Bulimia

Hi Cinnamon,

Have no idea what country you are in, but therapy by someone
trained in eating disorders is a good thing to do here.

Most eating disorders have to do with trying to feel that one
has some degree of control over their life, due to being
controlled by others. Trained eating disorder therapists understand this,
and it is why people resist therapy bc they think the therapist will
also try to control them.

Please google the Renfrew Centers, Usa. This is a very well
respected group of centers that specializes in eating disorders.
Even if you are not in the usa they can probably suggest
therapists who are specialized in eating disorder where you live.

Someone will help you with remedies, I just wanted you to have
this information.
[message edited by simone717 on Sun, 23 Jun 2013 22:10:13 BST]

Simone and myself have discussed your case and I have decided to treat you in case you so desire, but please answer the u/m questions again
and yes let modesty not prevent a full statement.



MENTAL SYMPTOMS
- How is your memory?
- For what is it poor?
- At what time is it poor?
- Do you remember what you read?
- Do you read with interest and pleasure?
- Can you apply you mind easily?
- In what way is your disposition changed during sickness?
- Are you mild, easy, gloomy, hopeless, obstinate, irritable, snappish, petulant, “real ugly” or sullen, cheerful, happy or in what way is the disposition affected?

Do you answer the questions of others promptly or slowly?
Do you comprehend easily?
Do you have anxiety, apprehension of the future, aversion to people, company or things, bashful, desire for company or solitude; desire for death; confusion of mind, delirium, discontent, disgust, dread of future; of people, of animal or things, any peculiar feeling, mind full of crowding ideas, ill humour, impatience, indecision, indifference, jealousy, too easily exited to tears or laughter,
3
laziness, loquacity, disappointed love, melancholy, easy to be offended, feel like quarrelling, sadness; scolding, screaming, sighing, taciturnity (silent mood), persistent thoughts, or crowding of ideas aversion to work, play or anything else?

How does the future look to you?

Have you any delusions of any kind, or do you imagine you see things that have no existence, that you family has turned against you, that a man is under the bed or in the house, that someone is following or hounding you, that you are rich or poor, or will die in the poor house, hear voices or that you are called or anything else in this line?

(Note: - Be very careful to give all these symptoms fully as they are very important. The questions and languages here used are merely suggestive, being intended to lead you to give all you symptoms. The whole of this questionnaire is merely suggestive & it is not intended that the patient be restricted to the language or symptoms of this questionnaire. Give your case in your own language carefully and cully making on endeavour to make it as exhaustive as possible by including all the freak symptoms also).



SENSATIONS
(Note: - Sensations are also important and should be especially noticed. The special sensations may occur in any part of the body, or internally or in the head or extremities. Give the sensations in your own language to express it. No matter how simple or even ludicrous, it is necessary to give it.)
Examples: - It may be like a mouse or bug crawling; like wind blowing into the ears or eyes; as if someone was pulling a hair; as of a blow on the back ; as if the year was grasped by an iron hand ; as if claws were grasping the bowels; as of a splinter in the throat or flesh like a string of thread on the tongue or in the throat; as if joint were dislocated; as of a band or cord around the head; as though you had a cap on or hat; as a plug in the ears or some other place; as if another person lies along side of him, or that one limb is double; as if abdominal muscles were pushed out by arm of a child ;
as if boiling lead were pushing through rectum ; as if anus would fly to pieces during stool ; as if moisture, or a drop were running through the urethra; as if legs were made of wood.

(Note: - These are merely illustrations, a few which have occurred to other person, and are given that you may understand what is meant by sensations. Always give the locations as well of the sensations.)




MOUTH AND TONGUE
- State whether the trouble is with tongue or mouth, and what part of mouth. Sores? Give the location, colour and size of the sores. Whether depressed or elevated.
- For pain in the sores, see section 5 and report.
- Is mouth or tongue dry or moist? Much or little saliva? Character, colour, appearance and
Any peculiarity of the saliva?
Is the breath bad or foul? When does foul breath occur and what is it like?
- Any bad taste? When does it occur and what is it like?
- Any peculiar taste?
- Any peculiar sensation? See Section3.
- Is the tongue moist or dry.?
- What is the coating on the tongue, its colour & appearance? What part of the tongue is coated? Is there any peculiarity about the coating?
- How are the edges of the tongue? How is the lip? How is the back part?
- Does the tongue show imprint of the teeth? Can you put it out of the mouth easily? When putting it turn to one side or tremble?
- Any swelling or soreness under the tongue?
- Give direction of any cracks or fissure on the tongue?



EATING & DRINKING

- Have you a craving for any special article or food? (Not only a desire, but a feeling that you must have it.) Name the article.
- Any aversion to any special article or food name it.?
- Are you hungry most of the time or at any special time?
- Is hunger or craving for food excessive?
- Have you no desire for food?
- Do you have hunger with aversions to eating? Do you eat without hunger?
- Does the food taste good or it has a natural taste?
- How do you feel before eating?
- Bad effect from eating much or less?
- Do you desire much/less food at a time?
9
- Is there any special food that disagrees?
- Do you desire solid or liquid food?
- Do you crave for, what you don,t know?
9
- Do you crave substantial food or dainties, candy, cakes, sweet things, sour things etc.?
- Is the appetite even or variable?
- Does the food satisfy you?
- Any troubles that always comes on after eating all you want or after a little food?
- Do you eat hastily or slowly?
- Do you have a sick stomach or vomiting after eating?
- Does eating aggravate other complaints?
- Are you sleepy after eating?
- Do you have pain anywhere after eating? (See section)
- Do you suddenly lose your appetite or relish for food while eating for any time?
- Are you very thirsty or thirst less do you wish to drink often or seldom? Do you want to drink much at a time or less? Any trouble that always comes after drinks?
- Do you crave any special drinks?
- Do you feel bad after drinking?
- Does drinking satisfy you? Do you use tea/coffee? How much?
- Do you use alcoholic or other liquors?
- Do you use much milk? Does milk agree?
- Do you have sick stomach/Vomiting after drinking?
- Does drinking aggravate other complaints?
- How does water or other drinks taste?
- Do the drinks make an audible sound when going down the tract?


NAUSEA, VOMITTING, ERUCATIONS ETC

(Note: - These terms stand for different things. It is necessary to make the distinction in writing your case.)
- Eructation (Belching of wind)
- It is frequent?
- When does it usually come?
- Does it last long at a time?
- What relives it? What makes it worse?
- Does it relieve the stomach, pain in any place? The throat or do you feel better generally after belching?
- Have you pain anywhere before or during belching?
- Is the amount of wind great or small? Does it come up easily or with difficulty?
- Is there any trouble that always accompanies it?
- Is there any bloating of the stomach or abdomen?
- Do you try to belch but can’t? Any nausea with it? Any taste with it? (Acid, like almonds. Like apples, bitter, greasy, foetid or foul, of food eaten, hot rancid, salty, sweeter etc.?
- Have you gagging? When & under what circumstance? Any accompanying troubles? How does it affect you?
- Have you any heart burns? (n uneasy, burning feeling in the stomach) Any accompanying troubles? How does it affect you?
- Have you at any time hiccoughing? When does it come on? How often? Any pain? Any accompanying troubles? How does it affect you? What relieves it?
- Have you at any time regurgitation of food (Spitting up food in small quantity without vomiting) Give particulars.
Nausea (Qualmishness, Squeamishness, Loathing, Sickness, at the stomach)

- Where is the Nausea located? Or from where does it seem to come? Does it come & go or is it constant when present?
- Does it always come on at a particular time? What seems to cause it?
- Is there any trouble or paid that always come before it or with it.? How does it affect you? Describe in your own words?
- Does it come on suddenly or gradually? What relives it? What makes it worse?
- Is there any faintness with it, fainting dizziness, paleness, weakness?
- Do you feel that vomit will relieve you?
- Is there simple Nausea, or do you feel deathly sick?
- Retching (To Make and effort, or straining to vomit without vomiting)
- What causes it? When does it come on? Does it cause pain anywhere? How does it affect you? (Consult Nausea & Vomiting)
- Vomiting (Emptying the stomach of its contacts, puking)
- Give a minute description of what you vomit as to the appearance, consistency, colour, taste, quantity etc.
- It is, acrid, like white of an egg, bilious, bitter, bitter, black, and bloody or blood, bluish brown, clayey, like coffee grounds, cold curdled, feecul, foetid, foul, fluids frothy, glary, greasy, and green, jelly like, milk, milky mucus, musty, of pus or matter like rice water, salty sweetness, watery white, of worms, yellow?
- Is it constant, copious, what you drink, what you eat, difficult, painful, periodic, spasmodic, violent, forcible, slow in coming, sudden coming on quickly?
- When does it come? After eating after, after drinking after chill, from choking, from coffee, from cold, with colic, in convulsions, with cough, with cramps, during teething with eructation’s, with eruptions on skin, after exercise, during expectoration, in fever, from pains, from colic, when hawking, with heat, with hiccough, lying down, rising up, sitting up, standing, from motion, in the morning when riding after sleep, from smoking, before stool, on stooping, with sunstroke, swallowing, with thrust, with weakness?
- Is there anything, any position, food or drink or application that aggravates the vomiting or relieves it?
- Are there any accompanying troubles? How does it affect you? Make a full statement of anything else that may occur to you regarding vomiting?
- Water Brash (Pain or hot feeling in the stomach with a rising of water in the mouth)
- When does it come on? What is the amount? What is the taste?


(THE STOMACH)

(Note: - The stomach is situated below the lower part of the breast bone, or beneath the depression known as the pit of the stomach)
- Answer questionnaire of stomach troubles, indigestion, dyspepsia, etc . For the part external to the stomach consult section 31. (ABDOMEN)
- Note: - The abdomen is the belly, that part of the body between the chest and the pelvic. - Is there any bloating? When does it come on? Is much or little or tense, painful etc?
- Is the bloating over the whole abdomen or only in one place?
- What effect has it on you?
- Describe carefully any peculiar feeling in the abdomen as in section 3?
- Is there any gurgling or rumbling? When does it come? How much of the time is it prese?
- Is the abdomen depressed or full?
- Is there any soreness of oozing from the navel?
- .
- How long the rupture has been present? How did it stand?
- Is there any known cause of rupture?
- Have you worn a truss or other applications?
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