Coming at you with another outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation for lifelong learning, this one on disordered eating. It’s important to remember that various digestive diseases can take all the joy out of eating and patients suffering from them can display behaviors that can mimic eating disorders. In a major way the thrill is gone not only for eating, but they can suffer from depression, anxiety, and other psychiatric disorders. This is an encore performance by Dr. Emily Morse, DO.
Psychiatric consultants have to think pretty hard before they drop labels like Anorexia Nervosa on patients who may display symptoms of eating disorder, but who may also lack the defining psychological features, including but not limited to a fear of fatness and a drive for thinness. The causes of disordered eating are many and range from gastroparesis from neuropathy related to diabetes mellitus, to inflammatory bowel disease such as Crohn’s Disease, and to Celiac Disease.
Digestive disease specialists (gastroenterologists) know a great deal about how such problems can present as eating disorders and lead to food avoidance because of pain associated with certain foods or bouts of diarrhea, for example. This can lead to avoidance of particular foods or avoidance of eating altogether. And patients with primary gastrointestinal disease can be on restricted diets which can generalize to food avoidance broadly.
As usual, Dr. Morse made some excellent slides to get the point across. In order to see the picture galleries of photos or powerpoint slides, click on one of the slides, which will open up the presentation to fill the screen. Use the arrow buttons to scroll left and right through the slides or up and down to view any annotations.