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Bulimia Nervosa

What is Bulimia?

Bulimia is characterized by cycles of bingeing and compensatory purging (self-induced vomiting, laxatives/enemas/diuretics, and/or excessive exercise).



 

What are the signs/symptoms?

  • Evidence of binge eating (including disappearance of large amounts of food in short periods of time or finding wrappers and containers indicating the consumption of large amounts of food).
  • Evidence of purging behaviours (including frequent trips to the bathroom after meals, signs and/or smells of vomiting, presence of wrappers or packages of laxatives or diuretics). 
  • Unusual swelling of cheeks and/or jaw area.
  • Calluses or scars on knuckles and back of hands (result of self-induced vomiting).
  • Discolouration or staining of teeth. 
  • Rigid schedules or rituals to accomodate binge-and-purge sessions.
  • Withdrawal and loss of interest in friends and previously enjoyed activities. 
  • Continued exercise despite injuries, fatigue or illness. 

Physical Dangers/Health Consequences

There is a common misconception that bulimia is "less serious" than anorexia, due to the fact that many individuals with bulimia are not underweight - this is a dangerously inaccurate belief. The detrimental effects of bulimic behaviours can be extremely dangerous and potentially life-threatening.



  • Electrolyte imbalances that can lead to irregular heartbeat and possibly heart failure and death.  Electrolyte imbalance is caused by dehydration and loss of potassium and sodium from the body as a result of purging behaviors.
  • Esophageal inflammation and bleeding.
  • Tooth decay and staining from stomach acids released during frequent vomiting
  • Chronic irregular bowel movements and constipation due to laxative abuse.
  • ​Gastrointestinal bleeding.
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