Boulimia

Anorexia nervosa (AN) is a functional eating disorder with a multifactorial origin without an underlying somatic disease. Two types of AN should be distinguished, pure restrictive AN and AN-boulimia with purging, most often among young females. AN is mainly a psychological disease, but it leads quite early to various somatic complications. Weight loss may be dramatic and different deficiencies then occur. Besides anorexia, aberrant behaviours may be present, which may be associated with severe complications...

OBJECTIVES: We wanted to investigate the patient's expectations on the general practitioner's (GP) responsibilities in screening and follow up of disturbed eating behaviour. Then, we looked for remediation for some of the mentioned shortcomings in family medicine. We also examined if online aid (offered by the non-profit organisation "Eetexpert.be") is already known and used. SUBJECTS AND METHODS: Anonymous patient questionnaires were gathered at 4 treatment centres for eating disorders or were collected with help of the Flemish patients organisation for eating disorders (Vlaamse Vereniging Anorexia Nervosa en Boulimia Nervosa)...

The years 1914-18 engendered a "sudden and irrepressible boulimia" of letter-writing, a diluvian outpouring which defied all attempts at administrative control. The massive correspondence of French soldiers, analysed and quoted in the archives of the Commission de Contrôle Postal, has already been mined by war historians. They have normally used it to carry out a kind of historical opinion poll on the mood of the trenches. This article, however, focuses less on the content of soldiers' correspondence, and more on the nature and history of letter-writing itself...

The practitioner, as well as specialist such as gynecologist and endocrinologist, may face in their office women with eating disorders, abnormalities of menstrual cycles and low bone mass, which may be the first hints of the female athlete triad. In these situations, the practitioner may search other findings of these triad by looking at some particular physical findings and by using appropriate questionnaire. In some advanced forms of this triad specific abnormalities of eating disorders (anorexia and boulimia) may be present as well as amenorrhea and osteoporosis, which may disturb the well-being and cause health damages of women practising sport either as amateur or in a elite setting...

Four patients, three men aged 32, 51 and 74 years, respectively, and a woman aged 34 years, presented with a submandibular swelling. In all four patients, the swelling was caused by submandibular salivary-gland disease. The first patient appeared to have chronic sialoadenitis due to sialolithiasis, in the second patient the diagnosis was sialoadenosis due to anorexia-boulimia, the third patient had a pleomorphic adenoma and the fourth had a malignant neoplasm of the floor of the mouth causing obstruction of the submandibular gland...

No abstract text is available yet for this article.

Eating disorders like anorexia nervosa and boulimia nervosa may have consequences for both the oral tissues and the salivary glands. In the oral cavity these eating disorders result frequently in dental erosion, but also in dental caries. The salivary glands are regularly swollen without pain; a hypofunction in the salivary secretory process may develop resulting in dry mouth feelings. In this paper these aspects will be reviewed and illustrated with patient cases.

In Switzerland, 6% of men and 5% of women are obese (BMI > 30); 33% of men and 17% of women are overweight (BMI 25-30). Both genetic and environmental factors are responsible for obesity. There is an increased risk of C-V disease, diabetes and steato-hepatitis in abdominal obesity (abdominal circumference > 102 cm for men and > 88 cm for women). There is also an increased level of cortisol, which could be due to a difficulty to cope with psycho-social stress. Leptine and different hormones play a role in fat storage...

Three mentally retarded male patients, 24, 30 and 14 years old, died from acute gastric dilatation leading to rupture and perforation. Superior mesenteric artery syndrome (SMA) was the cause of gastric dilatation in two of them. In the third patient the cause was not clear. The three patients had scoliosis and were underweight or thin. Two had spastic quadriplegia of perinatal origin and one had Down's syndrome. One patient with SMA was treated by Nissen fundoplication because of hiatus hernia with vomiting and gastro-oesophageal reflux one week before he died...

Critical review of eating disorders in girls, based upon five cases:four of anorexia nervosa and one of boulimia, such problems neing accompanied from a gynecologic standpoint by amenorrhea. Interpretation of colpocytologic findings, differing between cases. Suggestion of the central nervous origin of these disorders.