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Abstract Anorexle (or loss of appetite) is a daily problem Foor the parents and for the physician who treats children. It is oharaoterized by one of the most frequent Complaints in pediatrio practice ”my child -won•t eat. 111-though laok of in texoest in food is II normal ph3s:Lalog1c phenom.enon. in moIJt oh1.1d:1’el1 .sp eois.11y ’roddlers and preauhCl<ll ohi ldren. 1.t en us es frequent emotional con:rl1ots between thl! mother Bn4!:l.1l:rsmall ohild. ”otbers are al”,aye an.:xiOUBabout tb. poor appetite ot tb.e1.r obi.ld:r’en. The fogd intake :Le controll.d by two centres in the h»othe.laaUB~ feed~ and ”ati.”t,v lumtreJI. !he limbic syst eln-pro’lr.lde. an important path-7 by ••h.:1.ch higher 1ntluencelJ 88 em.at:1on.• fear, pun. or stTeSB may affect the hypothalamic contyol of ap~et1t.. ~her~ are manY Rr~erent Ilignall!l vary in the1.:r Jl.I!I.ture and Qrig1n lI\e.1 reAoh the n,potbl).1smio oe:o.tru f4 appet1te and 1I1teJ’ their 8(1- ~i~t1..s. ~h.ae signals inolude gluo~BtBt1.0tthe~st8- ~ic and 11postRtle hYPothesis. signals fro~trointest1nal traGt and other r~to~a. _ PhPliologic anor.nll :i8 CODllllOinD tiLe 2!!9. ,.ear of lit& and preaahool period due to the normal decelerated rate of growth. _ YS7cbogenic anorexial 1- the 1:oO”EllOD •• t typ. ur anorexia in ohild;rd. It :L8reb. ted to va.r.1ou PS:r(lhDbgiOI),l. f.cwrs Yhioh 41.turb th. t.ed1B& beha~Gur and buoser-appeti -te aeahaDi” 1D.the obi14. POD4foro1ng 111 the 00-- one8t 08a8 of’ P8,.chog ani 0 anDrexia. Other CIlUI’e8 auob. all disharmony of lIarent. - ohild reb:t:1onsb1p, p a:ych~1trio d1.sesflB89 a1’01dIWClil ot 1l-,mp’to1l1” of cll-ronic 1.11neaaf IlI8ternal depri .•.•t.10n lmd. e.norerla nervesa •.bleb is a severe fo.l”IIl or psychogenic anorexia in prEldol. ssant gi:r1s. Anorllxia du.e to crganic dinBB9 infeotion nutritional disease - renal disea •• - cardiac disease _ gastrointestinal d1sea •• neurological disease _ ~atabo110 disea.. - resp1ratDr.1 d1aease-bloQd llisease _ drugs. Anor9%ia due -to lWute 11lne19l!1 is transitory bnt prolonged if associated witb chrOnic o1’ga.niI) 11lneal’l. .anag_en’t Qr uorerl.”~ In phyeiolQg1~ anorexia. phYs1e1an mUBt &~la1n to the mother tb.e Tela.UODabip bet\lruu the ohilds appet1 te - g.o rate of growth, th.e fead1.ng behaviour of the child 1lluat be ~espe~t8d. the sel~-dem~ud feeling for ~n~~ts io eBl:<ElD tial. the perfe ct method .for weaning, let the ~bi ld to ea~ ~hat he preferes, t$Ddly q~re19 must be solved ””••••.-y from. the child. In snorexia due to oxgsnio illneSS tne peat approach is treat>nent o-r -tbe Imderl;ring caUse. Iron theJ’8P1 is neCQS8ar1 ~or pi~n. Trtcyo1.1e antidepreslIen:t d.rug. (e.Jd..triptyl1n)1.JDp):” o’ll’e anorexia. du.e to dspressiotl b:r inoreasing the -rree 1evel ot noradrlnEl11ue in nnothalam1.1fl or t’etlU”’ll.lng the arteriovenoua d1ffer«noe of glucose lev~lto normal. oron1eB will not l’e_olve the p:r’Oblem of oppe”tite ~ement of anore:da nervoBa needs both ps,ol1Otherap7 ta impro’l’e pat1eut’B autonomy. etfecl1veneIJd and bis self’ .team and .eti.oal tbe).”IlP,” for .•eight &&1n. The •.ediosl tberap:t 11101 u.a..’ correotion.1’ nuid and elecrtro17t• u.etarb8ACeSt par_tal •.liaenb.Uon g:rad’l281 llIr •.l j’u<tL!l&t oeJ’”ta!D d.rtl&B 81JC1L.8 i:hl01”P:r~1D• _4 1nsu].1.n plllycbothe1’8P;r inoludU indiTid_l plI;JOhothnpy. :ram,1.l::rps:rchothe:raP7 enclllaregiDg the patient to reeogniB& and &••ert biB ~eQliDg treel,., expla1n1ng the 111.portmoe ot: r”<ld. to 1mprove the db’turboed body tlDlOtiO: D.. !l’be beba’l”iour IIlOdlfica t10n h useful method fOT trea~ant of anorexia ner90Ba. It depend~ on II- baseline 01’ oOlllplete deprivation then posit1YB enforcement is edded by o~tain1ng rewards for weight ga~n ~d nor.=al eat1ng bebavioura. The behaT10ur lIIodlt1Ce. tiOD 1II beet con t:rolled by wri t tening a cQll. traoi between the p.ai;1 ent and phy91.o1an. |