Abnormal Diagnostic Manual

Bulimia Nervosa 03

Sheng Ming went on a business trip for a week, and he didn't come back on New Year's Day. At that time, he was busy promoting drinks with the government leaders.

Qi Yu has been living abroad for ten years, and he never misses Sheng Ming as much as he does now.The love chicken soup is really honest and not deceiving. Once you eat the marrow and know the taste, it will be like a maggot attached to the bone for a second, and it will be uncomfortably itchy.

But having said that, even when Sheng Ming was in City A, they didn't get tired of being together every day, and because they lived in two places, when they got busy with work, they didn't see each other for more than a month. I don't know why, but this time I just thought so. he.

Qi Yu sighed, picked out a shirt from the closet that Sheng Ming had left over from the previous night, and threw it on the bed, burying his face in the shirt, as if he could still smell Sheng Ming.

Qi Yu lay on the bed, opened her pajamas, tucked herself in, touched her sensitive zone, imagining that Sheng Ming's hand was touching him.

When the phone rang, Qi Yu's desire/desire was bursting, and when he heard Sheng Ming's voice, he ejaculated directly.

Sheng Ming paused and asked what he was doing.

Qi Yu pulled a few paper towels, wiped the mucus on his hands, felt a little satisfied after releasing it, and thought of teasing, "You didn't hear, I just thought you would do it yourself."

Sheng Ming was speechless, although listening to his post-event voice made him feel a little itchy, he was going to tease him a few words, but why did he forget that this person is thick-skinned, and he was teased the other way around within a few words.

"Do you want to know what I'm thinking when I touch myself?" Qi Yu rolled around on the bed, lowered his voice and approached the microphone, "I'm wearing your shirt, um, it's the one you didn't wash before you left, Do you remember, we did it for a long time that day, I sat on you and I cum on that shirt. I was wearing that shirt and it felt like you were holding me, and I did it like you Touch yourself, I like you licking my earlobe the most, but unfortunately I can’t lick it, and there are nipples/tips, I can only rub it by myself... Well, I like you to use a little force. Then there is the back, you are not here, I I can't even touch it with my fingers, it's so itchy..." Qi Yu opened his mouth and came, as if a little yellow/film director possessed him, adding fuel and vinegar to his words, listening to the heavier breathing and the annoyed hanging up on the phone Duanyin laughed until he slapped the bed.

Qi Yu laughed for a while, then felt a little blushed again, and he was a little swayed by the words, so he quickly threw the shirt into the washing machine.

Last time, Sheng Ming hung up the phone call angrily and didn't talk about the business at all. Fortunately, Qi Yu didn't mess with it this time. Sheng Ming described to Qi Yu how Li Wan ate, vomited and ate again. Qi Yu became serious and asked him to bring Li Wan home quickly, and he would notify Li Wan's parents.

Sheng Ming was a little surprised, he didn't expect the matter to be so serious.

Qi Yu asked him: "Have you noticed that Xiao Wan has dental caries?"

"Yes, Xiaowan suddenly had a severe toothache yesterday, and I just came back from seeing a doctor with her."

"That's right, it shows that Xiao Wan has been inducing vomiting after overeating for a long time. Prolonged vomiting and excessive contact of teeth with stomach acid will form dental caries." Qi Yu flipped through the information in his hand, frown.

Li Wan probably suffered from bulimia nervosa.

Bulimia nervosa is a disorder very similar to anorexia.Patients with anorexia nervosa have severe resistance to eating due to fear of weight gain. Adolescents and young women account for the majority, and about one-third of anorexia patients will have chronic diseases, and 5% of patients will die.

The most notable physical feature of patients with anorexia nervosa is emaciation. The weight limit in the DS/M-IV-TR ① standard is lower than 85% of the standard weight for the patient's age and height.Another characteristic of anorexia nervosa is that patients are extremely afraid of getting fat, and their inner body standards are seriously inconsistent with reality. Even if they are skinny, they feel that they are too fat.In addition, girls with anorexia may experience amenorrhea, or absent menstruation.

People with anorexia refuse to eat and sometimes exercise excessively. They will not stop eating, and sometimes they will gobble it up, but they will compensate by vomiting or taking laxatives to expel the food quickly from the body.

Very similar to bulimia nervosa - uncontrolled, unrestrained eating, remedied by vomiting, exercise, etc. after eating, but people who do not meet other criteria for anorexia (such as low body weight or amenorrhea) are Believed to be suffering from bulimia nervosa.

People with bulimia eat a lot, especially sweet, high-calorie foods, and don't feel satisfied until they feel uncomfortable.Then eight out of ten they will touch their throat with their fingers or other things to stimulate the gag reflex to make themselves vomit. Some patients will take laxatives, diuretics, etc. instead, and some will compensate by fasting or exercising.

People with bulimia nervosa also judge themselves based on their body size, although their internal body size standards are also abnormal.And there is a sense of shame running through their overeating.The anorexic gets excited about eating less and throwing up more, and the bulimic feels ashamed about eating more and throwing up more.

Patients with bulimia often overeat due to stress or unhappiness, and then become more unhappy after overeating, and most patients overeat alone, secretly, and try to hide their traces from family members.

During Qi Yu's narration, Sheng Ming discovered that Li Wan's actions could be compared one by one.

*①DS/M-IV-TR is the American Diagnostic and Statistical Manual of Mental Disorders