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                                Coping with Appetite Disturbances

     
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  • Coping with Appetite Disturbances

    Appetite Disturbances, either experiencing loss of appetite, or    
    having difficulty controlling it, can be helped with several
    alternative therapies. If you experience a notable change in
    appetite, you should first consult a physician, to rule out any
    illness or nutritional deficiencies. Whether you want to stimulate
    your appetite or control it, changing the way you eat may help.

    Appetite loss is the body's defense against ingesting anything that
    could slow the healing process. Almost any infection can cause a loss
    of appetite. A passing cold or flu virus could be responsible. Even
    the weather. So could more serious things like tuberculosis, low
    thyroid function, diseases of the heart or lungs or liver problems.

    Bulimia is an illness characterized by uncontrolled episodes of
    overeating usually followed by self-induced vomiting. Eating binges
    may occur as often as several times a day. Induced vomiting known as
    purging allows the eating to continue until interrupted by sleep,
    abdominal pain, or the presence of another person. The person is
    usually aware that their eating pattern is abnormal and may
    experience fear or guilt associated with the binge-purge episodes.
    The behavior is usually secretive, although clues to this disorder
    include overactivity, peculiar eating habits, eating rituals, and
    frequent weighing. Body weight is usually normal or low, although the
    person may perceive themselves as overweight.

    The exact cause of bulimia is unknown, but factors thought to
    contribute to its development are family problems, maladaptive
    behavior, self-identity conflict, and cultural overemphasis on
    physical appearance. Bulimia may be associated with depression. The
    disorder is usually not associated with any underlying physical
    problem although the behavior may be associated with neurological or
    endocrine diseases. The disorder occurs most often in females of
    adolescent or young adult age. The incidence is 2 in 10,000 people.

    Bulimia is a bit different from anorexia because the person with
    bulimia doesn't avoid eating. Instead, he or she eats a large amount
    of food then gets rid of it quickly by vomiting or taking laxatives.
    This is commonly known as "binge and purge" behavior.

    Anorexia nervosa is an eating disorder associated with a distorted
    body image that may be caused by a mental disorder. Inadequate
    calorie intake results in severe weight loss. The exact cause of this
    disorder is not known, but social attitudes towards body appearance
    and family factors play a role in its development. The condition
    affects females more frequently, usually in adolescence or young
    adulthood.

    Unique features of anorexia are not only the strong desire to be very
    thin, but also the altered body perception that goes with it. People
    with anorexia have an intense fear of being fat. When a person has
    anorexia, he or she hardly eats at all — and the small amount of food
    that is eaten becomes an obsession. A person with anorexia may weigh
    food before eating it or compulsively count the calories of
    everything. It is not unusual for a person with anorexia to also
    exercise excessively in an attempt to lose weight.

    Statistics show the risk factors are seen most often in Caucasians,
    having an upper or middle economic background, being female, and
    having a goal-oriented family or personality. The incidence is 4 out
    of 100,000 people.

    Other culprits of appetite loss include anti-histamines, over the
    counter drugs, pain killers and perscriptions.

    Aging itself can take its toll on the appetite. In older people the
    metabolism slows down, muscle mass decreases and physical ailments
    impede activity. On top of all this, taste sensations diminish and
    stomach secretions don't flow like they used to. All of these things
    contribute to appetite loss.

    Controlling your appetite, is another matter. We often eat out of
    habit, not hunger. People who do try to stop an addictive behavior,
    such as smoking, often find themselves overeating. One reason is
    habit: They're used to doing something with their hands and mouth, so
    they eat. Or they could be battling the misery of nicotine withdrawal
    with the nurturing pleasure of food. Regardless of the excuse, this
    lack of control often leads to many health problems. See related
    topics: weight loss , aging , depression , stress , sleep
    difficulties , pms , anxiety , thyroid problems , diabetes and
    smoking .

    According to the American Institute of Gastroenterology, the best
    strategy to promoting good overall health is to eat a balanced,
    predominantly plant-based and nutritionally dense diet. Most of your
    daily calories should come from vegetables, fruits, whole grains and
    beans.

    Best Balancing Tips

    1. Recognize the problem: People with an appetite disturbance often
    do not recognize or admit that they have a problem. A trusted family
    members or other individual you believe in can be helpful in making
    sure that needed care or rehabilitation are received.

    2. Determining your needs: Appetite disturbances, eating disorders,
    depression and anxiety all require a comprehensive diagnosis, in
    which, the clinician will determine whether the person is in
    immediate danger and/or requires hospitalization. Nutritional
    counseling, psychosocial interventions, monitoring, as well as
    medical care maybe appropriate.

    3. Talk Therapies: Individual psychotherapy (especially cognitive-
    behavioral or interpersonal psychotherapy) , group psychotherapy that
    uses a cognitive-behaviora l approach and family or marital therapy
    can be very effective. Overcome low self-esteem and addressing
    distorted thought patterns and behaviors are crucial. Families are
    sometimes included in the therapeutic process.

    4. Severe weight loss: requires an inpatient hospital stay, where
    proper nourishment is given and the person's medical needs are met.
    In some cases, intravenous feeding is appropriate.

    5. Moderate exercise is crucial: for both successful weight loss or
    for those suffering from anorexia and bulimia. Not only does it help
    burn excess calories, but by increasing your physical activity you
    can modify the way your brain regulates hunger, making you less
    susceptible to food cravings and can increase hormones in order to
    stabilize mood or anxiety disorders . If exercise is done
    excessively, in the case of anorexia and bulimia, encouragement of
    healthy but not excessive exercise is the specific goal in this
    strategy.

    6. The primary goal of treatment for bulimia: is to reduce or
    eliminate binge eating and purging behavior.

    7. The primary goal of treatment for anorexia: is restoring weight
    lost due to severe dieting and purging.

    8. Vitamin Therapy: is a good way to help your body regulate what you
    may not be getting through your diet or what you are losing through
    purging and abuse. A good daily multivitamin is the best start.

    9. Drink Plenty of Water: Not only will you loss water as you
    exercise, drinking water makes you feel full, therefore, not as much
    room for food.

    10. Control blood sugar levels: this is a good way to balance your
    system by eating 5 small high protein meals a day.

    11. Limit Animal-based Foods: such as meat and dairy products, which
    are loaded with saturated fat and cholesterol. Use olive oil or
    canola oil instead of butter or margarine to reduce your intake of
    saturated fat and hydrogenated fat (trans fat). Moderate your
    consumption of fried, salted and smoked foods.

    12. Portion Control: Eat portions to satisfy hunger, not to clean the
    plate. By dinner, if you have complex carbs (potatoes, yams, brown
    rice…) with your meal; it should be no more than a cup full. Half of
    your plate should be vegetable. The meat, fish, chicken portion
    should be the size of your fist. Portion control is the secret to a
    healthy weight! Avoid coffee, sugar, alcohol.

    13. Believe: Your belief system has everything to do with the mental
    and spiritual aspects of any eating disorder. Fight anxiety with
    relaxation exercises rather than food. Utilize meditation, yoga,
    stretching. By creating healthy eating habits and regular exercise,
    you are sure to lose weight without depriving yourself of nourishing
    food. And if you continue those good habits after you reach your
    goal, you will have an excellent chance of maintaining your desired
    weight and see it more as maintaining a lifestyle as opposed to a
    diet.

    11. Sleep Well: Good quality sleep is important, especially when you
    are trying to loss weight or recover from anorexia or bulimia. It is
    most important to go to sleep with a "Quiet Mind". Sleep rejuvenates,
    detoxes and regulates the body.

    12. Overcome Fear: Fear can be an underlining problem in many cases.
    There are many ways to quiet the mind. Doing 15 to 30 minutes of
    meditation or yoga can be very helpful. You must allow yourself to be
    distracted or get into your meditation or yoga and "let go" of the
    days thoughts...consider meditation. Address your fears or phobias by
    journaling.

    Andrew Pacholyk, MS, L.Ac


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