overeating

Introduction

Introduction Overeating is a bad habit, which can bring a lot of harm to people's health. According to the frequency and psychological effects, it will develop into bulimia. At the end of the year, the chances of banquets and gatherings increased, so binge eating became a common "festival syndrome." After overeating, there will be dizziness, mental paralysis, gastrointestinal discomfort, chest tightness, shortness of breath, diarrhea or constipation. Severe, it will cause acute gastroenteritis and even stomach bleeding. Big fish and heavy drinking will overload the liver and gallbladder. Hepatocytes accelerate the metabolic rate, increase bile secretion, cause liver damage, induce cholecystitis, hepatitis patients become more serious, and also cause a large number of pancreas secretion, increased pressure in the duodenum, induce acute pancreatitis, severe cases can cause death . The study found that 2 hours after binge eating, the risk of heart disease increased by 4 times; when diarrhea occurs, the elderly lose a lot of body fluids, the systemic blood circulation is reduced, the blood is concentrated and viscous, the flow is slow, and the cerebral artery occlusion is caused. Cerebral blood flow is interrupted and cerebral infarction is formed. In the event of the above-mentioned adverse consequences, there is no need to panic, and those with severe symptoms should seek medical treatment promptly and properly handle them to prevent delays.

Cause

Cause

There are many reasons for overeating. There can be physical and psychological reasons, which vary from person to person.

After eating, the food is first bitten by the mouth, swallowed into the esophagus after chewing, and then pushed into the stomach. In the stomach, the food and the contents of the stomach are thoroughly mixed and stored, and delivered to the small intestine through the pylorus in batches. Protein is initially digested in the stomach, while high-fat soluble substances such as alcohol are absorbed in the stomach in a small amount. The place where carbohydrates, proteins, fats, vitamins, electrolytes and other substances are completely digested and absorbed is in the small intestine. There are annular wrinkles on the inner wall of the small intestine. With the help of various digestive juices, the nutrients are fully absorbed in the small intestine. The resulting food residue stays in the large intestine for 1-2 days, absorbing about 1500-2000 ml of residual water per day. It is excreted in the form of feces by peristalsis. Overeating will completely disrupt the normal rhythm of digestion and absorption of food by the gastrointestinal tract.

Some accessory organs play an equally important role in the digestion and absorption of food. Pancreatic endocrine insulin regulates blood sugar, excretion of various digestive enzymes, pancreatic amylase digestion of carbohydrates, pancreatic lipase digestion of fat, trypsin, chymotrypsin digestion of proteins; liver as a huge biochemical processing plant, hepatocytes involved in the metabolism of various substances And synthesis, including the metabolism of alcohol, and secrete about 600-1200ml of bile every day, through the bile duct excretion into the gallbladder storage, when needed into the duodenum to help digestion of fat. Overeating will require a large amount of digestive juice in a short period of time, which will significantly increase the burden on the auxiliary digestive organs.

There is a complete network of nervous systems in the gastrointestinal wall, in which the intestinal myenteric plexus controls the main gastrointestinal motility, and the intestinal submucosal plexus controls the main mucosal sensory function. After eating, the food stimulates the submucosal sensory nerve cells to release neurotransmitters. "Notice" the intermuscular motor nerve cells, regulate the movement of the gastrointestinal tract, and ensure the regular appetite and defecation of the human body. Years ago, people became more busy, and there was a lot of entertainment in addition to work. Many people were soaking in the wine bureau and dinner, drinking too much, and life was extremely irregular. Emotional excitement and nervousness affected the central nervous system. Causes gastrointestinal motility - sensory system imbalance and disease.

Examine

an examination

Related inspection

Gastrointestinal CT examination of gastrointestinal diseases by ultrasonography

For people with binge eating disorder (BED), food is an addiction, eating too much, the impact on the body is blood sugar instability, food cravings, stomach pain, fear of heat, cold, headache, metabolic disorders, Irregular menstruation. There are many other diseases associated with obesity: high blood pressure, high cholesterol, vascular obstruction, heart disease, stroke, diabetes, osteoporosis, chronic kidney problems or kidney failure, and certain cancers.

Therefore, patients with overeating should be examined clinically:

First, medical history

The medical history should include age, gender, occupation, place of origin, race, marital status, etc.

Second, physical examination

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.

Third, laboratory inspection

Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.

Therefore, laboratory tests should be clearly targeted and targeted, not blind. A hierarchical analysis and judgment is the correct way of thinking, which is a rigorous scientific attitude and diagnostic thinking. Only then can we improve ourselves through serious practice. At the same time, it is also necessary to improve the correct diagnosis rate.

Diagnosis

Differential diagnosis

Overeating needs to be differentiated from excessive appetite:

Excessive appetite may be very appetizing, but not fat. Where the appetite is over, a large amount of food will be swept away, and empty bags and bottles and cans will be found in their rooms. Some patients with excessive appetite eat foods that are easy to spit. Processing cereals, liquid sauces, milk drinks, or ice cream is usually easier to spit out than solid foods such as meat or bread. Patients with excessive appetite after eating usually go to the bathroom, although many people think they are brushing their teeth, but there is a vomiting smell in the bathroom and in their mouths. Brushing your teeth after vomiting can cause tooth enamel to corrode faster than normal, so people with excessive appetite may have bad teeth (the fluoride is less corrosive with fluoride).

Patients with excessive appetite are generally extroverted, self-confident, and self-reliant, but they are very anxious and insecure. They are afraid of criticism and avoid disagreements. Because they have difficulty dealing with and expressing their emotional needs, they spit out directly. Most people with excessive appetite have been paying attention to eating and drinking for many years. This may be due to parents' concerns about diet, or the link between thinness and "acceptance." When many people fail to diet, they use drugs to destroy them. They worry that there is no other way to lose weight. Paradoxically, eating disorders at this time can temporarily improve self-confidence, stemming from a sense of accomplishment that should not be there. People with excessive appetite will lie, and they pretend that they do not need to diet, they can become so slim. However, the comfort of those with excessive appetite comes from eating and the relief of his diarrhea. This comfort becomes the way to control the feelings that make them addicted. Once the cycle of madness/diarrhea begins to form, physical and mental consequences can undermine their initial self-worth and control.

Excessive appetite is mistaken to think that there is no danger of anorexia or addiction, because such excessive appetite is especially harmful. Despite the lower mortality rate, it can cause serious mental and physical harm. People with excessive appetite isolate themselves from friends and family, confused, emotionally unstable, and irritable. They can't concentrate on doing anything except waiting for the next madness/hypnosis. Frequent vomiting causes abnormal swelling of the cheeks and chin, which can be seen in the back of the hand and the knuckles. People with excessive appetite may have irregular menstruation or menstruation may stop completely. Frequent vomiting can lead to dehydration, which can lead to the loss of potassium and sodium, causing electrolyte imbalance in the body. This can lead to abnormal heartbeats that can lead to heart failure and death. The stomach acid released during vomiting can cause the teeth to deteriorate and the smell to be unpleasant. Vomiting can also cause mouth ulcers, hoarseness, and gastric dysfunction. People with long-term appetite will also have inflammation or rupture of the esophagus, and even the stomach will rupture.

After overeating, there will be dizziness, mental paralysis, gastrointestinal discomfort, chest tightness, shortness of breath, diarrhea or constipation. Severe, it will cause acute gastroenteritis and even stomach bleeding. Big fish and heavy drinking will overload the liver and gallbladder. Hepatocytes accelerate the metabolic rate, increase bile secretion, cause liver damage, induce cholecystitis, hepatitis patients become more serious, and also cause a large number of pancreas secretion, increased pressure in the duodenum, induce acute pancreatitis, severe cases can cause death . The study found that 2 hours after binge eating, the risk of heart disease increased by 4 times; when diarrhea occurs, the elderly lose a lot of body fluids, the systemic blood circulation is reduced, the blood is concentrated and viscous, and the flow is slow, causing cerebral artery occlusion. Cerebral blood flow is interrupted and cerebral infarction is formed. In the event of the above-mentioned adverse consequences, there is no need to panic, and those with severe symptoms should seek medical treatment promptly and properly handle them to prevent delays.

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