What Is Night Eating Syndrome?

Night eating syndrome (NES) is an eating disorder that is characterized by recurrent episodes of binge eating after waking during the night. These episodes are often followed by insomnia or restless sleep. People with NES may also have a lack of appetite or experience nausea and bloating during the day.

NES is thought to be caused by a combination of factors, including genetics, environmental factors, and psychological issues. It is often associated with other eating disorders, such as anorexia nervosa and bulimia nervosa, as well as with depression, anxiety, and substance abuse.

Symptoms

The main symptom of NES is recurrent episodes of binge eating after waking during the night. These episodes are typically characterized by:

* Eating large amounts of food in a short period of time

* Feeling a loss of control over eating

* Eating until feeling uncomfortably full

* Feeling guilty or ashamed after binge eating

Other symptoms of NES may include:

* Lack of appetite or experiencing nausea and bloating during the day

* Difficulty sleeping or waking up frequently during the night

* Feeling tired or fatigued during the day

* Difficulty concentrating or making decisions

* Weight gain or obesity

* Menstrual irregularities

* Depression, anxiety, or substance abuse

Diagnosis

NES is diagnosed based on a person's symptoms and a physical examination. The doctor may also ask about the person's eating habits, sleep patterns, and mood. In some cases, the doctor may order blood tests or other tests to rule out other medical conditions.

Treatment

There is no cure for NES, but treatment can help to manage the symptoms and improve the person's quality of life. Treatment may include:

* Cognitive-behavioral therapy (CBT): CBT can help the person to identify and change the negative thoughts and behaviors that contribute to NES.

* Medication: Antidepressants and other medications may be prescribed to help manage symptoms of depression, anxiety, and insomnia.

* Lifestyle changes: The person may be advised to make changes to their diet and exercise habits, such as eating smaller meals more frequently, avoiding caffeine and alcohol, and getting regular exercise.

Outlook

The outlook for people with NES is variable. With treatment, many people are able to manage their symptoms and live full and productive lives.

Prevention

There is no sure way to prevent NES, but there are some things that may help reduce the risk, such as:

* Eating a healthy diet

* Exercising regularly

* Getting enough sleep

* Managing stress

* Avoiding caffeine and alcohol

* Seeking help for any eating problems or mental health concerns

Ketamine for Addiction: What to Know How to Change Emotional Eating