.

Dt. Kavita Agarwal 90% (1565 ratings)
M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Bangalore
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.
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.
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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?

Dt. Ashu Gupta 91% (2015 ratings)
M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
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 ...
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
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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.

Dt. Homesh Mandawliya 91% (327 ratings)
Ditetics & Food Service Management, Bsc Human Nutrition
Dietitian/Nutritionist, Indore
I am not able to gain fat and weight both tried eating a lot like seriously increased my diet by still I have not inc...
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.
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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.

Dt. Sushma Khandelwal 90% (203 ratings)
Dietitian/Nutritionist, Jaipur
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 in...
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
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I am very thin. I eat a lot but cannot get healthy. What should I do? Please suggest something.

Dt. Ruchita Maheshwari 88% (521 ratings)
BSc, Pg Diploma In Food Science & Nutrition, Sensory Evaluation of Food, Certified Diabetes Educator
Dietitian/Nutritionist, Mumbai
I am very thin. I eat a lot but cannot get healthy. What should I do? Please suggest something.
Its not about lot eating its about the quality of nutrition which is indulged. You can follow these tips 1. Eat frequently & balanced meals including carbs, proteins & good fats. 2. Include calorie dense foods like dry fruits, nuts,seeds, avocado 3. Avoid walks post walk to discuss it further you can book appointment with us.
2 people found this helpful
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