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General Medicine

Binge Eating Disorder

Lindsay Dawn Porter, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

Binge eating disorder (BED) is characterized by episodes of uncontrollable consumption of large amounts of food in a discrete amount of time associated with a subjective sense of lac...

DIAGNOSIS

  • According to the DSM-5 Diagnostic Criteria for BED, binge eating episodes are typically associated with at least three of the following: eating more rapidly than usual; eating more than comf...

TREATMENT

GENERAL MEASURES

Assessment of people with eating disorders should be comprehensive and include physical, psychological, and social needs and a comprehensive assessment of risk to self. 

MEDICATION

ONGOING CARE

Schedule frequent follow-ups to closely track course of disease and patient progress. 

FOLLOW-UP RECOMMENDATIONS

The level of risk to the patient’s mental and physical health should be moni...

REFERENCES

1
Erskine HE, Whiteford HA. Epidemiology of binge eating disorder. Curr Opin Psychiatry. 2018;31(6):462–470. doi: 10.1097/YCO.0000000000000449.
2
Galmiche M, Déchelotte P, Lambert G, et al. Pr...

CODES

ICD10

  • F50.81 Binge eating disorder

  • R63.2 Polyphagia

SNOMED

  • 439960005 Binge eating disorder

  • 72366004 Eating disorder

  • 267023007 Excessive eating - polyphagia

CLINICAL PEARLS

  • BED is the most common eating disorder but is often unrecognized and underdiagnosed/untreated.

  • Nonobese individuals with BED tend to be younger and reluctant to seek treatment.

  • Consider ...

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