Therapy goals Improvement of the symptomatology Avoidance of complications or secondary diseases Therapy recommendations Binge-eating disorder is usually treated on an outpatient basis. If there is insufficient change with outpatient therapy, inpatient therapy is required. Other reasons for inpatient therapy include: Severity of illness (e.g., low motivation). Severe conflicts in the social and family environment … Binge Eating Disorder: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Electrocardiogram (ECG; recording of the electrical activities of the heart muscle) – for suspected cardiac arrhythmias due to electrolyte disturbances (disturbances of the body salt balance). Abdominal ultrasonography (ultrasound … Binge Eating Disorder: Diagnostic Tests
Prevention of binge eating disorder (BED) requires attention to reducing individual risk factors. Behavioral risk factors Diet Recurrent dieting behavior Restrained eating behavior Psycho-social situation Relationship problems Food as a substitute satisfaction Low self-esteem Frequent dieting Psychiatric illness of family members Neglect Overweight (BMI ≥ 25; obesity). Other risk factors Slimness mania of society Pregnancy
The following symptoms and complaints may indicate Binge Eating Disorder: Leading symptoms Inhibited binge eating (binge eating), in which large amounts of food, especially high-calorie food, are eaten in a short period of time Disturbed eating behavior such as irregularity even between eating attacks. Many diet attempts Disruption of the perception of satiety Low physical … Binge Eating Disorder: Symptoms, Complaints, Signs
Pathogenesis (disease development) The origin of binge eating disorder is not yet clear. It is likely that, as with other psychogenic eating disorders such as anorexia nervosa and bulimia nervosa, a combination of factors leads to the disorder. Etiology (causes) Biographical causes Genetic burden from parents, grandparents. Homo- and bisexuality in men Behavioral causes Nutrition … Binge Eating Disorder: Causes
Binge eating disorder is usually treated on an outpatient basis. If there is insufficient change with outpatient therapy, inpatient therapy is required. Other reasons for inpatient therapy include: Severity of illness (e.g., low motivation). Severe conflicts in the social and family environment Severe mental and physical concomitant diseases (eg, diabetes mellitus). Suicidality (suicide risk) General … Binge Eating Disorder: Therapy
Medical history (history of illness) represents an important component in the diagnosis of binge eating disorder (BED). Family history Are there any disorders (e.g., eating disorders) in your family that are common? Social history Is there any evidence of psychosocial stress or strain due to your family situation? What is the situation at home? How … Binge Eating Disorder: Medical History
Neoplasms – Tumor Diseases (C00-D48). Brain tumors, unspecified Psyche – nervous system (F00-F99; G00-G99). Acute adjustment disorders Anxiety disorders Bulimia nervosa (binge eating disorder) Depression Personality disorders Schizophrenia – severe mental illness belonging to the endogenous psychoses and characterized by disturbances of thinking, perception and affectivity. Nonspecific eating disorders Obsessive-compulsive disorders
The following are the major diseases or complications that may be contributed to by binge eating disorder (BED) with the resulting obesity: Respiratory system (J00-J99) Bronchial asthma Decreased total lung capacity, increased work of breathing, especially at night!!! Endocrine, nutritional and metabolic diseases (E00-E90). Andropause – male menopause Diabetes mellitus type 2 (insulin resistance) Hormonal … Binge Eating Disorder: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? … Binge Eating Disorder: Examination
1st-order laboratory parameters-obligatory laboratory tests. Small blood count Electrolytes – sodium, potassium, calcium Pancreatic parameters – amylase, elastase (in serum and stool), lipase. Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin. Renal parameters – urea, creatinine, cystatin C or creatinine clearance, … Binge Eating Disorder: Test and Diagnosis
