Binge Eating

What is binge eating disorder?

Binge eating disorder is when someone regularly eats very large amounts of food in a short time and feels like they cannot stop. This is different from occasionally eating too much at a special meal or celebration.

People with this condition often feel upset, guilty, or ashamed after eating large amounts. They may eat much faster than normal, eat until they feel uncomfortably full, or eat large amounts even when they're not hungry.

How is it different from other eating problems?

Unlike bulimia, people with binge eating disorder don't try to get rid of the food afterwards by being sick or taking laxatives. This means they may gain weight over time, but not everyone with binge eating disorder is overweight.

What are the signs?

You might have binge eating disorder if you:

• Regularly eat much more food than most people would in a similar time
• Feel like you cannot control your eating during these episodes
• Eat very quickly during binges
• Eat until you feel uncomfortably full
• Eat large amounts when you're not physically hungry
• Eat alone because you feel embarrassed about how much you're eating
• Feel disgusted, depressed, or very guilty after overeating

These episodes need to happen at least once a week for several months to be considered binge eating disorder.

What causes it?

The exact cause isn't fully understood, but several things may play a role:

• Past experiences: Difficult childhood experiences or trauma
• Mental health: Depression, anxiety, or low self-esteem
• Family history: Having relatives with eating disorders
• Life stress: Major changes, relationship problems, or work pressure
• Dieting: Strict dieting can sometimes trigger binge eating

When to speak to your GP

You should speak to your GP if you're worried about your eating patterns or those of someone close to you. This is especially important if:

• You regularly eat very large amounts and feel out of control
• Your eating is affecting your daily life, work, or relationships
• You feel very distressed about your eating
• You're experiencing physical problems that might be related to your eating

Urgent warning signs - seek help immediately if you have:

• Severe stomach pain after eating
• Chest pain or difficulty breathing
• Signs of severe dehydration (dizziness, dark urine, not urinating)

Getting help

Binge eating disorder is a real medical condition, and effective treatments are available. Your GP can:

• Assess your symptoms properly
• Refer you to specialist eating disorder services
• Discuss treatment options like talking therapy
• Check for any physical health problems
• Provide ongoing support

Remember, having binge eating disorder isn't your fault, and you don't need to feel ashamed about asking for help. Many people recover with the right support and treatment.

The sooner you get help, the easier treatment often is. Don't wait until things get worse – speak to your GP about any concerns with your eating patterns.

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Based on NHS.uk guidance. Written by Dr Krishnan Pasupathi, NHS GP.