bulimia and binge eating

Question 1

what is bulimia nervosa

Answer 1

binge eating followed by compensatory behaviour at least twice a week for three months

Question 2

what is compensatory behaviour

Answer 2

actions to try and reverse the binging

can be purging or non-purging

Question 3

purging behaviours

Answer 3

vomiting
laxatives
diuretics

Question 4

non-purging behaviours

Answer 4

exercise, fasting, dieting

Question 5

what are the requirements for anorexia nervosa binge purge subtype

Answer 5

binging and compensatory behaviour

BMI under 17.5

Question 6

what are symptoms of bulimia

Answer 6

mouth sores 
pharyngeal trauma 
dental problems 
heartburn/chest pain 
oesophageal rupture 
impulsive behaviour - drinking, smoking, stealing 
muscle cramps 
weakness 
bloody diarrhoea 
irregular periods 
fainting 
hypotension 
swollen parotid glands

Question 7

how would you manage bulimia nervosa

Answer 7

self help
CBT if self help is ineffective after 4wks
family therapy if patient is a child
fluoxetine at a high dose

Question 8

what is binge eating disorder

Answer 8

binging without compensatory behaviour

Question 9

what are the eating habits of someone with binge eating disorder

Answer 9

unusually fast eating 
eating alone 
eating large amounts of food 
uncomfortably full after eating 
'buzz' immediately after eating 
feelings of shame/embarrassment after eating

Question 10

how could you manage binge eating

Answer 10

CBT

high dose fluoxetine