hair loss
Introduction
Introduction Hair is found to be more common in anorexia. It means that the hair is scarce and pilose appears. It is due to excessive dieting and refusal to eat, resulting in weight loss and malnutrition. Even a mental disorder that refuses to maintain a minimum weight. About 95% of women are women, and they often have similar personality tendencies during adolescence.
Cause
Cause
1, often related to social factors, and more than excessive pursuit of physical slimming psychology. Because I am worried about getting fat, I think that fat is unhealthy and not beautiful. Skinny has the spirit and charm. Therefore, the requirements for the body and the expectations of myself make them pay great attention to diet and weight, lest they will gain weight when eating, so eat less or not. Eat food, or try to spit it out after eating. More common in those successful women who are cautious and self-controlling.
2, such patients are multi-introverted, sensitive, suspicious, extreme, emotionally unstable, unreasonable picky and preference.
3, related to the family environment, such as: parents are too strict with children, excessive pursuit of perfection; children are too dependent on parents; from childhood, abuse, single-parent families. Such children are susceptible to extremes, sensitivity, and poor psychological tolerance.
4, related to hormone imbalance in the body, such as decreased secretion of estrogen, thyroid hormone, elevated corticosteroids.
Examine
an examination
Related inspection
Hair hair mineral inspection
The onset is generally more insidious, gradually anorexia and weight loss, loss of 1/4-1/2 or more of the original weight, and amenorrhea. Different degrees of weight loss, severe skin and bone. However, physical strength is still abundant, amenorrhea and vaginal hair are not off, is the characteristics of this disease, can be used to distinguish from total pituitary dysfunction (Simmond disease), but later there may be fatigue, fatigue and depression. The patient does not necessarily have anorexia at first, but only makes various reasons to refuse to eat.
Some patients feel good appetite, but after eating a few mouthfuls, they feel that the stomach is full of discomfort and stop eating, or they don't want to eat when they see food. Such as forced eating, often induced nausea and vomiting; some patients even try to induce a spit as soon as possible. In addition to anorexia, patients may also have other symptoms of neurosis, such as snoring, upper abdominal discomfort, unexplained fatigue, lack of interest in sexual desire, and insomnia.
1, the patient pays too much attention to diet and worry about getting fat, but actively refuses to eat or over-diet, causing weight loss, malnutrition, dry skin, edema, and even skinny, even if this is considered to be "bone beauty", the only way Worry and control will have such an effect.
2, patients have a feeling of hunger, but forced themselves not to eat. They are good at studying the nutrition and calories of food; hiding or deliberately wasting food. About 50% of anorexia patients with bulimia, after gluttony, they induce vomiting, taking diet pills, laxatives, etc., or large-volume activities, lest they gain weight, leading to water and electrolyte disorders (hypokalemia, hypokalemia, etc.) ) and acid imbalance (metabolic sputum poisoning).
3, women reduce menstruation or stop, both men and women have a lack of sexual desire.
4, heart function decline, slow heart rate, blood pressure, heart rate disorders, leading to sudden death; decreased blood flow, insufficient blood supply to the cerebral blood vessels, easy to cause syncope.
5, the body weight decreased significantly, edema; abnormal hormone levels in the body, resulting in hair thinning or excessive body hair.
6, patients are often accompanied by personality changes, such as depression, anxiety, moodiness, forced or repeated doing something; often lying, concealing their eating habits.
The main symptom of anorexia patients is that they are not interested in food and have no appetite to eat. The patient's thoughts are far from the actual situation. Even if they are already very thin, they still feel that they are very fat. According to the American Psychiatric Association's criteria, anorexia patients often weigh less than 15% of the standard BMI.
Diagnosis
Differential diagnosis
1. Eliminate physical diseases that can cause anorexia and weight loss, such as chronic wasting diseases, intestinal malabsorption syndrome, brain tumors, etc.
2, to rule out the primary mental illness, such as depression or schizophrenia caused by anorexia, the incidence is generally more insidious, gradually anorexia and weight loss, losing 1/4-1/2 or more of the original weight, Amenorrhea will also occur. Different degrees of weight loss, severe skin and bone. However, physical strength is still abundant, amenorrhea and vaginal hair are not off, is the characteristics of this disease, can be used to distinguish from total pituitary dysfunction (Simmond disease), but later there may be fatigue, fatigue and depression. The patient does not necessarily have anorexia at first, but only makes various reasons to refuse to eat.
