Because frequent vomiting can produce symptoms similar to chronic acid reflux, bulimia can lead to Barrett’s Esophagus, which is a risk factor for abnormal cell growth and cancerous tumors on and around the esophagus.
Which antidepressant is contraindicated in bulimia?
Bupropion is contraindicated because of the increased risk for seizures; patients should also be warned against its use for smoking cessation. Finally, drugs that can increase appetite or cause weight gain (e.g., olanzapine, mirtazapine, paroxetine) are not recommended.
What is the best antidepressant for bulimia?
The antidepressants that are most commonly used to reduce the binge-purge cycle associated with bulimia is Prozac (aka Fluoxetine). Prozac is a selective serotonin reuptake inhibitor (SSRI). Prozac has proven to reduce binge-purge cycles in bulimia.
What disorder is commonly comorbid with bulimia?
Major depression is the most common comorbidity, followed by anxiety disorders, including generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, social phobia, and posttraumatic stress disorder in nearly 60% of bulimia nervosa patients.
Can your esophagus heal after bulimia?
Treating Bulimia Damage to the esophagus can be treated. However, full healing is not possible until the bulimic stops vomiting. Ulcers can be treated with medications, including antibiotics. Surgery can usually repair esophageal ruptures.
What cancers can bulimia cause?
Prior reports have also suggested that chronic bulimia nervosa (BN) is a risk factor for the development of esophageal adenocarcinoma. Repeated microtrauma, due to vomiting, may contribute to the malignant transformation of the esophageal tissue.
Do antidepressants help with bulimia?
Numerous trials have found that antidepressant medications, including both tricyclic antidepressants (TCAs) and selective serotonin reuptake inhibitors (SSRIs), produce consistently superior reductions in bulimic symptoms than those achieved with placebo (Shapiro et al.
Is Zoloft good for bulimia?
This study confirms that sertraline is well tolerated and effective in reducing binge-eating crisis and purging in patients with bulimia nervosa.
Why should people with bulimia not take Wellbutrin?
You should not take Wellbutrin if you currently have, or formerly had, an eating disorder. For some reason, people with a history of anorexia nervosa or bulimia seem to be more likely to experience Wellbutrin-related seizures.
Why does Prozac treat bulimia?
The imbalance of serotonin levels in the body can increase urges to binge and purge in women and men who have bulimia, and antidepressant medications can decrease these urges by effectively balancing the levels of neurotransmitters in the brain.
How does CBT work for bulimia?
In CBT, the therapist works collaboratively with the patient to disrupt the factors maintaining the binge-purge cycle with the goal to achieve abstinence from these behaviors. This treatment is typically administered individually, but it can be delivered in group format.
What drug is FDA approved for bulimia?
Article highlights. Medications for the maintenance of eating disorders, bulimia nervosa (BN) and binge eating disorder (BED), are limited. Fluoxetine for BN and lisdexamfetamine for BED are the only FDA-approved medications.
What other disorders are associated with bulimia?
bulimia nervosa experience one or more anxiety disorders,” most commonly, obsessive-compulsive disorder (OCD), social phobia, and specific phobia . Post-Traumatic Stress Disorder (PTSD) can occur up to three times more frequently in individuals with bulimia than those with anorexia .
What disorders are often seen along with eating disorders?
There are three main types of eating disorders: anorexia nervosa, bulimia nervosa and binge eating disorder. Eating disorders often co-occur with other psychiatric disorders most commonly mood and anxiety disorders, obsessive compulsive disorder and alcohol and drug abuse problems.
What disorder is most commonly comorbid with eating disorders?
The most common psychiatric disorders which co-occur with eating disorders include mood disorders (e.g., major depressive disorder), anxiety disorders (e.g., obsessive compulsive disorder, social anxiety disorder), post-traumatic stress disorder (PTSD) and trauma, substance use disorders, personality disorders (e.g. …
What is bulimia face?
When a person has been engaging in self-induced vomiting regularly and they suddenly stop engaging in the behaviour, their salivary glands in front of their ears (cheeks) may begin to swell. This makes their cheeks look swollen.
What are 3 warning signs of bulimia?
- Episodes of binge eating.
- Self-induced vomiting.
- Smelling like vomit.
- Misuse of laxatives and diuretics.
- Complaining about body image.
- Expressing guilt or shame about eating.
Can your body go back to normal after bulimia?
With appropriate treatment, those struggling with bulimia nervosa will be able to reverse most of the physical symptoms and lead a normal, healthy life. Unfortunately, dental issues including tooth decay, breakage and discoloring may not be reversible and may require medical intervention.
Can Barrett’s esophagus be cured?
There is no cure for Barrett esophagus. However, medicines to reduce stomach acid and surgery called fundoplication may be used to treat the disease. Because Barrett esophagus tends to recur (come back), you will need continued monitoring.
Can vomiting cause permanent damage?
The stomach acid in vomit can damage tooth enamel, making your teeth sensitive to hot and cold. Mouth problems. Stomach acid can also discolor your teeth and cause gum disease. Throwing up from purging creates painful sores in the corners of your mouth and soreness in the throat.
Can bulimia cause health problems?
Frequent purging can cause dehydration. This leads to weak muscles and extreme fatigue. It can also throw your electrolytes out of balance and put strain on your heart. This can cause an irregular heartbeat (arrhythmia), and in some severe cases, a weakened heart muscle and heart failure.
Does bulimia ever go away?
² Roughly 50% of women will recover from bulimia within ten years of their diagnosis, but an estimated 30% of these women will experience a relapse of the disorder. ³ These behaviors can wreak havoc on the body both in the short-term and the long-term.
Can a dentist tell if your bulimic?
Excessive tooth erosion is one way your dentist could tell if a patient may be bulimic. Frequent vomiting can lead to sensitive teeth, dry mouth and red, cracked lips. All signs that your dentist is trained to recognize as side effects of bulimia.
How long does it take your body to recover from bulimia?
Depending on several factors, it may take several months or even a few years to find recovery from bulimia. The repetitive and harmful behaviors associated with bulimia must be replaced with healthier coping mechanisms, which takes time and dedication to a new way of thinking and reacting to stressful situations.
Is there an antidepressant that causes weight loss?
Most antidepressant medications are more commonly associated with weight gain, but there are three that have been connected to weight loss: Bupropion (Wellbutrin) Fluoxetine (Prozac) Duloxetine (Cymbalta)