Sunday, December 3, 2006

Regaining weight

The final purpose of anorexia treatment is regaining of the patient's normal weight and psychological correction of his attitude to food.

Initial treatment depends on the degree of patient's metabolic infringements. In most cases patients call the doctor already in the condition of a severe exhaustion. Therefore, such patients are frequently hospitalized. They stay first in the therapeutic department to normalize metabolism, and then they are moved to the psychiatric department and continue anorexia treatment there (but still under a steadfast supervision of the therapist).

Anorexia treatmentAnorexic patients, despite of doctor's instructions, often evade consumption of high-calorific food by stealth, so it is necessary to keep up closely watching their weight. If a patient refuses from food, it is possible to resort to feeding tube or instillator to inject necessary nutrients.

At first it is necessary to feed patients frequently and gradually, using liquid food additives. Elimination of avitaminosis can also be a significant part of anorexia treatment. The general caloric caloric value of food consumed in a day should exceed energy needs that are necessary to maintain the present weight approximately by 500 calories. The patiest's weight is registered, as well as the weight of consumed nutrients and faeces, the amount of consumed and secreted liquid is measured, the water-electrolytic balance is investigated.

Long-term out-patient supervision and treatment plays an important role. The cooperation of the therapist and psychotherapist (psychiatrist) is necessary as the patient requires a constant psychological support. The use of medications such as neuroleptics and energizers can also be needed as additional means in anorexia treatment.

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