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Bulimia nervosa, commonly known as bulimia, is an eating disorder characterized by periods of binge eating and then purging. Binge eating refers to the consumption of large quantities of food in a single sitting. If you suffer from bulimia, episodes of binge eating are often accompanied by dangerous methods of losing weight, including vomiting, excessive fasting, enemas, laxatives, and compulsive exercising. 

What is Bulimia Nervosa?

Risk Factors for Bulimia Nervosa

A few factors may indicate you're at risk of developing bulimia. For starters, the eating disorder tends to affect women more often than men and is more common in early adulthood or late childhood. Additionally, if you suffer from bulimia, it's common to practice bulimic behaviors in secret. You may feel ashamed or disgusted while binge eating but then feel relieved once you purge, fast, or take laxatives. It's also important to note that if you're bulimic, you may weigh within a healthy, normal range for your height and age. However, you may have a deep fear of gaining weight or have a strong desire to lose weight. You may also have poor self-esteem about your body image. 

Causes of Bulimia Nervosa

While the causes of bulimia aren't yet known, many medical professionals agree that, like anorexia, there are certain personality traits, emotions, and environmental and biological factors that may increase your chance of developing the condition. In most cases, people with bulimia usually have poor self-esteem and worry about gaining weight or being overweight. Some medical professionals also agree that certain bulimic traits may be hereditary. 

Symptoms of Bulimia Nervosa

As is common with medical conditions, bulimia has a variety of potential symptoms, including the following:

  • Binge Eating
  • Purging
  • Abusing Laxatives or Diuretics
  • Frequently Using the Bathroom After Meals
  • Compulsive Exercising
  • Obsessive About Your Body Weight
  • Frequent Sore Throat
  • Dental Problems
  • Mood Swings
  • Feeling Overwhelmed or Out of Control 
  • Indigestion, Heartburn, and Bloating
  • Irregular Periods 
  • Exhaustion, Feelings of WeaknessSymptoms of Bulimia nervosa


Diagnosis of Bulimia Nervosa

If your doctor thinks you may have bulimia, they will typically try to diagnose you by doing the following:

  • Discuss Your Eating Habits and Address Any Physical Symptoms
  • Perform a Physical Exam
  • Order Urine and Blood Tests
  • Order an Electrocardiogram to Check for Heart Problems
  • Perform a Psychological Evaluation

Treatment of Bulimia Nervosa

If you're diagnosed with bulimia, your doctor may recommend psychological or psychiatric counseling and medications. Bulimics often suffer from depression or anxiety, so your doctor may also recommend antidepressants, such as Prozac. In most cases, treatment plans for bulimia involve many different people, including mental health professionals, nutritionists, and doctors, all working together to help restore you to a healthy weight while tackling any mental health issues you may have. 

Complications of Bulimia Nervosa

If left untreated, bulimia may result in the following complications:

  • Dental Problems, Including Tooth Erosion and Cavities
  • Tooth Sensitivity
  • Stomach Ulcers
  • Swollen or Sore Salivary Glands
  • Bowel Disruptions
  • Dehydration
  • Irregular Heartbeat
  • Low Libido

Additionally, in more severe cases, heart attacks may occur, or you may experience suicidal behavior. 

Complications of Bulimia Nervosa

Prognosis of Bulimia Nervosa

Like anorexia, bulimia is often hard to cure because relapses are common. Even if you're considered cured, you may continue to practice less-than-normal habits when it comes to eating or working out. However, the prognosis for bulimia is more positive than for anorexia.

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Psychiatry, Bulimia


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