Anorexia

anorexia photoAnorexia is a lack of appetite. Anorexia occurs when braking food center, caused by different reasons. These include: excessive stimulation of the brain, associated with strong emotions; mental illness; endocrine disorders; acute and chronic infections, poisoning; violations of metabolism, diseases of the digestive system (acute gastritis, acute exacerbation of chronic gastritis, stomach cancer and other); irregular monotonous meals; the bad taste of food, and unpleasant situation when eating. In some cases, anorexia develops as a result of the special neurotic reaction to a variety of adverse effects - nervous form of anorexia. With long-term anorexia reduced resistance and increased susceptibility to different diseases.
Treatment of anorexia should be aimed at eliminating caused her illness. When the nervous form of anorexia shown persistent and long-term psychotherapy, strengthen the nervous system of the patient (exercise therapy, long stay on the air, water therapy, the use of tranquilizers), occupational therapy. Treatment should start with 1 - 2 of hungry days, because hunger is a powerful agent of food center. It is further recommended the appointment of bitterness, small doses of insulin (4-8 U 2-3 times a day for 1 hour before meals), the parenteral administration of high doses of vitamins C and B1. If you are unable to establish normal food, have to resort to artificial nutrition (see). Powered via gastric or duodenal the probe must be combined with the introduction of protein parenteral and fluids through an enema, and subcutaneously and intravenously.

Anorexia (gr. anorexia) - lack of appetite. Anorexia occurs when braking food center, caused by different reasons. These include: excessive stimulation of the brain associated with strong emotions; mental illness; endocrine disturbances (e.g. disease Simmonds); acute and chronic infections, poisoning; violations of metabolism, diseases of the digestive system (acute gastritis, chronic gastritis, stomach cancer, colic, toxic processes, and others); irregular monotonous food, bad taste of food, and unpleasant situation when eating.
Anorexia may occur as a symptom (symptomatic anorexia) or to be the primary illness. In the latter case, anorexia develops as a result of the special neurotic reaction to a variety of adverse effects, as an exogenous or endogenous nature (anorexia nervosa).
Anorexia prolonged existence is a greater threat to the body, because it reduces its resistance and makes it receptive to intercurrent diseases.
Treatment of symptomatic anorexia should be aimed at addressing the underlying disease. When anorexia nervosa, in addition to the impact on the causative factors of the disease, the necessary persistent and long-term psychotherapy. Along with this must be carried out activities aimed at strengthening the nervous system of the patient (exercise therapy, long stay on the air, water therapy, the use of tranquilizers); shown occupational therapy. To start treatment anorexia nervosa should 1-2 hungry days, because hunger is a powerful agent of food center. It is further recommended the appointment of bitterness, small doses of insulin (4-8 IU 2-3 times a day, 1 hour before meals), the parenteral administration of high doses of vitamins C and B1. If you are unable to establish normal food, have to resort to artificial nutrition (see). Powered via gastric or duodenal probe must be combined with parenteral introduction protein and fluids through an enema, and subcutaneously and intravenously.


Anorexia in children more likely to develop at an early age due to the greater lability of the Central nervous system and weak adaptability of the gastrointestinal tract. In children of early age anorexia can occur when changing the usual feeding, care regime. The violation of fundamental rules of introduction of complementary foods can cause the child protective anorexia, which also contributes to forced feeding. In the formation of appetite more the role of the functional state of gastrointestinal tract. Diseases of stomach, intestines and helminthic invasion cause loss of appetite (secondary, symptomatic, anorexia). The abuse of drugs bitter and unpleasant taste, overwhelming the secretory function of the gastrointestinal tract, reduces appetite. Anorexia may also be associated with hypothyroidism.
In older children fading excitability of food center in the majority of cases caused by improper feeding: irregular, monotonous, do not meet the taste requirements. Among children is widespread nervous form of anorexia.
The treatment should be aimed at addressing the causes of anorexia. If secondary, symptomatic, anorexia is first necessary to carry out therapy of the main disease. When anorexia associated with violations of the diet, it is recommended to normalize the mode of nutrition, improve taste of food. Drug therapy should be aimed at improving the main exchange, the improvement of the enzymatic function of the gastrointestinal tract. With this purpose it is shown enzymes inside for 30 minutes before eating (nacin 0.1 - 0.4 g with 1% solution of hydrochloric acid, Pancreatin children up to 1 year - 0.1 - 0.15 g; 2 years - 0.2 g, 3-4 years - 0.25 g; 5-6 years - 0,3 g, 7-9 years - 0.4 g; 10-14 years - 0,5 g per reception), vitamin B1 0,001-0,002 g 2-3 times a day; vitamin B2 0,001-0,003 g 2-3 times a day; vitamin B0 0,02- 0,05 g / day; ascorbic acid 0.1-0.2 g 2-3 times a day. When a persistent anorexia child should be admitted to hospital.

Anorexia in children occurs as a result of various external and internal influences, leading to a decrease in excitability of food center. In acute diseases, especially in the defeat of the gastrointestinal tract, anorexia can be a somewhat defensive reaction. Anorexia in children of early age is often associated with irrational feeding, incorrect or untimely lure, amateurish technique of feeding, especially with forced feeding in the period of oppression food center (for example, after infection). Often anorexia is developing according to the type of negative conditioned reflex associated with food intake. This somatic disorders are missing. Usually such anorexia is observed in the only children in the family. In the home environment and the conditioned reflex anorexia is fixed for a long time and may lead the child to depletion.
In the treatment of anorexia requires a comprehensive examination of the child to identify and eliminate latent and atypical diseases (tuberculosis intoxication, parasitic infection, chronic diseases of the upper respiratory tract and other). In the absence of such diseases should be thoroughly acquainted with the life of the family and upbringing of the child, as well as its food ration. Need to fix the monotony of feeding, the predominance of certain dishes or individual ingredients (fats, dairy products), organize watch meal, prohibit sweets and any food in the intervals between feedings; to prohibit forced feeding, clean food, as soon as the child abandoned it. In persistent cases need to be deleted at the time of the child from the family and placed in a children's band (nursery, kindergarten or even in the hospital). The correct mode of child institutions, joint child feeding practices contribute to the rapid peleniu negative food reflexes.
Malnourished children with persistent conditioned reflex of anorexia in the period of transition to the new regime of feeding can be treated by apilaka (0.0025-0.005 g 3 times a day in the form of candles, the course of treatment is 15 days) or anabolic hormones - methandrostenolone inside of 0.1 mg per 1 kg of body weight per day; daily dose divided into 2-3 times a day. The course of treatment is 3 weeks. If necessary, the course can be repeated after a month's break.