Individuals with eating disorders may use purging as a way of eliminating food from their system, either by vomiting or, less frequently, by taking laxatives. In addition, over-exercising can also be considered a form of purging, since eating disordered individuals use it as a way of removing “excessive” calories. Purging can also be symptom of Bulimia Nervosa (BN), where binging on large amounts of food and then purging by vomiting are used as coping mechanisms.
Purging is not only a way to compensate for calories, it offers a physiological release and temporary relief from anxiety. If left unchallenged, purging can lead to severe dehydration and electrolyte imbalance, a very dangerous and possibly fatal condition.
One parent compares purging to a drug ,which is available 24 hours a day.While under the influence of this “drug”, individuals are irrational and impaired.To begin recovery they often need help in breaking this cycle.
Another parent describes what to look for if you suspect purging.Possible symptomsinclude swollen glands under the neck, a “washed out” look, dehydration, sallow skin, and calloused knuckles.In addition, look for unusual smells and stains in bathrooms and clothing, as well as blocked or sluggish plumbing.
Parents must be aware that vomiting can occur in showers, toilets, sinks, garbage disposals, bag(s) of any kind, trash cans, and any place outdoors. It can become so automatic that it doesn’t require effort, and can be noiseless and very fast.
Several parents share their tips on how to monitor purging.Many parents decide to watch the patient at all times, especially the 1-2 hours after meals and snacks. This monitoring is also necessary during showers and bathroom time, and many parents suggest limiting bathroom time as well as leaving doors partially open, and locking bathroom doors when not in use.Another parent suggests not allowing showers at all, but just short baths.One mother requires her daughter to sing or whistle if she has to leave her sight at any time.Many caution against allowing excessive fluid intake, as this facilitates purging.
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