Overview

Binge-eating disorder is a serious eating disorder in which you frequently consume unusually large amounts of food and feel unable to stop eating.

Almost everyone overeats on occasion, such as having seconds or thirds of a holiday meal. But for some people, excessive overeating that feels out of control and becomes a regular occurrence crosses the line to binge-eating disorder.

When you have binge-eating disorder, you may be embarrassed about overeating and vow to stop. But you feel such a compulsion that you can't resist the urges and continue binge eating. If you have binge-eating disorder, treatment can help.

Source: http://www.mayoclinic.com

Symptoms

Most people with binge-eating disorder are overweight or obese, but you may be at a normal weight. Behavioral and emotional signs and symptoms of binge-eating disorder include:

• Eating unusually large amounts of food in a specific amount of time, such as over a two-hour period
• Feeling that your eating behavior is out of control
• Eating even when you're full or not hungry
• Eating rapidly during binge episodes
• Eating until you're uncomfortably full
• Frequently eating alone or in secret
• Feeling depressed, disgusted, ashamed, guilty or upset about your eating
• Frequently dieting, possibly without weight loss

Unlike a person with bulimia, after a binge, you don't regularly compensate for extra calories eaten by vomiting, using laxatives or exercising excessively. You may try to diet or eat normal meals. But restricting your diet may simply lead to more binge eating.

The severity of binge-eating disorder is determined by how often episodes of bingeing occur during a week.

When to see a doctor

If you have any symptoms of binge-eating disorder, seek medical help as soon as possible. Binge-eating problems can vary in their course from short-lived to recurrent or they may persist for years if left untreated.

Talk to your medical care provider or a mental health professional about your binge-eating symptoms and feelings. If you're reluctant to seek treatment, talk to someone you trust about what you're going through. A friend, loved one, teacher or faith leader can help you take the first steps to successful treatment of binge-eating disorder.

Helping a loved one who has symptoms

A person with binge-eating disorder may become an expert at hiding behavior, making it hard for others to detect the problem. If you have a loved one you think may have symptoms of binge-eating disorder, have an open and honest discussion about your concerns.

Provide encouragement and support. Offer to help your loved one find a qualified medical care provider or mental health professional and make an appointment. You might even offer to go along.

Source: http://www.mayoclinic.com

Causes

The causes of binge-eating disorder are unknown. But genetics, biological factors, long-term dieting and psychological issues increase your risk.

Source: http://www.mayoclinic.com

Diagnosis

To diagnose binge-eating disorder, your medical care provider may recommend a psychological evaluation, including discussion of your eating habits.

Your medical care provider also may want you to have other tests to check for health consequences of binge-eating disorder, such as high cholesterol, high blood pressure, heart problems, diabetes, GERD and some sleep-related breathing disorders. These tests may include:

• A physical exam
• Blood and urine tests
• A sleep disorder center consultation

Source: http://www.mayoclinic.com

Complications

You may develop psychological and physical problems related to binge eating.

Complications that may be caused by binge-eating disorder include:

• Poor quality of life
• Problems functioning at work, with your personal life or in social situations
• Social isolation
• Obesity
• Medical conditions related to obesity, such as joint problems, heart disease, type 2 diabetes, gastroesophageal reflux disease (GERD) and some sleep-related breathing disorders

Psychiatric disorders that are often linked with binge-eating disorder include:

• Depression
• Bipolar disorder
• Anxiety
• Substance use disorders

Source: http://www.mayoclinic.com

Prevention

Although there's no sure way to prevent binge-eating disorder, if you have symptoms of binge eating, seek professional help. Your medical care provider can advise you on where to get help.

If you think a friend or loved one has a binge-eating problem, steer her or him toward healthier behavior and professional treatment before the situation worsens. If you have a child:

• Foster and reinforce a healthy body image, regardless of body shape or size
• Discuss any concerns with your child's primary care provider, who may be in a good position to identify early indicators of an eating disorder and help prevent its development

Alternative medicine

Most dietary supplements and herbal products designed to suppress the appetite or aid in weight loss are ineffective and may be misused by people with eating disorders. And natural doesn't always mean safe. Weight-loss supplements or herbs can have serious side effects and dangerously interact with other medications.

If you use dietary supplements or herbs, discuss the potential risks with your medical care provider.

Source: http://www.mayoclinic.com

Lifestyle and home remedies

Typically, treating binge-eating disorder on your own isn't effective. But in addition to professional help, you can take these self-care steps to reinforce your treatment plan:

• Stick to your treatment. Don't skip therapy sessions. If you have a meal plan, do your best to stick to it and don't let setbacks derail your overall efforts.
• Avoid dieting, unless it's supervised. Trying to diet can trigger more binge episodes, leading to a vicious cycle that's hard to break. Talk with your medical care provider about appropriate weight management strategies for you — don't diet unless it's recommended for your eating disorder treatment and supervised by your medical care provider.
• Eat breakfast. Many people with binge-eating disorder skip breakfast. But, if you eat breakfast, you may be less prone to eating higher calorie meals later in the day.
• Arrange your environment. Availability of certain foods can trigger binges for some people. Keep tempting binge foods out of your home or limit your exposure to those foods as best you can.
• Get the right nutrients. Just because you may be eating a lot during binges doesn't mean you're eating the kinds of food that supply all the essential nutrients. Ask your medical care provider if you need to adjust your diet to provide essential vitamins and minerals.
• Stay connected. Don't isolate yourself from caring family members and friends who want to see you get healthy. Understand that they have your best interests at heart.
• Get active. Ask your medical care provider what kind of physical activity is appropriate for you, especially if you have health problems related to being overweight.

Source: http://www.mayoclinic.com

Coping and support

Living with an eating disorder is especially difficult because you have to deal with food on a daily basis. Here are some tips to help you cope:

• Ease up on yourself. Don't buy into your own self-criticism.
• Identify situations that may trigger destructive eating behavior so you can develop a plan of action to deal with them.
• Look for positive role models who can help lift your self-esteem. Remind yourself that the ultrathin models or actresses showcased in women's magazines often don't represent healthy, realistic bodies.
• Try to find a trusted relative or friend whom you can talk with about what's going on.
• Try to find someone who can be your partner in the battle against binge eating — someone you can call on for support instead of bingeing.
• Find healthy ways to nurture yourself by doing something just for fun or to relax, such as yoga, meditation or simply a walk.
• Consider journaling about your feelings and behaviors. Journaling can make you more aware of your feelings and actions, and how they're related.

Get support

If you have binge-eating disorder, you and your family may find support groups helpful for encouragement, hope and advice on coping. Support group members can understand what you're going through because they've been there themselves. Ask your medical care provider if he or she knows of a group in your area.

Source: http://www.mayoclinic.com

Risk factors

Binge-eating disorder is more common in women than in men. Although people of any age can have binge-eating disorder, it often begins in the late teens or early 20s.

Factors that can increase your risk of developing binge-eating disorder include:

• Family history. You're much more likely to have an eating disorder if your parents or siblings have (or had) an eating disorder. This may indicate that inherited genes increase the risk of developing an eating disorder.
• Dieting. Many people with binge-eating disorder have a history of dieting. Dieting or restricting calories during the day may trigger an urge to binge eat, especially if you have symptoms of depression.
• Psychological issues. Many people who have binge-eating disorder feel negatively about themselves and their skills and accomplishments. Triggers for bingeing can include stress, poor body self-image and the availability of preferred binge foods.

Source: http://www.mayoclinic.com