Common Eating Disorders

Eating disorders can affect people of all ages, racial/ethnic backgrounds, body weights, and genders. Eating disorders frequently appear during the teen years or young adulthood but may also develop during childhood or later in life. These disorders affect both genders, although rates among women are higher than among men. Like women who have eating disorders, men also have a distorted sense of body image.

Anorexia nervosa

Bulimia nervosa

Binge Eating

Pica

Rumination Disorder

Avoidant/Restrictive Food Intake Disorder (ARFID)


Anorexia nervosa

Anorexia nervosa, often called anorexia, is a type of eating disorder. People with anorexia eat so little that they have unhealthy weight loss and become dangerously thin. They may think they are overweight or fat even when they are underweight or thin. Anorexia affects more girls and women than boys and men. Anorexia is a serious health problem that can increase the risk of early death. But people with anorexia can get better with treatment.

Anorexia nervosa, often called anorexia, is a type of eating disorder. People with anorexia eat so little that they have unhealthy weight loss and become dangerously thin. They may think they are overweight or fat even when they are underweight or thin. Anorexia affects more girls and women than boys and men. Anorexia is a serious health problem that can increase the risk of early death. But people with anorexia can get better with treatment.

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What is the difference between anorexia and other eating disorders?

Women with eating disorders, such as anorexia, bulimia, and binge eating disorder, have a mental health condition that affects how they eat, and sometimes how they exercise. These eating disorders threaten their health.

Unlike women with bulimia and binge eating disorder, girls and women with anorexia do not eat enough to sustain basic bodily functions. Women with bulimia and binge eating disorder usually binge, or eat too much while feeling out of control.

It is possible to have more than one eating disorder in your lifetime. Regardless of what type of eating disorder you may have, you can get better with treatment.

Who is at risk for anorexia?

Anorexia is more common among girls and women than boys and men.

Anorexia is also more common among girls and younger women than older women. On average, girls develop anorexia at 16 or 17. Teen girls between 13 and 19 and young women in their early 20s are most at risk. But eating disorders are happening more often in older women. In one recent study, 13% of American women over 50 had signs of an eating disorder.

What are the symptoms of anorexia?

Anorexia causes physical and psychological changes. A girl or woman with anorexia often looks very thin and may not act like herself.

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Some other symptoms of anorexia include:

  • Sadness

  • Moodiness

  • Confused or slow thinking

  • Poor memory or judgment

  • Thin, brittle hair and nails

  • Feeling cold all the time because of a drop in internal body temperature

  • Feeling faint, dizzy, or weak

  • Feeling tired or sluggish

  • Irregular periods or never getting a period

  • Dry, blotchy, or yellow skin

  • Growth of fine hair all over the body (called lanugo)

  • Severe constipation or bloating

  • Weak muscles or swollen joints

Girls or women with anorexia may also have behavior changes such as:

  • Talking about weight or food all the time

  • Not eating or eating very little

  • Refusing to eat in front of others

  • Not wanting to go out with friends

  • Making herself throw up

  • Taking laxatives or diet pills

  • Exercising a lot

People with anorexia may also have other health problems, including depression, anxiety, or substance abuse.

What causes anorexia?

Researchers are not sure exactly what causes anorexia and other eating disorders. Researchers think that eating disorders might happen because of a combination of a person’s biology and life events. This combination includes having specific genes, a person’s biology, body image and self-esteem, social experiences, family health history, and sometimes other mental health illnesses.  

Researchers are also studying unusual activity in the brain, such as changing levels of serotonin or other chemicals, to see how it may affect eating. Learn more about current research on anorexia.

How does anorexia affect a woman’s health?

With anorexia, your body doesn’t get the energy that it needs from food, so it slows down and stops working normally. Over time, anorexia can affect your body in the following ways:

  • Heart problems, including low blood pressure, a slower heart rate, irregular heartbeat, heart attack, and sudden death from heart problems

  • Anemia (when your red blood cells do not carry enough oxygen to your body) and other blood problems

  • Thinning of the bones (osteopenia or osteoporosis)

  • Kidney stones or kidney failure

  • Lack of periods, which can cause problems getting pregnant

  • During pregnancy, a higher risk for miscarriage, cesarean delivery, or having a baby with low birth weight

Anorexia is a serious illness that can also lead to death. Studies have found that more women and girls die from anorexia than any other eating disorder or serious mental health problem such as depression. Many people with anorexia also have other mental health problems such as depression or anxiety.

Long-term studies of 20 years or more show that women who had an eating disorder in the past usually reach and maintain a healthy weight after treatment.

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How is anorexia diagnosed?

Your doctor or nurse will ask you questions about your symptoms and medical history. It may be difficult to talk to a doctor or nurse about secret eating or exercise behaviors. But doctors and nurses want to help you be healthy. Being honest about your eating and exercise behaviors with a doctor or nurse is a good way to ask for help.

Your doctor will do a physical exam and other tests, such as blood tests and a urine test, to rule out other health problems that may cause severe weight loss.

Your doctor may also do other tests, such as kidney function tests, bone density tests, or an electrocardiogram (ECG or EKG), to see if or how severe weight loss has affected your health.

How is anorexia treated?

Your doctor may refer you to a team of doctors, nutritionists, and therapists who will work to help you get better. If you live with family members they may be invited to participate in some of your treatment.

Treatment plans may include one or more of the following:

  • Nutrition therapy. Doctors, nurses, and counselors will help you eat healthy to reach and maintain a healthy weight. Some girls or women may need to be hospitalized or participate in a residential treatment program (live temporarily at a medical facility) to make sure they eat enough to recover. Hospitalization may also be required to monitor any heart problems in people with anorexia. Reaching a healthy weight is a key part of the recovery process so that your body's biology, including thoughts and feelings in your brain, work correctly.

  • Psychotherapy. Sometimes called "talk therapy," psychotherapy is counseling to help you change any harmful thoughts or behaviors. This therapy may focus on the importance of talking about your feelings and how they affect what you do. You may work one-on-one with a therapist or in a group with others who have anorexia. For girls with anorexia, counseling may involve the whole family.

  • Support groups can be helpful for some people with anorexia when added to other treatment. In support groups, girls or women and sometimes their families meet and share their stories.

  • Medicine. Studies suggest that medicines like antidepressants can help some girls and women with anorexia by improving the depression and anxiety symptoms that often go along with anorexia.

Most girls and women do get better with treatment and are able to eat and exercise in healthy ways again. Some may get better after the first treatment. Others get well but may relapse and need treatment again.

How does anorexia affect pregnancy?

Anorexia can cause problems getting pregnant and during pregnancy.

Extreme weight loss can cause missed menstrual periods because you may not ovulate, or release an egg from the ovary. When you do not weigh enough to ovulate, it is difficult to get pregnant. However, if you do not want to have children right now and you have sex, you should use birth control.

Anorexia can also cause problems during pregnancy. Anorexia raises your risk for:

  • Miscarriage (pregnancy loss)

  • Premature birth (also called preterm birth), or childbirth before 37 weeks of pregnancy

  • Delivery by cesarean section (C-section)

  • Having a low birth weight baby (less than five pounds, eight ounces at birth)

  • Depression after the baby is born (postpartum depression)

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If I had an eating disorder in the past, can I still get pregnant?

Yes. Women who have recovered from anorexia, are at a healthy weight, and have normal menstrual cycles have a better chance of getting pregnant and having a safe and healthy pregnancy.

If you had an eating disorder in the past, it may take you a little longer to get pregnant (about six months to a year) compared to women who never had an eating disorder.

Tell your doctor if you had an eating disorder in the past and are trying to become pregnant.

If I take medicine to treat anorexia, can I breastfeed my baby?

Maybe. Some medicines used to treat anorexia can pass through breastmilk. Certain antidepressants can be used safely during breastfeeding.

Talk to your doctor to find out which medicine works best for you. Learn more about medicines and breastfeeding in our Breastfeeding section. You can also enter a medicine into the LactMed® database to find out if the medicine passes through breastmilk and about any possible side effects for your nursing baby.

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Did we answer your question about anorexia?

For more information about anorexia, call the OWH Helpline at 1-800-994-9662, or contact the following organizations:

Sources

  1. Smink, F. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports;14(4):406-414.

  2. National Collaborating Centre for Mental Health (UK). Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders. NICE Clinical Guidelines, No. 9. The British Psychological Society & The Royal College of Psychiatrists: Leicester, UK; 2004.

  3. Gagne, D.A., et al. (2012). Eating disorder symptoms and weight and shape concerns in a large web-based convenience sample of women ages 50 and above: Results of the gender and body image (GABI) study  International Journal of Eating Disorders; 45(7):832-844.

  4. Mehler, P.S., Brown, C. (2015). Anorexia nervosa – medical complications. Journal of Eating Disorders; 3:11.

  • The National Institute of Mental Health (NIMH)

  • The Substance Abuse and Mental Health Services Administration (SAMHSA)

  • Danielle Johnson, M.D., FAPA, Psychiatrist, Medical Staff President, Chief of Adult Psychiatry, Director, Women’s Mental Health Program, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati

  • Cassidy Gutner, Ph.D., Assistant Professor, Department of Psychiatry, Boston University School of Medicine; National Center for PTSD, Women’s Health Sciences Division, VA Boston Healthcare System, U.S. Department of Veterans Affairs

  • Mark A. Lumley, Ph.D., Professor and Director of Clinical Psychology Training, Department of Psychology, Wayne State University, and his Stress and Health Laboratory team: Jennifer Carty, Heather Doherty, Hannah Holmes, Nancy Lockhart, and Sheri Pegram

  • Mark Chavez, Ph.D., Chief, Eating Disorders Research Program, NIMH

  • Kamryn T. Eddy, Ph.D., and Jennifer J. Thomas, Ph.D., Associate Professors of Psychology, Department of Psychiatry, Harvard Medical School; Co-Directors of the Eating Disorders Clinical and Research Program, Massachusetts General Hospital

  • Kendra Becker, M.S., Clinical Fellow in Psychology, Department of Psychiatry, Massachusetts General Hospital

  • Michael Kozak, Ph.D., Division of Adult Translational Research and Treatment Development, NIMH

  • Alicia Kaplan, M.D., Assistant Professor of Psychiatry, Temple University School of Medicine and Drexel University College of Medicine, and Staff Psychiatrist, Division of Adult Services, Department of Psychiatry, Allegheny Health Network, Allegheny General Hospital

All material contained on these pages are free of copyright restrictions and may be copied, reproduced, or duplicated without permission of the Office on Women’s Health in the U.S. Department of Health and Human Services. Citation of the source is appreciated.

Page last updated: May 17, 2018.

Source: Office on Women's Health, HHS

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Bulimia nervosa

Bulimia nervosa, often called bulimia, is a type of eating disorder. People with bulimia eat large amounts of food at one time, then try to get rid of the food or weight gain by throwing up, taking laxatives, fasting (not eating anything), or exercising a lot more than normal. Bulimia affects more girls and women than boys and men. Bulimia is a serious health problem, but people with bulimia can get better with treatment.

What is bulimia?

Bulimia nervosa, often called bulimia, is a type of eating disorder. Eating disorders are mental health problems that cause extreme and dangerous eating behaviors. These extreme eating behaviors cause other serious health problems and sometimes death. Some eating disorders also involve extreme exercise.

Women with bulimia eat a lot of food in a short amount of time and feel a lack of control over eating during this time (called binging). People with bulimia then try to prevent weight gain by getting rid of the food (called purging). Purging may be done by:

  • Making yourself throw up

  • Taking laxatives. Laxatives can include pills or liquids that speed up the movement of food through your body and lead to bowel movements.

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Women with bulimia may also try to prevent weight gain after binging by exercising a lot more than normal, eating very little or not at all (fasting), or taking pills to urinate often.

Women with bulimia usually have self-esteem that is closely linked to their body image.

What is the difference between bulimia and other eating disorders?

Women with eating disorders, such as bulimia, anorexia, and binge eating disorder, have a mental health condition that affects how they eat, and sometimes how they exercise. These eating disorders threaten their health.

Unlike women with anorexia, women with bulimia often have a normal weight. Unlike women with binge eating disorder, women with bulimia purge, or try to get rid of the food or weight after binging. Binging and purging are usually done in private. This can make it difficult to tell if a loved one has bulimia or another eating disorder.

It is possible to have more than one eating disorder in your lifetime. Regardless of what type of eating disorder you may have, you can get better with treatment.

Who is at risk for bulimia?

Bulimia affects more women than men. It affects up to 2% of womenand happens to women of all races and ethnicities.

Bulimia affects more girls and younger women than older women. On average, women develop bulimia at 18 or 19.3 Teen girls between 15 and 19 and young women in their early 20s are most at risk. But eating disorders are happening more often in older women. In one recent study, 13% of American women over 50 had signs of an eating disorder.

What causes bulimia?

Researchers are not sure exactly what causes bulimia and other eating disorders. Researchers think that eating disorders might happen because of a combination of a person's biology and life events. This combination includes having specific genes, a person's biology, body image and self-esteem, social experiences, family health history, and sometimes other mental health illnesses.  

Researchers are also studying unusual activity in the brain, such as changing levels of serotonin or other chemicals, to see how it may affect eating. Learn more about current research on bulimia.

How does bulimia affect a woman's health?

Purging through vomiting or taking laxatives can prevent your body from getting the important nutrients it needs from food. Over time, bulimia can affect your body in the following ways:

  • Stomach damage from overeating

  • Electrolyte imbalance (having levels of sodium, potassium, or other minerals that are too high or too low, which can lead to heart attack or heart failure)

  • Ulcers and other damage to your throat from vomiting

  • Irregular periods or not having periods, which can cause problems getting pregnant

  • Tooth decay from vomiting

  • Dehydration

  • Problems having bowel movements or damage to the intestines from laxative abuse

Long-term studies of 20 years or more show that women who had an eating disorder in the past usually reach and maintain a healthy weight after treatment.

How is bulimia diagnosed?

Your doctor or nurse will ask you questions about your symptoms and medical history. It may be difficult to talk to a doctor or nurse about secret eating, purging, or exercise behaviors. But doctors and nurses want to help you get better. Being honest about your eating behaviors with a doctor or nurse is a good way to ask for help.

Your doctor may do blood or urine tests to rule out other possible causes of your symptoms. Your doctor may also do other tests to see whether you have any other health problems caused by bulimia. These tests may include kidney function tests or an electrocardiogram (ECG or EKG) to see if or how repeated binging and purging has affected your health.

How is bulimia treated?

Your doctor may refer you to a team of doctors, nutritionists, and therapists who will work to help you get better.

Treatment plans may include one or more of the following:

  • Nutrition therapy. People who purge (make themselves throw up or take laxatives) regularly should be treated by a doctor. Purging can cause life-threatening electrolyte imbalances. Some people with bulimia may need to be hospitalized if they have serious heart or kidney problems.

  • Psychotherapy. Sometimes called "talk therapy," psychotherapy is counseling to help you change harmful thoughts or behaviors. This type of therapy may focus on the importance of talking about your feelings and how they affect what you do. For example, you might talk about how stress triggers a binge. You may work one-on-one with a therapist or in a group with others who have bulimia.

  • Nutritional counseling. A registered dietitian or counselor can help you eat in a healthier way than binging and purging.

  • Support groups can be helpful for some people with bulimia when added to other treatment. In support groups, girls or women and sometimes their families meet and share their stories.

  • Medicine. Fluoxetine (Prozac) is the only medicine approved by the Food and Drug Administration (FDA) for treating bulimia, but only in adults. It may help reduce binging and purging and improve your thoughts about eating. Some antidepressants may help girls and women with bulimia who also have depression or anxiety.

Most girls and women do get better with treatment and are able to eat and exercise in healthy ways again. Some may get better after the first treatment. Others get well but may relapse and need treatment again.

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How does bulimia affect pregnancy?

Bulimia can cause problems getting pregnant and during pregnancy.

Repeated purging and binging can make your menstrual cycle irregular (your period comes some months but not others) or your period may stop for several months. Irregular or missing periods mean you may not ovulate, or release an egg from the ovary, every month. This can make it difficult to get pregnant.13 However, if you do not want to have children right now and you have sex, you should use birth control.

Bulimia can also cause problems during pregnancy. Bulimia raises your risk for:

  • Miscarriage (pregnancy loss)

  • Premature birth (also called preterm birth), or childbirth before 37 weeks of pregnancy

  • Delivery by cesarean section (C-section)

  • Having a low birth weight baby (less than five pounds, eight ounces at birth)

  • Having a baby with a birth defect

  • Depression after the baby is born. (postpartum depression)

If I had an eating disorder in the past, can I still get pregnant?

Women who have recovered from bulimia and have normal menstrual cycles have a better chance of getting pregnant and having a safe and healthy pregnancy.

If you had an eating disorder in the past, it may take you a little longer to get pregnant (about six months to a year) compared to women who never had an eating disorder.

Tell your doctor if you had an eating disorder in the past and are trying to become pregnant.

If I take medicine to treat bulimia, can I breastfeed my baby?

Maybe. Some medicines used to treat bulimia can pass through breastmilk. Certain antidepressants can be used safely during breastfeeding.

Talk to your doctor to find out what medicine works best for you. Learn more about medicines and breastfeeding in our Breastfeeding section. You can also enter a medicine into the LactMed® database to find out if the medicine passes through breastmilk and any about possible side effects for your nursing baby.

Did we answer your question about bulimia?

For more information about bulimia, call the OWH Helpline at 1-800-994-9662 or contact the following organizations:

  • MentalHealth.gov

  • National Institute of Mental Health, NIH, HHS
    Phone Number: 866-615-6464

  • American Psychological Association (link is external)
    Phone Number: 800-374-2721

  • National Eating Disorders Association (link is external)
    Phone Number: 800-931-2237

Sources

  1. Smink, F.R.E., van Hoeken, D., Hoek, H. W. (2013). Epidemiology, course, and outcome of eating disorders. Current Opinion in Psychiatry; 26(6); 543-8.

  2. Marques, L., Alegria, M., Becker, A.E., Chen, C., Fang, A., Chosak, A., et al. (2011). Comparative Prevalence, Correlates of Impairment, and Service Utilization for Eating Disorders across U.S. Ethnic Groups: Implications for Reducing Ethnic Disparities in Health Care Access for Eating Disorders. International Journal of Eating Disorders; 44(5): 412-420.

  3. National Collaborating Centre for Mental Health (UK). Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders. NICE Clinical Guidelines, No. 9. The British Psychological Society & The Royal College of Psychiatrists: Leicester, UK; 2004.

  4. Gagne, D.A., Van Holle, A., Brownley, K.A., Runfola, C.D., Hofmeier, S., Branch, K.E., et al. (2012). Eating disorder symptoms and weight and shape concerns in a large web-based convenience sample of women ages 50 and above: Results of the gender and body image (GABI) study (link is external). International Journal of Eating Disorders; 45(7): 832-844.

Source: OWH, HHS

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Unlike people with anorexia or bulimia, people with binge eating disorder do not throw up their food, exercise a lot, or starve themselves. People with binge eating disorder are often overweight or obese. But not all people with binge eating disorder are overweight, and being overweight does not always mean you have binge eating disorder.

Binge Eating Disorder

Binge eating disorder is the most common type of eating disorder in the United States. People with binge eating disorder often feel out of control and eat a large amount of food at one time (called a binge). Unlike other eating disorders, people who have binge eating disorder do not throw up the food or exercise too much. Binge eating disorder is a serious health problem, but people with binge eating disorder can get better with treatment.

What is binge eating disorder?

Binge eating disorder is a type of eating disorder. Eating disorders are mental health problems that cause extreme and dangerous eating behaviors. These extreme eating behaviors cause other serious health problems and sometimes death. Some eating disorders also involve extreme exercise.

According to the American Psychiatric Association, women with binge eating disorder feel out of control and eat too much (binge), at least once a week for at least three months. During binges women with binge eating disorder usually eat faster than normal, eat until they are uncomfortable, eat when they are not physically hungry, and feel embarrassed, disgusted, or depressed because of the binges. Women with this type of eating disorder may be overweight or obese.

What is the difference between binge eating disorder and other eating disorders?

Women with eating disorders, such as binge eating disorder, bulimia, and anorexia, have a mental health condition that affects how they eat, and sometimes how they exercise. These eating disorders threaten their health.

Unlike people with anorexia or bulimia, people with binge eating disorder do not throw up their food, exercise a lot, or starve themselves. People with binge eating disorder are often overweight or obese. But not all people with binge eating disorder are overweight, and being overweight does not always mean you have binge eating disorder.

It is possible to have more than one eating disorder in your lifetime. Regardless of what type of eating disorder you may have, you can get better with treatment

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Who is at risk for binge eating disorder?

Binge eating disorder affects more than 3% of women in the United States. More than half of people with binge eating disorder are women.

Binge eating disorder affects women of all races and ethnicities. It is the most common eating disorder among Hispanic, Asian-American, and African-American women.

Some women may be more at risk for binge eating disorder.

  • Women and girls who diet often are 12 times more likely to binge eat than women and girls who do not diet.

  • Binge eating disorder affects more young and middle-aged women than older women. On average, women develop binge eating disorder in their early to mid-20s.But eating disorders are happening more often in older women. In one study, 13% of American women over 50 had signs of an eating disorder.

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What are the symptoms of binge eating disorder?

It can be difficult to tell whether someone has binge eating disorder. Many women with binge eating disorder hide their behavior because they are embarrassed.  

You may have binge eating disorder if, for at least once a week over the past three months, you have binged. Binge eating disorder means you have at least three of these symptoms while binging:

  1. Eating faster than normal

  2. Eating until uncomfortably full

  3. Eating large amounts of food when not hungry

  4. Eating alone because of embarrassment

  5. Feeling disgusted, depressed, or guilty afterward

People with binge eating disorder may also have other mental health problems, such as depression, anxiety, or substance abuse.

What causes binge eating disorder?

Researchers are not sure exactly what causes binge eating disorder and other eating disorders. Researchers think that eating disorders might happen because of a combination of a person's biology and life events. This combination includes having specific genes, a person's biology, body image and self-esteem, social experiences, family health history, and sometimes other mental health illnesses.

Studies suggest that people with binge eating disorder may use overeating as a way to deal with anger, sadness, boredom, anxiety, or stress.9,10

Researchers are studying how changing levels of brain chemicals may affect eating habits. Neuroimaging, or pictures of the brain, may lead to a better understanding of binge eating disorder.

Learn more about current research on binge eating disorder.

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How does binge eating disorder affect a woman's health?

Many, but not all, women with binge eating disorder are overweight or obese. Obesity raises your risk for many serious health problems:

  1. Type 2 diabetes

  2. Heart disease

  3. High blood pressure

  4. High cholesterol

  5. Gallbladder disease

  6. Certain types of cancer, including breast, endometrial (a type of uterine cancer), colorectal, kidney, esophageal, pancreatic, thyroid, and gallbladder cancer13

  7. Problems with your menstrual cycle, including preventing ovulation, which can make it harder to get pregnant

People with binge eating disorder often have other serious mental health illnesses such as depression, anxiety, or substance abuse. These problems can seriously affect a woman's everyday life and can be treated.

How is binge eating disorder diagnosed?

Your doctor or nurse will ask you questions about your symptoms and medical history. It may be difficult to talk to a doctor or nurse about secret eating behaviors. But doctors and nurses want to help you be healthy. Being honest about your eating behaviors with a doctor or nurse is a good way to ask for help.

Your doctor may also do blood, urine, or other tests for other health problems, such as heart problems or gallbladder disease, that can be caused by binge eating disorder.

How is binge eating disorder treated?

Your doctor may refer you to a team of doctors, nutritionists, and therapists who will work to help you get better.

Treatment plans may include one or more of the following:

  • Psychotherapy. Sometimes called "talk therapy," psychotherapy is counseling to help you change any harmful thoughts or behaviors. This therapy may focus on the importance of talking about your feelings and how they affect what you do. For example, you might talk about how stress triggers a binge. You may work one-on-one with a therapist or in a group with others who have binge eating disorder.

  • Nutritional counseling. A registered dietitian can help you eat in a healthier way.

  • Medicine, such as appetite suppressants or antidepressants prescribed by a doctor. Antidepressants may help some girls and women with binge eating disorder who also have anxiety or depression.

Most girls and women do get better with treatment and are able to eat in healthy ways again.Some may get better after the first treatment. Others get well but may relapse and need treatment again.

How does binge eating disorder affect pregnancy?

Binge eating disorder can cause problems getting pregnant and during pregnancy. Pregnancy can also trigger binge eating disorder.

Obesity raises the level of the hormone estrogen in your body. Higher levels of estrogen can stop you from ovulating, or releasing an egg from the ovary. This can make it more difficult to get pregnant. However, if you do not want to have children right now and have sex, you should use birth control.

Overweight or obesity may also cause problems during pregnancy. Overweight and obesity raises your risk for:

  • Gestational hypertension (high blood pressure during pregnancy) and preeclampsia (high blood pressure and kidney problems during pregnancy). If not controlled, both problems can threaten the life of the mother and the baby.

  • Gestational diabetes (diabetes that starts during pregnancy). If not controlled, gestational diabetes can cause you to have a large baby. This raises your risk for a C-section.

Pregnancy can raise the risk for binge eating disorder in women who are at higher risk for eating disorders. In one study, almost half of the women with binge eating disorder got the condition during pregnancy. The research suggests that binge eating during pregnancy may be caused by:

  1. Worry over pregnancy weight gain. Women may binge because they feel a loss of control over their bodies because of the pregnancy weight.

  2. Greater stress during pregnancy

  3. Depression

  4. History of smoking and alcohol abuse

  5. Lack of social support

After pregnancy, postpartum depression and weight from pregnancy can trigger binge eating disorder in women with a history of binge eating. Women with binge eating disorder before pregnancy often gain more weight during pregnancy than women without an eating disorder. Researchers think that weight gain during pregnancy may cause some women who had binge eating disorder before pregnancy to binge eat during pregnancy.

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If I had an eating disorder in the past, can I still get pregnant?

Yes. Women who have recovered from binge eating disorder, are at a healthy weight, and have normal menstrual cycles have a better chance of getting pregnant and having a safe and healthy pregnancy.

Tell your doctor if you had an eating disorder in the past and are trying to become pregnant.

If I take medicine to treat binge eating disorder, can I breastfeed my baby?

Maybe. Some medicines used to treat binge eating disorder can pass through breastmilk. Certain antidepressants can be used safely during breastfeeding.

Talk to your doctor to find out what medicine works best for you. Learn more about medicines and breastfeeding in our Breastfeeding section. You can also enter a medicine into the LactMed® database to find out if the medicine passes through breastmilk and about any possible side effects for your nursing baby.

Did we answer your question about binge eating disorder?

For more information about binge eating disorder, call the OWH Helpline at 1-800-994-9662 or contact the following organizations:

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Sources

  1. Hudson, J.I., Hiripi, E., Pope, H.G., Jr., Kessler, R.C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry; 61: 348-58.

  2. Nicdao, E.G., Hong, S., Takeuchi, D.T. (2007). Prevalence and correlates of eating disorders among Asian Americans: results from the National Latino and Asian American Study. International Journal of Eating Disorders; 40: S22-S26.

  3. Alegria, M., Woo, M., Cao, Z., Torres, M., Meng, X.-l., Streigel-Moore, R. (2007). Prevalence and correlates of eating disorders in Latinos in the United States. International Journal of Eating Disorders; 40: S15-S21.

  4. Marques, L., Alegria, M., Becker, A.E., Chen, C., Fang, A., Chosak, A., et al. (2011). Comparative Prevalence, Correlates of Impairment, and Service Utilization for Eating Disorders across U.S. Ethnic Groups: Implications for Reducing Ethnic Disparities in Health Care Access for Eating Disorders. International Journal of Eating Disorders; 44(5): 412-420.

Mental Health Resources:

The Office on Women's Health is grateful for the medical review 2016 by:

  • The National Institute of Mental Health (NIMH)

  • The Substance Abuse and Mental Health Services Administration (SAMHSA)

  • Danielle Johnson, M.D., FAPA, Psychiatrist, Medical Staff President, Chief of Adult Psychiatry, Director, Women’s Mental Health Program, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati

  • Cassidy Gutner, Ph.D., Assistant Professor, Department of Psychiatry, Boston University School of Medicine; National Center for PTSD, Women’s Health Sciences Division, VA Boston Healthcare System, U.S. Department of Veterans Affairs

  • Mark A. Lumley, Ph.D., Professor and Director of Clinical Psychology Training, Department of Psychology, Wayne State University, and his Stress and Health Laboratory team: Jennifer Carty, Heather Doherty, Hannah Holmes, Nancy Lockhart, and Sheri Pegram

  • Mark Chavez, Ph.D., Chief, Eating Disorders Research Program, NIMH

  • Kamryn T. Eddy, Ph.D., and Jennifer J. Thomas, Ph.D., Associate Professors of Psychology, Department of Psychiatry, Harvard Medical School; Co-Directors of the Eating Disorders Clinical and Research Program, Massachusetts General Hospital

  • Kendra Becker, M.S., Clinical Fellow in Psychology, Department of Psychiatry, Massachusetts General Hospital

  • Michael Kozak, Ph.D., Division of Adult Translational Research and Treatment Development, NIMH

  • Alicia Kaplan, M.D., Assistant Professor of Psychiatry, Temple University School of Medicine and Drexel University College of Medicine, and Staff Psychiatrist, Division of Adult Services, Department of Psychiatry, Allegheny Health Network, Allegheny General Hospital

All material contained on these pages are free of copyright restrictions and may be copied, reproduced, or duplicated without permission of the Office on Women’s Health in the U.S. Department of Health and Human Services. Citation of the source is appreciated.

Page last updated: August 28, 2018.

Source: OWH, HHS

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Pica

Pica is another eating disorder that involves eating things that are not considered food.

Individuals with pica crave non-food substances, such as ice, dirt, soil, chalk, soap, paper, hair, cloth, wool, pebbles, laundry detergent, or cornstarch .

Pica can occur in adults, as well as children and adolescents. That said, this disorder is most frequently observed in children, pregnant women, and individuals with mental disabilities (12Trusted Source).

Individuals with pica may be at an increased risk of poisoning, infections, gut injuries, and nutritional deficiencies. Depending on the substances ingested, pica may be fatal.

However, to be considered pica, the eating of non-food substances must not be a normal part of someone's culture or religion. In addition, it must not be considered a socially acceptable practice by a person's peers.

Summary Individuals with pica tend to crave and eat non-food substances. This disorder may particularly affect children, pregnant women, and individuals with mental disabilities.

Rumination disorder is another newly recognized eating disorder.

It describes a condition in which a person regurgitates food they have previously chewed and swallowed, re-chews it, and then either re-swallows it or spits it out (13Trusted Source).

This rumination typically occurs within the first 30 minutes after a meal. Unlike medical conditions like reflux, it’s voluntary (14).

This disorder can develop during infancy, childhood, or adulthood. In infants, it tends to develop between 3–12 months of age and often disappears on its own. Children and adults with the condition usually require therapy to resolve it.

If not resolved in infants, rumination disorder can result in weight loss and severe malnutrition that can be fatal.

Adults with this disorder may restrict the amount of food they eat, especially in public. This may lead them to lose weight and become underweight (8, 14).

Summary Rumination disorder can affect people at all stages of life. People with the condition generally regurgitate the food they've recently swallowed. Then, they chew it again and either swallow it or spit it out.

Avoidant/restrictive food intake disorder (ARFID) is a new name for an old disorder.

The term replaces what was known as a "feeding disorder of infancy and early childhood," a diagnosis previously reserved for children under 7 years old.

Although ARFID generally develops during infancy or early childhood, it can persist into adulthood. What's more, it’s equally common among men and women.

Individuals with this disorder experience disturbed eating either due to a lack of interest in eating or distaste for certain smells, tastes, colors, textures, or temperatures.

Common symptoms of ARFID include:

  • avoidance or restriction of food intake that prevents the person from eating sufficient calories or nutrients

  • eating habits that interfere with normal social functions, such as eating with others

  • weight loss or poor development for age and height

  • nutrient deficiencies or dependence on supplements or tube feeding

It's important to note that ARFID goes beyond normal behaviors, such as picky eating in toddlers or lower food intake in older adults.

Moreover, it does not include the avoidance or restriction of foods due to lack of availability or religious or cultural practices.

Summary ARFID is an eating disorder that causes people to undereat. This is either due to a lack of interest in food or an intense distaste for how certain foods look, smell, or taste.

Source: Healthline

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Summary

Eating disorders don’t discriminate; it doesn’t matter if you’re a girl or boy, young or old, black or white. Instead of hating our bodies we should learn to celebrate every body.

Anorexia nervosa is characterized by weight loss, an intense fear of weight gain, food restriction, inappropriate eating habits, and obsessing over a thin figure. People suffering have the inability to see what their body truly looks like because they have a distorted body image. As the person becomes more emaciated, their image of themselves becomes more distorted.

Bulimia nervosa is episodes of binging and purging. A person will binge by consuming a large amount of calories in a restricted period of time almost always carried out in secret. The person is also afraid of weight gain, so they undo the binge by purging. Most common is self-induced vomiting, meanwhile others are overdosing on laxatives and excessive exercise.

Binge eating is an eating disorder in which a person consumes an abnormally large amount of food in a short period of time. During the binge, the person also feels a loss of control and is not able to stop eating. In this instance, they don’t undo the binge by purging. Afterwards, they typically feel disgusted, depressed, and guilty.

Pica is persistently eating nonfood items, such as soap, cloth, talcum powder or dirt, over a period of at least a month. Eating these nonfood items can result in medical complications such as poisoning, intestinal problems or infections.

Rumination disorder is repeatedly and persistently regurgitating food after eating, but it’s not due to a medical condition or another eating disorder such as anorexia, bulimia, or binge-eating disorder. Food is brought back up into the mouth without nausea or gagging. Sometimes regurgitated food is rechewed and reswallowed or spit out.

Source: RSRP.org

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