Why do children eat paper? Why do children eat paper? Is this a kind of neurological disorder? Worrying about "child eating disorder" is one of the concerns of parents who try different ways to treat it... but what is the real meaning of child eating disorder?. What are the solutions for treating eating disorders in children??.. In this article, Dr. Faraji, a pediatrician, explains about children's eating disorders and the ways to diagnose and treat them... For more information about this disorder, refer to the clinic's article... Diet, weight loss and body shape are the main topics of the media... Children's eating disorders include: anorexia nervosa, hunger or non-specific disorders, hunger and non-specific.. Anorexia nervosa means deliberate severe weight loss, disorder in Self-image, fear of obesity and secondary physiological complications... ### bulimia nervosa - Intermittent overeating with unhealthy weight loss strategies, vomiting, consumption of diuretic and diarrhea-causing foods or intense sports... - Binge eating disorder - At first, eating disorder in childhood was considered non-specific, in this disease frequent episodes of overeating (without intentional compensatory behaviors of anorexia nervosa) are seen... - Risk factors include family history, reduced self-confidence, immaturity and family standards... - Also, the highest prevalence rate in developing countries is among teenage girls and 9 years old... Children who are professionally active in sports... where thinness is considered an advantage in That, like swimming, gymnastics, dancing, wrestling, etc... ### Differential diagnoses - Body deformity disorder - Eating greedily - Fear of obesity (cultural food patterns by avoiding fat consumption) - Systemic disorders that lead to weight loss, such as malignancy, tuberculosis, intestinal diseases - Clinical manifestations of eating disorders in children - Anorexia nervosa: weight loss, amenorrhea, hypothermia and cold intolerance, orthostatic blood pressure reduction, hair loss, fluffy hair, constipation and bloating, abdominal discomfort.... - Bulimia: fatigue, decreased energy, headache, abdominal fullness, nausea and vomiting of the knuckles, secondary tooth wear related to intentional vomiting.... ### Diagnostic evaluation #### Anorexia nervosa Refusal to maintain normal body weight and misperception of body weight are determined in the history and clinical examination... primary or secondary amenorrhea... increased BUN-ALT - decreased Na-k-Mg-Ca - decreased zinc, vitamin A and copper EKG can show T-Invert and ST depression.... #### bulimia nervosa Rapid and secretive consumption of large amounts of food accompanied by feelings of anxiety, guilt, and lack of control Serum amylase may increase... compensatory activities for weight loss include defecation methods and no stools... the pediatrician also introduces these children to the dentist, the reason is that they do not observe oral and dental hygiene due to frequent vomiting (vomiting exposes the teeth to a lot of acid that causes decay and erosion of tooth enamel)... ### Treatment **Children's Eating Disorder** Periodic check-up of children is one of the requirements that starts with the smallest symptoms, therapeutic and preventive measures are prescribed for the child... Dr. Faraji, a good pediatric specialist in North Tehran, recommends the following strategies for treating eating disorders in children... ### Treatment of anorexia nervosa - Strengthening the child's immune system, nutritional supplements to compensate for glycogen, fat, protein, calcium and iron reserves.... This should be done gradually.... - Affected children show great resistance to treatment.... It is often necessary to use negative and positive stimuli and a step-by-step method to gain weight.... - If intensive reserves are provided, it may lead to rapid recovery.. Hospitalize the child. ### Treatment of bulimia nervosa Nutritional counseling for education and nutrition planning with three standard meals a day Child behavior therapy means practicing eating slowly and enjoying it, eating with other people, monitoring after eating, teaching the calorie content of selected food and nutritional needs of the body... Children's heart diseases Strengthening the child's immune system Seizures in children Ear infections in children Children's hearing disorders Thanks to the management of the site Dr. Faraji pediatrician