Binge Eating: Signs, Symptoms, and Solutions - Nutrition

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Binge Eating Disorder


Hello Dr.
Tsai, my current height is 162 cm and I weigh 115 lb.
I really want to lose weight to at least 48 kg.
Recently, due to my friends, I have been eating dinner very late (I ended up staying up until 4 AM because I heard it's better not to eat four hours before sleeping).
However, I wake up around noon and start binge eating.
I typically consume about two bowls of cereal with milk, two apples, one chicken sandwich, two chocolate bars, three servings of salad, and a bunch of snacks like peanuts and cookies, all within about an hour.
Does this count as binge eating disorder? I actually feel full, but I just keep eating and can't stop.
Later, I went to induce vomiting and felt dizzy...
it feels terrible...
this has been going on for almost a month now.
Usually, I'm fine, but it happens every weekend.
Am I really eating too much? Thank you.

Amei, 10~19 year old female. Ask Date: 2005/02/21

Dr. Cai Xiuwen reply Nutrition


Hello! Your height is 162 cm, and your ideal weight should be at least 51 kg.
Your current weight is considered normal.
If you are dissatisfied with your body shape, I recommend enhancing your curves through exercise, which is healthier.
Additionally, it's advisable to maintain a balanced diet with three meals a day, eat slowly, and chew thoroughly to avoid consuming too much food at once.
If you find it difficult to control your eating habits, I suggest consulting a psychiatrist for additional psychological support, which would be beneficial for your health.
Wishing you good health.
This message is a response from Dietitian Tsai Hsiu-Wen at Nantou Hospital, Department of Health.

Reply Date: 2005/02/21

More Info


Binge eating disorder (BED) is a serious eating disorder characterized by recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort. Individuals with BED may feel a loss of control during these episodes and often experience feelings of shame or distress afterward. Your description of consuming a significant amount of food in a short period, followed by purging, suggests that you may be experiencing symptoms consistent with this disorder.

To better understand binge eating, it's essential to recognize the signs and symptoms. Common signs include:
1. Eating Large Amounts of Food: This is typically done in a short time frame, often within two hours. You mentioned consuming multiple bowls of cereal, sandwiches, and snacks in a single sitting, which aligns with this symptom.

2. Loss of Control: Many individuals report feeling unable to stop eating during a binge episode, even when they are no longer hungry. You noted that despite feeling full, you continued to eat, indicating a loss of control.

3. Emotional Distress: After binge eating, individuals often feel guilty, ashamed, or disgusted with themselves. Your feelings of distress and the need to purge afterward are significant indicators of the emotional toll this behavior can take.

4. Binge Eating Occurs at Least Once a Week: For a diagnosis of BED, these episodes must occur at least once a week for three months. You mentioned this has been happening for about a month, which suggests a pattern that may need further evaluation.

5. Eating in Secret: Many individuals with BED eat alone or in secret due to feelings of embarrassment about their eating habits.

It's important to note that binge eating is not just about the quantity of food consumed but also involves the psychological aspects of eating. Factors such as stress, anxiety, depression, or even social influences can trigger binge eating episodes. In your case, the late-night eating and subsequent bingeing could be linked to lifestyle changes or social pressures, such as eating late due to friends.


Solutions and Recommendations
1. Seek Professional Help: The most effective way to address binge eating disorder is through professional treatment. A psychologist or psychiatrist specializing in eating disorders can provide therapy options, such as cognitive-behavioral therapy (CBT), which has been shown to be effective in treating BED.

2. Nutritional Counseling: Working with a registered dietitian can help you develop a balanced eating plan that meets your nutritional needs without triggering binge episodes. They can also help you understand the importance of regular meals and snacks to prevent extreme hunger, which can lead to binge eating.

3. Mindfulness and Stress Management: Incorporating mindfulness practices, such as meditation or yoga, can help you become more aware of your eating habits and emotional triggers. Learning stress management techniques can also reduce the likelihood of turning to food for comfort.

4. Support Groups: Joining a support group for individuals with eating disorders can provide a sense of community and understanding. Sharing experiences with others who face similar challenges can be incredibly beneficial.

5. Avoiding Triggers: Identify situations or emotions that trigger your binge eating episodes. Keeping a food diary can help you track your eating patterns and emotional states, making it easier to recognize triggers.

6. Healthy Eating Habits: Focus on establishing regular meal patterns that include a variety of foods. Eating balanced meals throughout the day can help prevent extreme hunger and reduce the urge to binge.

In conclusion, your experience of binge eating and purging is concerning and warrants attention. It's crucial to address these behaviors with the help of professionals who can guide you toward healthier eating patterns and emotional well-being. Remember, you are not alone in this struggle, and seeking help is a vital step toward recovery.

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