Treatments for Bulimia nervosa
Treatments for Bulimia nervosa
The list of treatments mentioned in various sources
for Bulimia nervosa
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Bulimia nervosa: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Bulimia nervosa may include:
Hidden causes of Bulimia nervosa may be incorrectly diagnosed:
Bulimia nervosa: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Bulimia nervosa:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Bulimia nervosa include:
- Fluoxetine
- Alti-Fluoxetine
- Apo-Fluoxetine
- Gen-Fluoxetine
- Med-Fluoxetine
- Prozac
- Prozac Weekly
- Sarafem
Unlabeled Drugs and Medications to treat Bulimia nervosa:
Unlabelled alternative drug treatments for Bulimia nervosa include:
- Flutamide
- Apo-Flutamide
- Euflex
- Eulexin
- Flutamex
- Fluvoxamine
- Apo-Fluvoxamine
- Gen-Fluvoxamine
- Luvox
- Novo-Fluvoxamine
- PMS-Fluvoxamine
- Riva-Fluvoxamine
- Imipramine
- Antipress
- Apo-Imipramine
- Impril
- Imprin
- Janimine
- Novo-Pramine
- PMS Imipramine
- Presamoine
- SK-Pramine
- Tipramine
- Tofranil
- Tofranil-PM
- W.D.D
- Maprotiline
- Novo-Mapritiline
- Ludiomil
Latest treatments for Bulimia nervosa:
The following are some of the latest treatments for Bulimia nervosa:
Hospitals & Medical Clinics: Bulimia nervosa
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Bulimia nervosa:
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Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Bulimia nervosa,
on hospital and medical facility performance and surgical care quality:
Medical news summaries about treatments for Bulimia nervosa:
The following medical news items
are relevant to treatment of Bulimia nervosa:
Discussion of treatments for Bulimia nervosa:
Bulimia Nervosa: NWHIC (Excerpt)
The treatment of bulimia should address both physical and psychological
needs of the person. The ultimate outcome of treatment is to restore
physical health and normal eating patterns. Many times treatment is
undertaken by a team of medical, nutritional, and mental health
professionals to evaluate the severity and meaning of the symptoms and to
both prescribe and provide care. It is essential that team members
communicate regularly about the patient and clarify their roles in
treatment on an ongoing basis, to the patient and the family, as well as
to each other. (Source: excerpt from Bulimia Nervosa: NWHIC)
Eating Disorders Facts About Eating Disorders and the Search for Solutions: NIMH (Excerpt)
The primary goal of treatment for bulimia is to reduce or eliminate
binge eating and purging behavior. To this end, nutritional
rehabilitation, psychosocial intervention, and medication management
strategies are often employed. Establishment of a pattern of regular,
non-binge meals, improvement of attitudes related to the eating disorder,
encouragement of healthy but not excessive exercise, and resolution of
co-occurring conditions such as mood or anxiety disorders are among the
specific aims of these strategies. Individual psychotherapy (especially
cognitive-behavioral or interpersonal psychotherapy), group psychotherapy
that uses a cognitive-behavioral approach, and family or marital therapy
have been reported to be effective. Psychotropic medications, primarily
antidepressants such as the selective serotonin reuptake inhibitors
(SSRIs), have been found helpful for people with bulimia, particularly
those with significant symptoms of depression or anxiety, or those who
have not responded adequately to psychosocial treatment alone. These
medications also may help prevent relapse. The treatment goals and
strategies for binge-eating disorder are similar to those for bulimia, and
studies are currently evaluating the effectiveness of various
interventions. (Source: excerpt from Eating Disorders Facts About Eating Disorders and the Search for Solutions: NIMH)
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Book Excerpts: Treatment of Bulimia nervosa
Treatments of Bulimia nervosa: Online Medical Books
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for more information about the treatments of Bulimia nervosa.
Weight Loss:
Treatment
(In a Page: Signs and Symptoms)
-
Identify and address the underlying cause
-
Appetite disturbance of depression may be reversed by antidepressant medications
-
Pancreatic enzymes for pancreatic malabsorption
-
Referral to nutritionist if necessary
-
Referral to social services if necessary
-
Anorexia of malignancy and AIDS can be treated with megestrol acetate or dronabinol
-
Aggressive treatment of anorexia nervosa, including evaluation for electrolyte and cardiac disorders and consultation with psychiatrist or psychologist
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Weight Gain:
Treatment
(In a Page: Signs and Symptoms)
-
Weight loss by low-calorie diet and exercise
-
Discontinue or change offending medications if possible
-
Treat underlying medical disorders
–CHF: Diuretics, digoxin, ACE inhibitor, nitrates, salt
restriction
–Liver disease: Diuretics, paracentesis, salt restriction
–Nephrotic syndrome: Diuretics, anticoagulation,
nephrology referral
–Cushing's disease: Surgery to remove tumor
–Cushing's syndrome: Search for and treat the underlying
cause (e.g., resection of tumor); diet
–Depression: Antidepressants, counseling
–Hypothyroidism: Thyroid hormone replacement
–Diabetes: Oral medications, insulin, diet, exercise
–Polycystic ovarian syndrome: Diet, oral contraceptives
–Pregnancy: Prenatal care
–Pre-eclampsia: Bedrest, magnesium sulfate,
antihypertensive meds, deliver baby if necessary
–Bulimia: Psychiatry referral
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Weight Loss:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Initial goals are to achieve fluid balance via rehydration and to correct electrolyte disturbances
-
Caloric assessment and possible dietary supplementation
-
Treat infectious causes if medically indicated
-
Psychiatric care
–For eating disorders, depression, drug abuse
-
Malabsorption
–May require special formulas/restriction diets
–May require pancreatic enzymes
-
Treat endocrine disturbance
-
Anti-inflammatory medications for IBD
-
Surgical correction of cardiac anomalies
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Diarrhea – Chronic, No Blood or Weight Loss:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Treatment is directed at cause
-
Chronic nonspecific diarrhea
–Restriction of fluid intake to <90 mL/kg/day
–Reduction of fruit juices (<8 ounces/day)
–Elimination of sorbitol-containing juices
-
Carbohydrate malabsorption
–Trial elimination or reduction of offending sugar
–Lactase (Lactaid) for lactose intolerance
–Sucrase (Sucraid) for sucrase-isomaltase deficiency
-
Small intestine bacterial overgrowth
–Antibiotic therapy with metronidazole alone or in combination with ampicillin or Bactrim
–Surgery for partial small bowel obstruction
-
Low-fat diet: Increase fat intake to approximately 40% of total daily calorie intake
-
Irritable bowel syndrome
–Anticholinergic therapy or antidepressants
-
Acrodermatitis enteropathica: Zinc supplements
>>>>> >>
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Diarrhea – Chronic, with Weight Loss:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Correct malnourished states
-
IBD: Anti-inflammatories (e.g., steroids, 6MP, 5ASA)
-
CD: Lifelong gluten-free diet
-
CF: Pancreatic enzyme and nutritional supplements including fat-soluble vitamins (ADEK)
-
Allergy: Food antigen avoidance
-
Sucrase-isomaltase deficiency: “Sucraid” enzyme
-
Neural crest tumors: Surgical resections
-
VIPoma: Somatostatin
-
Gastrinoma: Proton pump inhibitors
-
Whipple disease: Trimethoprim-sulfamethoxazole
-
Abetalipoprotenemia: No specific treatment
–Supplements of fat-soluble vitamins and MCT oil
-
Acrodermatitis enteropathica: Zinc supplements
-
Giardiasis: Metronidazole or nitazoxamide
-
Hyperalimentation: Parenteral nutrition may be needed for familial enteropathies
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Bulimia nervosa:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of bulimia nervosa may continue for several years. Interrelated physical and psychological symptoms must be treated simultaneously. Merely promoting weight gain isn’t sufficient to guarantee long-term recovery. A patient whose physical status is severely compromised by inadequate or chaotic eating patterns is difficult to engage in the psychotherapeutic process.
Psychotherapy concentrates on interrupting the binge-purge cycle and helping the patient regain control over her eating behavior. Inpatient or outpatient treatment includes behavior modification therapy, which may take place in highly structured psychoeducational group meetings. Cognitive behavioral therapy, group therapy, and family therapy, which address the eating disorder as a symptom of unresolved conflict, may help the patient understand the basis of her behavior and teach her self-control strategies. Antidepressant drugs may be used as an adjunct to psychotherapy.
The patient may also benefit from participation in self-help groups, such as Overeaters Anonymous, or in a drug rehabilitation program if she has a concurrent substance abuse problem.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Weight gain, excessive:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Educating the patient about weight control is extremely important. Stress the benefits of behavior modification and dietary compliance. Help the patient plan an appropriate exercise routine.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Low birth weight:
Emergency Interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
Because low birth weight may be associated with poorly developed body systems, particularly the respiratory system, your priority is to monitor the neonate’s respiratory status. Be alert for signs of distress, such as apnea, grunting respirations, intercostal or xiphoid retractions, or a respiratory rate exceeding 60 breaths/minute after the first hour of life. If you detect any of these signs, prepare to provide respiratory support. Endotracheal intubation or supplemental oxygen with an oxygen hood may be needed.
Monitor the neonate’s axillary temperature. Decreased fat reserves may keep him from maintaining normal body temperature, and a drop below 97.8° F (36.5° C) exacerbates respiratory distress by increasing oxygen consumption. To maintain normal body temperature, use an overbed warmer or an Isolette. (If these are unavailable, use a wrapped rubber bottle filled with warm water, but be careful to avoid hyperthermia.) Cover neonate’s head to prevent heat loss.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Bulimia nervosa:
Treatment
(Handbook of Diseases)
Psychotherapy concentrates on interrupting the binge-purge cycle and helping the patient regain control over her eating behavior. Treatment is usually provided in an outpatient setting and includes behavior modification therapy for 4 to 6 months, which may take place in highly structured psychoeducational group meetings.
Individual psychotherapy and family therapy, which address the eating disorder as a symptom of unresolved conflict, may help the patient understand the basis of her behavior and teach her self-control strategies. Antidepressants, particularly fluoxetine (Prozac), a selective seratonin-reuptake inhibitor, is useful as an adjunct to psychotherapy.
The patient also may benefit from participation in self-help groups, such as Overeaters Anonymous, or in a drug rehabilitation program if she also has a substance abuse problem.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Weight gain, excessive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Educating the patient about weight control is extremely important. Stress the benefits of behavior modification and dietary compliance. Help the patient plan an appropriate exercise routine.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Weight loss, excessive:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Refer your patient for psychological counseling if weight loss negatively affects his body image. Teach the patient about his diet and recommend that he keep a food diary. Determine his food preferences and try to incorporate them into his diet. Encourage oral hygiene before meals to make the food more palatable.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Weight gain, excessive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Refer the patient for psychological counseling, as necessary.
▪ If the patient is obese or has a cardiopulmonary disorder, monitor exercise closely.
▪ Perform studies to rule out possible secondary causes should include serum thyroid-stimulating hormone determination and dexamethasone suppression testing.
▪ Perform laboratory tests for thyroid function and serum cholesterol, triglyceride, and glucose levels.
Patient teaching
▪ Explain to the patient the cause of weight gain, if known.
▪ Teach the patient about appropriate dietary choices and discuss an individualized exercise plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Low birth weight:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Initiate feedings as soon as possible and continue to feed the neonate every 2 to 3 hours.
▪ Provide gavage or I.V. nutrition for the sick or very premature neonate.
▪ Check abdominal girth daily or more frequently if indicated, and check stools for blood to detect necrotizing enterocolitis.
▪ Prepare for a sepsis workup if signs of infection are associated with low birth weight.
▪ Check the neonate's vital signs every 15 minutes for the first hour and at least once every hour thereafter until his condition stabilizes.
▪ Be alert for changes in temperature or behavior, feeding problems, respiratory distress, or periods of apnea—possible indications of infection.
▪ Monitor blood glucose levels and watch for signs and symptoms of hypoglycemia, such as irritability, jitteriness, tremors, seizures, irregular respirations, lethargy, and a high-pitched or weak cry.
▪ If the neonate is receiving supplemental oxygen, carefully monitor arterial blood gas values and the oxygen concentration of inspired air to prevent retinopathy.
▪ Monitor the neonate's urine output by weighing diapers before and after voiding.
▪ Check urine color, measure specific gravity, and test for the presence of glucose, blood, or protein.
▪ Watch for changes in the neonate's skin color because increasing jaundice may indicate hyperbilirubinemia.
Patient teaching
▪ Explain disorder and all procedures and treatments to the parents.
▪ Encourage the parents to participate in their neonate's care to strengthen bonding.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Weight loss, excessive:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Take daily calorie counts and weigh the patient weekly.
▪ Consult a nutritionist to determine an appropriate diet and nutritional supplements with adequate calories.
▪ Administer hyperalimentation or tube feedings to maintain nutrition, as needed.
Patient teaching
▪ Provide instruction in proper nutrition and keeping a food diary.
▪ Instruct the patient in proper oral hygiene.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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