We Know: All About Bulimia

What is bulimia?

Bulimia nervosa, or simply bulimia, is an eating disorder where obsession over body weight and appearance leads to cycles of overeating followed by cycles of purging, either by induced vomiting or by using laxatives.

Who is at risk for bulimia?

According to the National Eating Disorders Association, bulimia occurs in 1% to 2% of the adolescent and teen females between the ages of 10 and 25. While the exact cause is unknown, bulimia is thought to be primarily a psychological disease characterized by a belief in the loss of control and feelings of guilt, depression, or self-disgust about their weight and appearances. The disease is common in students, those with overachieving and perfectionist personalities, and in individuals of the dance, gymnastics, and modeling professions. The give-away of the disease are the bizarre and secretive eating habits accompanied by an obsession with body weight.

What are the symptoms?

Unlike anorexics, bulimic individuals often maintain normal body weights. Typical symptoms exhibited by bulimics include:

  • Binge eating
  • Goes to the restroom after eating
  • Excessive exercising
  • Vomiting
  • Laxative or diuretic use
  • Calluses on the back of the hands from induced vomiting
  • Staining of the teeth
  • Depression
  • Overachieving personality

How is bulimia diagnosed?

Individuals who have dental exams showing cavities, gingivitis, or enamel erosion most likely have bulimia. Diagnosis is also made when a medical exams reveal an electrolyte imbalance and irregular heartbeats.

How is bulimia treated?

Treatment begins with breaking the overeating and purging cycles. Behavior modification is used, as well as individual, group, or family therapy and support groups. Bulimia is a chronic disease, and individuals with it will display symptoms throughout their lifetime.

What are the complications of having bulimia?

There are severe medical complications that can occur if bulimia is not treated. Complications include:

  • Ruptured stomach
  • Damage to the esophagus as a result of vomiting
  • Acid reflux disease
  • Dehydration
  • Pancreatitis
  • Irregular heartbeat, heart arrhythmia, or heart failure
  • Emetic toxicity due to the use of ipecac
  • Death


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