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Published on: September 22, 2019
Eating disorders in inflammatory bowel disease
1Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
Inflammatory bowel disease (IBD) patients frequently have co-occurring eating disorders. Some IBD patients with eating disorders use unusual methods like milk ingestion for weight control due to lactose intolerance.
Area of Science:
- Gastroenterology
- Psychiatry
- Internal Medicine
Background:
- Inflammatory bowel disease (IBD) encompasses chronic conditions like Crohn's disease and ulcerative colitis.
- Eating disorders are serious conditions characterized by severe disturbances in eating behaviors and related thoughts and emotions.
Observation:
- Three patients with diagnosed inflammatory bowel disease (IBD) also had a history of eating disorders.
- Two patients presented with bulimia nervosa, and one had a presumed history of anorexia nervosa/bulimia.
Findings:
- All three IBD patients were lactose intolerant.
- Two patients employed unusual weight control methods, including the ingestion of milk as a purgative, in addition to vomiting and fasting.
Implications:
- This highlights a potential comorbidity between IBD and eating disorders.
- Clinicians should consider screening for eating disorders in IBD patients, especially those with lactose intolerance.
- Investigating the impact of unusual weight control behaviors on IBD exacerbation is warranted.
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