Do not leave suspected bulimia unchecked
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By : migrator
Update: 2016-07-12 17:00 GMT
Chennai
My 20-year-old daughter often throws up after her meals? I suspect it to be a case of bulimia. What are the health consequences of this? — Rajalakshmi, Besant Nagar
Consult a doctor at the earliest before coming to any conclusion. Some of the long-term implications are digestive problems, like injury to the oesophagus, even tearing and bleeding. Bleeding in the stool is also common due to injury to the rectum. Young women with bulimia could develop irregular periods, anovulation and infertility. Affected women are likely to develop osteoporosis as a result of lowered oestrogen. — Dr Sheela Nambiar, Gynaecologist, Fitness and Lifestyle Consultant.
I am 31-years-old. I lost a baby at six months of pregnancy (normal delivery with dead foetus). The autopsy report declared a blood clot in placenta and I showed positive for APLA Syndrome (Antiphospholipid). On my next pregnancy more than six years ago, I was advised to take Clexane (daily insulin – 0.4 or 0.6 ml – from 45th day till 12 hrs before delivery). I was blessed with a boy. I would like to plan second child. Will I test positive for APLA again and is treatment via daily injections the only way? Do we have any alternatives? Also may I know the reverse effect of these dosages on me please? — Dhivya E, Chennai
Going by the details you have given, I would say you may require Clexane or I may prescribe only aspirin. There are no major side effects and this drug is administered for a definite indication under supervision. I would also advise preconception folic acid for you. — By Dr Jaishree Gajaraj, Consultant Obstetrics & Gynaecology, Motherhood Birthing Centre
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