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Anorexia / Starvation Tendency
  Anorexia / Starvation Tendency
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 It can lead to...
 Treatment recommendations
 


Although eventual outcomes of anorexia and starvation are very similar, it is important to rule out one or the other. Anorexia is primarily psychological and not simply due to appetite loss whereas starvation may be due to physical, environmental or other factors. Although here we will discuss only anorexia, several of the treatments will also help overcome the effects of starvation. Anorexia is a serious eating disorder in which people deliberately starve themselves to lose weight. No matter how thin they become, they still believe they are overweight.

Incidence; Causes & Development


More than 90% of people with anorexia are females, though a growing number of males now have the disorder. It usually begins between the ages of 13 and 18.

Anorexia is often triggered by a severe emotional shock. Common causes are:
  • An overwhelming sense of being out of control, and attempting to take control of one's life by regulating food intake
  • Unrealistic fear of developing an adult body
  • Severe trauma or emotional shock during puberty or pre-puberty
  • Anorexia is known to run in families
  • Abnormal levels of certain chemicals in the brain
  • Frequent dieters stand an 8-times greater chance of anorexia
  • Society's unrealistic emphasis on thinness places certain individuals such as cheerleaders, dancers, runners, models, jockeys, wrestlers, and actresses and actors at higher risk for anorexia.
Signs & Symptoms
Common symptoms include extreme weight loss due to self-imposed starvation; an obsession with food, such as collecting recipes; hoarding food; an unwillingness to eat in public; an irrational fear of gaining weight.

Diagnosis & Tests
A health care provider will generally ask questions about eating habits - how much and what is being eaten - and exercise patterns. He or she will do blood and other diagnostic tests to eliminate the possibility that weight loss is caused by medical problems. Referral to a therapist or psychiatrist who understands eating disorders is then possible.

Treatment & Prevention
It is best to get treatment as soon as the symptoms appear, from a psychiatrist specially trained both in treating the disorder and in nutritional counseling. You may receive cognitive-behavioral, group, relaxation, or psychodynamic therapy. Your health care provider will help you "relearn" how to eat correctly. In severe cases, hospitalization may be needed. Long-term monitoring and support is necessary.

Complications
Without proper treatment, the disorder can be fatal.





SpacerSigns, symptoms & indicators of Anorexia / Starvation Tendency:
TopleftSpacerTopright
Spacer
Symptoms - Food - GeneralIcon  Weak appetite
Icon  Frequent dieting
SpacerWhy Frequent dieters stand an 8-times greater chance of developing anorexia.


Counter-indicators:
Icon  Strong appetite

Symptoms - Hair

Icon  Brittle hair

Symptoms - Metabolic

Icon  Low body temperature
SpacerWhy Hypothermia is a symptom of anorexia.

Icon  Major/moderate/very great unexplained weight loss

Symptoms - Mind - Emotional

Icon  Strictly controlled emotions
Icon  Depression with anxiety
Icon  Irritability

Symptoms - Mind - General

Icon  Being an unsocial person
Icon  Being stubborn

Symptoms - Nails

Icon  Brittle fingernails

Symptoms - Reproductive - Female Cycle

Icon  Unexplained missed periods

Symptoms - Reproductive - General

Icon  Weak sexual desire

Symptoms - Skin - General

Icon  Cold skin
SpacerWhy Hypothermia is a symptom of anorexia.

Symptoms - Sleep

Icon  Being a light sleeper
Spacer
BotleftSpacerBotright

SpacerConditions that suggest Anorexia / Starvation Tendency:
TopleftSpacerTopright
Spacer
CirculationIcon  Anemia (Uncommon Nutritional)
Icon  Coronary Disease / Heart Attack
SpacerWhy Being severely underweight can cause heart failure.

Digestion

Icon  Constipation

Lifestyle

Icon  Overtraining
SpacerWhy Compulsive exercising is a symptom of anorexia.

Mental

Icon  Depression

Metabolic

Icon  Problems Caused By Being Underweight
Icon  Edema (Water Retention)
SpacerWhy Semi-starvation can cause edema. People with eating disorders may interpret the puffiness of edema or any changes on the scale as weight gain or getting "fat" and may panic and purge or take laxatives even more.


Counter-indicators:
Icon  Normal Weight
Icon  Problems Caused By Being Overweight

Musculo-Skeletal

Icon  Osteoporosis - Osteopenia
SpacerWhy The common medical complications of anorexia/starvation include osteoporosis.

Organ Health

Icon  Kidney Disease
SpacerWhy The common medical complications of being severely underweight include kidney damage.

Icon  Chronic Renal Insufficiency
SpacerWhy The common medical complications of being severely underweight include kidney damage.

Skin-Hair-Nails

Icon  Dry skin

Symptoms - Food - General

Icon  Anorexia (confirmed)

Uro-Genital

Icon  Susceptibility To Miscarriages
SpacerWhy Anorexia or starvation causes difficulties in conceiving and carrying a baby to term.

Icon  Female Infertility
SpacerWhy Anorexia or starvation causes difficulties in conceiving and carrying a baby to term.

Icon  Amenorrhea
SpacerWhy Women with anorexia and/or bulimia often experience amenorrhea as a result of maintaining a body weight that would be too low to sustain a pregnancy. As a result, as a form of protection for the body, the reproductive system shuts down because it is severely malnourished.
Spacer
BotleftSpacerBotright

SpacerRisk factors for Anorexia / Starvation Tendency:
TopleftSpacerTopright
Spacer
NutrientsIcon  Magnesium Requirement
SpacerWhy Early symptoms of magnesium deficiency can include fatigue, anorexia, irritability, insomnia, and muscle tremors or twitching.

Supplements and Medications

Icon  Typical/low/high Metformin use
SpacerWhy Metformin is used to treat type II diabetes, but several studies show that it helps people to lose weight by reducing hunger in people whether they have diabetes or not. Metformin reduces sugar release from your liver to prevent blood sugar levels from rising too high, so your body doesn't need to produce as much insulin. Insulin makes you hungry and causes fat cells in your abdomen to fill with fat. If you are very underweight, see your doctor about lowering your dose or force yourself to eat more food.

Icon  Prednisone use
SpacerWhy A side-effect of treatment with prednisone can include anorexia.

Symptoms - Food - General

Icon  History of anorexia
Icon  History of frequent dieting
SpacerWhy Frequent dieters stand an 8-times greater chance of developing anorexia.

Symptoms - Food - Intake

Icon  Insufficient calorific intake

Counter-indicators:
Icon  Normal/excess calorific intake
Spacer
BotleftSpacerBotright

SpacerAnorexia / Starvation Tendency can lead to:
TopleftSpacerTopright
Spacer
AutoimmuneIcon  Ulcerative Colitis

Circulation

Icon  Coronary Disease / Heart Attack
SpacerWhy Being severely underweight can cause heart failure.

Mental

Icon  Depression

Musculo-Skeletal

Icon  Osteoporosis - Osteopenia
SpacerWhy The common medical complications of anorexia/starvation include osteoporosis.

Organ Health

Icon  Kidney Disease
SpacerWhy The common medical complications of being severely underweight include kidney damage.

Uro-Genital

Icon  Susceptibility To Miscarriages
SpacerWhy Anorexia or starvation causes difficulties in conceiving and carrying a baby to term.

Icon  Female Infertility
SpacerWhy Anorexia or starvation causes difficulties in conceiving and carrying a baby to term.
Spacer
BotleftSpacerBotright

SpacerRecommendations and treatments for Anorexia / Starvation Tendency:
TopleftSpacerTopright
Spacer
BotanicalIcon  Goldenseal
SpacerWhy Goldenseal, a strong digestive stimulant and tonic to the digestive tract, is especially useful for anorexia nervosa.

Icon  Lemon Balm
SpacerWhy A mild sedative, spasmolytic, it may also gently help regulate thyroid-stimulating hormone and thyroid function.

Icon  Condurango
SpacerWhy Condurango is a digestive stimulant for diminished appetite or dietary abuse; is a specific to anorexia nervosa.

Icon  Siberian Ginseng
SpacerWhy A supportive adaptogen used to improve vitality and stamina.

Icon  Valerian Root
SpacerWhy A sedative, digestive bitter, and appetite stimulant.

Icon  Wild Yam
SpacerWhy Wild yam is hormone balancing and an antidepressant.

Icon  Oatstraw
SpacerWhy A nerve tonic and antidepressant, it also relieves irritation of mucous membranes. This herb is slow to start acting but is long-lasting.

Icon  Fenugreek
SpacerWhy A nutritive and digestive tonic used where there is digestive debility and poor nutrition.

Icon  Saw Palmetto
SpacerWhy A digestive tonic and connective-tissue rebuilder.

Icon  Licorice Root
SpacerWhy Possesses antidepressant effects, and heals mucous membranes of the digestive tract.

Icon  St John's Wort
SpacerWhy Used for depression or anxiety that leads to fatigue and adrenal gland exhaustion.

Diet

Icon  High/Increased Protein Diet
SpacerWhy Protein supplements at 1 to 3 servings per day will help ensure sufficient amino acids and help prevent wasting.


Not recommended:
Icon  Therapeutic Fasting

Mineral

Icon  Zinc
SpacerWhy 15mg per day increased to 50mg twice a day may improve mood and appetite.

Psychological

Icon  Counseling
SpacerWhy Anorexia requires counseling as it is mainly a psychological problem.

Vitamins

Icon  Multiple Vitamin Supplement
SpacerWhy A multivitamin will help compensate for dietary deficiencies.

Icon  Vitamin B-Complex
Spacer
BotleftSpacerBotright


KEY
PlusSpacerWeak or unproven link
PlusSpacerStrong or generally accepted link
PlusSpacerProven definite or direct link
MinusSpacerStrongly counter-indicative
MinusSpacerVery strongly or absolutely counter-indicative
TickSpacerMay do some good
TickSpacerLikely to help
TickSpacerHighly recommended
CrossSpacerAvoid absolutely



GLOSSARY

Abdomen (Abdominal)
That part of the body between the chest and the hips that contains the stomach, intestines, liver, bladder, pancreas and other organs.

Adaptogen
Derived from the Greek words adapto, which means to adjust and make suitable, and from the suffix gen, which means producing. An adaptogen, therefore, is a substance that produces suitable adjustments in the body. Adaptogens tend to regulate body functions and when the job is completed, they are eliminated or incorporated into the body without side effects. Adaptogens such as the herbs garlic, ginseng, echinacea, ginkgo, goldenseal, and taheebo are natural substances that benefit the body.

Adrenal (Adrenal Gland, Adrenal Glands, Adrenals)
The adrenal glands sit on top of each kidney and consist of an outer cortex and an inner medulla. Of the 50 or so hormones the adrenals make, only cortisone and adrenaline are recognized by most people. Some of these hormones must be produced to preserve life, while others help resist stress. Other hormones from the adrenals control normal energy output (along with the thyroid) and govern the breakdown of stored energy into quick energy sources. The medulla produces epinephrine and norepinephrine, which are specifically designed to help the body deal with stressful situations. The adrenals control the body's potassium/sodium balance, which is vital for energy production. They also produce sex hormones in minute amounts, which is important for later years when the gonads drop or cease their production.

Amenorrhea
Absence or suppression of menses. Primary amenorrhea is the failure to begin menses by age 16, secondary amenorrhea is tardy menses (from pregnancy, stress, dieting, illness or intensive physical training) in the previously menstruating woman.

Amino Acid (Amino Acids)
An organic acid containing nitrogen chemical building blocks that aid in the production of protein in the body. Eight of the twenty-two known amino acids are considered "essential," and must be obtained from dietary sources because the body can not synthesize them.

Anorexia Nervosa (Anorexia)
An eating disorder characterized by excess control - a morbid fear of obesity leads the sufferer to try and limit or reduce their weight by excessive dieting, exercising, vomiting, purging and use of diuretics. Sufferers are typically more than 15% below the average weight for their height/sex/age and typically have amenorrhea (if female) or low libido (if male). 1-2% of female teenagers are anorexic.

Antidepressant (Antidepressants)
Literally, substances meant to oppose depressions or sadness, and generally heterocyclic types such as Elavil, MAO inhibitors like phenelzine, or lithium carbonate. This category of substances formerly included stuff like amphetamines and other stimulants. Botanical examples include Hypericum, Peganum and Oplopanax.

Anxiety
Apprehension of danger, or dread, accompanied by nervous restlessness, tension, increased heart rate, and shortness of breath unrelated to a clearly identifiable stimulus.

Bulimia Nervosa (Bulimia)
An eating disorder characterized by lack of control - abnormal eating behavior including dieting, vomiting, purging and particularly bingeing that is usually associated with normal weight or obesity (unlike anorexics, who tend to be considerably underweight). The syndrome is associated with guilt, depressed mood, low self-esteem and sometimes with childhood sexual abuse, alcoholism or promiscuity.

Diabetes Mellitus (Diabetes, Diabetic, Diabetics)
A disease with increased blood glucose levels due to lack or ineffectiveness of insulin. Diabetes is found in two forms; insulin-dependent diabetes (juvenile-onset) and non-insulin-dependent (adult-onset). Symptoms include increased thirst; increased urination; weight loss in spite of increased appetite; fatigue; nausea; vomiting; frequent infections including bladder, vaginal, and skin; blurred vision; impotence in men; bad breath; cessation of menses; diminished skin fullness. Other symptoms include bleeding gums; ear noise/buzzing; diarrhea; depression; confusion.

Edema
Abnormal accumulation of fluids within tissues resulting in swelling.

Herbs (Herb, Herbal)
Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with one teaspoon herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Tinctures may be used singly or in combination as noted. The high doses of single herbs suggested may be best taken as dried extracts (in capsules), although tinctures (60 drops four times per day) and teas (4 to 6 cups per day) may also be used.

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Hypothermia
Abnormally low body temperature.

Insulin
A hormone secreted by the pancreas in response to elevated blood glucose levels. Insulin stimulates the liver, muscles, and fat cells to remove glucose from the blood for use or storage.

Kidneys (Kidney, Renal)
Bean-shaped organs, each about the size of a fist. They are located near the middle of the back, just below the rib cage. The kidneys are sophisticated reprocessing machines, each day handling about 50 gallons of blood to sift out about half a gallon of waste products and extra water. The waste and extra water become urine, which flows to the bladder through tubes called ureters. The actual filtering occurs in tiny units inside the kidneys called nephrons. Every kidney has about a million nephrons. In a nephron, a glomerulus -- which is a tiny blood vessel, or capillary -- intertwines with a tiny urine-collecting tube called a tubule. A complicated chemical exchange takes place, as waste materials and water leave your blood and enter your urinary system. The kidneys recycle chemicals such as sodium, phosphorus, and potassium and thus regulate their levels. Renal: Pertaining to the kidneys.

Laxative (Laxatives)
A substance (food, herb, chemical) that stimulates evacuation of the bowels. Examples include cascara sagrada, senna, castor oil, aloe vera, bisacodyl, phenolphthalein and many others.

Liver (Hepatic)
The largest and one of the most complex organs of the body, the liver is responsible for much of the metabolism of fats, proteins and carbohydrates. It is the site of much of the body's detoxification. It is connected very closely with digestion and the regulation of blood sugar, among many other functions. Found behind the ribs on the right side of the abdomen, it has many important functions such as removing harmful material from the blood, making enzymes and bile that help digest food, and converting food into substances needed for life and growth. Hepatic: Pertaining to the liver.

Magnesium
An essential mineral. The chief function of magnesium is to activate certain enzymes, especially those related to carbohydrate metabolism. Another role is to maintain the electrical potential across nerve and muscle membranes. It is essential for proper heartbeat and nerve transmission. Magnesium controls many cellular functions. It is involved in protein formation, DNA production and function and in the storage and release of energy in ATP. Magnesium is closely related to calcium and phosphorus in body function. The average adult body contains approximately one ounce of magnesium. It is the fifth mineral in abundance within the body--behind calcium, phosphorus, potassium and sodium. Although about 70 percent of the body's magnesium is contained in the teeth and bones, its most important functions are carried out by the remainder which is present in the cells of the soft tissues and in the fluid surrounding those cells.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Mucous Membranes (Mucosa, Mucous Membrane, Mucus Membranes)
The membranes, such as the mouth, nose, anus, and vagina, that line the cavities and canals of the body which communicate with the air.

Osteoporosis
A disease in which bone tissue becomes porous and brittle. The disease primarily affects postmenopausal women.

Protein (Proteins)
Compounds composed of hydrogen, oxygen, and nitrogen present in the body and in foods that form complex combinations of amino acids. Protein is essential for life and is used for growth and repair. Foods that supply the body with protein include animal products, grains, legumes, and vegetables. Proteins from animal sources contain the essential amino acids. Proteins are changed to amino acids in the body.

Sedative
Calming, quieting; drug that quiets nervous excitement.

Thyroid (Thyroid Gland)
The thyroid gland is an organ with many veins, anchored around the front of the throat near the voice box. It is essential to normal body growth in infancy and childhood. It absorbs iodine from the diet and releases thyroid hormones - iodine-containing compounds that help govern the rate of the body's metabolism (its total life processes), affecting body temperature, and regulating protein, fat and carbohydrate catabolism in all cells. They keep up growth hormone release, skeletal maturation, and heart rate, force, and output. They promote central nervous system growth, stimulate the making of many enzymes, and are necessary for muscle tone and vigor. To a high degree, metabolism is regulated by the hormone thyroxine, which can be made by the thyroid if enough organic iodine is available. An enlarged thyroid gland that is not cancer is sometimes called goitre.




Last updated: Jan 03, 2010


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