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MADAME SARKOZY
Anorexia (deriving from the Greek "α(ν)-"
(a(n)-, a prefix that denotes absence) +
"όρεξη (orexe) = appetite) is the
decreased sensation of appetite. While the
term in non-scientific publications is often
used interchangeably with one of its causes,
anorexia nervosa, there are many possible
causes for a decreased appetite, some of
which may be harmless while others pose
significant risk for the person.
The most common form of anorexia is simply
satiation following the consumption of food.
This happens in all normal humans and is
called postprandial anorexia. Disorders that
cause (harmful) anorexia include anorexia
nervosa, severe depression, cancer, Crohn's
Disease, Ulcerative Colitis, dementia, AIDS,
Acute Radiation Syndrome, and chronic renal
failure and the use of certain drugs,
particularly stimulants and narcotics such as
cocaine and heroin. Environmentally induced
disorders such as altitude sickness can also
trigger an acute form of anorexia. Anorexia
may also be seen in congestive heart failure,
perhaps due to congestion of the liver with
venous blood.
Although the presenting symptom (the one
which prompts a patient to seek medical
attention) in acute appendicitis is abdominal
pain, patients virtually always experience
anorexia as well, possibly accompanied by an
early episode of vomiting.
Some medications, antidepressants for
example, can have anorexia as a side effect.
Most notoriously, however, chemicals that are
a member of the phenethylamine family are
known to have more intense anorectic
properties. For this reason, many individuals
suffering from anorexia nervosa may seek to
use these medications to suppress appetite.
Such prescription medications include
Ritalin, Adderall, Dexedrine, and Desoxyn. In
some cases, these medications are prescribed
to patients prior to undergoing an operation
requiring general anesthesia. This is a
prophylactic measure taken to ensure no food
will back up into the esophagus and cause the
patient to stop breathing during the
procedure.
Anorexia nervosa is a psychiatric diagnosis
that describes an eating disorder
characterized by low body weight and body
image distortion with an obsessive fear of
gaining weight. Individuals with anorexia are
known to commonly control body weight through
the means of voluntary starvation, purging,
vomiting, excessive exercise, or other weight
control measures, such as diet pills or
diuretic drugs. It primarily affects
adolescent females, however approximately 10%
of people with the diagnosis are male.
Anorexia nervosa is a complex condition,
involving psychological, neurobiological, and
sociological components.[1]
The term anorexia is of Greek origin: a (α,
prefix of negation), n (ν, link between two
vowels) and orexis (ορεξις, appetite)
thus meaning a lack of desire to eat.[2] A
person who is diagnosed with anorexia nervosa
is most commonly referred to with the
adjectival form anorexic. The noun form,
"anorectic" is generally not used in this
context and usually refers to drugs that
suppress appetite.
"Anorexia nervosa" is frequently shortened to
"anorexia" in both the popular media and
television reports. This is technically
incorrect, as the term "anorexia" used
separately refers to the medical symptom of
reduced appetite (which therefore is
distinguishable from anorexia nervosa in
being non-psychiatric).
The most commonly used criteria for
diagnosing anorexia are from the American
Psychiatric Association's Diagnostic and
Statistical Manual of Mental Disorders
(DSM-IV-TR) and the World Health
Organization's International Statistical
Classification of Diseases and Related Health
Problems (ICD).
Although biological tests can aid the
diagnosis of anorexia, the diagnosis is based
on a combination of behavior, reported
beliefs and experiences, and physical
characteristics of the patient. Anorexia is
typically diagnosed by a clinical
psychologist, psychiatrist or other suitably
qualified clinician. Notably, diagnostic
criteria are intended to assist clinicians,
and are not intended to be representative of
what an individual sufferer feels or
experiences in living with the illness.
The full ICD-10 diagnostic criteria for
anorexia nervosa can be found here, and the
DSM-IV-TR criteria can be found here.
To be diagnosed as having anorexia nervosa,
according to the DSM-IV-TR, a person must
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