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hypotheses about VIEWS RELATING TO THE "Bulimia"
This term was first used around 1884, and was taken from the Greek id. Bulimia composed of bous 'ox' and limos 'hunger'. literally means "hungry exaggerated" (hence the figure "ox hunger"), and his doctor is synonymous with 'polyphagous'. But the use in recent decades has been that only serves to define harass people with any type of food and then take extreme attitudes by claiming that what they have eaten not fattening: vomiting after eating and / or consuming doses of laxatives and diuretics abuse.
To complicate matters further, in recent years has created a so-called "third state". A mixture of "anorexia" and "bulimia", which has been called "bulianorexia" or "bulinorexia" , which is what is supposed to have carriers " anorexia" , which alternate with periods of uncontrollable compulsion to eat 'anything'. I think
attacks unstoppable urge to eat "any thing in excessive quantities, which is usually seen in Afag and many of hipofágicas, is nothing more than a real defense mechanism of an organism found in the grave emergency being heavily lack of vitality nutrients (sometimes so blind that compulsion to eat, who come to eat items that are not considered by any culture as real food).
remember two cases that struck me, one that of a girl who, faint with hunger by refusing to eat for several days, found in the freezer of your refrigerator a dozen caps and ate empanadas block without even waiting that will thaw, and another that told me, reached into the jar of waste and gobbled potato peels his mother had thrown into it at noon).
is exactly equal to the uncontrollable thirst for those unfortunate circumstances that have been in the horrible situation of being several days without anything to drink, so they have gone as far as taking his own urine (for defenders of "bulimia", the unnatural act of drinking something as unusual as one's own urine would be an act of "budipsia", "sed ox ').
When you talk to so-called "bulimic" has no more to fall in conclusion that uncontrolled intake is just an excuse to induce vomiting.
I propose that these patients are called EMETOMANOS , also derived from the Greek word: emet, 'I vomit', and mania , 'madness', which in this case be interpreted as' irresistible compulsion. "
The gag makes our brain to release a substance called "endorphins" , which have similar chemical structures and actions of morphine: raise the pain threshold and produce an odd sense of being false like her.
This production of endorphins is what makes us feel so placid then an occasional vomiting (due to indigestion, for example). But that is almost as addictive as its counterpart: "morphine." The
EMETOMANOS (bulimia) is vomit because of his unconscious need to feel that pseudorreconfortante action of endorphins.
The most serious problem is that over the days become addicted neuroproductos those posts to run from the action of throwing up, why is it so hard to eliminate this habit. Putting it crudely: become addicted to the drug itself.
I have seen and known many cases hemetómanos, but I will relate one that is very exemplary.
Anecdote of office:
N. was some time ago, a woman of forty-four years. He came to me for help, desperate, because I wanted to stop vomiting.
As a teenager, a friend asked her why she cared so much in their food, so he explained that because of his fear of gaining weight. The friend then entrusted with a "tactic" using the same subject: "I eat what I want, and when I feel tired, I go and vomit what I ate.
My patient (I was fifteen at the time) recognized this attitude as "savior." Now I could swallow what he wanted, whether total, then vomited. I do not get fat without depriving themselves of nothing more ...!
At first the thing was going well, ate what he wanted and not get fat, and threw it after full.
But when they passed a few months notice, frightened, she could not stop vomiting occur (although it had eaten very little, or worse, but for some reason, a strong flu-like, for example, one day I had not eaten anything) . He was ashamed of that, so he devised a thousand stratagems to anyone discover his secret habit.
He married, had children. His teeth had shrunk because daily contact with the hydrochloric acid in gastric juice.
When her husband discovered, accidentally, their uncontrollable mania, appealed to a thousand resources, including a self-help group. But no results.
I consulted a Thursday afternoon in the spring of 1992. - I want to vomit! - Was his plea.
was not fat, not skinny (at last one throws up only half of what's in your stomach). She was thin, his eating habits were normal. Only their small teeth and sad and troubled, melancholy, it denoted a serious condition. For many years
ever consumed large quantities of anything, but his compulsion was totally uncontrollable.
- Have you been a day without throwing up in these twenty-nine years? - I asked.
- No! ... Never, not one left to do ... and ground vomit several times each day, "he said.
"I think it would be interesting to try to be twenty-four hours cause it to vomit ... If nothing else, that (I said innocently.) I want to tell me that he felt to be a day without it ... Tonight I propose that (at that time had not vomited) not overfill your stomach, after dinner take forty drops of the medicine (which was metoclopramide, a potent gastric evacuating antivomitivo), and then walk with her husband no less than an hour. Upon returning home his stomach completely empty, so you do not have nothing to expel him. The following week
attended the hospital as we had agreed.
- How did you do?! - I asked expectantly. .....-
-Mal ... "I did what I said ... When we got to walk I was exhausted and languid, so we went immediately to bed ... As soon as I noticed that my husband was asleep, I stood on tiptoe, went to the bathroom, threw up a little foam and then I slept ... I slept soundly.
End of story.
What to do with the emetómanos?, Is the inevitable question.
In my view urgently need consultation with interdisciplinary teams specializing in addictions.
But most important is to act quickly: as soon as possible after the box is detected, and discredit, in every way imaginable, the erroneous idea that the low nutrient intake is the way to prevent obesity is installed , or fight it if it is already installed.
always fall into the same thing:
Evidence has shown that low-calorie diets for carencientes are unnatural, do not work, and their practitioners immersed in the dangerous idea that eating just a little (or eliminating half of what is ingested by means of vomiting, for example) can achieved an enviable body.
Evidence has also shown that anorectic any chemical, physical, surgical, mechanical or deterrence, not works. But believe, between those who have consumed the false idea that if they can not because we do not tolerate or can not afford treatment, the vomiting could be a good replacement. And
the evidence that tells us that despite having insisted for more than a century with the same, things as they are, do not go.
That future generations will not go to that company and its predecessors.
Next delivery: "The perennial problem of breakfast
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