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Recovering from anorexia. Cannot stop binge eating. Gained 20 pounds in a week. Suggestions?

Hi, I am recovering from anorexia and I am 5 3-5 4, 15 years old, female, and (was) 95 pounds. I am on my 6th of recovery, however I cannot stop binge eating . I binged on sweets, carbs, and some salty foods. I ate 5,000 or more calories per day. The scale has gone up from 95 to 115 lbs! I honestly feel so disgusted with myself that I tried purging and it didn t work. I feel so discouraged and I can t stop myself from binge eating. I always do it right after school and I can t control it and I can t stand it anymore. Tomorrow I am going to try to start fresh and maintain my weight without binging. Should I stay away from carbs for a while? Did I really gain 20 pounds in a one week binge?,
Asked On : Tue, 15 Jan 2013
Answers:  2 Views:  592
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

You seem to be suffering from a bulemia nervosa where the person has alternating periods of extreme food restriction or purging and binge eating. Since you are having these binges which you are finding difficult to control, I would advise you to get professional help.

Treatment strategies can be in the form of psychotherapy, like CBT or sometimes, with medication. Usually therapy involves continuous participation and persistent efforts from the patient. If you are finding it difficult to strike the right balance for your intake, it would be better to get a diet chart and stick to it regularly.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Tue, 22 Jan 2013
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Psychiatrist Dr. Sushil Kumar Sompur's  Response
Jun 2013
Hi there ~

It is quite common to start binging after an episode of anorexic behaviors. It is essentially anorexia nervosa ( as you may be well aware of by now). Having worked in an eating disorders unit, I am aware of the difficulties that you are experiencing in being able to manage your situation. One of the most important mechanisms to avoid binging is to eat meals at regular intervals and breaks during the day, so as to avoid a huge meal at the very end of the day when your body cannot resist the urge the do so. There are many ways to manage your diet - one of which is to eat in portions (alluding to your saying that you want to stay away from carbs) because all components in the diet are necessary in adequate proportions. It may be possible that you may be waterlogging too which may be contributing to your weight gain, however it is advisable to avoid focusing on your weight for a while and to use strategies that keep you away from doing so. Please consult your doctor for medication help.

Take care and have a lovely day.
Answered: Tue, 22 Jan 2013
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