DIAGNOSIS OF ANOREXIA NERVOSA AND HOW TREATMENT

Diagnosis Anorexia Nervosa

In diagnosing anorexia, first the doctor will ask you first about diet and weight of the patient, such as how much he worried about her weight and whether often brings back food that has been consumed.

After that the doctor will also collect data on the patient's weight, especially if patients experience significant weight loss.

To determine a healthy weight, your doctor will calculate the body mass index or body mass index (BMI). BMI is a calculation of weight, which refers to the ratio of weight and height of a person. Benefits BMI calculation is to determine whether someone has advantages, disadvantages or healthy weight.

The formula used in the calculation of BMI is body weight in kilograms divided by height in meters squared (m²). For example, if the patient's weight 66 kg and height is 1.65 meters, then the calculation is 66 / 1.65 × 1.65 = 24.24 kg / m²

BMI is normal for adult Asians is 18.5-22.9 (kg / m2), whereas the normal BMI for children and adolescents depending on their age. In adults, the condition of anorexia may be suspected if the BMI is under 17.5.

There is no specific test in the diagnosis of anorexia

Doctors may not need to do special tests for the diagnosis of anorexia nervosa, but the doctor will usually perform a simple check to determine whether the patient has complications due to anorexia. Things that need to be examined by a doctor is:

• Blood pressure
• Pulse
• Hands and feet
• Body temperature

Doctors will usually ask the patient to perform simple physical movements to see the strength of the muscles of the patient. Simple physical movements that question is like a squat, stand up, and shift when seated.

A person prone to heart problems if anorexic. The heart problems one of which is an irregular heartbeat. Usually to determine this, the doctor performs an electrocardiogram.

Treatment of Anorexia Nervosa

   

Sometimes treatment must be done by force if conditions of anorexia has entered a dangerous and life-threatening stage sufferers. In cases like this, the family should immediately bring sufferers to the hospital so quickly handled.

Treatment of anorexia nervosa usually done by combining psychotherapy with supervised weight recovery. It's important to make the treatment as early as possible, especially if the patient has lost large amounts of weight. In addition, the immediate treatment can reduce the risk of complications.

Treatment of anorexia through the psychological aspect

A number of psychological treatment can be applied to treat anorexia. Usually the treatment will last from half to one year even longer, depending on the condition or the severity of anorexia sufferers. Below is described a number of therapies are performed as part of the response.

Cognitive analytic therapy to discover the patient's past

This therapy is based on the theory that mental health problems including anorexia is caused by patterns of thought and behavior unhealthy formed since the patients were children or teenagers. This therapy involves a three-stage process.

The first stage is a reformulation. At this stage of reformulation, typically therapy specialist will find out the patient's experience in the past that might be the reason why the patterns are not healthy can grow.

The second stage is the introduction. A therapist will help the patient to see and understand how the patterns of unhealthy contributed to anorexia.

The third stage or last stage is the revision. At this stage, a number of changes that can stop patterns of unhealthy are identified, assessed, and then applied.

Changing negative thought patterns with behavioral therapy

A person's behavior is usually the result of patterns of thought. Vice versa, the behavior can shape the mindset as well. Many things are not realistic believed as true by anorexia sufferers. For example they feel their self-esteem depends on their weight. They are very afraid of being ridiculed or disrespected by others because it is considered obese.

Therefore, through cognitive behavior therapy, the therapist will try to help patients change the negative thoughts about food and the appearance of a pattern of positive thinking and realistic, so expect deviant behaviors the patient can be lost.

Interpersonal therapy that examines environmental sufferers

This therapy is based theories to environmental relationship with anorexia, where the environment and the people around have a very strong influence in shaping the psychological state of the sufferers. The theory concludes that low self-esteem and anxiety experienced by sufferers arising from the interaction with the people around.

During this therapy, the therapist will try to examine the negative things associated with the patient's interpersonal relationships and figuring out how to overcome the negative things.

The role of the family as part of the treatment of anorexia

The role of the family is very important for the recovery of people with anorexia because usually the family are most likely to feel the impact of anorexia itself. Besides must try to understand the conditions that are being experienced by sufferers, families can also work closely with physicians to help speed up the healing process.

Gain weight regularly and safely

As part of the treatment plan, the doctor will include suggestions on how to raise the patient's weight safely. The doctor will also continue to monitor the patient's physical health. For pediatric patients and adolescents, their height will be checked regularly to ensure they are growing normally.

Raise the normal weight should be gradual. As a first step, the therapist will usually ask the patient to try to eat regularly, even small meals. This therapy is considered successful after the patient's return to normal diet with adequate nutrition, including vitamins and minerals. Hopefully, through this therapy, the patient can go back in a gain of half to one kilogram per week.

Treatment of anorexia by using drugs

If anorexia is only overcome by taking drugs, usually result will not be effective. The use of drugs will only be felt effective when combined with other therapies. Drugs are also used to treat psychological problems associated with anorexia, such as depression and obsessive compulsive disorder. The drugs included the olanzapine and selective serotonin reuptake inhabitors (SSRIs).

SSRIs are a type of antidepressant. This medication can help relieve depression and anxiety associated with anorexia. Usually the doctor will give this drug if the patient's weight had returned to normal. Giving SSRIs to patients with weight below normal could cause significant adverse side effects.

While olanzapine are drugs given to anorexia sufferers who do not respond to other treatment. This drug can help relieve anxiety associated with eating or weight.

Treatment of anorexia can not be done instantly. To recover fully, people could take a few years for any concomitant medication, some of them still had an eating disorder.

Complications of Anorexia Nervosa

Some health problems or even death can occur if anorexia is not treated immediately. Complications arise due to lack of nutrients needed by the body, in this case of food intake.

In addition to anorexia nervosa, there is a similar condition called bulimia nervosa. Some anorexics further bulimia. People with bulimia usually bingeing before they took it back the way induce vomiting or taking laxatives.

Examples of complications that can arise as a result of anorexia include anemia, low blood pressure, irregular heartbeat, and even heart failure. People with anorexia also threatened to suffer damage to the liver and kidneys.

In children and adolescents, anorexia can inhibit physical development. In adults, especially women, these conditions can lead to osteoporosis, menstrual disorders, and infertility. While adult men, anorexia can lead to impotence and erectile dysfunction.

Anorexia during pregnancy

A pregnant woman who suffered from anorexia may be at risk of miscarriage, premature birth, low weight gave birth to a baby, and sometimes the process of giving birth should be assisted by cesarean section. Pregnant women who develop anorexia usually will continue to be monitored by a physician, either during pregnancy, or after delivery.

Not only women who could become pregnant anorexia sufferers, women who are pregnant former anorexia sufferers still need to get control, as well as support during their pregnancy.

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UNDERSTANDING ANOREXIA NERVOSA AS WELL AS THE SYMPTOMS AND CAUSES

Understanding Anorexia Nervosa

Anorexia nervosa is a health problem in which an infected obsessed to have a thin body and very scared if they look fat self. I was so scared, their bodies are always deemed to be lacking even thin or fat when in fact they do not like it.

Sixteen and seventeen years of age who are considered vulnerable to this disorder to begin to appear, and the majority of anorexia sufferers from among teenage girls and adult women.

To make their bodies as thin as possible, people with anorexia will strive to limit the size of the meal as minimal as possible and exercise excessively. Some of them will even strive brings back food that has been consumed.

Symptoms of anorexia nervosa and other related psychological problems
Those who suffer from anorexia can be recognized from the following symptoms:

• Weight loss was significantly and looked very thin.
• Always pay attention to the shape of the body in front of the mirror.
• Considering the body most of the time.
• Often brings back food that has been eaten.
• Like lied when asked whether they had already eaten.
• Is taking into account the amount of calories, fat and sugar in food.
• Often exercise excessively.
• Experiencing health problems as a result of anorexia itself, such as fatigue, dehydration, low blood pressure, dizziness, hair loss and dry skin.
• Like taking drugs laxatives and appetite suppressant.

The cause of anorexia nervosa
The cause of anorexia nervosa is definitely still unclear. Most specialists believe that the disorder is derived from a combination of a number of factors, such as psychological, environmental, and genetic or biological.

The diagnosis of anorexia nervosa
In diagnosing anorexia nervosa, usually a doctor will ask about weight and eating patterns of patients to determine whether she had an eating disorder. It is important for the patient to answer these questions honestly. Doctors do not intend to judge the patients, but only want to determine the exact condition.

Support anorexia sufferers to want to get help
If you have family or friends who suffer from anorexia, do subtle approach and persuaded to get them to get medical help. Persuading people with anorexia to want treatment is not easy. Usually they will assume that what they have done the right thing and will refuse to admit that they really are in trouble.

That's why patience and continuous support are critical to the healing anorexics. Never criticize or make them feel depressed because it will only worsen the situation. Convey that persuasion and your support is solely due to worrying about their health.

Overview of the treatment of anorexia
Most cases of anorexia are handled on an outpatient basis and a handful of other cases, such as severe cases of anorexia sufferers, was handled with care hospital. In addition to sensitize the people with that pattern of life which they live is wrong, this treatment aims to enable them to obtain the ideal weight back safely.

Things that includes handling of anorexia include psychotherapy and suggestions related to food and nutrition. So that treatment can be done properly, the physician should adjust to the physical, psychological, and social state of the people with anorexia. Treatment of anorexia can not be done instantly. To recover fully, it could take several years.

Complications that may occur
Anorexia can lead to other health problems are quite serious if not treated successfully in the long term. Some complications of anorexia nervosa are:

• Irregular heartbeat
• Heart failure
• Menstruation is not smooth
• Anemia
• Kidney failure
• sterility
• osteoporosis
• Constipation
• Deaths due to malnutrition or suicide

Symptoms of Anorexia Nervosa

Because people with anorexia are obsessed to lose weight as low as possible, the main symptom of this condition is the weight dropped drastically to be below the healthy limit.

In an effort to satisfy their obsession with a very thin body, anorexia sufferers will do a variety of things, including by limiting servings of food, regurgitating food that has been eaten, and lied when asked if they had already eaten.

Anorexics usually always wear loose clothing and regularly measuring, weighing, or observation of their bodies in front cemin. In addition, they will often exercise excessively and taking drugs appetite suppressants or laxatives.

From any of these symptoms, it is clear that anorexia is not just a matter of physical health, but is also associated with psychological problems.

Body weight dissatisfaction will make anorexia sufferers lack self- confidence. They feel that their self esteem is affected by weight. As a result of this self-distrust makes them isolate themselves and are no longer interested in socializing with others. Because it's not a few people with anorexia eventually have problems in relationships with other people, especially in the family, friendship, education, and employment.

Health problems that arise
Perceived health problems of people with anorexia due to a lack of food intake, especially in the long term. Some of these health problems are:

• Headache and dizziness
• bloating
• Constipation
• Fatigue
• Hands and feet are visible discoloration due to poor circulation
• Fever
• Hair loss
• Dry skin
• Problems in physical growth and puberty in children and adolescents
• Insomnia
• Irregular heartbeat
• Dehydration
• Low blood pressure
• The growth of fine hair all over their bodies
• Nails are easily broken
• Stomach ache
• Menstrual disorders in women.

Causes of Anorexia Nervosa

The exact cause of anorexia is still unclear. Most specialists believe these disorders arise from a combination of a number of factors, such as psychological, environmental, and genetic or biological.

Psychologically, fear and concerns about body fat, has led to an obsession and a strong impetus to the self anorexia sufferers to lose weight. In addition, people with anorexia also more emotionally closed and easily stressed.

Influence of environment on anorexia nervosa
Mindset formed under the influence of the environment can trigger anorexia, for example, is advertising in the media. Today the thin body is considered as an essential condition of beauty. Thought is then amplified and disseminated by advertising, so that not a few people were affected, especially teenagers.

The reason why people with anorexia are often just teenagers are many changes in the body, hormonal changes and periods of stress or anxiety. At this time, the confidence teens are so low that they are often indecisive and impressionable. Besides the influence of hormones, ridicule and pressure experienced by a teenager in school also can trigger anorexia.

Meanwhile, anorexia nervosa can also arise due to the demands of work and events are disappointing, such as a breakup.

Anorexia is due to hereditary factors and biological
Someone who has a family history of people with eating disorders, depression, or a drug addict, is believed to have a greater risk of developing anorexia.

In addition to heredity or genetics, suspected anorexia can occur due to changes in hormone levels and brain function as well. Such changes may affect parts of the brain that controls appetite or trigger feelings of guilt and worry due to a lot of eating.

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