[…] need for an overview of the most current issues and changes in the field, allowing readers to: Review the development, theories, and influences in child and adolescent psychopathology Understand neurodevelopmental disorders including intellectual and developmental [books.google.com]

Rumination Disorder The prevalence of rumination disorders is unknown, but is certainly higher in patients with developmental disabilities. [clevelandclinicmeded.com]

The baselines of both groups were comparable with regard to key features, including binge and vomiting frequency, and carbohydrate and lipid intake. [ncbi.nlm.nih.gov]

[…] uses other methods of compensation, such as fasting or excessive exercise, but does not regularly engage in self-induced vomiting or the use of laxatives, diuretics, or enemas. 7- Self-induced vomiting is the most common method to compensate for binge [acronymattic.com]

In the BN-NI group, six patients did only self-induced vomiting, one did only laxative abuse, two did self-induced vomiting and laxative abuse, and, of the two patients without self-induced vomiting or laxative abuse, one did vigorous exercise and the [care.diabetesjournals.org]

[…] non-draft ICD-10-CM) 2017 (effective 10/1/2016) : No change 2018 (effective 10/1/2017) : No change 2019 (effective 10/1/2018) : No change Code annotations containing back-references to F50.2 : Type 1 Excludes: R11, R63, F50.02 ICD-10-CM Diagnosis Code R11 Nausea [icd10data.com]

Self-induced vomiting, misuse of laxatives, diuretics, and enemas Excessive exercising, fasting, or dieting Eating so much that it results in stomach pain Fluctuating weight – going up and down Gastrointestinal problems – diarrhea, gas, constipation, nausea [psycom.net]

Gastric rupture, the most serious complication, is uncommon. 17 More often, patients describe nausea, abdominal pain and distention, prolonged digestion and weight gain. [aafp.org]

When the patient is regurgitating previous swallowed food this might be partially digested and patient is not having nausea or involuntary retching. [clevelandclinicmeded.com]

) hematemesis ( K92.0 ) neonatal hematemesis ( P54.0 ) newborn vomiting ( P92.0- ) psychogenic vomiting ( F50.89 ) vomiting associated with bulimia nervosa ( F50.2 ) vomiting following gastrointestinal surgery ( K91.0 ) ICD-10-CM Diagnosis Code R63 [icd10data.com]

[…] fat 10% Refusal to eat Failure to respond to outpatient treatment Bulimia nervosa Syncope Serum potassium 3.2 mmol/L Serum chloride 88 mmol/L Esophageal tears Cardiac arrhythmias including prolonged QTc Hypothermia Suicide risk Intractable vomiting Hematemesis [aafp.org]

[…] in oral intake or weight despite maximally intensive outpatient interventions Prior knowledge of weight at which physical instability is likely to occur in the particular patient Serious physical abnormalities Electrolyte or metabolic abnormalities Hematemesis [clevelandclinicmeded.com]

[…] or throat lining after repeated vomiting Broken blood vessels in the eyes Electrolyte imbalances Weakening of tooth enamel due to repeated vomiting Enlarged glands in the neck or cheeks, resulting in a “chipmunk” cheeks Chronic gastric re-flux after eating [amyboyers.com]

The circulatory system is affected in that recurrent vomiting, which can cause dehydration, weak muscles or fatigue. The weakened heart muscles can cause an erratic heartbeat, leading to heart failure in severe cases. [therecoveryvillage.com]

vomiting washes mouth with acid and stomach enzymes; mineral deficiencies Edema Laxative abuse, hypoproteinuria, electrolyte imbalances Parotid gland enlargement Gastric acid and enzymes from vomiting cause parotid inflammation Scars or calluses on fingers [aafp.org]

Consider admission for persistent and recurrent emesis alone (10 to 20 times a day), especially in the face of bradycardia or orthostatic hypotension. [acphospitalist.org]

Bradycardia, orthostatic hypotension, and palpitations may progress to potentially fatal arrhythmias. Epigastric pain and a bloating sensation are common. Laxative abuse causes hemorrhoids and rectal prolapse. [aafp.org]

hypotension and heart rate less than 40 beats per minute or greater than 110 beats per minute Inability to sustain body core temperature Comorbid psychiatric illness (suicidal, depressed, unable to care for self) Based on information from references [clevelandclinicmeded.com]

caries Electrolyte abnormalities Gastrointestinal irritation, bleeding, or reflux Parotid abnormalities Secondary renal failure Based on information from references 35-38. [clevelandclinicmeded.com]

They either have an intense fear of gaining weight, a strong desire to lose weight, or a significant impairment in their body image, which is often noted by low self-esteem. [centerfordiscovery.com]

Low self-esteem: Women or men who think of themselves as useless, worthless, and unattractive are at risk for bulimia. Things that can contribute to low self-esteem include depression, perfectionism, childhood abuse, and a critical home environment. [soulutionscounselling.com]

Low self-esteem, irritability and mood swings, and feelings of guilt, shame, and anxiety, especially after a binge, are also common. [beateatingdisorders.org.uk]

Left unchecked, it can to lead to metabolic disorders, low self-esteem, depression, or even death. It is therefore, important to seek treatment for this complex and dangerous form of bulimia, and the emotional issues that accompany it. [eatingdisorders.com]

Other contributing factors include: low self-esteem, impulsive behavior, problems managing anger, relationship conflicts and society’s focus on thinness. [ulifeline.org]

Their preoccupation with food and weight may become an obsession that severely impacts what and how they eat. They will create extreme rules and restrictions about their diets, and some people with anorexia may binge eat and then purge. [healthdirect.gov.au]

Warning Signs of Anorexia Nervosa Preoccupation with body shape, weight and/or appearance Intense fear of gaining weight Preoccupation with food or food related activities Negative or distorted body image; perceiving self to be fat when at a healthy weight [eatingdisorders.org.au]

For example, starvation increases preoccupation with food and the risk of binge-eating. For underweight patients, achievement of a low normal weight is therefore a priority for successful treatment. [hopkinsmedicine.org]

[…] with food, weight, and body shape Scarring on the back of the fingers from the process of self-induced vomiting Overachieving behaviors The symptoms of bulimia may resemble other medical problems or psychiatric conditions. [stanfordchildrens.org]

The individual may eventually become socially withdrawn and may experience somatic/sexual dysfunction, particularly in severely underweight individuals. [www150.statcan.gc.ca]

In addition to anorexia, a number of disorders may mimic bulimia, including: borderline personality disorder brain tumors depression epileptic seizures Klein-Levin syndrome (a rare condition more common in men that causes excessive eating) Kluver-Bucy [psychiatric-disorders.com]

Paresthesias, tetany, seizures or cardiac arrhythmias are potential metabolic complications that require acute care. 17 Chemistry profiles should be obtained regularly in patients who continue to vomit or abuse purgatives on a regular basis. [aafp.org]

Malnutrition (can lead to loss of muscle and bone density [osteoporosis] resulting in dry, brittle bones) Severe dehydration, which can result in kidney failure and chemical imbalances (can lead to seizures, irregular heartbeats and possibly heart failure [disabled-world.com]

Doses of tricyclic antidepressants and monoamine oxidase inhibitors parallel those used to treat depression, but higher doses of fluoxetine ( 80 mg/day) may be needed to treat bulimia nervosa. 51 Bupropion (Wellbutrin) has been associated with seizures [clevelandclinicmeded.com]

There seems to be a relationship between the high scores on psychological tests for perfectionism and the absence of insulin omission in BN-NI patients: 1 ) originally, most perfectionist patients are not likely to omit insulin because they cannot neglect [care.diabetesjournals.org]

This includes things such as sexual assault, childhood neglect or abuse, troubled family relationships, or the death of a loved one. Effects of bulimia When you are living with bulimia, you are putting your body—and even your life—at risk. [helpguide.org]

Patients under stressful situations such as neglect, stressful life, and problems in the relationship with the parents are certainly more frequent in infant and young children. [clevelandclinicmeded.com]

Each chapter features reader-friendly elements like Rapid Reference, Caution, and Don't Forget boxes that call out important information, facilitating easy look-up and quick navigation. [books.google.com]